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1VA Puget Sound Health Care System
2“ To care for him who shall haveborne the battle and for his widowand his orphan ”Abraham Lincoln
3VA Puget Sound MissionHonor America’s Veterans byproviding exceptional health care thatimproves their health and well-being
Executive Leadership TeamMichael Tadych,FACHEDirectorCatherine Kaminetzky,MD, MPHActing Chief of StaffGary Bayne, RN, MSN,NEA-BC, FACHEDeputy Director ofPatient Care ServicesConnie Morantes, MD,Acting DeputyChief of StaffPaula Roychaudhuri,FACHEActing DeputyDirectorKeith AllenActing AssistantDirectorPamela Popplewell,DNP, RN, ANP-BC,Assistant Directorof Patient CareServices
VA Puget Sound Health Care System Catchment Area
VA Puget Sound Health Care System:SnapshotPatient Growth 2016 – 3%VA Puget Sound by the Number (FY16) 1,044,710 Outpatient Visits6,817 Admissions102,317 Bed Days of Care421 Operating Beds280 Average Daily CensusFY17 Total Budget 828MTotal Medical Care FTEE: 3,719.4RN Medical Care FTEE: 781.6MD Medical Care FTEE: 316.8FYTD17592,0443,55059,978414283-0.1% decrease-11.6% decrease-1.4% decrease-1.7% decrease-1.4% decreaseVeterans Treated: FYTD17: 85.16K, FY16 103,8220 FY15 100,769 FY 14 95,428 FY13 91,3354.0% increaseover 2 yearsOutpatient Visits (FY16)FYTD17FYTD % change 345,089190,17621,75716,4069,4457,8891.4% increase-3.0% decrease-3.8% decrease-8.8% decrease14.6% increase8.6% increase599,230 Seattle329,506 American Lake38,803 Mt. Vernon29,549 Bellevue17,543 Bremerton13,908 South Sound
VA Puget Sound Health Care System:Offering a wide rangeof programs & services Level 1-A TertiaryHealthcare System Regional Amputation Center Regional Spinal Cord Injury Hub Transplant Site: Marrow & Lung Polytrauma Network Site Multiple Nationally Recognized “Centers of Excellence” NIH-Funded Research Centers 8 CARF Accredited Programs
VA Puget Sound Health Care System:Patient Safety Patient Safety Culture Promotion Recipients of the RCA Gold Cornerstone Award FY 11, FY12, FY14 & FY15 Completed Prospective Risk Analyses for all accreditedprograms Developed and implemented an online tracking systemfor National Patient Safety Goals (NPSG)
VA Puget Sound Health Care System:PatientExperienceCurrent Goals:Champion - Patient Satisfaction Performance MeasuresImplementation of action plans to improve scores Ongoing Staff Customer Service Training Consistently share customer satisfaction scores with staff in order to improvethe patient experienceCustomer Service Board Implementation Patient Centered Care Committee Voice of the Veteran Focus Groups
VA Puget Sound Health Care System:Centers of Excellence Multiple Sclerosis Center of Excellence West Center of Excellence in Substance AbuseTreatment & Education Center Epilepsy Center of Excellence Center of Excellence in Primary Care Education ALS Care Team
VA Puget Sound Health Care System:Other Nationally Recognized Programs Bone Marrow TransplantationBrachytherapy ProgramComprehensive Cancer CenterEpidemiology Research & Information CenterEx-Prisoner of War ProgramGene Therapy and New Cancer TreatmentsGeriatric Research, Education, & Clinical CenterGulf War Illness Research & TreatmentHealth Services Research & Development CenterHepatitis C Collaborative Center for Education & ResearchHomeless Veterans DomiciliaryMental Illness Research, Education, & Clinical CenterPsychiatric Residential Rehabilitation & Treatment ProgramResidential Blind RehabilitationParkinson’s Disease, Research, Education & Clinical CentersRehabilitation for Amputations, Prosthetics & Limb Loss Prevention
VA Puget Sound Health Care System:ResearchTop 10 in VHA Research CenterMore than 500 active research projects 33M Budget 20M VA 13M NIH, DOD & other sourcesHighlighted Programs Memory Improvement & Alzheimer's Disease Parkinson’s Disease Traumatic Brain Injury & Multiple Blast Exposures Diabetes and Cancer Treatments Smoking Cessation PTSD & Deployment Health
VA Puget Sound Health Care System:Education / InnovationMedical – Nursing – Research Populations Host 2,100 trainees annually 828 physician residents and fellows in 51specialties 141 medical students 23 dental residents in 4 dental specialties 835 nursing students from 40 programs 275 allied health traineesAcademics 158 active affiliations in Pacific Northwest and beyond University of Washington Schools of Medicine and Nursing andGraduate and Undergraduate Medical Education programs. Associated health, graduate medical education, nursingundergrad and graduate and research Innovative & progressive training opportunities
TOGETHER, WE ARE DRIVING PURPOSEFUL CHANGE IN5 STRATEGIC AREASVA PUGET SOUND GOALSEMPLOYEEENGAGEMENTENVIRONMENTOF CAREBuild a collaborative,inclusive and results-orientedculture that inspires trust inorder to improve theEmployee ExperienceCreate a safe, clean, stateof-the-art facility thatfosters a healing andcollaborative learningenvironmentVETERAN EXPERIENCECOMMUNITYPARTNERSHIPSVeterans and their familyare empowered toengage in their ownwhole health journey builton safe, timely andexcellent quality careStrive to be a leader inproviding excellent qualitycare through communitypartnerships, teaching,education, and researchQUALITY/EFFICIENCYProvide veteran-centric,exceptional care in a safe &timely mannerPurposeful change supportsemployees by creating aculture of continuous processimprovement that utilizes theirindividual talents and expertiseto create a better experiencefor each other and theVeterans we serve.These improvements inprocesses are specificallydesigned to align withVA Puget Sound’s goals.
VA Puget Sound LEAN Management SystemValue Streams- Rapid Process Improvement Events using A3#1 Primary Care/Mental Health Access VS#2 Inpatient Flow VSEmployee Engagement - MarathonsSR ProjectsEmployee Engagement- SprintsPurposeful Rounding viaGemba WalksLarge ScaleImprovement- Exec Leadership- Divisional Leaders- Service Leaders- Managers/SupervisorsFormal Education- LEAN WB, YB, GB- Employee EngagementCoaching- Leaders Developing Leaders- Servant Leadership- Just Culture5 Strategic ExperienceEnvironment ofCareContinuous DailyImprovementImprovement HuddlesSmall ScaleImprovementStandard WorkExperiential Education:LeadershipDevelopment- Sprint, Marathon, RPIW,- Value Stream Participation
16VA Puget Sound Health Care SystemVA Puget Sound Health Care System
Regional Amputation Center Regional Spinal Cord Injury Hub Transplant Site: Marrow & Lung Polytrauma Network Site . Rehabilitation for Amputations, Prosthetics & Limb Loss Prevention. VA Puget Sound Health Care System: Research. Top 10 in . VHA Research Center.
