Teamwork to Achieve Better Patient Satisfaction and Outcomes Beth - - PowerPoint PPT Presentation

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Teamwork to Achieve Better Patient Satisfaction and Outcomes Beth - - PowerPoint PPT Presentation

Teamwork to Achieve Better Patient Satisfaction and Outcomes Beth Oliver, DNP, RN Sr. VP Cardiac Services Mount Sinai Health System November 15, 2019 Nurse Practitioner Symposium Mount Sinai Health System Values Teamwork Safety Empathy


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Teamwork to Achieve Better Patient Satisfaction and Outcomes

Beth Oliver, DNP, RN

  • Sr. VP Cardiac Services

Mount Sinai Health System November 15, 2019 Nurse Practitioner Symposium

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Mount Sinai Health System Values Teamwork Safety Empathy Agility Creativity

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What Does Real Teamwork Look Like?

We all recognize it when we see it……

A Group Functioning As… ONE NOT

  • ne
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What Does Teamwork in Healthcare Look Like?

Where the skills of all members are understood & respected

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Teamwork in Healthcare

  • Teamwork in healthcare is defined as

two or more people who interact interdependently with a common purpose, working toward measurable

  • goals. *
  • Health care is a multidisciplinary

profession in which people from many different professions and roles must work together, communicate often, and share resources.

*HRH Global Resource Center: Why is Teamwork in Healthcare Important? https://www.hrhresourcecenter.org/HRH_Info_Teamwork.html

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Teamwork in Healthcare

  • Multidisciplinary teams result in better patient outcomes
  • The essential component of teamwork is Effective

Communication, which is the basis for the following: ü Collaboration ü Sharing of Information ü Shared goals

  • Teamwork in the Healthcare

ü Creates a flattened hierarchy which intensifies interprofessional exchange

ü Develops Health Care Professionals that are more satisfied with their work

  • Happy Employees = Happy Patients
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Cultivating Effective Communication in Healthcare

  • “An estimated 80% of serious medical errors involve

miscommunication between caregivers” – The Joint Commission

  • Utilizing standardized protocols, policies, procedures

and documentation reduces risk of miscommunication:

  • Example: TIME-OUT, handoff communication
  • Formal interdisciplinary meetings, sessions and forums

should be used to overcome barriers to communication (example – Cath Lab QA meetings)

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Teamwork – A Key Element of the Comprehensive Cardiac Center (CCC) Certification

Voluntary program for hospitals with robust cardiac care services seeking to evolve and elevate patient care across an extensive array of cardiac domains

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  • New program that began in 2017
  • In collaboration with the American

Heart Association effective January 1, 2019

  • A “service line” certification
  • Two reviewers for two days

Mount Sinai Hospital achieved Comprehensive Cardiac Center Certification in December 2018

Together Everyone Achieves More

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Teamwork & Patient Experience

MSH HCAHPS Survey Activities That Can Influence the Perception of Teamwork:

  • Comprehensive integration of daily care rounds with all staff

members present (MDs, Advanced Practice Providers, nurses, nurse manager, MDs, social work, case management)

  • Development of patient goal sheets at daily rounds
  • IPASS Handoff at the bedside one way to demonstrate teamwork

to patients The Patient’s Perception of Teamwork is a Key Driver of Patient Experience

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I P A S S

Completed Before Entering the Patient’s Room Patient Summary

  • Medical history up to

admission Action Items

  • Tasks to finish during RN’s

shift Situation Awareness

  • Questions by the oncoming

shift Synthesis

  • Review/Repeat back to RN

Illness Severity

  • Review patient status

Effective Communication Method: IPASS Handoff Example

S A F E T Y

Completed at the Bedside

Stand at the bedside

  • Introduce the oncoming RN

Assess your patient

  • Check pain, IV, meds, skin, oxygen

Fall Risk Explain Plan of Care

  • Review the schedule with your

patient Try to Involve Your Patient Why?

  • Ask if your patient has any

questions

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IPASS VIDEO

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Teamwork in Healthcare

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Thank you to all of our wonderful NPs! Happy NP Week!