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The Road to High Reliability

Work with us to customize a set of solutions for your journey toward zero harm.

Programs, workshops, and online tools led by JCR advisors can help you progress to zero harm, wherever you are on your high reliability journey.

Invest in your leaders and their teams to develop vibrant improvement and safety cultures that are essential to high reliability transformation.

We are here for you. We are nationally recognized speakers, teachers, coaches, and mentors on all critical components of a highly reliable health care organization.

Transformation is not easy and will take time, but so do most things that are truly worth it. We can help.

Components of a High Reliability Program

High reliability health care refers to patient care that is consistently excellent and safe over long periods across all services and settings. Achieving high reliability requires:

  1. Leadership committed to the goal of zero harm.
  2. An organizational safety culture where all staff can speak up about things that would negatively impact the organization.
  3. An empowered work force that employs Robust Process Improvement® (RPI®) tools to address the improvement opportunities they find and drive significant, lasting change.

Building an Improvement Culture

Employees who have performance improvement expertise will have the mindset to see opportunities for improvement and the skills to act on these opportunities, driving positive change and innovation.  They can lead the way to zero harm.

Imagine what your organization would look like if 20 percent of your employees saw improvement in the way they work every day? How about 50 percent? Or 80 percent?

What is Robust Process Improvement?

Robust Process Improvement is a blended approach to process improvement that incorporates Lean, Six Sigma and formal change management – methods that address efficiency, empowerment, quality, and the behavioral side of change.

Safety problems in health care persist because they are complex. Given this complexity, it is important to understand the true reasons why something isn’t working in order to improve it. RPI is an improvement methodology that has proven effective in solving a range of quality and safety challenges faced by health care organizations today because of its emphasis on finding the root causes of failure as a precondition to developing long lasting solutions.


RPI Roles

JCR works with health care organizations to help them build internal process improvement expertise by training key staff to serve in various process improvement roles: 

Change Leader
A Change Leader is trained in change management techniques. Change Leaders can help an organization promote change and increase its capacity to prepare for, commit to, and champion improvement. Change Leaders work to increase the speed in which the proposed improvement is accepted and reinforce its effectiveness.

Green Belt
A Green Belt develops working knowledge in RPI tools and methodology, while leading a performance improvement project. Green Belts will spearhead improvement initiatives so that you can achieve organizational goals.

Black Belt
A Black Belt is a full time RPI practitioner. He or she is an experienced professional in Lean, Six Sigma and change management tools and methods, and how to apply these to improvement projects. A Black Belt’s job is to lead improvement initiatives, coach and mentor and teach RPI-trained staff.

Components of a RPI Training Program

We can help health care organizations establish self-sustaining process improvement programs where new RPI practitioners can be developed as needed over time.

  • Training and coaching to build a self-sustaining program
  • Structured training waves for Green Belts and Change Leaders
  • Support in selecting high-impact training projects
  • Leadership mentoring for project sponsors and process owners
  • Certification for RPI Green Belts and Change Leaders
  • Advanced RPI certification
  • Coaching and mentoring on high reliability leadership

Benefits from RPI

Organizations have used RPI to invest in their employees, improve business and clinical outcomes, and move their performance to zero harm.

Here are the results that health care organizations have achieved through their adoption of RPI as part of their training engagements. These span a wide range of outcomes, from finance and operations to clinical quality and safety.

RPI coaches teach and mentor trainees on strategically selected training projects, resulting in:

  • 72% reduction in the hiring process turn-around time
  • 70% reduction in the falls rate
  • 63% reduction in sepsis mortality
  • 68% improvement in nursing retention
  • 54% reduction in Surgical Site Infection Rates
  • 25% reduction in TAT for room cleaning
  • 81% improvement in the discharge time rates
  • 52% reduction in medication delays

*The use of Joint Commission Resources consultative technical or advisory services is not necessary to obtain a Joint Commission Accreditation award, nor does it influence the granting of such awards.