Innovation: The Frontier of Patient Care

Innovations in Care Delivery:

Advancing a Professional Practice Model

2013 Massachusetts General HospitalProfessional Practice Symposium

Presented by The Institute for Patient Care

Innovation: A New (and old) Frontier of Patient Care

History of Innovation at MGH

1846 The use of ether as an anesthetic is demonstrated and surgery is performed without pain for the first time.

1874-1876

Linda Richards served as the superintendent of the Boston Training School for Nurses, later renamed the Training School at Massachusetts General Hospital. Richards was the first student to graduate from a training school for nurses in America.

History of Innovation at MGH

1905Dr. Richard Cabot, a senior physician at Mass General, hired the first social worker to provide social work services in the outpatient clinics. In 1906, Dr. Cabot met Ida Maude Cannon and hired her to jointly organize the nation's first hospital-based social work program.

History of Innovation at MGH

Pressure is Building

The Cost of Health Care

How much are we spending?

The Cost of Health CareHow does it compare?

The Cost of Health CareHow does it compare?

The Cost of Health CareHow much if waste?

The Cost of Health CareHow much if waste?

• Failures in Care Delivery

• Failures in Care Coordination

• Lack of Evidence Based Practice

• Need for Better Engagement of Patients and Families

Guided by the needs of our patients and their families, we aim to deliver the very best health care in a safe,

compassionate environment; to advance that care through innovative

research and education; and to improve the health and well-being of the diverse communities we serve.

Mission at MGH

Innovating Care at MGH

Goal: To improve the quality of care delivered to patients

Aspirations: High performing interdisciplinary teams that deliver safe, effective, efficient, timely, equitable, that is patient and family centered

Evidence: Standardization of processes and care reduces variation and introduces a systematic approach to improving quality and safety in the inpatient setting

Change: Identify and prioritize hazards and opportunities for standardization, then implement evidence based methods to rectify the problem

The Continuously Learning Health Care

System

Better Care at Lower Cost, IOM, 2012

Culture ChangeCreating Norms:

To create new norms we must first understand existing norms & barriers to change

Creating Norms:To create new norms we must first understand existing norms & barriers to change

Change Process: Every change requires effort and the decision to make that effort is a social process

Change Process: Every change requires effort and the decision to make that effort is a social process

Monday, October 28, 20131:00 PM - 2:00 PM Arrival/Networking2:00 PM - 2:30 PM Innovation: The Frontier of Patient Care2:30 PM - 3:30 PM The Strategic Imperative for Innovation 3:30 PM - 4:00 PM Poster Session4:00 PM - 5:00 PM Innovation in Care Delivery: The Patient Journey5:00 PM - 6:00 PM Book Signing6:00 PM - 8:00 PM Cocktail Reception in the Museum of History and Innovation

Tuesday, October 29, 20138:30 AM - 8:45 AM Welcome8:45 AM - 9:45 AM Creating the New Culture Through Relationship-Based Care9:45 AM - 10:45 AM The Attending Registered Nurse10:45 AM - 11:15 AM Poster Session11:15AM - 12:10 PM Breakout Session #112:10 PM - 1:00 PM Lunch1:00 PM - 1:55 PM Breakout Session #22:00 PM - 2:55 PM Breakout Session #33:00 PM - 3:30 PM Poster Session3:30 PM - 4:30 PM Tales from the Front Lines: The Clinician’s Experience (Panel)4:30 PM - 5:00 PM Closing Remarks

AGENDA: Two-Day Overview