Appendix B. High Reliability Organization Learning Network Operational Advice From the Exempla Healthcare Site Visit (continued)

Becoming a High Reliability Organization: Operational Advice for Hospi

Table 5: Rapid Improvement Checklist

Team:
Date of Event:
6 Weeks Before Event Due Date2 Weeks Before Event Due Date1 Week Before Event Due Date
Project Planning
  1. ___ Select area and topic.
  2. ___ Determine coleader and team members.
  3. ___ Complete Team Charter.
  4. ___ Ask a few hard questions, e.g.:
    —Will this team improve your value stream?
    —Will this team improve the area's key measurements?
  5. ___ Prepare the business case for this improvement event.
  6. ___ Define the objectives and deliverables expected from the event team.
  7. ___ Define the measurements and targets for the team. Make sure there are only three or fewer key measurements.
  8. ___ Review action deliverables, measurements, and targets with the external or internal consultant. Revise if needed.

Details

  1. ___ Schedule event team meetings for next 2 weeks.
  2. ___ Schedule meeting to educate stakeholders (ssc/ managers/directors of involved departments).
  3. ___ Send invitations to join to team members.

Schedule Team Meetings

Project Planning—Develop Plan To Gather Current State Data
  1. ___ Determine actual customer demand.
  2. ___ Determine backlog or wait times.
  3. ___ Determine actual output.
  4. ___ Determine total hours worked to create this output.
  5. ___ Calculate productivity: output/total hours worked.
  6. ___ Calculate relevant cycle times.
  7. ___ Determine top 5–10 problems.
  8. ___ Review occurrences/complaints in the past 12 months, if applicable.
  9. ___ Review customer and patient satisfaction comments. List top five issues from complaints, rework, and delays.

Communication

  1. ___ Post announcement about rapid improvement event date, time, and focus.
  2. ___ Put up a blank flipchart to get suggestions/feedback. Ask questions, clarify, and put these ideas on a list.
  3. ___ Discuss rapid improvement event in staff meetings. Explain objectives, measurements, and targets.
  4. ___ Review and confirm team members. Confirm entire week commitment.

Team Meeting

  1. ___ Team introductions
  2. ___ Why are we here? What is the scope?
  3. ___ Lean orientation
  4. ___ Event schedule, measurements, targets, and action deliverables
  5. ___ Business case and Team Charter
  6. ___ Tasks to team for data preparation
  1. ___ Resolve open items.
  2. ___ Define clearly the boundaries of the event:
    —Who are the customers? What are the outputs? What triggers the area to do something for a customer?
    —Who are the suppliers? What are the inputs?
    —Prepare additional flowcharts, spaghetti diagrams, layouts, and time studies, as needed.
  3. ___ Brief the consultant.
  4. ___ Prepare supplies and logistics for the team:
    —Locations and schedules
    —Food, supplies

Team Meeting

  1. ___ Review measurements, targets, and objectives.
  2. ___ Review data collected to date.
  3. ___ Ask for feedback; try to address concerns.
  4. ___ Reinforce what's in it for them.
  5. ___ Establish group norms.
  6. ___ Discuss roles of team members during week.
  7. ___ Reconfirm scheduled commitments with each team member, supervisor, etc.
Current as of April 2008
Internet Citation: Appendix B. High Reliability Organization Learning Network Operational Advice From the Exempla Healthcare Site Visit (continued): Becoming a High Reliability Organization: Operational Advice for Hospi. April 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/hroadvice/hroadviceapb2.html