Case Study Management Consulting VHA Quality and Safety Management – VHA Tiered Safety Huddles Problem The VHA needed to establish an omni-directional communication process across it’s 172 VA Medical Centers, 18 VISNs, and Central Office Programs that enabled teams to identify safety concerns and efficiently escalate concerns that could not…

Case Study Management Consulting VHA Quality and Safety Management – Safety Science Publishing Program Problem VHA embarked on its Journey to becoming a High Reliability Organization and wanted to contribute to the knowledgebase and science of High Reliability through scholarly publications and presentations to share their results and lessons learned.…

Case Study Management Consulting VHA Quality and Safety Management – Introduction to Just Culture Problem Committing to a long-term journey towards High Reliability and a Just Culture - focused on Veteran and staff safety and transparency - VHA wanted to implement the infrastructure necessary to sustain a baseline level of…

Case Study Management Consulting VHA Quality and Safety Management – HRO Leader Coaching Problem In 2019, the Veterans Health Administration recognized a need to renew focus on the pursuit of zero preventable harm while facing historic grow and transformation. With added system complexity and volume, the priority to ensure safe…

Case Study Management Consulting VHA Quality and Safety Management – HRO Assessment and Planning Problem The Joint Commission estimates that over 60,000 patients per year die due to preventable harm in the U.S. VA hired rockITdata to assess ongoing operations across their 18 Networks, 171 VA Medical Centers, and over…

Case Study Management Consulting VHA Nurse Standards and Qualifications Modernization Problem The Veterans Health Administration (VHA) has a large, diverse and geographically dispersed nursing workforce and needed a comprehensive plan to modernize the outdated nurse qualification standards and performance management processes. Solution Combined change management, communications and training expertise, focusing…

Case Study Management Consulting VHA National Center for Patient Safety – Teams Training Problem VHA National Center for Patient Safety (NCPS) developed a very sophisticated multi-disciplinary educational program designed to create high functioning clinical teams across 167 medical centers and 1100 outpatient clinics. The training met significant resistance and experienced…

Case Study Management Consulting VHA Lean Curriculum Development Problem VHA needed a Lean Community of Practice structure to standardize, grow, and sustain continuous process improvement across the enterprise. Forward movement was stalled due to the COVID-19 Pandemic Restrictions. Solution Developed Green Belt, Black Belt and a Master Black Belt training…

Case Study Management Consulting VHA High Reliability Organization – Outreach and Change Management Problem The Veteran Health Administration needed to align and integrate the portfolio of HRO activities and educational products across the 350,000 enterprise. Solution Created hundreds of video and written products to include eight HRO Dashboard educational videos,…

Case Study Management Consulting DoD Medical Research and Development Financial Model Problem USAMRDC Laboratories are overly dependent on research reimbursements to provide critical and unique Department of Defense (DoD) readiness capabilities. The indirect costs across the system are not sustainable or competitive. Solution Conducted a five-month assessment and synthesized input…