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Value Rounding

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regarding the test, and finally act represents the implementation of the change necessary to improve quality (American Society of Quality, 2004). Recommendations for quality improvement are evidence-based and are often government sponsored studies by independent organizations. The Joint commission’s recommendation of hourly rounding on patients, or shift change huddles regarding patient safety alerts are examples of recent improvement implementations for which the PDSA cycle process was recently activated in many health care organizations. Performance measurement goes hand-in-hand with quality improvement and is almost always embedded in the improvement process. Objective measurement of quality using benchmarks, surveys or other tools illustrate …show more content…
Keeping the patient at the forefront of improvement process means knowing current processes thoroughly and understanding how customer service works. A patient’s perception of the overall health care performance is as necessary to the process as monetary costs of care or medical outcomes. Measurement of improvement processes in Lean should encompass value verses burden in health care. Value steam maps in Lean are an effective measurement tool that help to identify both value contributing and wasteful (burden increasing) processes.
A value stream map is an actual drawing of human processes used to reach an end. An example of a value stream map at a local hospital is the way in which beds are made during a patient stay (Toussaint, & Berry, 2013).

• The patient aid discovers an opportunity to change the bedding
• The patient aid strips the bed
• The used linen goes into a plastic bag in the room
• The aid leaves the room to get clean linens
• The aid makes the bed
• The aid takes the plastic bag of soiled used linen to the soiled utility room
Current …show more content…
Upper management’s role in this phase is to identify and communicate a few strategic goal categories that are both relevant and promising improvements. Organizational strength and stakeholder value is the improvement goal. A process called “catchball” represents the communication of improvement ideas between upper, middle, and lower management. The documentation of ideas occurs on a single sheet of paper and changes each time a different team members generates a new idea. The document is called an A3 (named for the paper size) and contains current conditions and background for the strategy being studied. A strategy statement is developed and goals established for the improved process. Finally the plan for implementing the process is put into place. The catchball process could generate many drafts of the A3, depending on the number of people involved in the process. This communication back and forth builds consensus and engagement at the management level and helps management to create enthusiasm in staff (Toussaint, & Berry,

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