INSPIRATION Faxton Campus St . Lukes Campus Faxton-St . Lukes - - PowerPoint PPT Presentation

SLIDE 1

INSPIRATION

Faxton Campus

• St. Luke’s Campus

Faxton-St. Luke’s Healthcare

SLIDE 2

EDUCATION

Infrastructure Infrastructure

Wave I



Emergency Department



Intensive Care Unit (ICU)



3 East - Medical/Stroke Unit



3 West - Medical/Renal Unit

• 6th Floor -

Oncology

Wave II



Critical Care Unit



Intensive Rehab Unit



1st Floor

• Medical/Surgical



4th Floor

• Med/

Surg Telemetry



5th Floor

• Med/

Surg Telemetry



Dialysis

Wave III - Sept. 2007



Pediatrics



Nursery



Labor & Delivery/Post Partum



Psychiatric Unit

Wave IV

• Feb. 2008
• Operating

Room/PACU/PAS

• Endoscopy
• Ambulatory Surgery
• OPIU
• Radiation Therapy
• Environmental
• Maintenance
• Laundry
• Patient Access Services
• Bio
• Med/Telecomm.
• Physical Therapy
• Occupational Therapy
• Respiratory Therapy
• Pharmacy
• Imaging/

Interventional

• Nutrition
• Lab
• Billing
• Materials Management
• HIM
• Finance
• NDS
• Central Sterile

Supply

• Transport
• Hearing & Speech
• Case Management
• Regional Cancer

Center

• Infection Control
• Medical Staff Office

Waves

Wave I



Emergency Department



Intensive Care Unit (ICU)



3 East - Medical/Stroke Unit



3 West - Medical/Renal Unit

• 6th Floor -

Oncology

Wave II



Critical Care Unit



Intensive Rehab Unit



1st Floor

• Medical/Surgical



4th Floor

• Med/

Surg Telemetry



5th Floor

• Med/

Surg Telemetry



Dialysis

Wave III



Pediatrics



Nursery



Labor & Delivery/Post Partum



Psychiatric Unit

Wave IV

• Operating

Room/PACU/PAS

• Endoscopy
• Ambulatory Surgery
• OPIU
• Radiation Therapy
• Environmental
• Maintenance
• Laundry
• Patient Access Services
• Bio
• Med/Telecomm.
• Physical Therapy
• Occupational Therapy
• Respiratory Therapy
• Pharmacy
• Imaging/

Interventional

• Nutrition
• Lab
• Billing
• Materials Management
• HIM
• Finance
• NDS
• Central Sterile

Supply

• Transport
• Hearing & Speech
• Case Management
• Regional Cancer

Center

• Infection Control
• Medical Staff Office

SLIDE 3

EDUCATION

• Manager support is critical to UPC success
• “Get Smart Day” is key to initial education
• Sample agendas for UPCs
• RBC Coordinator/Executive Sponsors
• UPC Presentation/Go Live

SLIDE 4

INFRASTRUCTURE

Results Council:

• Led by nursing leader and support services

leader

• Populated with “Results Council” groups

including a labor representative, physician leaders, board member, executive staff, front line staff.

• Purpose was to understand concepts from the

book/Chapter reviews and discussions

• Evolution of Results Council

SLIDE 5

INFRASTRUCTURE

Lessons Learned:

• Insist that the actual UPC chair does the report out (early on
• ur managers often did the report out)
• Be clear with what the role of the Executive Sponsor is
• Be careful to not confuse communication with education
• Make attendance expectations very clear
• Allow UPC Chairs and/or Subcommittee Chairs to rotate from

leadership role

• Focus on outcomes…stay consistent with measuring whether

a patient was assigned a primary nurse and did they know it

SLIDE 6

• Begin Where You Are
• Accept your current reality-look in

the mirror

• Communication
• Open forums - create safety
• Transparency through pillar

boards

• Take every opportunity to

connect the dots

EVIDENCE

SLIDE 7

Leadership Development

• 360s with coaching
• Leading an Empowered Organization (LEO)
• RBC practicum

SLIDE 8

Culture

Reigniting the Spirit of Caring

• Reconnect to the joy, meaning and purpose of our work
• Caring for self, colleagues, and patients
• Mind, body and spirit

Organizational Efforts to Sustain the Gains of

Relationship-Based Care

• Developed Standards of Performance which linked

into our Care Standards (Changing Attitudes Redefining Excellence) and Commitment to Co- Worker

• Celebrate moments of excellence
• Spirit of Caring Award

SLIDE 9

Primary Nursing

• Primary Nursing in all specialties
• Learning the unique stories of our patients
• Five minute seated conversations
• “Two minutes sitting at my bedside is more

meaningful than five minutes at the door”

• White boards
• Hourly rounds
• Enhanced interdisciplinary

collaboration

SLIDE 10

Care Delivery

• One word…interdisciplinary
• Unit and Department Practice Councils in

every department led to:

• Pulmonary Assessment Liaisons (PALs)
• Primary physical/occupational therapists
• Primary purchase agents
• Primary pharmacists
• Facilities management, clinical engineering,

HR and finance liaisons …and the list goes on and on.