UBT regional update
March 25, 2008
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Southern California
Teams launched: 94 targeted unit-based teams (T-UBTs)
Highlights:
Majority of the teams exhibited team-based behaviors, engagement by employees and practiced joint problem solving.
Challenges:
Need stronger engagement of local experts on quality, LMP, service, access, etc., to support the T-UBTs.
2008 goals:
Continue to launch T-UBTs.
Create more visible and consistent sponsorship.
Integrate and align T-UBT Strategy Group work with local LMP councils.
Northern California
Teams launched: About 112 T-UBTs
Highlights:
Learned to be flexible with changing UBT co-leads.
Survey shows improving working conditions.
Challenges:
Resources to support teams.
Continued turnover of UBT co-leads.
2008 goals:
Provide UBT handbooks, physician toolkits and other partnership training.
Work toward full implementation of UBTs by 2010.
Provide regular communication that shares successful UBT stories and best practices.
Colorado
Teams launched: 18 (regional and facility-specific)
Highlights:
Rolled out new "best practice" batching procedures to all pharmacies in the region.
Created a UBT support system that provides facilitators, trainers or project managers for new teams.
Challenges:
Ambiguity in identifying and establishing unit-based teams.
2008 goals:
Launch 25 or more UBTs.
Ensure all teams have clear goals and metrics.
Provide partnership training to groups needing such assistance.
Georgia
Teams launched: 8
Highlights:
AHO Claims and Auditing UBT recovered $4.8 million in overpayments to providers.
Challenges:
Need fundamental partnership and UBT training and education.
Providing quality patient care and retaining members competes for time to hold partnership meetings or training.
2008 goals:
Roll out 12 more UBTs.
Mid-Atlantic States
Teams launched: 3
Highlights:
Established leadership teams, including a physician director, medical center administrator and two union leader representatives, to oversee and provide partnership support at the three largest medical centers.
Challenges:
Establishing upper-management sponsorship, a support infra-structure and understanding of partnership at middle management/shop steward level.
Lack of resources for training, education and time for partnership meetings.
2008 goals:
Roll out 30 facility-specific UBTs.
Northwest
Teams launched: 59
Highlights:
Created a support network of facilitators and trainers for UBT members.
Rapid improvement model being used widely by UBTs.
Challenges:
Limited regional resources for project management, analytic
reporting, training and coaching.
2008 goals:
Launch approximately 20 to 30 teams with 1,200 people in primary and specialty departments.
Ohio
Teams launched: 42
Highlights:
Worked with the existing "triad" team structure, composed of physician, management and labor leads, to establish UBTs and provide training, education and support to those teams.
Challenges:
Lack of a regional dashboard.
High turnover of team co-leads.
2008 goals:
Launch UBTs in radiology, pharmacy and laboratory departments.
Establish regional UBT dashboard by end of the first quarter.