Posted by: astanowski | July 26, 2011

From Cowboys to Pit Crews

ARAMARK Healthcare sponsored Dr. Atul Gawande at last weeks AHA Leadership Summit, and he spoke to a packed house after being introduced by our own Dr. Brian Poplin. We were very proud to have been able to sponsor someone who has had such an impact on healthcare. What was most insightful was his comparison of the shift that is needed from COWBOYS to PIT CREWS.  He really was highlighting how the current environment needs to shift from specific skills to systems or said another way, from individuals to highly coordinated teams. He even gave us strategies to do that, namely:

  1. The ability to recognize failure and success for patients. That means the ability to use data—collecting it, refining it, and most importantly understanding.
  2. Devise solutions. He spent some time talking about checklists in Healthcare, for instance.
  3. Scaling solutions so that everyone functions together seamlessly like a pit crew.

As I think about the work ARAMARK Healthcare team members do, it is a lot like that of a pit crew. You could liken the hospital to the race car itself, and the race car drivers may be the docs, nurses, and members of the care team. Support service workers at hospitals are the ones making sure that they can perform to the best of their ability—that’s what support is all about. 

The parallels continue even with the strategy of devising solutions and using checklists to do that. At ARAMARK Healthcare, we have an entire system of standards and processes for each of our services. And we even have what looks like a checklist for each operation to make sure that we are reducing operational variation and maximizing efficiencies for our services. 

There’s no question that the environment is changing rapidly—whether its healthcare reform, medicine itself, technology—you name it. With things moving faster and faster, the analogy of the Pit Crew is spot on.

Posted by: astanowski | July 22, 2011

Providing Nutrition for the Smallest Patients

I recall a few years ago driving on Philadelphia’s Schuylkill Expressway with my kids in the back seat of the car.  They saw the CHOP sign beaming in the darkness, and asked me “What’s that.”  I remember saying…without hesitation…that was Children’s Hospital of Philadelphia (CHOP)…the best children’s hospital in the world.  “What makes it so great”, they asked me.  My answer… the people. Read More…

I saw this interesting article on MSNBC the other day which talks about a new cleaning technology, are you ready for this … it’s water? Not just water, but electrolyzed water, which  uses salt and electricity to create a solution that can clean everything in a hospital from kitchens to patient rooms. Oh, and it’s also better for the environment.  Read More…

Posted by: astanowski | May 24, 2011

Alert Support Service Employee Saves a Life … or Three

In this business sometimes you hear stories about ordinary people doing things that make a tremendous difference.  I was talking to one of my colleagues who shared an example of just this from St. Vincent Women’s Hospital in Indianapolis, IN.  An environmental service associate by the name of Anitha Signola used her training to recognize a patient in distress.  Read More…

I saw this article on CNN the other day outlining how Health and Human Services’ Partnership for Patients effort is taking aim at medical errors and healthcare costs.  One of the key complications that HHS is focused on is pressure ulcers, a costly condition for hospitals. In fact, back in 2008 CMS stopped reimbursement for specific Hospital Acquired Conditions including pressure ulcers.  Read More…

Posted by: astanowski | April 20, 2011

Healthy Eating Doesn’t End at Hospital Doors

Recently I became aware of a program at the University of Texas MD Anderson Cancer Center in Houston that recognizes the importance of good nutrition in an effective wellness program.  Working with our ARAMARK Healthcare team there, the goal is to implement a world-class healthy dining program for staff, patients and visitors.    The program does this by making it as easy as possible for people to choose healthy eating options. Healthy menu and beverage strategies were adopted, and a series of educational materials were designed to offer healthy eating tips that employees could put into practice and share with their families.  Read More…

Posted by: astanowski | April 12, 2011

Environmental Services a Lynchpin in Battle against HAI

With public perception and federal reimbursement at stake, hospital cleaning technologies and practices are more critical than ever in helping to reduce hospital-acquired infections (HAI).  Strides in patient safety, including  requirements for public reporting for hospital-acquired infections (HAI), combined with better educated patients, are driving hospitals to make every effort to eliminate infections.   

In talking with Gordon Buntrock, Director of Environmental Services Operations Support for ARAMARK Healthcare, he noted that he is working with hospitals to implement processes such as “foam in-foam out” hand sanitizing and new technologies, like ultraviolet light, vaporized hydrogen peroxide disinfection and the use of silver and copper materials that prevent bacteria from reproducing, to make strides in reducing HAI. Read More…

Posted by: astanowski | February 24, 2011

Healthcare Fellows Doing Meaningful Work

The great part about having fellows be a part of ARAMARK Healthcare is getting to learn about innovative projects at the facilities where they work.  One of our Fellows is Teenice Nebblets, a graduate of the Penn State MHA program, who is fulfilling her fellowship at Main Line Health, a 5 hospital system in the Philadelphia Suburbs. Read More…

Posted by: astanowski | February 7, 2011

Heroes in the Snow

The images of cars stranded on Lake Shore Drive last week symbolized for the nation how crippling a major weather event can be to a community.  In my mind, I was mulling over how monumental a task it would be for the city of Chicago to remove all of those vehicles from the roadway. What’s certain is that a great deal of behind the scenes effort took place to return the community to normal. With this thought in mind, I wondered how people at institutions like Continuing Care Retirement Communities fared. I talked to one of my colleagues, Holly Manda-Pawlak, at ARAMARK Senior Living Services, who shared this story from Friendship Village, in Schaumburg, IL.  Read More…

Posted by: astanowski | January 20, 2011

Imaging Advances Will End “One Size Fits All” Cancer Care

I want to introduce a colleague, and good friend of mine, Dr. Brian Poplin, DHA, FACHE, CBET, who is the Executive Vice President of ARAMARK Healthcare’s Clinical Technology Services group.  Brian talked to me about how imaging advances will end the ‘One Size Fits All’ model of cancer care.   The implications for hospital operations are strong…if we can get more exact in treatment we can become not just more efficient in operations, but more effective in conquering cancer.

I wanted to share with you Dr. Poplin’s perspective on the subject through excerpts from the work by researchers at Memorial Sloan-Kettering Cancer Center. Read More…

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