Obje c tive s Sha re hig hlig hts o f Ja nua ry a nd F e b rua ry - PDF document

4/20/2017 Putting the Pie c e s T oge the r ~~~~~ Making Se nse of All T hat’s Available Je a n Ro la nd, RN, BSN, CPHQ Nikki Me da le n, MS, BSN, APHN-BC Obje c tive s  Sha re hig hlig hts o f Ja nua ry a nd F e b rua ry ND HRE T HI I N ho spita l site -visits  I de ntify prio ritie s, re so urc e s a nd stra te g ie s to fa c ilita te the HI I N 20/ 12 re duc tio n g o a l  Sha re Ma p o f Ac to rs to o l, fo c using o n re a dmissio ns wo rk. 2 1

4/20/2017 3 Ne w Hospitals Ne w Ho spita ls! 4 2

4/20/2017 Dive r se HIIN T e am  Unity Me dic a l Ce nte r - Gra fto n  St. Andre w’ s He a lth Ce nte r - Bo ttine a u  Sa nfo rd-Ma yville  Pre se nta tio n Me dic a l Ce nte r - Ro lla  F irst Ca re He a lth Ce nte r – Pa rk Rive r  CHI Me rc y Ho spita l – Va lle y City  T io g a Me dic a l Ce nte r  Sa ka ka we a Me dic a l Ce nte r - Ha ze n  T rinity - K e nma re Co mmunity Ho spita l 5 Huddle s Shift Change Huddle s :  Ca rring to n He a lth Ce nte r  CHI -Va lle y City  CHI St. Jo se ph’ s -Dic kinso n  F irst Ca re He a lth Ce nte r – Pa rk Rive r  Sa nfo rd Hillsb o ro  He a rt o f Ame ric a - Rug b y  No rthwo o d De a c o ne ss Safe ty Huddle s : CHI Me rc y – Va lle y City Post F all Huddle s : No rthwo o d De a c o ne ss 6 3

4/20/2017 Huddle s Multi-Disc iplinar y Huddle s:  He a rt o f Ame ric a – Rug b y  Sa nfo rd Hillsb o ro ds : Huddle Boar  Ca rring to n He a lth Ce nte r  CHI -Va lle y City  CHI -De vils L a ke  CHI -Dic kinso n 7 8 4

4/20/2017 White Boar ds  Sa ka ka we a Me dic a l Ce nte r – Ha ze n  CHI Me rc y Ho spita l – Va lle y City  Sa nfo rd Ma yville  Mo untra il Co unty Me dic a l Ce nte r - Sta nle y 9 Rounding Be dside Rounding:  He a rt o f Ame ric a Me dic a l Ce nte r - Rug b y  L into n Ho spita l Hour ly Rounding:  Sa ka ka we a Me dic a l Ce nte r - Ha ze n  Pre se nta tio n Me dic a l Ce nte r - Ro lla 10 5

4/20/2017 Patie nt and F amily Advisor y Counc ils Ca rring to n He a lth Sanfor d Mayville Ce nte r CHI-Valle y City No rthwo o d CHI-De vils L ake De a c o ne ss F irst Ca re He a lth Sa ka ka we a Me dic a l Ce nte r – Pa rk Rive r Ce nte r - Ha ze n Sa nfo rd Hillsb o ro St. Andre w’ s Me dic a l Ce nte r - Bo ttine a u 11 Pr ior itizing Re admissions  Ashle y Me dic a l Ce nte r  Ca rring to n He a lth Ce nte r  Ca va lie r Co unty Me dic a l Ce nte r - L a ng do n  CHI – De vils L a ke  Co o pe rsto wn Me dic a l Ce nte r  F irst Ca re He a lth Ce nte r – Pa rk Rive r  Wishe k Co mmunity Ho spita l  L into n Ho spita l  Mo untra il Me dic a l Ce nte r - Sta nle y  He a rt o f Ame ric a Me dic a l Ce nte r - Rug b y  T o wne r Co unty Me dic a l Ce nte r - Ca ndo 12 6

4/20/2017 Re admissions Champion: I mple me nting BOOST Pr ovide r re a dmissio ns stra te g ie s – T o wne r Co unty Me dic a l Ce nte r ge Planning Che c klist: CHI -Dic kinso n, Disc har He a rt o f Ame ric a ge : Ca rring to n Case Manage r Post Disc har He a lth Ce nte r, Co o pe rsto wn Me dic a l Ce nte r, Mc K e nzie Co unty Me dic a l Ce nte r, F irst Ca re He a lth Ce nte r-Pa rk Rive r 13 Utilizing Change Pac kage s in Swingbe d Population Co mmunity Me mo ria l Ho spita l-T urtle L a ke Ga rriso n Co mmunity Ho spita l Ja c o b so n Me mo ria l Ho spita l-E lg in K e nma re Co mmunity Ho spita l Mo untra il Co unty Me dic a l Ce nte r-Sta nle y Ne lso n Co unty Me dic a l Ce nte r-Mc Ville No rthwo o d De a c o ne ss He a lth Ce nte r 14 7

4/20/2017 L e ade r ship E ngage me nt E xe c utive L e ade r ship E ngage me nt Patie nt Se r ving on Hospital Boar d Pe mb ina Co unty Me mo ria l Ho spita l, CHI - Va lle y City, F irst Ca re He a lth Ce nte r, Sa ka ka we a Me dic a l Ce nte r, St. Andre w’ s He a lth Ce nte r 15 Innovation He a rt o f Ame ric a Me dic a l Ce nte r!  T e le me dic ine : Dia b e te s, Nutritio n, Pa c e ma ke r c linic , I nfe c tio us dise a se , Me nta l He a lth Se rvic e s  E xpa nsio n b a se d o n Co mmunity Asse ssme nt: Che mo the ra py a dministra tio n, Ca nc e r Suppo rt Gro up  Utiliza tio n o f Pa ra me dic s: Ho me Visiting , E R 16 8

4/20/2017 Ac knowle dging Bar r ie r s…  F a lls fa tig ue  Se psis pro to c o ls  Ne e d fo r fo llo w-up po st disc ha rg e  Co mmunic a tio n a nd te a mb uilding tra ining  Ho me visiting – pa yme nt (o r la c k the re o f)  Hiring fre e ze  T e a c h-b a c k tra ining  E HR c ha lle ng e s 17 Ac knowle dging Bar r ie r s…  Pre se nta tio n o f da ta in a mo re me a ning ful wa y  Pro vide r tra ining o n re a dmissio ns  Ho w do we c o a c h up? (c o mmunity c ulture issue s)  Ho w to b uild sa fe ty into fa c ility de sig n (b uilt e nviro nme nt)  Re sista nc e to b e dside ro unding / huddle s  Po lic ie s a nd pro c e sse s – c a n we c o lla b o ra te ?  Ha nd hyg ie ne …ho w do we ke e p this fre sh? 18 9

4/20/2017 20/ 12 Re duc tion  Se psis  Adve rse Drug E ve nts (ADE s)  Ca the te r Asso c ia te d Urina ry  Surg ic a l Site I nfe c tio ns (SSI ) T ra c t I nfe c tio ns (CAUT I )  Ve no us T hro mb o e mb o lisms  C. diffic ile I nfe c tio ns (CDI ) (VT E )  Ce ntra l L ine -Asso c ia te d  Ve ntila to r Asso c ia te d E ve nts Blo o d Stre a m I nfe c tio ns (VAE ) (CL ABSI )  MRSA b a c te re mia e ve nts  Injur ie s fr om F alls and Immobility  Ho spita l Pa tie nt Sa fe ty Culture  Pre ssure Ulc e rs (PrU)  Re admissions (12% r e duc tion) 19 F e llowship E nr ollme nt Patie nt and F amily E ngage me nt  K a thy Ska g e r – Sa nfo rd Hillsb o ro  Me g a n T ho mpso n – F irst Ca re He a lth Ce nte r  Ja mie Nie nhuis – Ca va lie r Co unty Me mo ria l Ho spita l  April Jo hnso n – Co o pe rsto wn Me dic a l Ce nte r Co ho rt 2  K a thy K nudso n – Sa nfo rd-Ma yville  Cha rle ne Ha nso n – So uthwe st He a lth Ca re - Bo wma n 20 10

4/20/2017 F e llowship E nr ollme nt Quality Impr ove me nt – F oundations  Ama nda Jo rda n – Sa nfo rd Ma yville  Be th He tle tve d – Co mmunity Me mo ria l Ho spita l  De nise Be a ve r E sling e r– Co o pe rsto wn Me dic a l Ce nte r  Dia na Ne va – Co o pe rsto wn Me dic a l Ce nte r  K a thy Ska g e r – Sa nfo rd Hillsb o ro  L isa L uft – Mo untra il Co unty Me dic a l Ce nte r  Ma rie L o ve n – Pre se nta tio n Me dic a l Ce nte r 21 F e llowship E nr ollme nt Quality Impr ove me nt – Ac c e le r ate d  Je ssic a L inde rma n – Ca rring to n Me dic a l Ce nte r  Ann Ne lso n – T io g a Me dic a l Ce nte r  Co le e n Bo mb e r – No rthwo o d De a c o ne ss He a lth Ce nte r 22 11

4/20/2017 Re T hink He a lth a nd QI N Na tio na l Co o rdina ting Ce nte r, L e a de rship & Org a nizing in Ac tio n, 2016 Map of Ac tor s Ma pping a c to rs: Use d to de ve lo p a nd imple me nt a re la tio na l stra te g y to b uild c o lle c tive le a de rship c a pa c ity a nd e nlist sta ke ho lde rs’ c o mmitme nts to a sha re d purpo se Va lue s I nte re sts Re so urc e s Po we r 24 12

4/20/2017 Map of Ac tor s Re T hink He a lth a nd QI N Na tio na l Co o rdina ting Ce nte r, L e a de rship & Org a nizing in Ac tio n, 2016 25 Powe r Analysis 1. What change do we want? 3. What do they want? (What is our interest?) INTERESTS INTERESTS YOUR MAP OF C YOUR AIMS ACTORS ASSETS ASSETS 4. What assets do we 2. Who has the assets to have that they want? create that change? C = Commitme nt Re T hink He a lth a nd QI N Na tio na l Co o rdina ting Ce nte r, L e a de rship & Org a nizing in Ac tio n, 2016 13

4/20/2017 Map of Ac tor s Wha t is the diffe re nc e b e twe e n a c o nstitue nt a nd a sta ke ho lde r? Re T hink He a lth a nd QI N Na tio na l Co o rdina ting Ce nte r, L e a de rship & Org a nizing in Ac tio n, 2016 27 Map of Ac tor s: Why?  T o r e c ognize pe ople as our gr e ate st asse t!  T o unde rsta nd o ur syste m thro ug h o ur sta ke ho lde r’ s va lue s, inte re sts, a sse ts & re la tio nships  T o de ve lo p a stra te g y fo r b uilding & e ng a g ing a c o re te a m  T o b uild po we r ‘ with’ – inste a d o f do ing ‘ to ’ o r ‘ fo r’  T o se e c o nstitue nts a nd sta ke ho lde rs a s pa rtne rs in he a lth  T o illumina te mo me ntum b uilde rs & ro a db lo c ks  T o pro mo te re c ipro c ity & mutua l re spe c t b e twe e n sta ke ho lde rs with po we r diffe re nc e s  T o ge ne r ate c olle c tive powe r to c o-pr oduc e he alth Re T hink He a lth a nd QIN Na tio na l Co o rdina ting Ce nte r, L e a de rship & Org a nizing in Ac tio n, 2016 28 14

4/20/2017 Po we r isn’ t so me thing yo u have …it’ s a re la tio nship with o the rs. E ffe c tive A An T he rig ht T e a m c o mpe lling e na b ling pe o ple purpo se struc ture 29 Map of Ac tor s T his stra te g y is b a se d o n turning the ASSE T S we ha ve into the POWE R we ne e d to g e t the CHANGE we wa nt! 30 15