Knowledge Center

Evidence-based resources focused on quality, safety, and better patient outcomes.

Mistake-Proofing to Improve Primary Care | Virginia Mason Institute
FEATURED Case Study

Mistake-Proofing Primary Care

Start Your Lean Health Care Journey Learn More Problem Virginia Mason recognized that mistakes and ...

Why a Midwest Health System Went to Virginia ...

“The fact that Virginia Mason is driven by the same purpose we are – serving patients and ...

Achieving Zero Preventable Hospital-Acquired ...

Saving lives, eliminating defects and improving ...

Invigorating Staff and Transforming Culture

Organization Surrey and Sussex Healthcare NHS Trust (SASH) Challenge SASH sought to learn from ...

Becker’s Healthcare Featuring Dr. Gary Kaplan

This podcast featuring Gary Kaplan, MD, CEO of ...

FEATURED Case Study

 30 Minutes to 2 for Prior Authorizations: How ...

At a Glance The Organization North Shore Physicians Group (NSPG) is an affiliate of Salem Hospital ...

Healthcare Improvements: Training for Efficiency | Virginia Mason Institute

Insights for Healthcare Improvement Leaders

Explore Virginia Mason Institute's Knowledge Center for practical tools, articles, research, and insights that help healthcare leaders drive sustainable improvement.

Resources

Journals
Books
Tools
Recent Case Studies
Wildly Important Goals and FHP Forward

Explore how Foundation Health Partners used WIGs and structured improvement work to drive better outcomes across teams.

Achieving Cost Efficiencies While Increasing...

Organization Leeds Teaching Hospitals NHS Trust (LTHT) Challenge LTHT hoped to move from a financial deficit to a sustainable surplus while boosting staff engagement...

Medication Error Sparks Innovation

In many hospital pharmacies today, the pace is hurried. Staff rush to fulfill complex orders for waiting providers with patients’ health dependent on their...

Disruptive Innovation in Lincolnshire System

With the introduction of integrated care systems (ICSs) across the NHS, Lincolnshire System, which serves a population of over 800,000 people across a large...

36-Clinic Federally Qualified Health Center Saves...

The organization Nestled in California’s San Joaquin Valley, Clinica Sierra Vista had humble beginnings. Formed in 1971 to address the specific needs of the...

Digitizing Workflows for the Better at SASH

Organization Surrey and Sussex Healthcare NHS Trust (SASH) Key Decision Staff and patients are given opportunities to test and influence the design of a new...

Reducing Costs, Improving Efficiencies in the NHS...

Virginia Mason Institute has worked to help create cultural changes in healthcare organizations. Through partnerships, Virginia Mason Institute has been able to...

A Large Academic Health System Uses Coaching to...

At a Glance The Organization UW Health is a large system tied to the University of Wisconsin School of Medicine and Public Health, encompassing 21,000 employees...

Embedding a System to Protect Patient Safety

Patient Safety Survey Participation Sharply Increases Overall staff participation in Virginia Mason’s Culture of Patient Safety survey grew from 16% in 2004 to 88%...

30 Minutes to 2 for Prior Authorizations: How...

At a Glance The Organization North Shore Physicians Group (NSPG) is an affiliate of Salem Hospital and a member of Mass General Brigham. The largest multi-specialty...

Bringing Impact Within Reach

How hospitals, practices and leaders can implement NHS Impact NHS Impact provides the blueprint for organisations throughout the system tocreate lasting solutions...

Delivering Change and Developing Cultures of...

Embark on a journey of transformative success in healthcare as we delve into inspiring achievements from our partners worldwide. Witness the strides made by...

Future-Proofing Health Care Delivery and Facility...

Download our case study on Virginia Mason Bainbridge Island Regional Medical Center. Download this case study to learn how Virginia Mason Bainbridge Island...

A GP Practice Shows How the NHS Can Improve...

At a Glance The Organization Lincolnshire is a large rural county on the eastern coast of England. It contains 86 general practitioner (GP) groups and three...

How Leeds Teaching Hospitals Workshopped Its Way...

At a Glance Leeds Teaching Hospitals NHS Trust discovered a significant budget shortfall and had to act fast. The financial picture would only get worse unless...

Building a New Outpatient Surgery Center With...

At a Glance The Organization The Orthopedic Outpatient Center is a state-of-the-art facility in southwest Oregon, operated by the Southern Oregon Orthopedics group....

Improving Patient Flow in Primary Care

“I used a leadership stipend to attend the Optimizing Flow in the Ambulatory Setting course at Virginia Mason Institute’s Seattle training facility. I was so...

Invigorating Staff and Transforming Culture

Organization Surrey and Sussex Healthcare NHS Trust (SASH) Challenge SASH sought to learn from Virginia Mason Institute how to create a robust management system for...

Achieving Zero Preventable Hospital-Acquired...

Saving lives, eliminating defects and improving processes The problem Venous thromboembolism (VTE) is the third most common cardiovascular illness1 — and the most...

Nursing Team Extends Care at the Bedside

Problem Virginia Mason hospital nurses were increasingly leaving the patient’s bedside to complete non-value-added tasks, adding hours to their day, increasing...

Managing Phone Calls in Primary Care

Problem Responding to patient phone calls at Virginia Mason consumed a great deal of clinic time and was not reimbursed. The primary care clinics were receiving...

Why a Midwest Health System Went to Virginia...

“The fact that Virginia Mason is driven by the same purpose we are – serving patients and communities – helped them understand us better than consulting companies...

Mistake-Proofing Primary Care

Start Your Lean Health Care Journey Learn More Problem Virginia Mason recognized that mistakes and defects in health care not only harmed patients but...

Recent Blog Posts
But people aren’t cars!

Learn how Virginia Mason turned crisis into change by adapting Toyota’s lean principles to improve quality, reduce waste, and transform care.

Navigating Partnerships: A Guide for Leaders...

NHS IMPACT leadership requires partners to meet you where you are, a holistic approach, a focus on equity, clinical experience, and NHS familiarity.

Zero Preventable Harm: A Strategic Imperative for...

Find out why zero preventable harm is a strategic imperative for healthcare systems, and explore key strategies to improve patient safety.

What is LEAP

Virginia Mason Institute's LEAP enhances healthcare skills through experiential learning, fostering improved patient care, team performance, and growth.

Unlocking Leadership Potential: Introducing the...

Discover how the LEIPA model boosts emotional intelligence and transforms strong individuals into high-performing leadership teams.

Why is A Cultural Shift Important in Healthcare?

A strong healthcare culture fosters trust, communication, and innovation. Learn how to create a lasting change in your healthcare organization.

Bringing Disruptive Innovation to the Front Lines...

Rajiv Sethi, MD, a top VM spine surgeon, shares why embracing an innovative lean management system works to improve the delivery of health care.

Fostering Healing Environments: The Crucial Role...

A culture of psychological safety propels healthcare organizations into the forefront of innovation by encouraging continuous learning.

Sustaining Improvements to Patient Safety

In July 2016, a Virginia Mason quality assurance analyst sent the committee the VTE defect report they’d been waiting for.

Surgical Setup Reduction Improves Patient...

Balancing quality and costs is important in all operating rooms. Virginia Mason Institute's approach improved turnover time, safety and efficiency..

Terrible Tragedy — and Powerful Legacy — of...

A tragedy at Virginia Mason led to radical transparency, prioritizing patient safety above all else. Learn more about this new standard in healthcare.

How Can Andons Improve Patient Safety?

Learn to use an Andon in your healthcare organization, a tool to detect abnormality or defects in medical processes.

Using the Nemawashi Gauge to Guide Improvement in...

Healthcare leaders drive safety through continuous improvement. The Nemawashi gauge helps assess readiness for change and empowers staff to speak up.

What is the Virginia Mason Production System...

Learn about VMPS and how your organization can learn from this management system, improvement culture, and innovation in healthcare.

Glossary of Lean Terminology

Check out additional information on Virginia Mason Institute's Lean terminology. Visit this online glossary for information on lean healthcare concepts.

Leadership and Improvement During Disruption:...

Healthcare leaders have the ability to use lessons from COVID-19 to improve vaccine distribution. Learn more about this efficient methodology.

Vision and Alignment in Healthcare: An...

Creating a culture of continuous improvement is accessible by aligning the organization’s goals. This vision allows for organization wide progress.

Improving Your Organization’s Relationship With...

Dr. Lammert underscores the vitality of a physician compact, urging genuine commitment for change, emphasizing its impact on patient centered care.

Bringing NHS Impact to Life: What Executives Can...

Learn about VMPS and how your organization can learn from this management system, improvement culture, and innovation in healthcare.

Four Ways to Improve Financial Capacity in Health...

Virginia Mason Institute's Marlon Borbon emphasizes lean methods for healthcare, focusing on lead time, defects, inventory, and overall staff morale.

Using Leadership Kata to Achieve Key Results in...

Virginia Mason Institute's leadership kata fosters continuous improvement, cost reductions, and a culture of waste elimination, with tangible results.

Leveraging 3P in Health Care Facility Design

Virginia Mason Institute uses the 3P process for innovative healthcare design, involving frontline teams and patients. Learn about patient first designs.

The Best Way to Approach Never Events

Ellen Noel, a nursing specialist, led team progress in healthcare through accountability and training. Learn more about preventing never events.

How Leaders Can Inspire a Culture Shift

Celeste Derheimer at Virginia Mason Institute emphasizes leaders fostering a culture shift through lean processes and respectful engagement.

Implementing a Real-Time Visual Monitoring System...

Virginia Mason Institute improved clinician performance by creating a real-time electronic dashboard for quality measures, resulting in success.

Making Your New Space Work for Your Team

Learn about improving flow, increasing process efficiency and providing quality care while adopting a new space through teamwork and planning.

Why “we have always done it that way” no longer...

Teamwork and continuous improvement are vital in sports and healthcare. Virginia Mason Institute fosters excellence through collaboration and innovation.

Using Lean Ideas in Our Everyday Work

Discover how Virginia Mason Institutes Lean ideas program encourages staff to suggest simple improvements, saving valuable time and reducing waste.

Removing Muda From Daily Work

"Muda" in healthcare means eliminating wasteful processes. Virginia Mason Institute shows how to enhance patient care and streamline operations.

Achieving 10-15% Cost Reduction Through...

Learn how this Virginia Mason Institute client redefined facility development. This innovation led to cutting costs up to 15% in their organization.

Improving New Patient Visits

Virginia Mason Institute explores advancements in new patient visits, imaging, and electronic ordering. Innovation in healthcare brings efficiency.

Using a 3P to Create a Vision and Plan for Better...

3P (production, placement, and process) allows organizations to improve care. Learn more about better patient care with Virginia Mason Institute.

Cutting Cost of Care While Improving Quality

Virginia Mason believes every patient should receive the best care every time. Learn more about how we are cutting costs, while improving care quality.

Measuring Success When the Lean Improvement Work...

Chris Backous explains how working together to solve difficult problems in healthcare can help reduce waste. Learn more about lean management.

How Can Lean Improvement Work Engage Staff and...

Cathie Furman explains how lean improvement can engage staff and reduce costs. Learn more about improvement work with Virginia Mason Institute.

Identifying the Seven Wastes to Build a Lean...

Discover how to identify and remove the seven wastes in healthcare and promote quality improvements to achieve lean healthcare.

5 Ways Patients Can Help Organizations Shape...

Learn 5 Ways Patients Can Help Organizations Shape Quality Improvement; through our Patient Family-Partner Program at Virginia Mason Institute.

How Can You Spread Standard Work Successfully?

Find out how these 5 secrets of spreading standard work can improve patient care, help define best practices and improve the world of healthcare.

Analyzing the “Big Idea”: Extending the Success...

Learn more about Healthcare Marketplace Collaborative, a healthcare reform success story, to get practical tips for better teamwork & collaboration.

Pain Huddle Leads to Less Medication, Lower...

Learn how a pain huddle can help you develop more targeted and personalized treatment plans, improve patient outcomes and reduce readmissions.

Why Is a Value Stream Map Important for...

Discover how value stream mapping can revolutionize patient care and reduce healthcare organizational costs. Read our guide to find out more.

Expanding the Virginia Mason Production System to...

The Virginia Mason Production System® method is being applied throughout the larger healthcare system of <300 sites, 11 hospitals, & 5,000 providers.

How Eliminating Wasteful Processes Helped a Team...

Discover how our healthcare training programs help executives lead the way in reducing waste and improving patient care at Virginia Mason

Leader Tools to Prevent Medical Errors

The importance of culture for healthcare process improvement and how leaders empower their staff to prevent medical errors at Virginia Mason Institute.

How a Culture of Improvement Powered Health...

Read about North Shore Physicians Group manage their COVID-19 response & how the continuous improvement methods provided a response to caseloads.

How a Team Took on a Small Space to Improve Care...

Why culture is key in healthcare process improvement. Learn how our client found new ways to improve respiratory care by putting their patients first.

How Takt Time Can Help Health Care Organizations...

What is Takt Time and why is it important for patient care? Visit Virginia Mason Institute to learn how it helps the pace of production in healthcare.

How Can Standardizing Surgery Tools Prevent...

In an interview with clinical director, Rosemary King, shares how standardizing perioperative care tools drove revenue and improved patient care.

Empowering teams to identify and address sepsis,...

How the Sepsis Power Hour bundle protocol empowers teams to achieve the early recognition of sepsis and administer rapid interventions.

How to Create a Pathway to Better Patient Care –...

Learn three ways to transform your health care organization with top practices to improve the patient experience while reducing costs.

Improving Through Crisis: Deploying Improvement...

The COVID-19 crisis challenged healthcare organizations to identify & solve problems in new ways by leveraging improvement teams. Learn key lessons.

Systematizing Equity: How Healthcare...

Race & other social factors have a profound effect on patient health. Read about how teams at Virginia Mason are leading the way in healthcare equity.

Learning Through Crisis: After Action Review and...

Read about learning through crisis. Discover how healthcare systems have responded to the challenges of COVID-19 through our worldwide partnerships.

Respect for People: A Building Block for Engaged...

Respect for employees and patients alike is an important part of safe and sustainable care. Learn about building a culture of respect in healthcare.

4 Key Lessons in Healthcare Transformation and...

Learn about our 5-year partnership with the National Health Service, our accomplishments, & the lessons about transformation & quality improvement.

Vaccination Flow 101: Three Fundamentals for...

Whether you're looking to improve your vaccine distribution or another standard process, discover how you can apply process improvement for your org.

The Health Care Executive’s Role in Addressing...

Healthcare leaders and executives play a vital role in addressing provider burnout. Learn about the mindset and systems that make a lasting impact.

How Does a Kaizen Promotion Office Support...

The Kaizen Promotion Office (KPO) supports cultural change by implementing VMPS, training staff and fostering continuous improvement in healthcare.

Innovation: directed creativity implemented

Virginia Mason Institute helps teams innovate and lead change, driving creativity and leadership in healthcare organizations with expert guidance.

Improving Team Well-Being: Addressing Provider...

Boost team well-being and tackle provider burnout with Virginia Mason Institute's culture and systems approach for sustainable healthcare improvement.

Flow in Primary Care

Virginia Mason Institute's flow method transforms primary care, reducing paperwork, improving efficiency, and increasing doctor-patient time.

How Can a Kanban System Improve Health Care?

Learn how a Kanban system transforms healthcare operations by streamlining processes and improving patient outcomes with Virginia Mason Institute.

Capturing the Patient Voice: Part 2

The Patient-Family Partner Program improves healthcare by addressing biases. enhancing communication and fostering a patient-centered culture.

Capturing the Patient Voice

Patient feedback refines care at Virginia Mason. Programs like Patient-Family Partners eliminate assumptions and drives continuous improvement.

Eliminating Waste to Improve Decontamination and...

Waste elimination in healthcare improves efficiency, patient safety, and staff morale, as seen in this interview from Virginia Mason Institute.

How Does Standard Work Lead to Better Patient...

What is Standard Work and how can it improve the patient experience? Discover how implementing this system eliminates waste and prevent mistakes.

What Is Lean Healthcare?

Discover how applying Lean management to healthcare builds results by reducing inefficiencies, empowering staff and ultimately add value for patients.

Improving Patient Flow Helps Conquer Health...

Enhancing patient flow is vital in healthcare. Virginia Mason Institute shares our story of teamwork and metric-driven improvements for healthcare.

Is It Possible to Fix Broken Systems and...

Can broken systems and processes be fixed? Discover how to identify and address common issues with our informative guide at Virginia Mason Institute.

The Flows of Medicine

Virginia Mason Institute achieves an efficient flow in healthcare. Inspired by nature, this flow enhances patient experience and reduces delays.

The Beauty of Intrinsic Motivation

Virginia Mason addresses healthcare staff burnout. Intrinsic motivation and values create a culture of purpose and help transform healthcare.

Are Your Leaders, Doctors and Board Members...

Explore the crucial alignment between leaders, doctors and board members for an organization's mission toward effective healthcare management.

A Doctor’s Courage

Discover a journey of a doctor's bravery. Inspiring stories that highlight resilience and compassion in healthcare from Virginia Mason Institute.

The Waste Epidemic: How Do You Deal With It in...

How do you deal with the waste epidemic in your organization? Carolyn Corvi answers questions to help you improve efficiency and reduce waste.

Why Adding More Space Isn’t the Only Answer to...

Is adding more space the only way to increase revenue in healthcare? Find out how waste reduction can help improve care and reduce costs.

Eliminating Health Care Waste Improves Sepsis...

The Virginia Mason production system focuses on the elimination of waste to improve efficiency. Find out how eliminating waste can improve sepsis care.

Leadership “Unlearning”: A New Requirement for...

Learn how "unlearning" four key obsolete leadership lessons can transform healthcare and how to move forward as a leader for lasting improvement.

5 Tactics to Break Down Silos and Support...

Read how to put an end to workplace silos while promoting cross-functional collaboration with these 5 leadership development tactics.

Three Ways to Achieve a Future of Better Health...

Discover three strategies for achieving better healthcare outcomes, lower costs, improved patient care and safety at Virginia Mason Institute.

What Is Heijunka in Health Care?

“Heijunka” is a Toyota Production System term defined as production leveling or smoothing. Our experience at Virginia Mason and in our work with health care clients...

Getting Closer to Continuous Flow in Health Care

Learn how to improve healthcare efficiency and patient outcomes with continuous flow processes for your organization at Virginia Mason Institute.

What Is the Cost of Not Having a Strategic...

What are the risks of not having a strategic improvement method for healthcare organizations? Learn this proven approach to reduce cost & transform care.

How Lean Health Care Improves Quality, Values...

Learn how continuous process improvement in healthcare can transform quality of patient care, staff satisfaction, and reduce costs for your organization.

How a Value Stream Can Help You Produce...

Learn how to improve patient care and lower costs with a value stream approach. Visit Virginia Mason Institute to learn the benefits of this methodology.

Daily Management in Healthcare: Embedding...

Check out our tips for how to methodically and successfully implement a process to improve accountability in healthcare using Lean methodology.

Dr. Gary Kaplan on the recent Warwick Business...

Dr. Gary Kaplan shares the success, challenges, and lessons learned in a report on the 5-year partnership with 5 NHS hospital trusts.

Healthcare Transformation Can’t Wait: 3 Lessons...

Based on the recent WBS report - Read 3 key lessons for leaders as we look to a more sustainable path forward in healthcare.

Eliminating Waste and Providing Value to Patients...

Read an example of how our waste removal processes helped increase value in patient care for joint replacement patients at Virginia Mason Institute.

Implementing Process Improvement by Focusing on...

The importance of culture in a healthcare management system, and how it accelerates organizational change to create a patient-centered culture.

8 Ways to Ensure Internal Communication Supports...

Learn about VMI's key lessons to help ensure your organization's internal communications are supporting a culture of improvement.

Responding to Crisis at Virginia Mason

Read Sarah Patterson's message on Virginia Mason's initial response and key learnings from the COVID-19 crisis.

Overcoming Provider Burnout and Restoring Joy to...

Provider burnout has reached concerning levels at health systems globally. Read the causes and how to identify improvement methods for improvement.

Gain Strategic Alignment on Population Health...

Read an example of how a client implemented 3P (production, preparation and process) and got stakeholders and the organization on the same page.

How an Improvement System is Helping North Shore...

Read about North Shore Physicians Group manage their COVID-19 response & how the continuous improvement methods provided a response to caseloads.

Embracing Virtual Facilitation to Remove...

Is your team struggling to implement continuous quality improvement in a virtual environment? Learn about virtual facilitation best practices.

Which Is Better for Engaging Health Care Staff:...

Learn the difference between Lean & Six Sigma philosophies & discover new ways to undertake quality improvement within your healthcare organization.

Patients Shouldn’t Wait: Enhancing Patient Access...

Read a case study on a clinic that reviewed and improved their ED patient experience by standardizing the access flow through daily management.

How Can My Organization Use Daily Management to...

For leaders who want to make progress in improvements across an organization, the challenge can seem insurmountable.

Recent Podcasts
Building Connections in the Operating Theatre-...

Learn how surgical badge hats improve OR communication, teamwork, and patient experience while cutting waste and supporting net-zero goals.

Systematizing Equity at Virginia Mason Franciscan...

Advancing diversity, equity and inclusion in healthcare has become a strategic imperative for all leaders in healthcare. But to make lasting progress, we can’t just...

Scaling and Spreading a Management System with...

In our first episode of Better Never Stops, Chris Backous, Executive Partner of Transformation Services, interviews two of Virginia Mason Franciscan Health’s...

Leeds Teaching Hospital – Using CI to solve a...

Earlier this year Leeds Teaching Hospital managed to save £16M ($20M USD) in the space of 2 weeks. Featured in this episode: Wendy Korthuis-Smith⁠⁠ ⁠⁠Chris Backous⁠⁠ ⁠⁠...

Evolving Daily Management with Neha Patel

Leading with Daily Management is an important and foundational component of ensuring patients receive quality, timely care, while providing frontline staff the...

LEIPA- The Leadership Emotional Intelligence...

Host Brenda McLeod is joined by three guests to talk about one of Virginia Mason Institute’s newest service offerings, the Leadership Emotional Intelligence...

Becker’s Healthcare Featuring Dr. Gary Kaplan

This podcast featuring Gary Kaplan, MD, CEO of Virginia Mason Franciscan Health, offers a unique opportunity to gain valuable insights from a prominent figure in...

Lessons from SuperVax with Dana Nelson-Peterson

In our second episode of Better Never Stops, Virginia Mason Institute Senior Partner Melissa Lin interviews Dana Nelson-Peterson, Vice President of Nursing...

Announcing Our New Podcast: Better Never Stops

Connecting You with Insights and Inspiration We are excited to announce the launch of our new podcast for healthcare professionals, Better Never Stops. Our new...