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Technicians Conquer Swirl of Scratches
This optical lab team reduced scratches to eyeglass lenses by 94% in the first 4 months of the year after performing a step-by-step review of its lens production process.
- Minimizing scratches to eyeglass lenses during the production process reduces the need to replace them. That helps save costs and improve service to members and patients.
- Reviewing each step of the lens preparation procedure to identify and fix the problem causing scratches to new eyeglass lenses.

Personalizing Care for Patients
Asking patients about their sexual orientation and gender identity is helping Addiction Medicine team members better identify and treat patients' health risks and needs.
- Collecting sensitive, personal information from patients can tell you a lot about their health risks and needs and help improve the quality of care for all Kaiser Permanente members.
- Creating a standardized process to collect information about patients’ sexual orientation, gender identity, and preferred pronouns.

Improving Access to Spinal Care
This specialty care team reduced evaluation wait times for Medicaid patients by 35% over 4 months after everyone got involved and they began scheduling phone appointments.
- Cutting evaluation wait times mean patients are connected to care sooner.
- Involving the entire team in the effort to administer patient evaluations.

Collaboration Across Teams Reduces Interruptions
Laboratory and emergency departments teamed up to decrease work interruptions caused by non-urgent test result notifications.
- Workplace interruptions can add stress, increase patient errors and cause patients to feel like they’re not receiving good care.
- Lab staff tested the secure chat messaging in Kaiser Permanente’s electronic health record system to notify Emergency Department nurses about non-urgent lab results instead of using their hands-free, voice-controlled wearable communication devices.

Saving Money Through Prescriptions
Pharmacy UBT reduced the number of high-cost prescriptions filled outside KP pharmacies and saved over $108,000 in 2021.
- When health plan members use KP pharmacies, the cost is lower for them and for the organization.
- Team members contacted Kaiser Permanente patients who filled prescriptions outside KP pharmacies and explained the benefits of ordering their medications within KP.

Ensuring Patients’ Wishes in Times of Need
Increased the number of patients completing advance directives from 20 percent to 80 percent in 3 months.
- Advance directives give patients a say in their care plan while they can make informed decisions and help make their choices known to family members and their doctor.
- Creating a process for medical assistants to verify, update and offer information about advance care directives to radiation oncology patients

Pharmacy Helps Patients Get Mammograms
The team worked with Imaging department staff to identify patients overdue for breast cancer screenings and to help fast-track their mammogram appointments.
- Preventive screenings are important to detect disease early, when treatment is most effective.
- Checking patients’ electronic medical records to identify those due for breast cancer screenings

Tracking Time Yields Results
Wait time for lab results fell by 56% after team members adjusted their workflow and schedules.
- Delivering timely results reduces patient anxiety and enables physicians to diagnose and treat patients sooner.
- Documenting and tracking the time to process tissue specimens

Teamwork Keeps Inventory in Check
This pharmacy team reduced the cost of expired medications by 90 percent after partnering with data specialists to identify and remove outdated drugs from the shelf.
- Keeping outdated medications in stock is a waste of money and a potential safety hazard if dispensed to patients.
- Unit-based team members worked with pharmacy analysts to identify slow moving medications and monitored the inventory to avoid over-stocking them.

Provide Care With Secondary Tubing
By using secondary tubing , which can be just as safe as primary tubing for many IV uses, this team saved a bunch of money.
- When not medically necessary, primary tubing is wasteful.
- Switching from primary tubing to secondary tubing, whenever appropriate

Reduce Missing Lab Orders
A little bit of extra coordination to cut down on missing order yielded a lot of savings for this team.
- Missing lab orders cost money and are frustrating for patients and employees alike.
- Assigning a point person to coordinate orders across departments

How to Improve Telemetry Monitoring
By tightening up processes and communication, this telemetry team improved the way it monitors patients.
- A patient deprived of oxygen for 4 to 6 minutes can suffer brain damage.
- Creating reminders for staff to check monitors