1st Edition

The Guide to Achieving STEEEP™ Health Care Baylor Scott & White Health’s Quality Improvement Journey

By David J. Ballard, MD, PhD. Copyright 2015
    180 Pages 39 B/W Illustrations
    by Productivity Press

    180 Pages
    by Productivity Press

    Achieving health care that is safe, timely, effective, efficient, equitable, and patient-centered (STEEEP) is not an endpoint, but a journey. This journey requires a commitment to quality improvement (QI) from the highest levels of leadership combined with the interdependent development of several key components of health care delivery: administration and governance, clinical leadership, quality programs and expertise, data analytics, and accreditation. As each organization travels along its journey, these components must evolve at a common pace. With each component of a given phase of the quality journey firmly developed, the organization can expect to advance to the next phase knowing that the requisite factors are aligned.

    Winner of a 2015 Shingo Research and Professional Publication Award

    Baylor Scott & White Health (BSWH) has formalized its commitment to quality with the adoption of the STEEEP framework supporting the Institute of Medicine's call for health care that is safe, timely, effective, efficient, equitable, and patient centered. This Shingo Prize-winning guide book is a companion to BSWH's recent book Achieving STEEEP Health Care. It presents practical approaches and tools, including sample workflows, forms, charters, and checklists, that health care delivery organizations can use to organize, lead, execute, and measure the impact of their own improvement efforts.

    BSWH has traveled the QI journey during its 100 years as the largest not-for-profit health care system in Texas and one of the largest in the U.S. With a history of visionary care, its aim is to help others achieve the highest levels of quality and safety for their patients. To learn more about the BSWH quality journey and to find additional case studies and tools, please visit www.steeepglobalinstitute.com.

    Introduction. Elements of the Quality Journey. Phase 1 of the Quality Journey: Initiation. Phase 2 of the Quality Journey: Foundation Building. Phase 3 of the Quality Journey: Operationalizing. Phase 4 of the Quality Journey: Continuous QI.


    David J. Ballard MD PhD.

    "For quality leaders who are wondering what to do and how to do it – this book provides the detail that you have been seeking, right down to the level of the types of people to hire, what their qualifications should be, where they should fit in the governance chart, and the nature of their deliverables."
    Thomas H. Lee, MD, Chief Medical Officer, Press Ganey Associates, Inc.

    "Organizations that can reliably and effectively implement best practices will be leaders in the health care field in the 21st century. This book is a gold mine of practical and valuable resources and tools for health care organizations to use today and for years to come in their improvement journeys."
    Maulik Joshi, Dr.P.H., President, Health Research & Educational Trust; and Senior Vice President of Research, American Hospital Association

    "Baylor Scott & White Health has again provided a road map, this time exceptionally documented and annotated. This effort will assist health care institutions in consistently improving the care provided to their patients. In today's ultra-competitive world focused on the right care at the right time in the right setting, Baylor Scott & White Health’s second effort is a must read. It provides both the rational and in-depth tools to transform an organization into a world-class provider of safe and efficient health care services. Combined with strong patient and family participation, it offers the road map to substantially improved patient satisfaction, staff retention and community endorsement. Kudos to Dr. Ballard and his team—a clear, clean and crisp presentation."
    —Arja P. Adair, Jr., MBA, President & Founder of TOKOBE, LLC; Retired President and CEO of CFMC

    "Baylor Scott & White Health's journey to improve health care guided by the Institute of Medicine's STEEEP aims serves as a role model for all of us in health care. But then comes the hard part -implementation. The practical, well-organized suggestions contained in this guide, harvested from the organization’s real-life experience, are an invaluable resource for others considering a similar journey. The guide is helpful for anyone, novice or expert, who is helping to lead large-scale clinical change in today's challenging health care environment."
    Gary Yates, MD, President, Healthcare Performance Improvement, LLC; President, Sentara Healthcare Quality Care Network; Former Senior Vice President and Chief Medical Officer, Sentara Healthcare

    "Achieving best clinical outcomes at lower costs, while creating an ideal patient and provider experience, requires a set of intentional structures and processes. Dr. Ballard and his team have developed the 'how-to manual.'"
    Ziad Haydar, MD, MBA, Senior Vice President and Chief Medical Officer, Ascension Health

    "This guide to achieving STEEEP health care lays out a very practical approach to patient safety and quality improvement based on the extensive experience of Dr. Ballard and his team. The practical examples included in this guide are a goldmine of useful approaches for any healthcare system wondering where to start or how to take the next step in their journey. This companion to the earlier book should be welcomed by many waking up to the importance of driving change in the delivery of care at the present time."
    —J. Michael Henderson, MD, Chief Quality Officer, Cleveland Clinic

    "... includes a plan consisting of four phases for health care providers to follow when trying to achieve STEEEP care. Numerous real world examples and extensive appendices that include everything from checklists for success to sample learning boards are provided."
    Ringgold, Inc. Book News, February 2015