Term
| Provides goods and services, associated with appropriate management and use of medications, to provide an array of benefits |
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Definition
| Role of Business in Society |
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| a required resource for the company to continue to serve society |
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Definition
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| Problem solver; problems can only be solved where they live; use Plan do Check Act; knows no problem is ever solved forever |
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Term
| asking about the performance issue; seeking the root cause; ritual is replaced with a rigorous thought process engaging employees |
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Definition
| Role of the problem solver |
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Term
| Conversation is necessary with the people whose current actions are contributing to the problem; requires support, encouragement, and relentless pressure |
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Definition
| No manager at a higher level can or should solve a problem at a lower level |
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Term
| No one can know the answer before experiments are conducted and the many experiments that fail will yield valuable learning that can be applied to the next round of experiments |
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Definition
| Problem solving by the means of Plan Do Check Act |
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Term
| the introduction of a promising countermeasure is sure to create new problems at some other point in the organization |
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Definition
| no problem is solved forever |
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Term
| must be able to figure out HOW to work effectively; must be able to modify approach; each product is different |
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Definition
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Term
| every step of production is optimized/controlled; must maintain consistency in approach; each product is identical |
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Definition
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Term
| a systematic approach to identifying and eliminating waste through continuous improvement by flowing the product at the pull of the customer in pursuit of perfection |
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Definition
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Term
| Install a visual workplace; ensure quality at the source; redesign for steady flow; establish standard work; engage and respect everyone's expertise; eliminate waste |
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Definition
| lean process characteristics |
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Term
| what do I get?, what do I give? do I belong? how can we grow? |
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Definition
| human sigma dimensions of employee engagement |
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Term
| a comparison of two or more alternatives; both the costs and consequences of the alternatives being examined |
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Definition
| economic evaluation main features |
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Term
| decision analysis; decision tree; predictions; sensitivity analysis |
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Definition
| economic evaluations characteristics |
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Term
| 18 core questions, administered at random sample with cross medical conditions 48 hrs and 6 weeks post d/c |
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Definition
| Hospital Consumer Assessment of Healthcare Providers and Systems |
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Term
| Multidisciplinary teams addressed these work streams to increase value at each step (from article) |
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Definition
| minimizing volume variation; streamlining the preoperative process; reducing nonoperative time; eliminating redundant information; promoting employee engagement |
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Term
| reduces process variation through the rigorous application of process metrics collection and statistical analysis |
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Definition
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Term
| Objective for Unplanned surgical volume variation |
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Definition
| design scheduling processes that support improved OR use |
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Term
| Objective for Streamlining the preoperative process |
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Definition
| ensure appropriate preoperative patient testing and evaluation before surgery and reduce the redundancy of provider activity |
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Term
| Objective for reducing OR nonoperative time |
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Definition
| improve the efficiency of nonoperative processes (surgical turnover times) |
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Term
| objective for reducing the collection and documentation of redundant patient information |
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Definition
| reduce redundancy in the capture, entry, and reporting of patient information |
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Term
| objective in employee engagement |
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Definition
| improve employee engagement and satisfaction across all surgical service constituencies |
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Term
| Approach for objectives in article |
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Definition
| Define, Measure, Analyze, Improve, Control |
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Term
| unplanned surgical volume variation: what changed? |
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Definition
| developed standardized case listing descriptions facilitating developing of a surgeon-specific procedure database that could be analyzed for pertinent procedure-related variables such as case duration |
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Term
| streamlining the preoperative process: what changed? |
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Definition
| standardized preoperative assessment criteria based on procedural and patient risk factors were developed by partnering with the Department of Medicine and were implemented across MCR ---> Staggering OR starts; 3 separate self-triaging check-in lines based on report time |
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Term
| Reducing OR nonoperative time: what changed? |
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Definition
| nonsurgical tasks normally performed in the OR were completed concurrent with the ongoing case. Preoperative procedure rooms were used for PARALLEL PROCESSING; weekly performance metrics for each surgeon/team were posted monthly |
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Term
| Reducing the collection and documentation of redundant patient information: what changed? |
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Definition
| information collected earlier in the preoperative process was autopopulated into applications further downstream; a comprehensive single-source application that encompasses the entire preoperative process is currently being developed with planned implementation in 2011 (yeah I know.. old article!) |
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Term
| Employee engagement: what changed? |
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Definition
| a communication council was formed; resolved concerns or differences between providers and set clear expectations for staff roles and responsibilities. Each OR has an assigned briefing time 10 min before start time and daily debriefings at the end of the day were conducted to identify opportunities for improvement |
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Term
| One area of resistance from members of the staff to SPI |
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Definition
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Term
| Process improvements based on the conclusion of the article : |
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Definition
| were applied to 3 different surgical specialties and resulted in substantial and sustainable increases in OR efficacy and financial performance |
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