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Adapted Kaizen: Multi-Organizational Complex Process Redesign for Adapting Clinical Guidelines for the Digital Age

The need for a method to examine complex, multidisciplinary processes involving many diverse organizations initially led multiple US federal agencies to adopt the traditional Kaizen, a Lean process improvement method typically used within a single organization, to encompass multiple organizations ea...

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Autores principales: Michaels, Maria, Hangsleben, Mindy, Sherwood, Amy, Skapik, Julia, Larsen, Kevin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476597/
https://www.ncbi.nlm.nih.gov/pubmed/37668273
http://dx.doi.org/10.1097/JMQ.0000000000000133
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author Michaels, Maria
Hangsleben, Mindy
Sherwood, Amy
Skapik, Julia
Larsen, Kevin
author_facet Michaels, Maria
Hangsleben, Mindy
Sherwood, Amy
Skapik, Julia
Larsen, Kevin
author_sort Michaels, Maria
collection PubMed
description The need for a method to examine complex, multidisciplinary processes involving many diverse organizations initially led multiple US federal agencies to adopt the traditional Kaizen, a Lean process improvement method typically used within a single organization, to encompass multiple organizations each with its own leadership and priorities. First, the Centers for Medicare and Medicaid Services and the Office of the National Coordinator for Health Information Technology adapted Kaizen to federal agency processes for the development of electronic clinical quality measures. Later, the Centers for Disease Control and Prevention (CDC) further modified this adapted Kaizen during its Adapting Clinical Guidelines for the Digital Age (ACG) initiative, which aimed to improve the broader scope of guideline development and implementation. This is a methods article to document the adapted Kaizen method for future use in similar complex processes, illustrating how to apply the adapted Kaizen through CDC’s ACG initiative and showing the reach achieved by using the adapted Kaizen method. The adapted Kaizen includes pre-Kaizen planning, a Kaizen event, and post-Kaizen implementation that accommodate multidisciplinary and multi-organizational participation. ACG included 5 workgroups that each developed products to support their respective scope: Guideline Creation, Informatics Framework, Translation and Implementation, Communication and Dissemination, and Evaluation. Despite challenges gathering diverse perspectives and balancing the competing priorities of multiple organizations, the ACG participants produced interrelated standards, processes, and tools—further described in separate publications—that programs and partners have leveraged. Use of a siloed approach may not have supported the development and dissemination of these products.
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spelling pubmed-104765972023-09-05 Adapted Kaizen: Multi-Organizational Complex Process Redesign for Adapting Clinical Guidelines for the Digital Age Michaels, Maria Hangsleben, Mindy Sherwood, Amy Skapik, Julia Larsen, Kevin Am J Med Qual Adapting Clinical Guidelines for the Digital Age The need for a method to examine complex, multidisciplinary processes involving many diverse organizations initially led multiple US federal agencies to adopt the traditional Kaizen, a Lean process improvement method typically used within a single organization, to encompass multiple organizations each with its own leadership and priorities. First, the Centers for Medicare and Medicaid Services and the Office of the National Coordinator for Health Information Technology adapted Kaizen to federal agency processes for the development of electronic clinical quality measures. Later, the Centers for Disease Control and Prevention (CDC) further modified this adapted Kaizen during its Adapting Clinical Guidelines for the Digital Age (ACG) initiative, which aimed to improve the broader scope of guideline development and implementation. This is a methods article to document the adapted Kaizen method for future use in similar complex processes, illustrating how to apply the adapted Kaizen through CDC’s ACG initiative and showing the reach achieved by using the adapted Kaizen method. The adapted Kaizen includes pre-Kaizen planning, a Kaizen event, and post-Kaizen implementation that accommodate multidisciplinary and multi-organizational participation. ACG included 5 workgroups that each developed products to support their respective scope: Guideline Creation, Informatics Framework, Translation and Implementation, Communication and Dissemination, and Evaluation. Despite challenges gathering diverse perspectives and balancing the competing priorities of multiple organizations, the ACG participants produced interrelated standards, processes, and tools—further described in separate publications—that programs and partners have leveraged. Use of a siloed approach may not have supported the development and dissemination of these products. Lippincott Williams & Wilkins 2023-09-05 2023 /pmc/articles/PMC10476597/ /pubmed/37668273 http://dx.doi.org/10.1097/JMQ.0000000000000133 Text en © The Authors 2023. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Adapting Clinical Guidelines for the Digital Age
Michaels, Maria
Hangsleben, Mindy
Sherwood, Amy
Skapik, Julia
Larsen, Kevin
Adapted Kaizen: Multi-Organizational Complex Process Redesign for Adapting Clinical Guidelines for the Digital Age
title Adapted Kaizen: Multi-Organizational Complex Process Redesign for Adapting Clinical Guidelines for the Digital Age
title_full Adapted Kaizen: Multi-Organizational Complex Process Redesign for Adapting Clinical Guidelines for the Digital Age
title_fullStr Adapted Kaizen: Multi-Organizational Complex Process Redesign for Adapting Clinical Guidelines for the Digital Age
title_full_unstemmed Adapted Kaizen: Multi-Organizational Complex Process Redesign for Adapting Clinical Guidelines for the Digital Age
title_short Adapted Kaizen: Multi-Organizational Complex Process Redesign for Adapting Clinical Guidelines for the Digital Age
title_sort adapted kaizen: multi-organizational complex process redesign for adapting clinical guidelines for the digital age
topic Adapting Clinical Guidelines for the Digital Age
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476597/
https://www.ncbi.nlm.nih.gov/pubmed/37668273
http://dx.doi.org/10.1097/JMQ.0000000000000133
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