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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Organizational Change

Background:

  • The Veterans Health Administration (VHA) launched an enterprise-wide initiative to foster high-reliability organizations (HROs).
  • The US Department of Veterans Affairs Connecticut Healthcare System (DVACHS) joined this initiative in 2020.
  • The goal is to create safer healthcare systems through continuous process improvements.

Purpose of the Study:

  • To describe a continuous process improvement initiative at DVACHS.
  • To outline strategies for implementing system-wide changes on the journey to becoming a high-reliability organization.
  • To share perspectives from frontline staff to executive leadership.

Main Methods:

  • Implementation of system-wide initiatives focused on continuous process improvement.
  • Adoption of high-reliability organization principles.
  • Cross-level engagement from frontline staff to executive leadership.

Main Results:

  • The DVACHS initiated a structured approach to HRO transformation.
  • The initiative involved diverse perspectives across the healthcare system.
  • Focus on robust continuous process improvements for enhanced safety and quality.

Conclusions:

  • The described processes and strategies can be adopted by other healthcare organizations.
  • The journey to high reliability requires system-wide commitment and continuous improvement.
  • Successful implementation can lead to safer, higher-quality patient care.