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Quality Processes for Health Improvement

About the Program

The Quality Processes for Health Improvement (QPHI) project involves work Purdue Healthcare Advisors is doing with Marion General Hospital in Marion, Ind., on a multi-year initiative to re-engineer the hospital’s chronic disease management of patients diagnosed with heart failure. The debilitating condition causes patients to become less and less independent, affecting the community through the immense the strain placed on family caregivers. The QHPI initiative aims to increase Grant County heart failure patients’ quality of life through better healthcare engagement and access; a decrease incidents of heart failure; a decrease health conditions leading up to a heart failure diagnosis; and an increase patient usage of appropriate healthcare resources.

PHA lean experts are working with the hospital teams in Grant County to re-engineer heart failure-related clinical services through the application of lean methodologies, coaching, training, and project facilitation. The special needs of heart failure patients with comorbidities (i.e. Coronary Artery Disease, Chronic Obstructive Pulmonary Disease, and Chronic Kidney Disease) will be incorporated into the care redesign. Lean methodologies will include Value Stream Analysis to see the overall patient flow from start to finish, Rapid Improvement Events  to redesign processes, and Lean Daily Improvement  projects to fine-tune them and to hold the metrics (see improvement events). Revisions to value streams and standard work are anticipated to tighten and standardize the referral pathway post-discharge to reduce unnecessary complications, and create a customized, patient-centered plan as well as seamless handoff between inpatient and outpatient teams. Quality improvement work will eventually be joined by the introduction of complementary services, such as telehealth/telemonitoring.

The initiative is anticipated to culminate in the establishment of an in-house lean office.

Aligned with the Centers for Medicare and Medicaid Services and Centers for Disease Control Million Hearts® program, the final phase of the initiative will address preventative primary care delivered through the hospital’s 13 physician-provider practices. MGH has contracted a data analytics provider to provide predictive analytics used in identifying and treating at-risk patients.


Melanie Cline


Interim Director


Funding for the initiative comes from the U.S. Department of Health and Human Services Health Resources & Services Administration (HRSA) 2019 Small Health Care Provider Quality Improvement Program (Funding Opportunity Number: HRSA-19-018).

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