Fixing Healthcare Delivery

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Fixing Healthcare Delivery

Coursera (CC)
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Description

When you enroll for courses through Coursera you get to choose for a paid plan or for a free plan

  • Free plan: No certicification and/or audit only. You will have access to all course materials except graded items.
  • Paid plan: Commit to earning a Certificate—it's a trusted, shareable way to showcase your new skills.

About this course: Isn’t it time to end the loss of life from preventable medical errors? Each year 100,000 patients die from preventable errors in the U.S. How can you help to change this intractable problem? Knowledge is power, and this course will provide you with a deep understanding of the problems and the solutions. You can become part of the solution.

Created by:  University of Florida
  • Taught by:  Frederick S. Southwick, MD, Professor

    College of Medicine
Language English How To Pass Pass all graded assignments to complete the course. User Ratings 4.7 stars Average User Rating 4.7See what learners said Coursework

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When you enroll for courses through Coursera you get to choose for a paid plan or for a free plan

  • Free plan: No certicification and/or audit only. You will have access to all course materials except graded items.
  • Paid plan: Commit to earning a Certificate—it's a trusted, shareable way to showcase your new skills.

About this course: Isn’t it time to end the loss of life from preventable medical errors? Each year 100,000 patients die from preventable errors in the U.S. How can you help to change this intractable problem? Knowledge is power, and this course will provide you with a deep understanding of the problems and the solutions. You can become part of the solution.

Created by:  University of Florida
  • Taught by:  Frederick S. Southwick, MD, Professor

    College of Medicine
Language English How To Pass Pass all graded assignments to complete the course. User Ratings 4.7 stars Average User Rating 4.7See what learners said Coursework

Each course is like an interactive textbook, featuring pre-recorded videos, quizzes and projects.

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Connect with thousands of other learners and debate ideas, discuss course material, and get help mastering concepts.

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University of Florida The University of Florida (UF) is recognized nationally and internationally as a leader in academic excellence, both on campus and online. Ranked in the top 20 of Public Universities, the University of Florida is the state’s oldest university and has a long established tradition of academic excellence.

Syllabus


WEEK 1


Introduction: Who is Caring for Mary?



100,000 patients die annually as a consequence of preventable medical errors, and over 1 million patients suffer life-changing injuries. Despite the calls to action medical errors continue at the rate of 1 out of 10 patients. How can those of us who help to deliver care and those of us that receive care help to prevent harm? There are 5 fundamental areas each of us needs to understand and use to fix healthcare delivery: 1. Apply the principles of high performing manufacturers and athletic teams to continually improve our processes. 2.We all need to learn how lead and be part of multidisciplinary teams that include patients and coordinate the care they receive. 3.The human brain continually makes errors. Certain conditions increase the likelihood of errors, and these need to be avoided. Systems can be designed that force the right behavior, and second checks can help caregivers provide the right care at the right time and in the right place. 4.We all need to become effective leaders. Most importantly we must practice adaptive leadership, that is, leadership that promotes a true change in the way things are done. 5.Finally we all can utilize the campaign methods of successful politicians and advocacy groups to change the attitudes of our fellow caregivers and patients, and thereby change the culture of our healthcare systems. During this 8-module course you will be provided with the tools to accomplish all 5 of these goals, and as an individual you can truly make a difference. Why do we need to understand about systems? How do we evaluate a system and as a patient or provider what characteristics do you think are important? How does quality relate to safety? These are important questions that we all need to have answers to as we learn how to improve how we deliver and receive healthcare. The personal consequences of distracted physicians and defective systems are illustrated in Mary's frightening hospital experience.


6 videos, 1 reading expand


  1. Video: Why Should You Take This Course?
  2. Video: Who is Caring for Mary Overview
  3. Video: Introduction
  4. Video: Who was Caring for Mary?
  5. Video: Quality, Safety and Healthcare Delivery Systems
  6. Video: Systems and Quality
  7. Reading: Module 1 Reading list

Graded: Who is Caring for Mary

WEEK 2


Applying Manufacturing Principles to Improve Healthcare



In this module we will be discussing the manufacturing principles of the Toyota Production System. The concept of value stream or work flow diagrams will be introduced. The well known 80/20 rule in manufacturing will be applied to patient care. The 8 ways waste can be reduced in health care will be explored, and finally the problem of push medicine and how patients can guard against this all too common problem will be covered.


5 videos, 1 reading expand


  1. Video: Applying Manufacturing Principles to Improve Healthcare Overview (3:17)
  2. Video: Lessons We Can Learn From Industry, Part I
  3. Video: Value Streams Digging Deeper
  4. Video: Lessons We Can Learn from Industry Part II
  5. Video: Lessons We Can Learn From Industry, Part III
  6. Reading: Module 2 Reading

Graded: Applying Manufacturing Principles to Improve Healthcare

WEEK 3


Healthcare Requires Teamwork



Teamwork is critical in modern healthcare. We will explore the state of healthcare teamwork in most healthcare systems. The 5 resources required for effective teams will be reviewed, and we will discuss how athletic principles can be used to encourage teamwork, improve efficiency and increase the quality of patient care. We will review how to launch and coach a team, and how to manage the complex dynamics of teams. Finally we will discuss how to create a self-improving team.


5 videos, 1 reading expand


  1. Video: Healthcare Requires Teamwork Overview
  2. Video: Teamwork in Healthcare: How well do we work in teams?
  3. Video: Athletic Principles in Healthcare
  4. Video: Launching and Coaching Healthcare Teams
  5. Video: Overview of TeamSTEPPS
  6. Reading: Module 3 Reading

Graded: Healthcare Requires Teamwork

WEEK 4


Understanding and Preventing Human Error Part I



This module will be discussing the consequences of medical errors, and you will learn from Sorrel King's loss of her daughter, Josie, and from my personal experience that preventable injuries not only cause death but also can lead to permanent life changing injuries. Sitting around and doing nothing is not an option. However we all need to understand and use three key tools to determine the causes of medical errors and to fix them, Root cause analysis, Driver Diagrams, and PDSA cycles. Finally we will discuss the issue of small errors and our tendency to ignore and workaround them. Unfortunately this approach to small problems is one of leading causes for the continued high rate of preventable injuries and deaths in our hospitals and clinics. It is time to fix the little things.


5 videos, 1 reading expand


  1. Video: Understanding and Preventing Human Error Part I Overview
  2. Video: Medical Errors the Human Toll
  3. Video: To Err Is Human
  4. Video: Plan-Do-Study-Act
  5. Video: Little Problems Workarounds
  6. Reading: Module 4 Reading

Graded: Understanding and Preventing Human Error Part I
Graded: Peer Review

WEEK 5


Understanding and Preventing Human Error Part II



This module introduces you to the famous W. Edwards Deming red bead experiment that illustrates the tyranny of random variation, and introduce the use of run charts to differentiate random or common cause from specific cause variation. Next we will introduce you the concept of reliability and will illustrate why we need to dramatically improve the reliability in health care. Strategies for reducing human errors are reviewed, and the effectiveness hierarchy of different interventions discussed. We end with a discussion of how health systems and providers should be treating patients and families who they have inadvertently harmed.


7 videos, 1 reading expand


  1. Video: Understanding and Preventing Human Error Part II Overview
  2. Video: How Do We Know if a Change is an Improvement, Part I
  3. Video: Run Charts
  4. Video: How Do We Know if a Change is an Improvement, Part II
  5. Video: How Reliable is Healthcare?
  6. Video: How Can We Reduce Human Error?
  7. Video: What Happens When a Patient is Harmed?
  8. Reading: Module 5 Reading

Graded: Understanding and Preventing Human Error Part II

WEEK 6


We All Can Lead: Becoming an Adaptive Leader



In this module, we will be discussing the need in healthcare for distributive leadership that is adaptive. The complexity of healthcare prevents one leader from micromanaging a healthcare system, and leadership must be encouraged on the front lines of care. Effective leaders are good listeners, empathetic, follow their principles (North Star) and are courageous. Adaptive or innovative leaders are a necessity for improving the quality and safety of healthcare. The strategies for controlling emotional disequilbrium will be addressed, and specific analogies presented to assist students in understanding how to practice leadership that will bring about change.


4 videos, 1 reading expand


  1. Video: We All Can Lead: Becoming an Adaptive Leader Overview
  2. Video: Who Should Lead?
  3. Video: Adaptive Leaders: A Necessity for Fixing Healthcare Delivery
  4. Video: Practice Adaptive Leadership
  5. Reading: Module 6 Reading

Graded: We All Can Lead: Becoming an Adaptive Leader

WEEK 7


How Organizing People can Drive Change in Healthcare Delivery



Change requires those on the front lines to embrace new approaches to care and to work across department barriers. This session will use our Founding Father Samuel Adams to exemplify the approaches that have been used for decades to encourage others to come together to bring about change. Samuel Adams campaign led to United States independence from Great Britain and these methods if applied throughout the world can lead to a revolution in healthcare delivery. One-one techniques, personal narrative, creation of leadership teams, and the creation of effective strategies and tactics to bring about action will all be covered. You can make a difference.


5 videos, 1 reading expand


  1. Video: How Organizing People can Drive Change in Healthcare Delivery Overview
  2. Video: What can Samuel Adams Teach Us About Fixing Healthcare Delivery?
  3. Video: Organizing in Healthcare: The Early Phase
  4. Video: One-on-Ones and Personal Narrative
  5. Video: Leadership, Strategy, Tactics & Action
  6. Reading: Module 7 Reading

Graded: How Organizing People can Drive Change in Healthcare Delivery

WEEK 8


Immunity to Change, Examples of Successful Patient Care Initiatives, and Final Summary



In this final module we will review why many of us fail to change our viewpoints and behavior. We will discuss how you can overcome your natural immunity to change. Next we will review the key points from each of the past 7 module, and then outline a general plan of action that will allow you to create your personal plan to fix one component of your healthcare system. Your learning has just begun. Now you will be able to apply what you learned, you will achieve greater and greater understanding by doing.


4 videos, 1 reading expand


  1. Video: Immunity to Change, Examples of Successful Patient Care Initiatives, and Final Summary Overview
  2. Video: Immunity to Change
  3. Video: Summing it all up
  4. Video: What can I do?
  5. Reading: Module 8 Reading

Graded: Immunity to Change, Examples of Successful Patient Care Initiatives, and Final Summary

WEEK 9


Final Exam
This is the final exam.




    Graded: Final Exam
    Graded: Final Peer Review
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