AHRQ Health Care Innovations Exchange Management Innovations Session

미국 병원계의 경영혁신 사례와 관련된 자료원 • AHRQ Health Care Innovations Exchange • Management Innovations Session @ ACHE (American College of Healthcare Executives) Congress on Healthcare Leadership • Harvard Business Review (HBR) • HFMA (Healthcare Financial Management Association)’s Healthcare Financial Management (HFM) Journal • 유명병원 홈페이지 • 일부 병원 방문 등

경영혁신 사례로 소개할 병원들 • • • Mayo Clinic Kaiser Permanente Hospitals Cleveland Clinic Prentice Women’s Hospital Rush University Medical Center 기타

Mayo Clinic • Mayo’s Center for Innovation • Mayo Clinic 에 새로운 아이디어를 제공하는 인큐베이터 역할을 수 행 • 3가지의 플랫폼에 초 점을 둠 – Practice Redesign – Community Health Transform – Care at a distance

Mayo Clinic’s Fiscally Responsible Low Workload Model • Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Vivamus et magna. Fusce sed sem sed magna suscipit egestas.

Kaiser Permanente (KP) • Innovation Consultancy

NKEplus • Nurse Knowledge Exchange (NKE) • A system ahead of its time, it brought the nurses to the bedside for shift change, and transformed the experience to be with the patient, not just about the patient. Nurses felt safer. Patients felt more cared for. • Improves process reliability and allows nurse to spend more time at the bedside with their patients. Our nurses are feeling more supported, and patients are getting more direct interaction with their nurses.

KP’s Greening the IT department • Low-power 데스크탑 컴퓨터와 모니터 및 노트 북을 구입 • Electronic Product Environment Assessment Tool (EPEAT) program • 일정기간 사용한 컴퓨터를 리퍼비시하거나 재판매 혹은 리사이클하도록 업체와 계약 • Virtualize the computers

Prentice Women’s Hospital @ Northwestern Memorial Hospitals

Rush University Medical Center

Children’s Hospital of Philadelphia • Common Cause Analysis: A Hospital's Review of Vulnerabilities During Which Common Themes Are Identified, Prioritized, and Addressed • 근본원인분석법(root cause analysis)을 통해, Children's Hospital of Philadelphia 에서 발생하는 불가피한 원인(common cause)들 을 파악 • 그러한 결과를 바탕으로 한 액션 아이템을 확인하고 , 그들 중 우선순위를 정하기 위해서 severity, likelihood of occurrence, and detectability 에 근거해서 점수체계를 마련함. • Common cause analysis 를 도입한 후 환자 안전을 위한 여러 조 치를 수행하게 됨.

Aurora Health Care • “Fair and Just Principles” • 환자안전과 관련된 각종 에러를 숨김없이 보고하도록 하기 위해서, 비징벌적인 문화 (nonpunitive culture)를 형성하도록 노력. • The program, developed by a steering committee of the Patient Safety Team, addresses issues related to a nonpunitive culture, including the "fair and just principles, " an algorithm to guide the organization's response to errors and near-misses, surveys to monitor the impact of the program, communication strategies, and tools to support adoption and everyday practice of the principles. • Aurora Health Care는 이 프로그램을 통해, 직원들이 의료과오 관련 사항을 보고하더라도 그것이 의도적인 것이 아니라 구조적인 것에 서 발생한 것이라면, 병원이 징벌적인 대응을 하지 않을 것이라는 인 식을 갖게 했다고 함

UAB Medicine • 환자의 안전과 의료진의 편 의를 증대시킬 수 있는 휠체 어 개발 – Enhance the transport of the patient and their belongings while increasing comfort and safety – Optimize ability for employees to push, control, turn and navigate ramps – both up and down – Increase storage capability – Reduce loss of chair by theft – Introduce a sit-to-stand feature to enhance patient safety and reduce employee injury

Concluding Remarks • Multidisciplinary, team-based approach의 중요성 • Leadership의 역할 • Data에 근거한 문제 분석과 활용 • Think Big, Act Small의 중요성