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HealthcareStand-up & huddle

Hospital tiered daily huddle

15 minutes 5 blocks Free template

One tier of a hospital's daily huddle cascade: key metrics and the stories behind them, safety and access issues, fix here or escalate.

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By the end of this meetingEach abnormal result is either fixed locally with an owner or escalated to the next tier today.

15 min · 5 blocks, drawn to scale Fits exactly
  1. Key metrics and the stories behind the data, 4 minutesInfo 4
  2. Patient safety, caregiver safety and access issues, 4 minutesDiscuss 4
  3. Fix here or escalate?, 2 minutes 2
  4. Owners for local fixes, 3 minutesDecide 3
  5. Confirm items going to the next tier, 2 minutes 2
0481115 min
  1. +0′Key metrics and the stories behind the data4 minInfo
  2. +4′Patient safety, caregiver safety and access issues4 minDiscuss
  3. +8′Fix here or escalate?For this issue: fix it here or escalate?2 minVote
  4. +10′Owners for local fixesTip: Containment is not root-cause analysis; schedule the problem-solving separately.3 minDecide
  5. +13′Confirm items going to the next tier2 minWrap-up

Why it works

Built so the hospital tiered daily huddle ends on time, with everyone in it.

  • Updates stay short

    4 minutes of updates with a visible clock. In a video call the speaker is spotlighted and the room is muted, so nobody talks over them.

  • Discussion with a clock

    4 minutes of open floor with a countdown everyone can see, and a talk-balance meter so the loudest voice doesn't take all of it.

  • A vote the whole room sees

    One tap each on a phone, live bars on the screen. A tick shows who has voted, never what they chose.

  • It ends in a decision

    Capture the decision and its owner with one click while it's said. It lands in the summary, word for word.

  • Wraps up on time

    Decisions and actions are read back, the summary is already written, and a finish on time earns the confetti.

How to run it

  1. 1Schedule the tiers to cascade through the morning, for example Tier 1 at 7:00 up to the CEO tier late morning.
  2. 2Use the same framework at every tier and current daily data, not monthly reports.
  3. 3Keep each huddle small; hospital-wide huddles that are too large trap problems at the front line.
  4. 4For each abnormal result, decide whether to fix it locally or escalate, and name an owner.
  5. 5Do not mistake quick containment for root-cause analysis, and do not delegate all problem-solving away.

Questions about the hospital tiered daily huddle

What are tiered huddles in a hospital?
A daily cascade of short huddles, from frontline units up to executives, so issues are escalated on the same day.
How long is each tier?
The Lean sources do not state lengths per tier, though the gaps in their example cascade imply short meetings, and a 15-minute safety huddle is mentioned as a common baseline.
What is discussed at each tier?
Performance on key metrics with the stories behind the data, patient safety, caregiver safety and access issues, which issues to fix locally or escalate, and what goes to the next tier.

Built from

The structure, timings and tips on this page come from these sources.

  • lean.org
  • lean.org

Run it with your team

  • A countdown for every block on the shared screen
  • A video call that changes with each block
  • Check-ins and votes from every phone, no app
  • Decisions and actions in a scored summary

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