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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 Mount Sinai Health System Values Teamwork Safety Empathy


  1. 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

  2. Mount Sinai Health System Values Teamwork Safety Empathy Agility Creativity 2

  3. What Does Real Teamwork Look Like? We all recognize it when we see it…… A Group Functioning As… ONE NOT one 3

  4. What Does Teamwork in Healthcare Look Like? Where the skills of all members are understood & respected 4

  5. 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 5

  6. 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 • 6

  7. 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 ) 7

  8. 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 New program that began in 2017 • Together In collaboration with the American • Heart Association effective Everyone January 1, 2019 A “service line” certification • Achieves Two reviewers for two days • Mount Sinai Hospital achieved More Comprehensive Cardiac Center Certification in December 2018 8

  9. Teamwork & Patient Experience The Patient’s Perception of Teamwork is a Key Driver of 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 9

  10. Effective Communication Method: IPASS Handoff Example Completed Before Entering the Completed at the Bedside Patient’s Room S tand at the bedside S Introduce the oncoming RN • I llness Severity I • Review patient status A ssess your patient A Check pain, IV, meds, skin, oxygen • P atient Summary P Medical history up to • admission F F all Risk A ction Items A Tasks to finish during RN’s • E xplain Plan of Care shift E Review the schedule with your • patient S ituation Awareness S Questions by the oncoming • T shift T ry to Involve Your Patient S ynthesis S • Review/Repeat back to RN Why? Y Ask if your patient has any • questions 10

  11. Teamwork in Healthcare IPASS VIDEO 11

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

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