SSCIN Improvement Projects
To help achieve the SSCIN goals, the SSCIN Governance Council has identified two initial improvement initiatives that will involve a wide range of specialties as well as community and hospital staff. The intent is to spread proven standards across the South Shore (the System).
Determining which improvement projects would have the greatest impact on the SSCIN goals was done by using data to understand which diagnosis were negatively impacting readmissions, returns to the ED, the patient experience, and total medical expense.
Lean methods will be used for the improvement work, which involves those closest to the work identifying wasteful processes and eliminating those in order to provide more value to patients.
Chronic Obstructive Pulmonary Disease (COPD) Improvement Project
In 2013, patients who were admitted to South Shore Hospital with a diagnosis of COPD had the highest readmission rate among all-cause readmissions. The SSCIN recognized this meant there is great opportunity to standardize care for patients with COPD across the System, and in turn advance the SSCIN goals. This improvment project will focus on from when a patient is admitted to South Shore Hospital with COPD, to when they attend the appropriate follow-up appointment in the community.
An improvement project planning event will be held in June to determine the scope, sequence and timing for the improvement projects. Preparation for this event includes the following:
- Current state map: Clinicians and administrators from across the South Shore who care for patients diagnosed with COPD have mapped out the current steps and variation involved.
- COPD Improvement Project Steering Committee has been established: This group will govern the improvement work and are accountable to achieve the project goals.
- Data collection: Data collection and analysis continues at the Hospital and community-level in order to ensure measurable improvements can be tracked and shared. The goal is to eventually share this data on the SSCIN Data Summary Portal.
More information on the projects and outcomes for this Value Stream will be available here over time.
Chest Pain Improvement Project
This project will focus on improving care for patients who are diagnosed with chest pain. By improving and standardizing how we care for these patients, the SSCIN feels the patient experience measures will improve, and readmissions and total medical expense can be reduced.
A current state map has been created by clinicians and administrators from across the South Shore. The initial planning event will be held in the Fall of 2014.
More information on the improvement initiatives will be available here over time.