TTP

• Providing loaner blood pressure kits to hypertensive patients who had trouble traveling to the clinic.
• Mobilizing patients to phone their providers every day with their blood pressure readings, furnishing the information needed in just a couple of minutes, without filling up an entire appointment slot.
• Increasing the number of free appointments available for blood pressure checks.

• Involving nurses, physicians and materials management in the project from the beginning
• Mobilizing all UBT members to use stickers to indicate which supplies they use—and which they could live without
• Managing resistance to change

What can your team do to engage everyone in performance improvement efforts? What else could your team do to encourage feedback and help individuals manage change?

• Standardizing the workflow for collecting specimens and ordering lab tests
• Educating physicians about the medical assistants’ workflow and the couriers’ pick-up schedules
• Treating errors as an opportunity for coaching rather than discipline

What can your team do to collect and analyze data to make workflow improvements? What else could your team do to encourage everyone to speak up and share concerns, ideas and suggestions?

• Negotiating education funding as part of the national agreements between Kaiser Permanente and the Coalition of Kaiser Permanente Unions
• Carving out time for workers to attend classes in how to reduce waste and use non-toxic cleaning products
• Mobilizing environmental services workers to educate other KP employees and managers about green practices in a variety of departments

What can your team do to build career resiliency and adapt to change in the workplace? What else could your team do engage everyone in lifelong learning?

• Partnering with Thriving Schools, one of KP’s Community Benefit programs
• Adapting a successful program in a new and innovative context
• Mobilizing KP care givers to volunteer in their own community, leveraging their specific expertise

What can your team do to participate in KP's Community Benefit programs?  What else could your team do to build a culture of health and safety in the workplace?

• Gathering caregivers from a range of disciplines to meet and round on patients together
• Listening with respect
• Encouraging nurses and other care givers to speak up, ask questions and offer suggestions

What can your team do to build an environment where workers feel safe sharing ideas and concerns? What else could your team do to engage everyone in performance improvement efforts?

• Creating more space for storing breast milk
• Forming a parent support group
• Installing video cameras so families could see their babies from home 

What can your team do to include the voice of the patient in your improvement work? 

• Acknowledging and addressing resistance to change as the team experimented with changes
• Setting a clear goal of wanting to reduce excessive overtime 
• Deploying more workers to the night shift

What can your team do to improve workflow and enhance the experience of our members and patients? What else could your team do to make KP the best place to work and receive care?

• Deploying smartphones in primary care clinics so care givers can take photos of skin rashes for dermatologists to diagnose
• Opening mini-clinics in retail stores staffed by nurse practitioners to provide routine care for both KP health plan members and non-members, many of whom did not have health insurance prior to the Affordable Care Act
• Rejecting a new texting technology at a labor and delivery department when employees, managers and physicians concluded cellular reception in their building couldn’t support it—and not becoming discouraged.

What

• Conducting a motion analysis of sorting and delivering packages
• Purchasing more carts and hand trucks
• Enforcing an existing agreement with suppliers to split deliveries among departments

What can your team do to engage co-workers in a conversation about safety? What else could your team do to identify the next potential injury for employees and patients?