Kevin Gazley

Working to improve health care one caregiver at a time.

[Kevin Gazley @KevinGazley]

Medina Hospital Model Areas: The ED raised the bar for generating new ideas; ED leaders are pursuing input from caregivers.  Congrats for driving up participation and encouraging others! #theCCIM @LisaYerianMD @AskDrShew @FettoJulie @DocMDVMD @eric_holizna @SarahSydlowski

[Kevin Gazley @KevinGazley]

Medina Hospital (OR/Endo/Park West): Consistent focus on what matters most (OKRs) helped create the environment to improve First Case On-Time Starts.  Three areas with solid improvement! #theCCIM @LisaYerianMD @AskDrShew @FettoJulie @DocMDVMD @eric_holizna @SarahSydlowski

[Kevin Gazley @KevinGazley]

Medina Hospital OR & SPD: Collaborative meetings in two model areas is the plan to improve their work. Consistent meetings led by caregivers help transfer ownership to all caregivers (culture)! #theCCIM @LisaYerianMD @AskDrShew @FettoJulie @DocMDVMD @eric_holizna @SarahSydlowski

[Kevin Gazley @KevinGazley]

Medina Hospital PFS Model Area: After 4 years, process improvement is still going strong! Consistent meetings, encouragement, and recognition helps build an improvement culture. #theCCIM @LisaYerianMD @AskDrShew @FettoJulie @DocMDVMD @eric_holizna @SarahSydlowski

[Kevin Gazley @KevinGazley]

Medina Hospital EVS Model Area: When there is a change in leadership, we provide CI training to our leaders so they have a strong foundation to teach others. Gemba visits help coach leaders.  #theCCIM @LisaYerianMD @AskDrShew @FettoJulie @DocMDVMD @eric_holizna @SarahSydlowski

[Kevin Gazley @KevinGazley]

Medina Hospital Model Areas: Our gemba visits are pivoting to focusing on the process that creates results. A standardized improvement process encourages teams to be more consistent improving their work. #theCCIM @LisaYerianMD @AskDrShew @FettoJulie @DocMDVMD @eric_holizna

[Kevin Gazley @KevinGazley]

Medina Hospital: OR and PACU model areas are using universal protocol and the process confirmation process to support a high reliability process. Another benefit is more on time first case starts!  #theCCIM @LisaYerianMD @AskDrShew @FettoJulie @DocMDVMD @eric_holizna

[Kevin Gazley @KevinGazley]

Medina Hospital: Hospitalist and Cardio Pulmonary Model Areas (new) are communicating their case for change to their teams.   Next step, gather and sort improvement ideas. #theCCIM @LisaYerianMD @AskDrShew @FettoJulie @DocMDVMD @eric_holizna

[Kevin Gazley @KevinGazley]

Medina Hospital: OR & PACU shared their significant progress improving their first case on-time drive metric.  No silver bullet, five countermeasures later (>25%) the team is working on sustainment. #theCCIM @LisaYerianMD @AskDrShew @FettoJulie @DocMDVMD @eric_holizna

[Kevin Gazley @KevinGazley]

Medina Hospital: Wound/Cath Lab Model Area gemba visit: The team listens to patient concerns and proactively works on opportunities. The self-directed team continues to do really good work! #theCCIM @LisaYerianMD @NateHurle @AskDrShew @FettoJulie @DocMDVMD @eric_holizna

[Kevin Gazley @KevinGazley]

Medina Hospital: Wound/Cath Lab Model Area gemba visit: The team listens to patient concerns and proactively works on opportunities. The self-directed team continues to do really good work! #theCCIM @LisaYerianMD @NateHurle @AskDrShew @FettoJulie @DocMDVMD @eric_holizna

[Kevin Gazley @KevinGazley]

Counterintuitive advice for most of us.

[Kevin Gazley @KevinGazley]

Medina Hospital: 2021 Model Area training started with new areas and previous model areas with new managers and/or informal leaders.  I’m pleased that leaders are seeing the value in the training. #theCCIM @LisaYerianMD @NateHurle @AskDrShew @FettoJulie @DocMDVMD @eric_holizna

[Kevin Gazley @KevinGazley]

Medina Hospital: On a model area (MA) round, the leader said kaizen cards work! Why? Many small improvements over 3 years improved their workflow. Many were initiated to improve caregiver experience. #theCCIM @LisaYerianMD @NateHurle @AskDrShew @FettoJulie @DocMDVMD @eric_holizna

[Kevin Gazley @KevinGazley]

An evolution for most organizations is to move from numbers with color coding to run charts to process behavior charts. React less and lead better with process behavior charts.

[Jeff Kosciejew @kosciejew]

This is a great intro to understanding performance by @MarkGraban: https://t.co/oeuICFHy3I #PlotTheDots #Metrics #Improvements

[Kevin Gazley @KevinGazley]

@MarkGraban Sustainment is the challenge! A CI culture helps sustain results.

[Melissa Vandergriff @MelissaVander12]

Dr. Lindsay Gould, pediatric ED physician: “I love CI because it combines three of my favorite things: teamwork, creativity, and problem solving. It provides a framework to creatively solve problems so that everyone has a voice and can make a difference.” @LisaYerianMD @NateHurle

[Kevin Gazley @KevinGazley]

Medina Hospital: Two model areas finished many kaizen cards.  What’s next when the team is running out of ideas? Raising the bar (drive metric) challenges teams to identify new barriers. #theCCIM @LisaYerianMD @NateHurle @AskDrShew @FettoJulie @DocMDVMD @eric_holizna

[Kevin Gazley @KevinGazley]

Medina Hospital Model Areas- Drive metrics are critical to our organization; it’s important to explain why we need to improve and have easy problem solving conversations. We hope this helps. #theCCIM @LisaYerianMD @NateHurle @AskDrShew @FettoJulie @DocMDVMD @eric_holizna

[Kevin Gazley @KevinGazley]

Medina Hospital- SPD Model Area started with post-it notes; the manager recognized the team wasn’t comfortable using kaizen cards. Over several months, the manager coached the team to use kaizen cards. Nice job! #theCCIM @LisaYerianMD @AskDrShew @FettoJulie @DocMDVMD @NateHurle @