Healthcare organizations are under increasing pressure to improve on all fronts. This can be achieved, but only by changing the very way we look at care. No longer can we look at care just from the organization or provider’s perspective; we must start with the end in mind – the patient. Compelling case studies, discussed throughout this book, demonstrate that modifying processes and workflows using Lean methodologies lead to substantial improvements. These changes must be undertaken in a clear, consistent, and methodical manner. When implementing an EHR based on existing workflows and sometimes antiquated processes, organizations struggle to sustain improvements.
Many organizations have deployed an EHR and now face optimization challenges, including the decision to move to a new EHR vendor. The financial implications of upgrading, optimizing or replacing an EHR system are significant and laden with risk. Choose the wrong vendor, the wrong system, or the wrong approach and you may struggle under the weight of that decision for decades. Organizations that successfully leverage the convergence of needs – patients demanding better care, providers needing more efficient workflows and organizations desiring better financials – will survive and thrive.
This book ties together current healthcare challenges with proven Lean methodologies to provide a clear, concise roadmap to help organizations drive real improvements in the selection, implementation, and on-going management of their EHR systems. Improving patient care, improving the provider experience and reducing organizational costs are the next frontier in the use of EHRs and this book provides a roadmap to that desired future state.
Ronald Bercawis the president of Breakthrough Horizons, LTD, a management consulting company specializing in world-class improvement through the application of the Toyota Production System, more commonly known as "Lean." With over twenty years of experience in operations, his Lean management experience was gained through multiple enterprise transformations in different industries including custom packaging, power reliability electronic assembly, and test and measurement products.
Educated at Purdue University, Bercaw learned the details and disciplined applications of Lean principles, habits, and tools from both the Shingijutsu Sensei and their first generation disciples. Working in both shop floor and above-the-shop-floor areas, He has vigorously strived to remove waste from businesses through the involvement and ideas of the people doing the work.
Bercaw has consulting experience in the healthcare sector (U.S. and Canadian health systems including primary care, acute care, and community applications of both clinical and back shop improvement), the commercial sector (administrations, manufacturing, distribution, supply chain, and engineering), and the public sector (U.S. Army, U.S. Navy, U.S. Air Force including Maintenance, Repair, and Overhaul (MRO) assignments, Pentagon, and Surgeon General Assignments). He is also the author of Taking Improvement from the Assembly Line to Healthcare: The Application of Lean within the Healthcare Industry, published by CRC Press (2012), and Lean Leadership for Healthcare: Approaches to Lean Transformation (2013) both recipients of the Shingo Research & Professional Publication Award.
Kurt A. Knoth
is Vice President, Performance Improvement and Patient Experience at Spectrum Health where he is responsible for all aspects of Process Improvement, Patient Experience, Patient Family Advisory Councils (PFACS) and Sustainability for Spectrum Health’s 12 Hospitals, 1,400 provider Medical Group and our health plan, Priority Health. Kurt functions as a part of the Spectrum Health executive leadership team to shape and reinforce the culture of improvement, vision, prioritize goals/objectives, and establishes the direction of process improvement system-wide to ensure the highest standards are met through the eyes of our patients and members. He is also responsible for building alignment between all organizations on the prioritization of projects which strengthen and transform our model of care.
Susan Snedaker
is an experienced IT professional specializing in infrastructure strategy and infrastructure services. As Director of IT Infrastructure & Operations at Tucson Medical Center, a HIMSS Stage 7 Certified and Most Wired Hospital, her team delivers high availability infrastructure technology and solutions for a complex and integrated hospital environment.Her areas of expertise include: IT infrastructure services, technology and operations; venture capital, investor, start up due diligence; strategic business planning; disaster recovery planning, business continuity strategies; enterprise architecture and strategic technical planning; healthcare IT including medical equipment management, systems integration, business case development/ROI, project management, technology implementation, leadership and change management.