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Date
May 28, 2021
Attendees
Andrea Toogood |
Anne Johnson |
Anthony Oliver |
Anthony Seabrook |
Atchut Kanthamani |
Autumn Tarter |
barbara.pecoraro@cms.hhs.gov |
Belinda Rogers |
brian |
Brianna Smith |
cathy wray |
Danny Belmont |
Darlene Shoemaker |
Deb Campbell |
Dorothy |
Edward O'Connor |
Eileen Ford |
Elisabeth Wiethorn |
Eric |
fzyk2737 |
Gail Gresko |
Gina Anderson |
Heather Walters |
Holly Roderick |
Janie Gittleman |
Jen Hurley |
Jennifer Harris |
Jennifer Suddeth |
Jessica Toth |
JHUTMAN |
Kathleen Todd |
kedson |
Keisha Potter |
Kelly Long |
Kisha Coa |
Kristen Ives |
Laura Maka |
Lee.Ashlin |
Linda Hightower |
Marvin Arjona |
matthew noftsger |
Mikayla Murphy |
Mike Lin |
naipok |
pmiddaugh |
Richard Gibney |
Roberta Howard |
Sarah.J.Sherbrook |
Shane Perry |
Sharon |
shauna.brown |
Syd Rahman |
taffy.clark |
Tammy Geltmaker |
thad person |
Thomas Workman (he/his) |
Ti-Kuang Lee |
tlabriado |
William Frank |
Topic
Leveraging Human-Centered Techniques in Root Cause Analysis: Tracing Cause Without Blame.
Program
Many organizations—including government, business, and healthcare—use root cause analysis to identify the fundamental reasons for an incident or failure so that they can improve future outcomes. Within product management and development, root cause analysis can lead to the source of an issue, allowing teams to enact corrective measures. Root cause analysis often stops short at what and who instead of the systemic why, which can lead to a culture of blame without lasting improvement.
What if tools from human-centered design, engineering, and psychology can lead to an improved understanding of why incidents occur and identify optimal solutions?
Our guest presenters from ManTech’s Health Division — Edward O’Connor, Director, Architecture and Janie Gittleman, Ph.D., Executive Director, Global Health Innovation — shared real-life stories, reviewed outcomes from the analysis process, and discussed how human-centered techniques can lead to better results. The presentation included different root cause analysis techniques and additional concepts from cognitive science, epidemiology, and machine learning.
Resources
Recording: please contact hcd@cms.hhs.gov to requestWhat's Next
- The next community of practice is Friday, June 25 at 1 PM ET: Service Design for Hospital Quality Reporting (HQR): Blueprint & Journey Maps. Look for more information soon.
- Please tell us about your experience by completing a brief survey: https://forms.office.com/Pages/ResponsePage.aspx?id=0I9lsYan-kq_nul-3blymHLpvBx3yxtOsMM-JSSd3ytUNTAyNjFEMkNSMVZTWDlRMVkzVjRSTUtETS4u
Share your perspectives and knowledge with the HCD Community of Practice: https://forms.office.com/Pages/ResponsePage.aspx?id=0I9lsYan-kq_nul-3blymHLpvBx3yxtOsMM-JSSd3ytUOVY4REJSWk9NVko3RlFHRTJTRDIwQVJCTC4u