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Healthcare Quality and Safety Capability

CIUSSS West-Central Montreal earned Gold-level Lean designation for four units

Four CIUSSS West-Central Montreal units earned Gold-level Lean certification, scoring 4.9 out of 5; the first healthcare network so designated.

As reported in public documents Published

The challenge

The CIUSSS's President and CEO, Dr. Lawrence Rosenberg, first contacted Leading Edge in 2010, and in 2016 he made Lean certification an organizational priority. Oversight was assigned to the leader of what is now the Directorate of Quality, Innovation, Evaluation, Performance and Clinical Ethics, with the aim of applying Lean management consistently across the network.

The approach

Leading Edge supported the Directorates of Mental Health and Addiction, Frontline Integrated Services, and home care within the Support Program for the Autonomy of Seniors, together with the Innovation team, through 2018 and 2019. The units were then audited for certification against Leading Edge's Lean certification framework. The wider engagement also included Hoshin Kanri strategic planning with the CEO, Lean improvement events and coaching, and Belt training from White through Black Belt.

The result

The three directorates and the Innovation team received a collective score of 4.9 out of 5, the Gold Level. The CIUSSS reported this as the first Lean designation for a healthcare network, and the auditor noted how information is shared among managers and staff.

How it holds

The CIUSSS reported that its next round of training aimed to certify the Directorate of Nursing and the Directorate of Human Resources, Communications, Legal Affairs and Global Security.

Results

What changed

MeasureBeforeAfterChange
Collective Lean certification score4.9 out of 5Gold Level
Units certified at Gold Level4Three directorates and the Innovation team

Source: Near-perfect score for CIUSSS in Lean certification, CIUSSS West-Central Montreal (360 newsletter), January 17, 2020

“An important moment in the history of our CIUSSS.”

Dr. Lawrence Rosenberg, President and CEO, CIUSSS West-Central Montreal

FAQ

Common questions

Four units were certified at the Gold Level: the Directorate of Mental Health and Addiction, the Directorate of Frontline Integrated Services, the home care division of the Support Program for the Autonomy of Seniors, and the Innovation team. Their collective score was 4.9 out of 5, as reported by the CIUSSS in January 2020.

The CIUSSS reported the result as the first Lean designation awarded to a healthcare network by Leading Edge, rather than to a single hospital or unit. The certification was presented at a ceremony on December 5, 2019, and announced in the CIUSSS staff newsletter on January 17, 2020.

The CIUSSS reported that its next round of training aimed to certify two further directorates: the Directorate of Nursing and the Directorate of Human Resources, Communications, Legal Affairs and Global Security. Leaders described the certification as one step in a longer improvement journey rather than an end point.

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