September 23, 2012
Jorge Palacios
California Department
of Public Health (CDPH-CHCQ-HAI)
Re: Prevention of Healthcare Associated
Infections in our Veteran’s Hospitals
Dear Mr. Palacious,
Once again thank you and the staff for your
interest in our advocacy for the prevention in Healthcare Associated Infections
(HAI) in our Veteran’s Hospitals and most recently the development of the
concept of a “Database of Best Practices for the Prevention of HAI”.
Below you will see one of my recent responses
to an online forum. This group is attempting to implement “Lean” and Toyota
quality teachings to the healthcare industry. The reason for my engagement in this
forum as well as others was to challenge the concept of a database of best
practices for the prevention of HAI.
In
my opinion, the reason why none of these healthcare quality professionals are having
any luck on the issue is because currently the healthcare industry is
monitoring “patient outcomes”, much as the CDPH is currently doing, modern manufacturing
is focused on “process control”, final output is little more than verification
of a good process. The concept of monitoring thousands of independent processes
state wide is hard for me to comprehend, using you current monitoring process to monitoring
one “best practice” state wide with the opportunity to improve that “best
practice” would not only be efficient but would also save the lives of our mothers,
fathers, daughters, brothers and Veteran’s in my opinion, let alone the cost of developing thousands of processes!
My
advocacy is dedicated to “supporting those who help others” so I left these
professionals on a positive, “evidence based medicine” is a product developed
by the medical community, specifically for the medical community and it is very
impressive, even Deming would have been impressed, what he would not be
impressed with, correct me if I am wrong, is that management seems to be a “no
show” in the debate and seem to be headed back to the “innovation” world, some
of it I have read about before in a book about the auto industry recent collapse,
it is a quick read but our healthcare leadership may soon be there: OVERHALL by
Steve Rattner.
The attached video, I did not identify for the
healthcare quality professionals, they should know this stuff, the project is
more than likely a masters project for a Process Engineer, the process itself actually
predates the Greeks, I do believe it is bronze, so I am going the “bronze age”,
the significance of making 10 parts is to verify process repeatability and
reliability, if you do get comments on the issue that has trouble identifying what
they are looking at I would suggest a reference check! This young man in the
video will return to his day job making engine castings the size of a house,
just my call, I have trouble reading English let alone the title and there is
no way those were Mil-spec threads but the attempt was most impressive!
Once again, thank you for your valuable time
and interst in helping others!
“hai-five” and “have fun”, just be sure
and wash your hands first!
Michael H. Slavinski
Start: there was no need to post the preceding
posts of title, “trust me”!
http://www.medicalofficetoday.com/article/should-medical-offices-embrace-auto-manufacturing-strategies
"5s", Monitoring spots a spike in C.DIFF, limited variables in the process due to limited amounts of cleaners available, EPA bans the best one, mystery solved, 5s on it's best day, would not have countered the spike in my opinion!Start to responce:
Good point Mr. XXX, perhaps we are even past the whole
"Cheese Cake Factory" process and the short lived
"Taylorism" reinvention!
More than likely they
are posting these “low lying fruit” topics due to the entertainment value of my
posts, obviously, little do I know about a Hospital other than that we have
been making parts for ventilators for the past decade and I had no idea these
things were killing so many people, some of the motivation to get out there and
make a fool out of myself!
Lean and waste,
monitoring thousands of uncontrolled processes, you do not have to be a rocket
scientist to figure out we are going to solve the unemployment problem long
before we make any tangible and sustainable progress in the prevention of
Hospital Associated Infections, "database of Best Practices for the
Prevention of Healthcare Associated Infections", "evidence based
medicine", the "creation" of the Medical System, you in the
healthcare quality programs should be proud of the achievement and start
evangelizing today!
Oh well, now that I have totally ended this
link, my work is done, so much for the fun, most of my stuff from here on out
will start “Dear Honorable”, time to go to the "action" part, you
guys are going to miss me so I will leave you with a small part of our culture,
bear in mind I use my dad's tool box and some tools my grandfather made while
building Baldwin locomotives! This is not me but how many of you healthcare
professionals made the “hammer” in high school shop class complete with the
sand cast aluminum handle, mine is in my dad’s toolbox, Walter Chyrsler’s
office on top of the Chyrsler Building, adorned with the tools he made, no
fooling! Thank you for your valuable time and our advocacy is dedicated to
supporting those who help others, just like everyone on this site!
"hai-five" and "have fun" but be sure
and wash your hands first!
"If we can improve the quality of care, that will
translate into lower cost," Anthem President Pam Kehaly said. "These
are real dollars”
PS, a happy customer at the tree nuserey, they chopped all ot theirs down for fire wood but today it is a "smile" via U.S. Peace Corps!
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