LEAN I, II, III
A way of thinking, a process to optimize time, and a process to optimize processes.
What is LEAN?
Creates clear expectations for leading Lean and specific role responsibilities.
What is Role/Leader Standard Work?
May also be known as Corporate Negligence and can occur in the I formation gathering stage or in the decision making step by a facility.
What us Negligent Credentialing?
Examples of 3 tools that can be used for a paperless credentialing process.
What is:
1) Credentialing software
2) Adobe PDF
3) Email
4) eFax
5) Third Partt Products
6) Microsoft Office 365
Currently fulfills the role of the Executive Administrator of the Alaska State Medical Board.
Who is Debora Stovern, CMBE?
LEAN Operations, LEAN Enterprise, and LEAN Network.
What are the three stages of the LEAN journey?
Used as visual cues to initiate a process, utilized to in FIFO processing, and has a tangible component.
What is Visual Management?
Proof of an owed duty to the patient, that the duty was breached, that the breach caused the injury/death, and that the injury/death resulted in compositable damages.
What must a plaintiff prove in a claim if Negligent Credentialing (burden of proof)?
Two examples of how Adobe PDF can be used in a paperless process.
What is:
1) create filkable forms?
2) create submission process within fillable forms?
3) create file packets?
4) create meeting packets?
The section of the AK State Medical Board website where you can find sanctions on licenses.
What is Board Actions?
Examples are transportation, excess inventory, motion, waiting, over production, over processing, and defects.
What are types of waste?
Created to help guide coworkers on how to process each area of their FIFO and helps set priority for the Standard Work process within the FIFO.
What is Decision Trees?
One of the duties of a facility providing credentialing and privileging process.
What is:
1) Adopting & following State & Federal regulatory requirements?
2) Adopting & following accreditation standards?
3) Adopting & following Medical Staff bylaws, rules & refs, and policy & procedures?
Two examples of how Microsoft Office 365 can be used in a paperless process.
What is:
1) Ability to collaborate electronically?
2) Ability to share documents simultaneously?
3) Ability to create forms, surveys, etc.?
4) Can be used as a document repository?
The website where a provider can apply online for an AK license and track the status of their application.
What is myalaska.gov?
Examples are 55+1, Value Stream Mapping, Kaizen, Takt, Jidoka, and SMED.
What are tools of the LEAN Methodology?
Card/visual card used for an individual provider for a specific value stream/process, laminated for reuse, color coded by process/value system, and captures basic demographic data & process step check list.
What is FIFO Card?
One of the more difficult things for a plaintiff to prove but must establish that had the hospital met its duty, the physician wouldn’t have been granted the privileges that led to the injury:death.
What is Causation in Negligent Credentialing?
An example of at least one import step in creating a paperless process.
What is:
1) Utilizing LEAN by creating process Standard Work?
2) Identify common naming conventions to be used by all coworkers?
3) Identify electronic storage (software, drives, sharepoint, etc.)?
4) Have team buy in?
Where a physician is to register with the AK PDMP online.
What is AWARxE?
Documenting each step of a specific process based on best practice to minimize processing time and steps within a process.
What is Standard Work?
Utilized to engage both coworkers and leaders in continuous process improvement, reviewed at least weekly, tracks process improvement projects, celebrates successes, and located where work occurs & is easily accessible & visible.
What I’d MDI Board (Managing Daily Improvements Board)?
Landmark negligent credentialing case where the provider incorrectly set a cast to a broken bone, applying plaster cast to the leg of an 18 yr old athlete that resulted in cut of circulation to the leg and lead to amputation if the leg.
What is Darling vs. Charlston Memorial Community Hospital?
Two features of utilizing a Sharepoint for electronic meeting management.
What is:
1) Easy access to materials for all committee members
2) Central depository for documents
3) Ability to link supporting documents rather than attach to agenda
4) Create push notifications
Is known by the acronym PDMP.
What is the Prescription Drug Monitoring Program?