• Pursuit of Highly Reliable Organization

    Harm is the norm in environments with high risk factors and complexity. Highly Reliable Care (HRC) is a state of success in preventing it.

    Find out more about HRC
    Healthcare High Reliability Organization Highly Reliable Care

  • DNV: Struggling with MS9? NC1 or NC2? We can help!

    We have templates and methodology that help to meet the requirements along with improving patient outcomes.

    Learn more about Accreditation
    Healthcare Data Management for Highly Reliable Care Healthcare High Reliability Organization

  • We put an eye on harm

    Harm comes in many forms and affects organizations on many levels. Harm has a cost, not only in dollars, but with our reputation with patients, providers, payors, and the public.

    Learn more about HRC

  • Relationships across the continuum of care

    Our methodology helps align leaders across departments, to include executive leadership and providers, to achieve a common goal.

    Learn more about Data Management

  • CMS Incentive and Penalty Programs

    Leveraging data from CMS programs (Value Based Purchasing, Hospital Readmission Reduction, Hospital Acquired Conditions, Patient Experience), and Public Reporting to drive patient safety improvement efforts.

    Efficiency / Productivity

  • National Registry Performance

    We help to streamline the data collection process, create transparency in data and metrics, and build teams focused on improvement efforts.

    National Registry Performance
    Healthcare customer survey data for Highly Reliable Care Healthcare High Reliability Organization
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TSD Healthcare provides a proven path to achieving the highest quality care in the safest environment.  Our methodology has a focused effort in five domains:

  • Improving Clinical Outcomes

    Focused efforts on improving patient care in the areas where each facility has opportunities.  As part of our assessment, we can help identify which areas need the most attention.

  • Leveraging Outcome Data

    Bringing visibility to leadership of opportunities for improvement on a daily basis.

  • Patient Safety

    Proven methodology on placing an eye on harm on a daily basis, which includes performing triage and acting on events in real-time.  Critical to achieving Healthcare HRO–Highly Reliable Care (HRC).

  • Process Improvement

    Establishing a systematic approach with leadership to focus efforts on the areas of improvement with the highest priority.

  • Provider Engagement

    Leveraging data to engage providers in improving patient outcomes.  These are the front lines in achieving HRC.

Our Healthcare Transformation Leadership

Ernie Shishido

President of TSD Healthcare

Ernie Shishido is a Lean Six Sigma Master Black Belt who has personally facilitated more than 350 performance improvement events totaling over $500M in validated savings. He is certified by the University of Tennessee’s Center for Executive Education with consulting experience for the Department of Defense, Director of Performance Improvement at Asante Health System in Medford, Oregon, the Executive Director of Operational Excellence at Community Medical Center in Missoula, Montana, and most recently as Continuous Healthcare Transformation Partner for Providence Healthcare System in Renton, Washington. He is a proud veteran serving 30 years of uniformed military service who established and coordinated the Air Force’s business transformation efforts for over 700,000 members. Ernie is currently pursuing a Doctorate of Business Administration from the National Graduate School of Quality Management with a specialization in Health Systems.

Karen Shishido

Clinical Data Integrity Consultant

Karen Shishido, RN BSN has a combined 30 years’ experience in direct patient care and Performance Improvement. She is Lean Six Sigma Green Belt and Black Belt trained by Purdue University’s Healthcare Advising program. Nursing experience includes Ortho/Neuro as a direct care giver and charge nurse for over 12 years, Clinical Education, registry database management (ACC Cath/PCI, ACC ICD, STS Adult Cardiac, ACC/STS TAVR, ACC ACTION, Carotid Stent, NSQIP), along with medical staff audits for credentialing/accreditation.

Karen has consulted with multiple healthcare systems to bring Highly Reliable Care (HRC) by putting a “face on harm.” These activities include reviewing hospital acquired conditions, patient safety indicators, readmissions, and mortalities. Karen’s core strength is in physician engagement. Her collaborative abilities with providers have created the backbone of the strongest clinical quality program that has led to a healthcare system earning of the Truven Analytics 15 Top Health Systems Award 4 years in a row. Karen has been published in the American Journal of Cardiology (AJC), Journal of American Medical Association (JAMA), National Association of EMS Physicians (NAEMSP), Curriculum in Cardiology, and The LA Times. Karen is intensely persistent in creating and cultivating clinical culture that adheres to the highest quality care and outcomes by putting the patient first in leveraging the power of clinical intelligence data.