NAP APH Be Beyond the Ba Basic ics W Webin inar June 5, 2013 - - PowerPoint PPT Presentation

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NAP APH Be Beyond the Ba Basic ics W Webin inar June 5, 2013 - - PowerPoint PPT Presentation

NAP APH Be Beyond the Ba Basic ics W Webin inar June 5, 2013 Mary P. Malone, MS, JD Carrie Brady, JD, MA Introductions Importance of Words/Communication Hints to help with having conversations w/your team Description of


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NAP APH Be Beyond the Ba Basic ics W Webin inar June 5, 2013

Mary P. Malone, MS, JD Carrie Brady, JD, MA

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 Introductions  Importance of Words/Communication

  • Hints to help with having conversations w/your

team

  • Description of exercises/discussions

 Ideas for use in your organization  Comments, questions, critique

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“The world does not require so much to be informed as to be reminded.”

  • Hannah More
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 Words make us human  Words can change lives  Words can hurt and offend  Words come from the heart  Word

  • rds are

are ch choic

  • ices

Urban, Hal. Positive Words, Powerful Results: Simple Ways to Honor, Affirm, and Celebrate Life. Fireside: Simon and

  • Shuster. New York 2004.

www.halurban.com Chapter Headings.

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 Joyful words celebrate life  Affir

irmi ming w word

  • rds in

inspire oth

  • thers &

& ou

  • urselv

lves

 Loving words build and heal relationships  Gracious words show respect and gratitude  Funny words make us laugh

Urban, Hal. Positive Words, Powerful Results: Simple Ways to Honor, Affirm, and Celebrate Life. Fireside: Simon and

  • Shuster. New York 2004.

www.halurban.com Chapter Headings.

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       

www.maloneadvisoryservice s.com

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“Communication is the medium through which we deliver all care.” Irwin Press, Ph.D. “Our communication is our care.” Don Berwick, MD

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 Family presence guidelines or Visiting hours  Waiting room or Hospitality area  Late trays or Courtesy trays  Do Not Resuscitate or Allow Natural Death  Other favorites

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 Our Communication Is the Patient Experience (H-

CAHPS and other CAHPS)

 Goals of Communication

  • Decrease Stress
  • Increase Trust
  • Enhance the Therapeutic Relationship

 Isn’t this in Our Mission? Your mission?  Communication as a core clinical competency  Why shouldn’t we/you want to be the best in the

world at communication? (Or at least better than we are?)

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 “Those idiots in transport” and my dad.  Let’s be honest…..we already have “scripts”

and some of them aren’t very good.

  • We already have scripts – habits – verbal ruts.
  • We have the power to make different word choices.
  • Our word choices can change the patient

experience.

 Dispelling the myths:

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 Certain, limited number of interactions might

call for a very strict exact script.

 Some interactions might call for use of

specific words.

 Most interactions can be scripted for content.

  • The “chicken cacciatore” script.

 AIDET is really helpful tool to organize

  • content. (So is WIG, or anything else.)
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 Hellos  Goodbyes  Transition/Handoff  “Waiting times”  Service recovery situations  Areas of stress/concern to patients  Anything that would help you!

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 It’s unprofessional.  Feels artificial.  Makes me a robot.  I don’t have the time.  It was designed to annoy health care workers.  __________________________________________

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 Enhances patient/family experience  Helps clarify/manages patient expectations  Avoids potential misinterpretation  Concentrates on known problem-areas  Conveys your service philosophy (your brand)

to patients and family

 Provides consistency in interactions  Sets high service standards

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 Reinforces already service-conscious staff  Develops structure for less service-savvy staff  Provides a tool for handling difficult

situations

 Engages and empowers staff  Makes work easier – less rework  __________________________________

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      

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Wound Work Wow!

No problem. No worries. You’re welcome. It’s my pleasure I don’t know. I don’t know, but I’ll see if I can find someone who does. I don’t know, but it will be my pleasure to help you get the answer. Stick out your arm. I am here to take your blood. In order to get the right information about how you are progressing, I’ll need to take a blood sample. You can go home today. Someone will come in with some paperwork and you will be discharged sometime today. I am writing an order so that you can be discharged to your home

  • today. There are about 10 steps to

the discharge process (and we will check each one of this form as it is done.) You can expect the process will take 6-7 hours. It will be just a minute. The doctor/nurse/tech will see you soon. The doctor/nurse/tech will be with you in 25 minutes. (Truth plus 25%)

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 It was my pleasure taking care of your dad

today.

 He’s a great surgeon and a really nice guy,

too.

 My friends in department x/unit are going

to take great care of you.

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 Orientation/everyone

  • I don’t know
  • Disappointed patient/family (use blameless

apology)

  • “Manage up” others

 Short-staffed and “busy”  Realistic time expectations

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 Identify Words that Wound/Words that Work and Wow! Them  Identify 10-20 Twenty Toxic Words/Phrases that no one

should ever hear on our unit/department

 Find the “time words” and discuss (move to realistic time

expectations (total visit time)

 What’s the question/situation that makes you most

uncomfortable?

 Videos – Exaggerate, but teach and have fun  Role Play/Skits (with fun props)  Person on the Street interviews: What would you say?  Employees Write Responses to Situations for Newsletters  Service Mapping – Moment of Truth Exercises

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Improved communication is one way to improve patient experiences and and employee satisfaction. Scripting is one way to improve communication.

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Mary P. Malone, MS, JD mary@maloneadvisoryservices.com @ptsatexpert 574-876-3039 Carrie Brady, JD, MA cbradyconsulting@gmail.com 203-210-7484