1512 lines
111 KiB
Text
1512 lines
111 KiB
Text
<!DOCTYPE html>
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<html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# schema: http://schema.org/ sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema# ">
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<head>
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<h1 class="nist-page__title">A Doctor Who Launched an Innovative Surgery Center during His Baldrige Fellowship</h1>
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<div class="daterange"><time datetime="2017-08-17T12:00:00Z">August 17, 2017</time>
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<span>By: </span>
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<a href="/blogs/blogrige/authors/christine-schaefer" hreflang="en">Christine Schaefer</a>
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<img loading="lazy" src="/sites/default/files/styles/960_x_960_limit/public/images/2021/02/09/dr-brett-simon-blog.jpg?itok=5-2pWzb-" width="960" height="600" alt="Dr. Brett Simon head shot." title="Dr. Brett Simon head shot." typeof="foaf:Image" />
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<p>Brett A. Simon, M.D., Ph.D. , Baldrige Executive Fellow, 2015</p>
|
||
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<div class="nist-image__credit">
|
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<span class="nist-image__credit-label">Credit:</span>
|
||
|
||
Memorial Sloan Kettering
|
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|
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</div>
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</figcaption>
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</figure>
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<p>Dr. Brett Simon’s learning experiences as a Baldrige Executive Fellow in the 2014–2015 cohort paralleled his on-the-job learning at the start of his leadership of a new, groundbreaking cancer treatment facility.</p>
|
||
|
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<p>In the following interview, he shares how he used the <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="60e4dd30-b690-43ab-b954-770653ddd218" href="/baldrige/publications/baldrige-excellence-framework/health-care" title="Baldrige Excellence Framework (Health Care)">Baldrige Excellence Framework</a> (which includes the <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="2d00b997-98b4-4795-8dd5-72b8e335f232" href="/baldrige/baldrige-criteria-commentary-health-care" title="Baldrige Criteria Commentary (Health Care)">Health Care Criteria for Performance Excellence</a>) to enhance planning for the innovative surgical hospital he directs in New York City.</p>
|
||
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<p><strong>What inspired your capstone project?</strong></p>
|
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|
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<figure class=" align-right nist-image" role="group">
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|
||
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<img alt="Photo of outside of building of new cancer surgery center" height="480" loading="lazy" src="/sites/default/files/styles/480_x_480_limit/public/images/2019/08/12/Memorial-Sloan-Kettering-Cancer-Center-bldg-684x1024.jpg?itok=1Jb1nN27" typeof="foaf:Image" width="321">
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</div>
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<figcaption class="nist-image__caption">Josie Robertson Surgery Center<div class="nist-image__credit">
|
||
<span class="nist-image__credit-label">Credit:</span>
|
||
|
||
Memorial Sloan Kettering Cancer Center
|
||
|
||
</div></figcaption>
|
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</figure>
|
||
|
||
<p>I was just about to move to a new position when I started the Baldrige Executive Fellows Program in April 2014, so my capstone was essentially my new job! I joined Memorial Sloan Kettering (MSK) Cancer Center as the director of the Josie Robertson Surgery Center (JRSC), a novel short-stay surgical hospital, while it was still under construction.I was tasked with completing the planning and providing strategic and operational leadership for the facility. This was an especially exciting opportunity because the MSK leadership was committed to making JRSC an innovation center, which would be dedicated to pushing the boundaries in performing increasingly complex cancer surgery in the ambulatory (single overnight stay) setting, with a focus on a superlative patient experience, efficiency, and data-driven continuous improvement.</p>
|
||
|
||
<p>Since my job was essentially to build out this new organization from the ground up, learning about and visiting high-performing organizations through the Baldrige Fellows program provided amazing insights and examples that were literally “just in time” for my work at JRSC. My capstone then became three of the elements of building this organization: (1) articulating the goals and vision; (2) recruiting the “right” workforce; and (3) defining the priorities for management systems and data collection to support a culture of collaboration and continuous improvement.</p>
|
||
|
||
<p><strong>What </strong><strong>were some milestones of your project? How did feedback from sharing your capstone progress with other Fellows help you, if applicable? </strong></p>
|
||
|
||
<p>My capstone timeline very much tracked key milestones in building out the JRSC program. My first milestone of drafting the Organizational Profile [the preface of the Baldrige Criteria] paralleled my own learning about the organization I had just joined and triggered me to ask different and deeper questions than I would have asked without its comprehensive and objective guidelines. Next, revising this Organizational Profile together with my newly recruited leadership team at JRSC provided a unified starting point for establishing our organization’s mission, vision, and values. We then established a paradigm for staff recruitment based on these values, defined competencies, and cultural compatibility.</p>
|
||
|
||
<p>These same principles fed into defining both internal and external communications strategies and messaging—another milestone in my Baldrige Fellows capstone project. I found that having to articulate and defend these plans and processes against the Baldrige framework, combined with feedback and advice I received from other Fellows and the Baldrige team, allowed me to tap into a wealth and breadth of knowledge, varied perspectives, and experience that l would not otherwise have had access to. Because my program evolved from concept to execution during the fellowship, the advice allowed my work plans to improve in real time!</p>
|
||
|
||
<p><strong>How</strong><strong> will changes you’ve led improve your organization for the long term? Could you please describe any results or impacts so far of your project?</strong> </p>
|
||
|
||
<p>The JRSC opened on schedule 18 months ago and rapidly ramped up to full speed. Since then, we have performed over 11,000 surgeries—38 percent of which involved patients staying overnight—and have demonstrated outstanding performance on all measures, including quality and safety (e.g., extremely low patient transfers, urgent care visits, and hospital readmission rates), operational efficiency (including on-time starts, turnovers, case cancellations, and supply-chain metrics), and patient satisfaction (e.g., patient-reported outcomes, satisfaction survey responses, and spontaneous communications such as letters from patients and blog posts). About 75 percent of eligible surgical cases are now performed here at JRSC, significantly decompressing the demand on overnight beds and operating room (OR) capacity at MSK’s main hospital six blocks away.</p>
|
||
|
||
<p>Since we are a small, contained, and nominally nimble subset of a large and traditional academic medical center, one of our goals is to develop and test new processes and technologies for eventual spread to the greater organization. Already we have been able to transfer new electronic nursing documentation that enables structured data collection for decision support and clinical pathway management; patient and family communication monitor screens (and soon, real-time text notifications); standardized preoperative patient evaluation and preparation; a new model for dedicated OR physician assistant support; and the use of a real-time locating system interfaced to the electronic medical record that automates data collection and communication to facilitate flow and keep staff members focused on patients rather than computers.</p>
|
||
|
||
<p>Our work with electronic, patient-reported, post-operative symptom tracking has led to a federal research grant (through the nonprofit Patient-Centered Outcomes Research Institute; PCORI) for studying different ways of managing and acting on these patient responses. The system we built to do this is being adapted and scaled to other areas of cancer care where patients have significant symptoms, such as chemotherapy.</p>
|
||
|
||
<p><strong>What were your key learnings from the Baldrige Executive Fellows program?</strong></p>
|
||
|
||
<p>As a physician who backed into administration from a clinical and research background, the Baldrige Executive Fellows program provided two important perspectives for me. First, it presents a compact introduction to the Baldrige framework, which is in itself an amazingly helpful approach to understanding how organizations work and how they work effectively (or don’t). Second, the insights I received from visiting Baldrige Award winners, meeting their teams and witnessing their processes, and discussing these observations and the journey to get there with the leadership all solidified the theory into real practice.</p>
|
||
|
||
<p>For me, concepts around defining culture (“stated beliefs AND observed behaviors”) and building the right culture ("screen for skills, recruit for culture") directly informed my actions. I also shamelessly borrowed ideas I learned during the Fellows program around communication, staff and leadership huddles, the voice of the customer, cascading goals, measurement, and valuing workforce members. I even kept a copy of the “Baldrige Core Values and Leadership Behaviors” posted above my desk!</p>
|
||
|
||
<p><strong>Could you please describe the value/benefits you see of the Baldrige Excellence Framework to health care organizations like yours today?</strong></p>
|
||
|
||
<p>I think that many health care organizations do many of elements of the Baldrige framework very well. However, through the Baldrige Executive Fellows Program I learned and fully agree that using this framework to make sure that all the elements are addressed is essential to building and improving an effective organization.</p>
|
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<a href="/blogrige-categories/award-process-events-and-training" hreflang="en">Award Process, Events, and Training</a>, <a href="/blogrige-categories/baldrige-excellence-framework-criteria" hreflang="en">Baldrige Excellence Framework (Criteria)</a>, <a href="/blogrige-categories/impact-baldrige" hreflang="en">Impact of Baldrige</a> and <a href="/blogrige-categories/sector-focused" hreflang="en">Sector Focused</a></div>
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|
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>About the author</h2>
|
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<article
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about="/blogs/blogrige/authors/christine-schaefer" class="nist-teaser"
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||
>
|
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<div class="nist-teaser__image">
|
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<div class="entity-reference"> <a href="/blogs/blogrige/authors/christine-schaefer" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/thumbnail/public/images/2017/10/25/Christine-Schaefer-2016.jpg?itok=5neDOeBx" width="100" height="100" alt="Picture of Christine Schaefer" typeof="foaf:Image" />
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<h3 class="nist-teaser__title"><a href="/blogs/blogrige/authors/christine-schaefer"><span>Christine Schaefer</span>
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</a></h3>
|
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</header>
|
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<div class="nist-teaser__content">
|
||
<div class="text-with-summary"><p>Christine Schaefer is a longtime staff member of the Baldrige Performance Excellence Program (BPEP). Her work has focused on producing BPEP publications and communications. She also has been highly involved in the Baldrige Award process, Baldrige examiner training, and other offerings of the program.</p><p>She is a Phi Beta Kappa graduate of the University of Virginia, where she was an Echols Scholar and a double major, receiving highest distinction for her thesis in the interdisciplinary Political & Social Thought Program. She also has a master's degree from Georgetown University, where her studies and thesis focused on social and public policy issues. </p><p>When not working, she sits in traffic in one of the most congested regions of the country, receives consolation from her rescued beagles, writes poetry, practices hot yoga, and tries to cultivate a foundation for three kids to direct their own lifelong learning (and to PLEASE STOP YELLING at each other—after all, we'll never end wars if we can't even make peace at home!).</p></div>
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|
||
class="nist-block__title"
|
||
>Related posts</h2>
|
||
|
||
<div><div class="js-view-dom-id-e66172e493314b57fb6741ca5ee5fe2764935d34e716f9e24c529c3edc6f44a2">
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about="/blogs/blogrige/100-satisfaction-guaranteed" class="nist-teaser"
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<div class="nist-teaser__image">
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<div class="entity-reference"> <a href="/blogs/blogrige/100-satisfaction-guaranteed" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/thumbnail/public/images/2025/02/06/Satisfaction-Guaranteed.jpg?itok=ThnLiBh5" width="100" height="63" alt="A home with hurricane shutters next to a ladder." typeof="foaf:Image" />
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<h3 class="nist-teaser__title"><a href="/blogs/blogrige/100-satisfaction-guaranteed"><span>100% Satisfaction Guaranteed</span>
|
||
</a></h3>
|
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<div class="nist-teaser__date">
|
||
<div class="daterange"><time datetime="2025-02-18T12:00:00Z">February 18, 2025</time>
|
||
</div>
|
||
|
||
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|
||
|
||
</header>
|
||
<div class="nist-teaser__content">
|
||
<div class="text-with-summary"> 100% satisfaction guaranteed. A simple statement. Easy to understand. But…. My story begins with Hurricane Milton, one of two tragic hurricanes to hit the west
|
||
|
||
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|
||
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||
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||
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|
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|
||
<div class="entity-reference"> <a href="/blogs/blogrige/boost-innovation-your-work-thinking-poet" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/thumbnail/public/images/2025/02/04/Tucker-Bryant-blog.jpg?itok=gDhGrp2O" width="100" height="63" alt="Tucker Bryant speaks on a stage in front of an audience." typeof="foaf:Image" />
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|
||
<h3 class="nist-teaser__title"><a href="/blogs/blogrige/boost-innovation-your-work-thinking-poet"><span>Boost Innovation in Your Work—by Thinking Like a Poet</span>
|
||
</a></h3>
|
||
<div class="nist-teaser__date">
|
||
<div class="daterange"><time datetime="2025-02-04T12:00:00Z">February 4, 2025</time>
|
||
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||
|
||
</div>
|
||
|
||
</header>
|
||
<div class="nist-teaser__content">
|
||
<div class="text-with-summary"> Tucker Bryant is a Stanford-educated poet and entrepreneur. He’s also a former employee of technology behemoth Google, where he used his creative perspective to
|
||
|
||
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|
||
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||
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||
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|
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about="/blogs/blogrige/more-reasons-apply-be-2025-baldrige-examiner" class="nist-teaser"
|
||
>
|
||
<div class="nist-teaser__image">
|
||
<div class="entity-reference"> <a href="/blogs/blogrige/more-reasons-apply-be-2025-baldrige-examiner" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/thumbnail/public/images/2025/01/07/More-Reasons-to-Apply-to-Be-2025-Examiner.jpg?itok=ot0YShWL" width="100" height="63" alt="Why Apply to be a 2025 Baldrige Examiner showing a man holding an iPad displaying the online application." typeof="foaf:Image" />
|
||
|
||
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|
||
</div>
|
||
|
||
</div>
|
||
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|
||
<header>
|
||
<h3 class="nist-teaser__title"><a href="/blogs/blogrige/more-reasons-apply-be-2025-baldrige-examiner"><span>More Reasons to Apply to Be a 2025 Baldrige Examiner</span>
|
||
</a></h3>
|
||
<div class="nist-teaser__date">
|
||
<div class="daterange"><time datetime="2025-01-14T12:00:00Z">January 14, 2025</time>
|
||
</div>
|
||
|
||
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|
||
|
||
</header>
|
||
<div class="nist-teaser__content">
|
||
<div class="text-with-summary"> In a blog last week, I provided a multitude of reasons to apply to be a 2025 Baldrige examiner®. The benefits of serving in this volunteer role were conveyed by
|
||
|
||
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|
||
|
||
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|
||
>
|
||
|
||
<h2
|
||
class="nist-block__title"
|
||
>Comments</h2>
|
||
|
||
<section>
|
||
|
||
|
||
|
||
|
||
<article data-comment-user-id="32946" id="comment-19496" class="nist-comment js-comment">
|
||
|
||
|
||
<footer class="nist-comment__info">
|
||
<p class="submitted">
|
||
<span class="nist-comment__author"><span lang="" about="/user/32946" typeof="schema:Person" property="schema:name" datatype="" content="robert.fangmeyer@nist.gov">robert.fangmeyer@nist.gov</span></span>
|
||
on
|
||
<span class="nist-comment__date">August 17, 2017 2:16 PM</span>
|
||
<mark class="hidden nist-comment__new" data-comment-timestamp="1502993805"></mark>
|
||
</p>
|
||
|
||
<div class="nist-comment__permalink"><a href="#comment-19496">Permalink</a></div>
|
||
|
||
</footer>
|
||
|
||
<div class="nist-comment__content">
|
||
<div class="text-long">Brett,
|
||
Congratulations on the outstanding results you have achieved and positive impact you are having on your patients and MSK. It has been an honor and privilege to get to know you, and very satisfying to know that the Baldrige Program has helped yet another organization achieve great things.
|
||
|
||
All of us associated with the Fellows Program are humbled by what you and all the other Fellows have accomplished!</div>
|
||
|
||
<ul class="links inline nist-comment__links">
|
||
<li class="comment-reply nist-comment__link">
|
||
<a href="/comment/reply/node/1293731/comment_node_blog/19496">Reply</a></li></ul>
|
||
</div>
|
||
|
||
|
||
|
||
</article>
|
||
|
||
|
||
|
||
<article data-comment-user-id="0" id="comment-19501" class="nist-comment js-comment">
|
||
|
||
|
||
<footer class="nist-comment__info">
|
||
<p class="submitted">
|
||
<span class="nist-comment__author"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Bob Scanlon</span></span>
|
||
on
|
||
<span class="nist-comment__date">August 17, 2017 4:06 PM</span>
|
||
<mark class="hidden nist-comment__new" data-comment-timestamp="1503000419"></mark>
|
||
</p>
|
||
|
||
<div class="nist-comment__permalink"><a href="#comment-19501">Permalink</a></div>
|
||
|
||
</footer>
|
||
|
||
<div class="nist-comment__content">
|
||
<div class="text-long">Great story! It's nice to see the Baldrige Criteria and Framework making an impact in the healthcare field and in such a state-of-the art facility and innovative environment. It reinforces my commitment to the Baldrige approach which began over 20 years ago.
|
||
Thanks for sharing!</div>
|
||
|
||
<ul class="links inline nist-comment__links">
|
||
<li class="comment-reply nist-comment__link">
|
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<a href="/comment/reply/node/1293731/comment_node_blog/19501">Reply</a></li></ul>
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|
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|
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</article>
|
||
|
||
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|
||
<article data-comment-user-id="0" id="comment-19506" class="nist-comment js-comment">
|
||
|
||
|
||
<footer class="nist-comment__info">
|
||
<p class="submitted">
|
||
<span class="nist-comment__author"><span lang="" typeof="schema:Person" property="schema:name" datatype="">Julie Kapp</span></span>
|
||
on
|
||
<span class="nist-comment__date">August 17, 2017 5:36 PM</span>
|
||
<mark class="hidden nist-comment__new" data-comment-timestamp="1503005803"></mark>
|
||
</p>
|
||
|
||
<div class="nist-comment__permalink"><a href="#comment-19506">Permalink</a></div>
|
||
|
||
</footer>
|
||
|
||
<div class="nist-comment__content">
|
||
<div class="text-long">Brett,
|
||
Congratulations on all your success!
|
||
It was a pleasure to get to know you in the Fellows program.
|
||
Wishing you all the best.
|
||
Julie</div>
|
||
|
||
<ul class="links inline nist-comment__links">
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||
<li class="comment-reply nist-comment__link">
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<a href="/comment/reply/node/1293731/comment_node_blog/19506">Reply</a></li></ul>
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</article>
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<div class="indented">
|
||
|
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<article data-comment-user-id="37431" id="comment-19511" class="nist-comment js-comment">
|
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<footer class="nist-comment__info">
|
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<p class="submitted">
|
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<span class="nist-comment__author"><span lang="" about="/user/37431" typeof="schema:Person" property="schema:name" datatype="" content="christine.schaefer@nist.gov">christine.schaefer@nist.gov</span></span>
|
||
on
|
||
<span class="nist-comment__date">August 18, 2017 3:36 PM</span>
|
||
<mark class="hidden nist-comment__new" data-comment-timestamp="1515159461"></mark>
|
||
<span class="nist-comment__parent">| Replied to <a href="/comment/19506#comment-19506" class="permalink" rel="bookmark" hreflang="en"></a></span>
|
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</p>
|
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<div class="nist-comment__permalink"><a href="#comment-19511">Permalink</a></div>
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|
||
|
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<div class="nist-comment__content">
|
||
<div class="text-long"><p>Thank you for commenting, Julie. Readers: Dr. Kapp is also a Baldrige Fellow, and you can read about her capstone's innovative approach to population health in another Blogrige interview here: <a href="https://www.nist.gov/blogs/blogrige/bringing-systems-approach-us-population-health">https://www.nist.gov/blogs/blogrige/bringing-systems-approach-us-popula…</a></p>
|
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<p> </p></div>
|
||
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<ul class="links inline nist-comment__links">
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