9/15/2014. Building A Strategy, Spreading Best Practice and Leveraging Vendors Gail Greco-Bieir Sarah Chartier Practice Greenhealth

Transcription

1 Building A Strategy, Spreading Best Practice and Leveraging Vendors Gail Greco-Bieir Sarah Chartier 1

2 Disclosures It is the policy of Corexcel to ensure fair balance, independence, objectivity and scientific rigor in all programming. In compliance with the American Nurses Credentialing Center s Commission on Accreditation (ANCC), it is the policy of Corexcel that faculty disclose all financial relationships with commercial interests over the past 12 months. Sarah Chartier, No Financial Interests Gail Greco-Bieri, No Financial Interests 2

3 Agenda Developing A GOR Strategy Spreading Best Practice Components of Vendor Leveraging 3

4 Spectrum Health Background Hospital Group 86 OR s 9 Hospitals and 3 Surgical Sites Medical Group 180 Surgeons 270 Surgeons Not Affiliated with Spectrum Health 4

5 Key Strategic Components Business Case Relationships Leadership Physician Frontline Staff Vendor Vision and Goals Measurable Outcomes 5

6 Lean and Green Strategies Value Effort Grid Rule Strategic A3 6

7 GOR A3 Business Case Currently our Greening the OR initiative is missing out on over $400,000 annually 7

8 Current State 1. A strategy has not been developed to optimize GOR efforts 2. No formalized waste stream audit or strategic waste education program has been developed 3. EPP has not been formally implemented into OR VAT for equipment, products and chemicals. This includes contract preference/consideration of more sustainable options and no method to evaluate reusable products 4. All OR's are not equipped with HVAC setbacks and other energy conservation measures 5. We haven t adopted a method to reclaim anesthesia gas and reduce off-gassing 6. We don't understand health risks to staff from chemical exposure 7. A reusable textile program is not in place to reduce waste and cost savings 8. Custom packs are not regularly being evaluated for waste 9. Current reusable products have no standards including megadyne and fluid management 10. There is no formal donation tracking method 11. It is unknown the amount of resources (water/energy) used per OR suite 12. No packaging reduction efforts have been conducted. 8

9 Future State 1. A structure and strategy is in place to optimize GOR efforts throughout the system including integration into PI work, standardization of existing programs and a standard process for rolling out new initiatives. 2. A system savings guarantee or other incentive measures are in place for SH to optimize reprocessing. 3. The GOR Green Team is leveraged to develop and conduct standard waste stream audits using the 6S Audit and Kamishibai. 4. Energy, waste and water use in the OR is assessed and measures are taken to conserve resources. 5. A method to reclaim anesthesia gas and remove from off gassing is implemented 6. A formal and strategic waste education program is in place 7. A System GOR dashboard is developed including the GOR checklist, waste, energy, water, chemical use and purchasing practices. 8. Environmental purchasing practices are integrated into OR VAT including a method to evaluate reusable textiles and products. 9. Formal kit reformulation process is developed and implemented to reduce waste. 9

10 Leadership Engagement Picking The Right Leader Education and Awareness VHA GOR Blueprint Awards and Recognition Physician Champion Timeliness of Opportunities 10

11 Case Study- EP Cath Lab Identify Barriers Build Business Case Timing Celebrate Success Monitor Data $70,000 $60,000 $50,000 $40,000 $30,000 $20,000 $10,000 $0 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul 11

12 Employee Engagement It Starts With One Person Green Team Executive Sponsor Passionate OR Staff Cross Functional Team SC, ES, EMI, OR Staff, Supply Chain, Legal, Infection Prevention, Pharmacy, PI, GPO, Vendor Value Analysis Team 12

13 Spread and Sustain Best Practice Visual Management MDI Board Daily Huddles Kamishibai Waste Audits Monthly Communication 13

14 GOR Summit Held Annually The Right Audience Relationship Building Highlight Success Share Resources Open Discussion of Barriers and Opportunities 14

15 Benchmarking and Measurement 15

16 Celebrate! 16

17 Vendor Leveraging Components Internal Partnership External 17 17

18 Case Study GOR Manifolds Benefits Financial Opportunity Waste Reduction 1.5 tons annually Ease of Collection Contract Barriers Vendor Negotiations Relationships 18 18

19 Internal Components Alignment, Strategy and Culture within the Organizational Project Timing and Presentation Buy-In and Actionable Support 19 19

20 Internal Components Metrics and Benchmarking Historical data Understanding your gap Best practice Root cause 20 20

21 Partnership Components Data Gathering Transparency Content and Subject Matter Experts Culture and flow Knowledge of process Education Innovation 21 21

22 Vendor Components Industry Best Practices What are other organizations doing that we are not? Subject Matter Experts Audits and ROI Creation Offset Internal Labor Demand Project Implementation 22 22

23 Lessons Learned Protect Intellectual Property Bumpy Road to Best Practices Transparency and Loyalty Contract Language Stakeholder Misinformation Rework Education, Education, Education 23 23

24 Benefits Internal Labor Demand Reduction Enhanced Metrics and Benchmarking Leverage External Education Resources Financial and Environmental Benefits Corporate Social Responsibility Modeling, sharing & community adoption of best practice Greater good for the community Employee engagement opportunity Takes a village vendor provides extra set of green lenses 24 24

25 Lessons Learned Barking Up The Wrong Tree Cutting Losses Early Contracts Partnerships Transparency 25

26 Key Takeaways Understand Problem Build A Business Case Engage Critical Leadership Measure Results Celebrate Success Challenge Your Vendor To Support Solution 26

27 Questions 27

28 Contact Sarah Chartier Gail Greco-Bieri