I was at the ThedaCare Center for Healthcare Value office a few months ago when Dr. John Toussaint reported that he had gotten a call from Dr. Don Berwick, the head of Medicare and Medicaid. Dr. Berwick wanted a collection of results from healthcare organizations that are improving quality and reducing costs, through approaches like Lean management.
We scurried and collected results from a number of Healthcare Value Network member organizations and sent the data to D.C. Â Toussaint posted that collection of data on his website and I'm happy to share highlights here.
Here are some of the shared results:
- From January 2009 to March 2011, Akron Children's Hospital has  reduced costs by over $8 million and reduced appointment access waiting times by a  total of 74,608 days.
- Group Health (podcast with them yesterday) Â achieved 29% fewer emergency room visits, 6% fewer hospitalizations and a $10.3 per member, per month savings after 21 months.
- Through the intense  improvement efforts of the Henry Ford Hospital “No Harm” campaign in 2010, total costs were reduced to  $34,465,612, a $4.4 million dollar improvement with a cost-savings of $85 per patient.
- Inova Health's E.D. “left without being seen” rates dropped from 2% to .48%, waiting time  decreased by 31%, time to see the doctor dropped from 55 minutes to 22 minutes.
- Quality improvements at Seattle Children's Hospital  include a 66% reduction in TPN medication error rates, a 50% reduction in ICU bloodstream infections, and 20% fewer ventilator days for patients. They haveavoided $200 million in capital costs by using CPI to increase capacity in lieu of building additional patient rooms and ambulatory services space. They have also reduced patient costs by 3.7% and supply expenses by $2.5 million.
Here is a link to a PDF document that has all of the data and examples.
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Hi Mark
I’m often asked for evidence that Lean approaches work in healthcare and you’ve kindly provided some compelling material. So a big thank you for helping me do my job!