MHA Today | November 15, 2018

November 15, 2018
MHA Today: News for Healthcare Leaders

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November 15, 2018

MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

In This Issue
Lean Six Sigma Application Process Opens
At-Risk Patients Find Needed Care At Rural Hospital

Quality and Population Health

Lean Six Sigma Application Process Opens

Staff Contact: Amanda Keilholz

MHA is pleased to announce the second cohort of the Lean Six Sigma Green Belt Project, offered exclusively to Hospital Improvement Innovation Network-participating hospitals.

Lean Six Sigma is a performance improvement platform with roots originating in the production and manufacturing industry. Its methodology builds upon a five-step process — Define-Measure-Analyze-Improve-Control — with an intense focus on the removal of errors, defects or “waste,” described as any step, motion or resource that does not add value to the process.

The second cohort will be hosted in Jefferson City and is limited to 23 projects that require a two-person, hospital-based team. Completing the eight-month intensive project, including in-person trainings covering the steps of Lean Six Sigma DMAIC methodology, will result in a Green Belt certification. Each training will be followed by an implementation phase to apply the knowledge and skills learned toward a required hospital-based improvement project.

The application process closes Friday, Nov. 30.

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At-Risk Patients Find Needed Care At Rural Hospital

Staff Contact: Jim Mikes
National Rural Health Day
On National Rural Health Day, Missouri Baptist Sullivan Hospital shares how they’re helping their rural patients.

According to the Centers for Disease Control and Prevention, obesity prevalence is significantly higher among adults living in rural counties (34.2 percent) than among those living in metropolitan counties (28.7 percent). Luckily for the rural population living near Missouri Baptist Sullivan Hospital, Jaroslaw Michalik, M.D., offers surgical weight loss procedures. “For 95 percent of obese patients, surgery is the only way to effectively and permanently lose the weight,” said Dr. Michalik. “And it’s often a last resort after these patients have tried every weight loss approach imaginable, only to experience limited success.”

Two of his patients in particular have found great success with surgical weight loss. A 32-year old female patient underwent sleeve gastrectomy. Four months later, she had lost 85 pounds, and better yet, she no longer suffers from sleep apnea and isn’t at-risk for diabetes.

At 44 years old, Dr. Michalik’s male patient weighed in at 439 pounds with a BMI of 59 and was diagnosed with diabetes and neuropathy of the feet. Knowing that 98 percent of Type 2 diabetics are cured following the duodenal switch procedure, Dr. Michalik chose this direction. Today, 14 months after surgery, the patient is down to 210 pounds – a loss of 229 pounds. His BMI dropped 30 points, his diabetes and neuropathy went away almost instantaneously, and his cholesterol is perfect.

For at-risk patient populations, having services close to home is vital to better health of the patient and the community.

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Consider This ...

Only one in four rural adults practices at least four of five health-related behaviors that can prevent chronic disease, such as not smoking, maintaining a normal body weight, being physically active, not drinking alcohol or drinking in moderation, and getting sufficient sleep.

Source: Centers for Disease Control and Prevention