Friday Morning Breakfast with Roundtable Discussions
Join the following companies for a roundtable discussion over breakfast:
The X Factor: How to Make Capital Investments a Platform for Operational Growth and Flexibility
– Frank D. Kittredge, Jr., MBA, FACHE, Principal and Director, HKS Consulting
– Upali Nanda, Ph.D., ASSOC.AIA, EDAC, ACHE, Associate Principal and Senior Vice President; Director of HKS Research; Executive Director, Center for Advanced Design Research and Evaluation
– Moderator: Kate Renner, AIA, EDAC, Lean-Six Sigma CE, LEED AP BD+C, Associate, HKS
Uncertainty in healthcare is arguably the only certainty we have today making decisions to the tune of millions of dollars about capital expenses nerve racking. In this panel we will talk about how to design “change-ready” facilities where capital investments serve as a platform for operational growth and flexibility. Research findings, case examples, and insights from leadership from key systems will be shared in an open dialogue.
Patient Experience 2.0: Elevating Expectations
– Uma Ramanathan, AIA, LEED AP, Principal at Shepley Bulfinch
– Lauren Janney, EDAC, Principal Strategist at Lens, a Creative Consulting Studio of Shepley Bulfinch
Healthcare teams have been working incredibly hard to improve the patient experience, and it’s clear these initiatives are paying off… when it comes to improving HCAHPS scores. However, the benefits of such programs far surpass just being at the top of the Centers for Medicare and Medicaid Services class. Companies like Apple, Disney and Nike use service design strategies to create human experiences that drive brand loyalty, improve outcomes and increase staff fulfillment. It’s no secret that healthcare operates very differently, but when it comes to customer experience, why should patients be treated like they’re anything less than consumers? This discussion will focus on customer experience strategies that apply to healthcare, and the tools necessary to help organizations connect with their patients in unique ways that elevate expectations.
Improving Patient Safety, Quality and Experience: Creating a Center of Excellence to Transform Care
– Michael Kelleher, MD, Chief Medical Officer, Ann & Robert H Lurie Children’s Hospital of Chicago
Hospitals often divide and conquer when it comes to improving patient care, separating patient experience efforts from quality and safety improvement. But real change comes from braiding these together. This roundtable will discuss the value of bringing the patient voice into quality and safety improvement efforts and will explore the various approaches hospitals take to do this effectively.
How the C-Suite Can Leverage Design-Led Delivery to Strengthen Balance Sheets: Increased ROI, Minimized Risk, Speed-to-Market Advantages
– Deb Sheehan, ACHE, LEED AP, EDAC, Executive Director, Firmwide Strategies
The creation of new healthcare facilities has historically been unnecessarily burdensome to C-Suite leaders and their organizations’ financial performance. Fortunately, new options like design-led construction and single-source delivery are helping organizations achieve accelerated revenue capture, speed-to-market-advantages, increased ROI and minimal to no risk. Health organizations at the forefront of this trend are already realizing these values and setting themselves on a future path for success. Discussion on this topic will provide an explanation of speed-to-market real estate solutions, both repurposing aged physical assets as well as creating new models to meet healthcare’s changing delivery paradigms. Cost benefits will be outlined in contrast to traditional facility construction methods that historically underperform and expose providers to risk in both financial and schedule measures. (A 2016 KPMG report indicated that 53 percent of owners reported having suffered one or more underperforming projects relative to budget and/or schedule in the previous year, and only 31 percent of the owners projects’ came within 10 percent of budget in the previous three years.) The design-led approach will illustrate how healthcare owners can increase communication between all stakeholders, maximize efficiency of supplier and operational resources, elevate quality of real estate assets over time and mitigate the risk associated through reduction of errors. The discussion will address relevant recent examples where health providers have been able to achieve guaranteed price, allow for reduced delivery timelines, increase certainty of predictable outcomes and accelerate revenue capture while essentially eliminating legal risk.
How Academic Medical Centers Can Navigate a New Era in Healthcare
– Anthony Roesch, Director, Healthcare Consulting
– Lauren Clementi, Associate Director, Healthcare Consulting
The payment structure for academic medical centers continues to evolve, and traditional funding sources, such as NIH grants and resident slots, are increasingly competitive. Traditionally, AMCs have focused on tertiary, episodic work. As payments shift towards a value-based system, AMCs will continue to face competition from systems in the area that have invested in community-based affiliations, which has led to consolidation of health providers. This roundtable will explore the role of the AMC in a network focused on population health and integrated care coordination. Key questions will include: What are the strengths and weaknesses of AMCs in a value-based environment? How can a network leverage the expertise of the academic medicine environment? What approach to service distribution should be considered?
Charting the Course to Thrive Financially in a World of Declining Reimbursement
– Samantha Platzke, Chief Financial Officer and Senior Vice President of System Performance
In spite of lower rates of uninsured patients, nonprofit hospitals have seen a decrease in profit margins over the past year. Their median operating margin fell from 3.4 percent in fiscal year 2015 to 2.7 percent in fiscal year 2016. The shifting revenue mix as the percentage of payments made by commercial payers drops and those by Medicare and Medicaid increase, meaning that revenues will continue to decline.
In this environment, hospitals must improve efficiency and productivity to thrive, and a future of value-based care requires that they provide high-quality care at the same time they reduce costs. Performance gains from traditional hospital improvement programs are no longer sufficient, and hospitals have to re-evaluate their care delivery process and make systemic changes to be successful. In this session, we will discuss hospital efficiency, how to improve it, and how to measure progress toward this goal. We encourage session attendees to come prepared to share their ideas and provide feedback.
Success Story: A Way to Get High-Quality Data to the People Who Can Use it to Make Improvements
– Kathleen Carberry, RN, MPH, Director, Texas Children’s Hospital Outcomes & Impact Service (TCHOIS)
– Angelo P. Giardino, M.D., Ph.D., MPH, Senior Vice President/Chief Quality Officer, Texas Children’s Hospital; Professor, Pediatrics, and Section Head, Academic General Pediatrics, Baylor College of Medicine
One of the biggest barriers to clinicians and health care administrators engaging in quality improvement work is having access to high quality data. With the implementation of electronic health records and data warehousing, unprecedented amounts of data are available; however, the ability to readily access those data presents another challenge. Data have to be complete, valid, and delivered in a timely manner. The process must also take into account compliance and legal requirements as well as meeting best practices for cybersecurity. At our own institution, the installation of an enterprise data warehouse (EDW) allowed for meaningful access to core data content from our clinical, financial, human resource, and patient satisfaction source systems. With this high quality data in hand, we turned our attention to timeliness of delivery to the end-user. To address this, we developed a mechanism referred to as the “Front Door to Data” to standardize the data request process for our workforce. The previous request process was cumbersome and often resulted in a request that would seem to get lost in a “black hole” with the information services team. At this roundtable we will further discuss the development of our “Front Door” process.
Lean in Healthcare: Designing to Optimize Flexibility and Relevance
– Kimberly N. Montague, AIA, EDAC, LEED AP, Knowledge & Insights Program Lead, Herman Miller
– Roger B. Call, AIA, ACHA, EDAC, Director – Healthcare Kaizen Architecture, Herman Miller
Many healthcare operational leaders are tasked with creating new or expanding and renovating existing space to accommodate ever-increasing stresses on the healthcare system. Increasing volumes, aging populations, chronic care and decreasing reimbursements are forcing departmental leadership to do more with less. There is a new focus on re-engineering existing space or building new care areas to optimize patient flow/throughput, safety, care transitions, efficiency and ultimately, patient experience and satisfaction.
New construction or renovation projects provide shiny new space only to be obsolete within a few years due to lack of consideration of key lean-based design and operational principles during the planning stages. During this roundtable, we will discuss and explore the impact of form on function and, analyze key facility design decisions with direct effects on clinical, operational, safety and patient outcomes. We will discuss several principles to help inform and highlight effects on many common design and throughput challenges.
Leveraging Augmented and Virtual Reality in Medical Education
– Bret Schroeder, Healthcare Expert, PA Consulting Group
Augmented and virtual reality (AR/VR) technologies have seen dramatic improvements in the last few years as major technology players enter the field with new products. In the past, such technologies were commonly associated with gaming and entertainment, but there are many applications in healthcare, especially in medical education. We will explore opportunities where healthcare providers can leverage AR/VR technologies at lower costs, avoid the limit-of-use pitfalls of cadaver-based training, and create more realistic situations for visualizations than simulation centers.
Bundled Payments and Gainsharing: Maximizing Care Redesign Initiatives
– Bipin Mistry, VP, Senior Medical Director, Remedy Partners
The CMS Bundled Payments for Care Improvement (BCPI) program allows providers to share savings achieved from care redesign initiatives. Providers are eligible to receive gainsharing payments if total episode costs are below the target price and certain quality metrics are met. Gainsharing aligns objectives across multiple providers.