Professional services that deliver outstanding results

The VA partnered with rockITdata to address preventable patient harm, a significant issue causing over 60,000 annual deaths in the U.S. Through collaborative efforts with subcontractor Safe and Reliable Healthcare, rockITdata developed an enterprise-level High Reliability Organization (HRO) framework. 

An Implementation Guide was crafted to streamline processes and clarify responsibilities, backed by 6 hours of video content and instructor manuals for consistency. 

Subject matter experts were deployed to facilitate various initiatives, including implementing a HCE Balanced Score Card, generating Reports to Congress, and updating the DoD Instruction 6055.12. 

To bolster continuous process improvement across the enterprise, VHA initiated training and certification programs for Lean professionals, ranging from Green Belt to Master Black Belt levels, alongside a Lean Mentoring Program. 

To modernize its nursing workforce, the Veterans Health Administration (VHA) devised a comprehensive plan aimed at revamping nurse qualification standards and performance management processes. 

To streamline its High Reliability Organization (HRO) initiatives, the Veteran Health Administration (VHA) embarked on an ambitious endeavor to align and integrate its vast array of educational products and activities across its 350,000-employee enterprise. 

In 2019, the Veterans Health Administration (VHA) initiated a transformative journey to achieve zero preventable harm amid historic growth. Through High Reliability Organization (HRO) Leader Coaching, VHA guided over 52,000 hours of mentoring and 216 on-site visits to 13 VISNs and 116 VA Facilities.

From September 2000 to September 2023, VHA implemented Safety Huddles at 97% of facilities, fostering daily connections to prevent harm. A TSH/VMS Instructional Guide and Toolkit, deployed by 50+ HRO Leader Coaches, established a 5/6 tier safety huddle framework across 116 VA Medical Centers, 14 VISNs, and 12 VHA Program Offices.

Positioning VHA as an authority in High Reliability, we’ve shared insights through scholarly publications and presentations. Since 2021, 16 articles have been accepted for publication, and over 50 posters/podium presentations delivered. Additionally, we facilitated Just Culture training for around 3000 Department of Justice personnel.