Kaiser Permanente implemented a strategy for creating a systematic capacity for whole system and continuous improvement. The strategy was comprised of six “building blocks”:
• Real-time sharing of meaningful performance data
• Formal training in problem-solving methodology
• Workforce engagement and informal knowledge sharing
• Leadership structures, beliefs and behaviors
• Internal and external benchmarking
• Technical knowledge sharing
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Kaiser Permanente noted unit-based teams were key to implementing this strategy. In addition, leaders noted that the dynamic interplay among upper management, middle management and frontline staff facilitates learning throughout Kaiser Permanente.
“Creating structures and systems for learning from tests of change at all levels are foundational to creating a high-performing healthcare organization and that’s what we’ve put in place at Kaiser Permanente,” said Lisa Schilling, RN, vice president of national performance improvement for Kaiser Permanente. “We’ve created structures and developed capabilities that facilitate learning from improvement efforts and speed sharing of effective practices.”
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