Foundations of Success: Pillars and Building Blocks
When children are counting on you, everything you
do counts.
Miami Children’s Health System ensures that each and
every member of the hospital family takes part in key
initiatives through an operational framework that identifies
common focuses so that all are aligned.
“Each year leadership establishes specific goals to support
our established Pillars. Teams are assigned to support
the goals and each quarter we review progress and, make
adjustments, if needed, to ensure that targets are met,” said
Nikole Sanchez-Rubiera, Vice President of Transformation.
Providing the framework, are these five Pillars:
People:
Strengthen recruitment, retention and talent
development
Growth:
Increase volume to drive favorable returns on
investments
Quality:
Advance a high quality, consistent patient
experience as reflected by quality and outcome measures
Margin:
Strengthen financial performance and flexibility
Service:
Expand the health system brand via a
differentiated patient experience
In addition to Pillars, the hospital also has Building
Blocks that support it in achieving goals. These include
digitization, ethics and compliance, using the Lean process
improvement model, fostering collaboration through
the “MCH Way” that guides culture, and philanthropy
supported by the MCH Foundation.
Continuous Improvement the Miami Children’s Way
Leaning in
is a way of life at Miami Children’s Health
System. When seeking ways to improve the patient
experience or increase operational efficiency, employees
know to tap the Lean methodology and the Lean tool kit
for success.
The hospital first embraced Lean in 2008 and the
results continue to dazzle, with more than $8.9 million
in savings attributed to Lean-based efficiencies, as well
as reductions in patient wait times, discharge times and
surgical start delays.
“Our entire organization speaks the language of
Lean,” said Nikole Sanchez-Rubiera, Vice President of
Transformation. “When challenges arise, all departments
and teams know to look to Lean tools, including
‘spaghetti’ diagrams, visual management, standard work
and value stream mapping for sustainable solutions.”
Since implementation, the hospital has created a
department devoted to advancing Lean thinking and
has trained 80 internal Lean champions to map clinical
and operational processes and identify opportunities
for improvement. In addition, 1,000 employees –
approximately 33 percent of staff – have been trained
in Lean methodology and Lean tools application.
To help other organizations interested in improving
business practice, the hospital is offering Lean
consulting services. For more information, contact
or call 305-663-8497.
“We have established common
‘Pillars and Building Blocks’
known to staff and shared with
all new hires that keep us
moving forward together.”
Nikole Sanchez-Rubiera,
Vice President of Transformation
Miami Children’s Hospital
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