Re-Form Health Care with IHI

[74hundo]

what software did you use to create this video..this looks like something I'm trying to acheive. Thanks!

[HealthSeeker1]

84% of ALL medical insurance claims are the direct result of poor diet, lifestyle and most important -lack of exercise.

We can't do our jobs effectively if Americans continue to ignore their health. More emphasis on proper diets and exercise at work using treadmill desks instead of sitting would work wonders.

I found a lot of information on effectiveness of treadmill desks at the TrekDesk website. It is only part of the equation but a part that is ignored in our society today.

[JJM1012]

I agree very much with Mark's comments, it is appalling to really understand where the nurses spend their time-versus- what they should be doing / paid to do.

[mgraban]

The 70% includes a lot of wasted time and motion due to bad processes. RNs are walking and searching for equipment, playing phone tag with MDs, walking down long hallways to get items that should be stocked in patient rooms. Lots of little improvements can get that # up over 50% (see Virginia Mason and others).

More time for patient care means better quality care, shorter stays, and happier nurses.

Mark Graban

Lean Enterprise Institute

[wtcrnsonia]

Leadership can steer the ship in the right direction. Holding beds or not placing patients in appropriate rooms for their level of care represents the beginning of waste from inception. To spend a few minutes analyzing what is best for the patient you can almost bet that it is good for the nurse too. Rather than waste time running up and down the hall unnecessarily and use the time to have direct observation and care for those in need. Preparation is 9/10ths the battle.

[babawawili]

The typical nurse spends only 30% of his/her time in direct patient care...where is the 70% of his/her time spent? Reviewing, or rewriting prescriptions? or pushing patients to examination rooms? Let me know, it is outrageous and affects quality of health care, for who ensures quality of healthcare than nurses?

[chuckball20]

nurses spend another 30%of their time moaning about how busy they are and how they are always understaffed... would you agree that the low level of quality in healthcare is because of nurses since they ensure it?

[mgraban]

There's a fine line between "understaffed" and "too much waste due to bad processes." It's more cost effective to eliminate waste to free up time. But that's leadership's responsibility to help the nurses make those improvements. Everyone has to work together. You're right, complaining doesn't fix anything.