Ready for Go-Live

Posted on November 30, 2012 by

Some time has elapsed from the last posting, but here I am back at it! There is an exciting electrifying current present now in the KCCF and RJC Intake and Receiving units. Managers and front line staff alike have demonstrated a sense of urgency as some substantial process improvements will be going live over the weekend. These improvements are aimed at implementing a more patient centric model for the intake of mental health patients. Officers will be incorporating de-escalation techniques into their standard work, an effort that we believe will lead to safer outcomes, less patient risk to self and others, as well as a calmer patient for RNs to perform a more standard mental health assessment. We are placing full trust in the clinical processes and expertise of our RNs. This makes some staff feel at risk or vulnerable, but in fact, it demonstrates respect for people as staff are equipped to do what they do best. In essence, we will be testing the implementation of reliable, repeatable and capable processes to produce consistent patient centered outcomes every time. There will likely be fewer heroics and common workarounds that were previously commonplace.

So when we redesign processes through standard work to eliminate waste, increase value-added activities for our patients at higher quality, we strive to have each step within the process:
• Value added – creates value for our patient / inmate
• Capable – meets customer requirements reliably
• Available – performs when needed
• Adequate – meets demand with given resources
• Flexible – delivers healthy outcomes for a broad variety of patients with minimal change over time / handoffs and cost

It is really exciting to see that over 6 months of planning, teaching, and partnering w/ the leadership team, managers, and front line staff is finally coming full circle. Much learning has taken place when I reflect on where we were when we started. Some leaders have moved from little or no familiarity of lean concepts to coaching their staff on concepts like standard work, PDCA, and quality. When the language and terminology changes from managers, it signifies learning, acceptance, and a willingness to embrace continuous improvement. While we are just beginning the value stream improvement, it will be absolutely fascinating to witness the ongoing learning, the results, and most important, the experience of the patient.