Leading High-Reliability Organizations in Healthcare

Leading High-Reliability Organizations in Healthcare

by Richard Morrow


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Product Details

ISBN-13: 9781466594883
Publisher: Taylor & Francis
Publication date: 03/15/2016
Pages: 253
Sales rank: 663,389
Product dimensions: 6.20(w) x 9.30(h) x 1.00(d)

About the Author

Rick Morrow is a consultant with more than 25 years of senior leadership experience in the healthcare, aviation, construction, automotive, and high tech industries. Morrow leads the quality, safety, and high reliability unit of Healthcare Performance Partners, a MedAssets company. He has authored Lean Six Sigma performance excellence courses and taught and deployed programs internationally for Eaton Corporation, SKF, Motorola, United Airlines, The Joint Commission, and Healthcare Performance Partners.

Morrow is the author and leader of HPP’s Six Sigma consulting. He wrote and leads the Belmont University Lean Healthcare Certification Program for Supply Chain Professionals, which is a blend of The Toyota Production System, Six Sigma, and Change Leadership. Morrow also wrote and taught The University of Pennsylvania’s Penn Medicine Leadership and Performance Improvement courses. He authored the Lean Six Sigma Program at The Joint Commission and steered its Center for Transforming Healthcare, where he and his team led collaborations improving patient care and safety with major academic medical centers including Cedars-Sinai, Johns Hopkins, Mayo Clinic, Intermountain Healthcare, North Shore Long Island Jewish, and Stanford University.

Table of Contents

Reliability – Able to Rely
Leadership and Engineering Reliability
Reliability Is about Clinical Outcomes
Reliability Defined

Measures of Reliability
Common Measures of Reliability
Mean Time to Failure and Mean Time between Failures
Reliability Enhanced without Compromise
Probability Measures of Reliability
Data Characteristics in Reliability Analysis
Censored Data
Failure Modes

Leadership Principles in High Reliability Organizations (HROs)
Reliability Begins with Design
Malcolm Baldrige National Quality Award and Reliability

Culture of High Reliability Organizations
Safety Cultures
Principles Common among HROs
Elements of an HRO

Management Principles in HROs
Practice Makes More Reliable
Standardized Work History
Healthcare Leaders in Practice
Visual Management of and for Reliability
Leading Change with Training Within Industry (TWI)

Achieving High Reliability in Functional Outcomes
Reliability Begins with Truth in Measurement
Patient Experience Improved Reliability
Pay-for-Quality vs. Fee-for-Service Drives Reliability

Achieving Higher Reliability in Safety Outcomes
Safety Engineering
A Texas-Based Healthcare System on the HRO Journey
Achieving 100% Reliability Case Study

The Roadmap to High Reliability

Methodologies Overview
Robust Process Improvement at The Joint Commission and Center for Transforming Healthcare
High Reliability Roadmap that Works

History of Healthcare Reliability
W. Edwards Deming
Reliability and Six Sigma – An Interview with Mikel Harry – Co-Founder of Six Sigma
Healthcare Reliability Promoted

Capability: The Precursor to Reliability
Process Control and Capability
Capability Case Study
Performing Capability Analyses
Three Capability Measures
Bilateral and Unilateral Tolerances
Capability Indices
Six Steps to Calculate and Analyze Capability
Kicking a Goal and Capability the Concept
Minitab’s Assistant Feature in Capability Analysis

Design for Reliability
Unifying Instructive Force
Pre-Production Part Approval
Advanced Product/Service Quality Planning
Failure Mode and Effects Analysis (FMEA) Case Studies
System FMEA
Healthcare Clinical Standards and Conditions of Participation in Reliability Design

Rolled Throughput Yield (RTY)
RTY Defined
Inspection Is Not Reliable
Total Knee and Hip Replacement and Reliability
Defects and Abnormalities
Theory of Escaping Defects
Checklists in Healthcare

Graphical and Statistical Methods for Reliability
Statistical Process Control (SPC)
Infrequent Event SPC Charting

Financial Impact
Cost of Poor Quality
Activity-Based Costing
Population Health

Value Streams in Accountable Care Organizations

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