Keeping out of the mud the Eastern Health Journey of Engagement - - PowerPoint PPT Presentation

keeping out of the mud the eastern health journey of
SMART_READER_LITE
LIVE PREVIEW

Keeping out of the mud the Eastern Health Journey of Engagement - - PowerPoint PPT Presentation

Keeping out of the mud the Eastern Health Journey of Engagement Alan Lilly, Chief Executive Wednesday 5 August 2015 Yarra Valley Lodge Closing the Gap - Eastern Health is committed to achieving equality in health status between Aboriginal


slide-1
SLIDE 1

Alan Lilly, Chief Executive

Wednesday 5 August 2015 Yarra Valley Lodge

Closing the Gap - Eastern Health is committed to achieving equality in health status between Aboriginal and Torres Strait Islander peoples and non-indigenous Australians

Keeping out of the mud – the Eastern Health Journey of Engagement

slide-2
SLIDE 2

Acknowledgment of Country

slide-3
SLIDE 3

About today’s presentation

  • An overview of Eastern Health & What’s Important to Us
  • Outline our operating context in the health sector – the slippery slide ?
  • How we’re keeping out of the mud ! The P3 Trilogy
  • Our continuing journey
slide-4
SLIDE 4

Click to edit Master title style

slide-5
SLIDE 5

Eastern Health...we are many but we are one !

  • 7 acute and sub-acute hospitals

– 3 Emergency Departments

  • 2 area mental health services

– multiple community sites and services – 2 prevention & recovery centres and 2 community care units – 5 acute inpatient units

  • 2 statewide services

– Turning Point and Spectrum - both with bed based services

  • 4 residential care facilities

– specialist and general residential care

  • 1 community health service

– multiple community accessible outlets

slide-6
SLIDE 6

Quick Facts on Eastern Health Last year...in 2013/14, we provided care...

  • across six shires spanning 2816 square kilometres
  • in a primary population catchment of 750 005 people
  • from 65 sites in 21 different precincts or locations
  • of which 11 of the 22 precincts provide 24 hour care
  • with the support of 8514 staff and 987 volunteers
  • to patients of whom 24% were from a NESB
  • in more than 1336 hospital beds and 59 acute@home beds
  • at a salary cost of $1090.52 per minute
  • at a non-salary cost of $379.79 per minute
slide-7
SLIDE 7

What’s important to us ?

  • The culture of the organisation – to see the values in action
  • Strong work ethic in a “can do” culture
  • Clear and regular communication
  • Accountability for responsiveness and follow-up
  • To be the provider of the highest standard of care
  • To be GREAT at what we do
  • Patient centred care – “put yourself in the patient’s shoes”
  • Improving the patient experience
  • Maintaining public confidence in our services
slide-8
SLIDE 8

Our context – the slippery slide ?

  • An ageing population
  • Rising costs of healthcare
  • Increasing demand for healthcare
  • A new hope – a focus on population health
  • Rising consumer expectations
  • Increasing use and availability of technology
slide-9
SLIDE 9

Continued restraint in spending

Ever wondered why you have been feeling the pinch lately ?

slide-10
SLIDE 10

We can learn from others …

slide-11
SLIDE 11

My own source of inspiration …

slide-12
SLIDE 12
slide-13
SLIDE 13

And so … the P3 Trilogy

~ creating a positive workplace culture ~

People Performance Patients

slide-14
SLIDE 14

Our focus on patients

slide-15
SLIDE 15

Defining Patient Experience

Patient experience is … a reflection on a set of interactions, observations and the environment, through the lens of the patient and is typically characterised by the story they tell.

slide-16
SLIDE 16

And it all starts with, “hello, I am ….”

slide-17
SLIDE 17

To better

understand

and

respond to

the experience

  • f patients

and carers who use our services

Patient Experience of Care Program

slide-18
SLIDE 18

10 Patient Experience of Care Principles

1. The patient’s needs, wants, preferences and values are known and taken into account 2. The patient is a partner in decision-making about their care 3. The patient has access to safe, effective and high quality healthcare delivered by skilled staff 4. There is clear information that helps patients understand and manage their health as independently as possible 5. Communication is open, honest and respectful, ensures confidentiality and is responsive to individual needs 6. The physical environment promotes healing, is comfortable, clean, safe and allows privacy 7. Staff listen, provide emotional support and treat patients, their families and carers with dignity and compassion 8. Family and friends are involved in care in accordance with the wishes of the patient 9. Care is well coordinated to ensure that the patient experiences continuity and smooth transitions

  • 10. Meals are enjoyable and nutritious
slide-19
SLIDE 19

At Eastern Health, putting ourselves

‘In the Patient’s Shoes’

means actively seeking and responding to feedback from people that use our service

In the Patient’s Shoes

Collection of data using a handheld devise asking 5 questions and PETs provide near real time insight into patient experiences.

Patient Experience Trackers (PETs)

Patients are surveyed once a month in most services across the organisation using ‘audit angels’ to measure compliance with our Patient and Family Centred Care Standard.

Eastern Health Patient Experience Survey

The Department of Health and Human Services conduct 5 surveys: Adult Inpatient, Emergency Department (ED), Maternity, Paediatric Inpatient and Paediatric ED. Reports are provided quarterly.

Victorian Healthcare Experience Survey (VHES)

A range of ways to provide specific feedback include:

  • Direct feedback to staff at the local level
  • A feedback button on the Eastern Health website
  • Via email: feedback@easternhealth.com.au
  • Via phone: 1800 EASTERN
  • Feedback brochures available in all patient areas

Complaints and Compliments

Patient stories are captured and shared in a variety of ways:

Leadership Walkrounds

Walkrounds involving discussion with current patients are conducted by senior leaders and managers across the organisation.

‘Patient Opinion’

An online public platform that enables people to safely and easily share their experience. The organisation is able to demonstrate how patient experience is used to improve services.

Discharge Phone Calls

Routine phone survey of discharged patients inviting feedback regarding their experience.

Patient Stories

Patient Experience Feedback

Volunteers act as ‘Mystery Shoppers’- make

  • bservations and ask patients / carers about

their experience.

Mystery Shopper

These are also known as workshops or focus groups and provide an opportunity to hear the consumer perspective regarding a specific topic

  • r issue.

Consumer Forums

Consumers work with Eastern Health staff collaboratively and objectively to evaluate a process, determine a future state and identify solutions to achieve the future state in a way that will meet patients’ needs and expectations.

Rapid Improvement Events

Consumer Perspective Patient Survey

The Family and Friends Test Score is a widely used strategy in the UK and is based on feedback to one question – “On a scale of 0 – 10, how likely is it that you would recommend this service to a family member or friend?” We ask this question as part of our Patient Experience Feedback processes and Patient Surveys.

All feedback about the patient experience is themed against the Eastern Health Patient Experience of Care Principles.

In the Patient’s Shoes

Using a feedback framework to inform service improvement and create a GREAT patient experience.

Observing patients and families during various stages of their care journey to help us to gain an understanding of what the experience is like from the patient and family’s point of view.

Shadowing

Updated February 2015

slide-20
SLIDE 20

What our patients are saying...

In the Patient’s Shoes …

Finalist in the “Excellence in person-centred care” category

slide-21
SLIDE 21
slide-22
SLIDE 22
slide-23
SLIDE 23
slide-24
SLIDE 24

EH Patient Experience of Care Principles 1. The patient’s needs, wants, preferences and values are known and taken into account 2. The patient is a partner in decision-making about their care 3. The patient has access to safe, effective and high quality healthcare delivered by skilled staff 4. There is clear information that helps patients understand and manage their health as independently as possible 5. Communication is open, honest and respectful, ensures confidentiality and is responsive to individual needs 6. The physical environment promotes healing, is comfortable, clean, safe and allows privacy 7. Staff listen, provide emotional support and treat patients, their families and carers with dignity and compassion 8. Family and friends are involved in care in accordance with the wishes of the patient 9. Care is well coordinated to ensure that the patient experiences continuity and smooth transitions 10. Meals are enjoyable and nutritious

slide-25
SLIDE 25

EH Patient Experience of Care Principles 1. The patient’s needs, wants, preferences and values are known and taken into account 2. The patient is a partner in decision-making about their care 3. The patient has access to safe, effective and high quality healthcare delivered by skilled staff 4. There is clear information that helps patients understand and manage their health as independently as possible 5. Communication is open, honest and respectful, ensures confidentiality and is responsive to individual needs 6. The physical environment promotes healing, is comfortable, clean, safe and allows privacy 7. Staff listen, provide emotional support and treat patients, their families and carers with dignity and compassion 8. Family and friends are involved in care in accordance with the wishes of the patient 9. Care is well coordinated to ensure that the patient experiences continuity and smooth transitions 10. Meals are enjoyable and nutritious

slide-26
SLIDE 26

So what are our priorities based

  • n patient feedback ?

Our focus in on:

–Improving communication and customer service

  • GREAT lanyard tag introduced in 2013

–Improving interpreting services - now “in house” –Improving meals – new improvement project underway –Reducing noise – in particular in wards at night

slide-27
SLIDE 27

Our focus on people

slide-28
SLIDE 28
slide-29
SLIDE 29

Eastern Health’s People Strategy 2013-16

Alignment: EH Strategic Plan 2010-15, Strategic Clinical Services Plan Eastern 2022 and

the Performance Excellence System EH HOUSE outline the organisational values, principles and capabilities required of our people to deliver on our Great Health and Wellbeing vision.

Our aim: Through this People Strategy 2013-16 and in conjunction with annual EH

Operations & Improvement Plan, Research Strategy 2011-13 and various other annual clinical education plans, we will build and sustain EH to be a great place to learn and work.

A Great Place to Learn and Work

3.1 Ensuring flexible, highly skilled and capable workforce and volunteer networks. 3.2 Communicating and consulting with our staff and providing feedback, reward and recognition. 3.3 Identifying leaders and providing learning opportunities for our staff. 3.4 Partnering with education and training organisations to drive research and education.

Strategy Focus Areas:

  • 3. Align and Deploy
  • Invest in strategic workforce planning to

meet redevelopment and expanding services needs focusing on workforce reconfiguration for the right skills-mix

  • Develop change management capabilities

for managers to adopt and lead change

  • Retain essential knowledge through

mentoring, coaching and action learning

  • Establish career development pathways
  • Facilitate managers to plan priorities,
  • rganise workloads and build resilience
  • Support traineeships and apprenticeships
  • Foster work experience opportunities
  • Enhance relations with Universities & TAFE.
  • 2. Develop and Engage
  • Enhance collaborative leadership and decision-making

by enabling leadership development across all levels

  • Improve management and clinical leadership

capabilities based on national standards & HOUSE.

  • Identify & develop talent for succession in critical roles
  • Increase on-the-job development opportunities
  • Review e-learning and increase online learning
  • Enhance staff induction and orientation processes
  • Improve local level recognition & acknowledgements
  • Empower managers to deal with performance issues
  • Improve equality in training resource allocations
  • Provide health and wellbeing programs for staff
  • Establish a training calendar for management,

interpersonal and business skills development.

  • 1. Attract and Retain
  • Increase EH employer brand
  • Streamline recruitment processes

and improve support to managers

  • Enhance flexible work arrangements
  • Introduce new staff benefits
  • Analyse entry, exit and staff surveys

to inform retention strategies

  • Develop strategies for the mature-

aged workforce

  • Increase participation in formal and

informal performance feedback

  • Establish staff support mechanisms.
  • 4. Strengthen EH Culture
  • Embed EH values and code of conduct through training and HR processes to

increase accountability and build a values-based high performing culture

Governance: The People Strategy Reference Group will continue to direct and

support the strategy implementation. Though this Strategy will be mainly driven by the Organisation Development &Workforce Planning Team in collaboration with HR and SLT, the involvement of frontline managers will be crucial in achieving its aim.

Success Measurement Mechanisms:

  • 1. EH Scorecard
  • 2. Ongoing evaluation of initiatives and programs
  • 3. Regular reports to People Strategy Reference Group
  • 4. Staff Surveys
  • 5. State Services Authority Workforce Data Collection Benchmarks
  • 6. EH Annual Report
  • Promote diversity and inclusion
  • Improve collaborative multi-disciplinary teamwork and learning
  • Build down-up staff feedback and change evaluation mechanisms.

Communication: The implementation of this Strategy will be communicated to staff

  • n a regular basis through the intranet, CE e-news, EHW and Human Resource news.

Our focus on people

slide-30
SLIDE 30

Optional registration

  • f personal

email address

slide-31
SLIDE 31
slide-32
SLIDE 32

Focus on Staff Development

  • Internal Eastern Health frontline management through to

mentoring and executive coaching programs

  • Supported or sponsored external programs
  • Work closely with partner universities and TAFEs
  • International PD Grants program for all staff
slide-33
SLIDE 33

Focus on Reward & Recognition

  • Regular Local Reward & Recognition Practice Guideline
  • From local department to area to organisation-wide
slide-34
SLIDE 34

Celebrating our People in Eastern Health

Eastern Health’s Aspire to Inspire (A2i) Award Recipients 2014

slide-35
SLIDE 35
slide-36
SLIDE 36

36

slide-37
SLIDE 37

Our focus on performance

slide-38
SLIDE 38
slide-39
SLIDE 39
slide-40
SLIDE 40
slide-41
SLIDE 41
slide-42
SLIDE 42

How are we comparing with other Health Services ?

slide-43
SLIDE 43

So, are we making a difference ?

slide-44
SLIDE 44

In summary ….

  • Low rates of staff turnover
  • Favourable performance in management of unplanned absence
  • High levels of staff engagement
  • Lowest rates of Nurse Agency use across the major metropolitan health services
  • Attracting high profile staff & staff comfortable to speak-up
  • A new Eastern Health “Culture Scorecard”
  • Maintained all organisation-wide and local accreditation requirements
  • Achieved 36 “met with merit” outcomes in ACHS National Standards Accreditation
slide-45
SLIDE 45

Our profile and reputation is growing

Commission for Hospital Improvement

slide-46
SLIDE 46

What our staff are saying ... People Matter Survey 2014

  • EH 40% response rate compared with 23% in peer group
  • Measures “Performance” across values, wellbeing, patient safety and job satisfaction
  • Number of ratings > 80% = 88% compared with 84% in peer group
  • 90% “significantly higher” results than last survey compared with 38% in peer group
  • 52% statement responses in 1st quartile
  • 85% statement responses in 1st or 2nd quartile
slide-47
SLIDE 47

What our staff are saying ... People Matter Survey 2014

  • Highest scores on values, patient safety and workplace wellbeing
  • Lowest rates of perceived bullying in peer group
  • Biggest challenge result is managing change
  • EH rated 90.42% on values compared with 88.7% in peer group (6/7 in Q1)
  • 98% of staff state that they are aware of the organisation’s values
  • 85% of staff say that EH is a great place to learn & work
  • 89% of staff say that EH is a provider of great healthcare
slide-48
SLIDE 48
slide-49
SLIDE 49
slide-50
SLIDE 50

Angliss Box Hill Healesville & Maroondah Peter James Wantirna Yarra Ranges Yarra Valley Turning Spectrum Hospital Hospital District Hospital Hospital Centre Health Health Community Health Point

slide-51
SLIDE 51

From: Heather Sent: Thursday, March 26, 2015 2:37 PM To: Lilly, Alan (EHMHS) Cc: Andrew Subject: Teabag supply in ICU staffroom Dear Alan, I just wanted to pass on my thanks for the supply of Twinnings English Breakfast teabags to the ICU tearoom today. There is nothing better on a break than a good cup of tea made with quality tea. It really makes a difference to your day. Gestures like this by the organization may appear small but carry real

  • significance. They make us feel valued and considered as staff here at EH.

It certainly brightened my day! So again, thanks. I’ve enjoyed my cuppa with an extra big smile on my face. Regards, Heather Heather Grade 2 Allied Health

slide-52
SLIDE 52
slide-53
SLIDE 53

The flywheel is flying …

slide-54
SLIDE 54
slide-55
SLIDE 55

CONCLUSION

Culture is:

 Driven by organisational values and beliefs  Demonstrated in the behaviours of all members of the

  • rganisation

 Changed over time by appropriate ‘modelling’ of preferred behaviours by organisation’s leadership group.

Thank You