7/18/2011 Welcome to CUSP Communication & Teamwork Tools Coaching Call 2 The session will begin shortly. To access the audio for the session , Dial: 800-977-8002 , Participant code 083842# . The materials for this coaching call can be downloaded from the CUSP Communication & Teamwork Tools password-protected web page. Directions for how to access this web page can be found on each of the coaching call meeting notices (appointments) sent to you. The phone lines will be open during the presentation. Please keep your phone on mute unless you are asking a question. If you do not have a mute function on your phone, you can press *6 to mute your phone (and *6 again to unmute if you want to ask a question). PLEASE DO NOT PUT YOUR PHONE ON HOLD!!! If you experience any problems, please call Marilyn Nichols at the MOCPS office at 573-636-1014, ext 221 or mnichols@mocps.org. ���������� CUSP Communication & Teamwork Tools ���������������� ������������������������������������������������������ �������������� ������������� Pat Posa RN, BSN, MSA Kimberly O’Brien, MHA System Performance Improvement Leader Project Manager St. Joseph Mercy Health System Missouri Center for Patient Safety Ann Arbor, MI Jefferson City, MO patposa@comcast.net kobrien@mocps.org 2 1
7/18/2011 Documents/Resources for this Session (All can downloaded from the CUSP Communication & Teamwork Tools password-protected web site. Detailed instructions are located on each of the coaching call meeting notices/appointments emailed to you by Kimberly O’Brien) 1. This PowerPoint presentation 2. Monthly Team Leader Checklist 3. Sample Agenda for July CUSP Team Meeting 4. SJMHS Huddle Process 5. Learning from a Defect Tool 6. Video Samples of MDR and Huddles 7. An audio file recording of this session will be posted on the password-protected web page following the call 3 CUSP Communication & Teamwork Tools Project Organization � Monthly coaching calls will be held every third Tuesday of the month, from 12-1pm (beginning on 6/21/2011) � Six coaching calls � Coaching calls will be recorded � Facilitated by Pat Posa, RN, BSN, MSA � Team leaders will be provided agendas and materials for monthly unit team meetings (can be modified) � Project deliverables: At end of 6 months, each unit will have implemented multidisciplinary rounds and/or huddles, and solved at least one defect � Submit Case Summary from Learning from a Defect Tool to MOCPS by November 30, 2011 4 2
7/18/2011 Agenda � Implementing Multidisciplinary Rounds with Daily Goals � Structured Huddles: questions and view samples � Learn from a defect—status of identifying defect � Identify next steps � Answer questions 5 CUSP Communication & Teamwork Tools Interventions � ����������������������������������������� � ����������� ������ 6 3
7/18/2011 Multidisciplinary Rounds with Daily Goals – What is it? � A strategy to assemble the patient care team members to review important patient care and safety issues and improve collaboration on the overall plan of care for the patient � Improve communication among care team and family members regarding the patient’s plan of care � Goals should be specific and measurable � Documented where all care team members have access � Checklist used during rounds prompts caregivers to focus on what needs to be accomplished that day to safely move the patient closer to transfer out of the ICU or discharge home � Measure effectiveness of rounds—team dynamics, communication, quality measure compliance, LOS 7 Multidisciplinary Rounds with Daily Goals Challenges and Opportunities � Should be done in ICUs and all units in hospital � Hard initiative to implement, especially if you have an open unit and/or no intensivists or in non-ICU area � Standardize the structure and process for all units � Benefits seen even if physician can not attend consistently or at all � Second rounds should be done in afternoon—include at least physician and bedside nurse � Evaluate if goals for day have been met; readjust if necessary � Identify if patient can be discharged (or transferred ) the next day and if so, what needs to be accomplished � Focused first on defining daily goals and recording those either on the white board in the room or on a sheet of paper � Then standardize rounds—who should attend and what is discussed � Implemented checklist or nursing objective card 8 4
7/18/2011 Spectrum of MDR � Community hospital with all private practice physicians or hospitalists � ICU � Non-ICU � University affiliated teaching hospital—ICUs with dedicated intensivists ������������������������� � !�������"����������#����������������������������#���������$�������������� �������������������%��������������������$�������#����������������$����������� �%������%�������������� � &����$��������������������"���������������%���������#������"�����"� �����������'��������%����� 9 Multidisciplinary Rounds with Daily Goals Steps to Implementation 1. Commitment by all that MDR with daily goals is a strategy that will be implemented to improve communication and patient outcomes 2. CUSP team takes on initiative—identify if there are any additional team members needed 3. Evaluate current rounding process These steps you should have completed !! 4. Identify gaps between current process and what you want it to look like 5. Define the standard work of rounds, roles and responsibilities of each member and develop checklist and goal process 6. Define metrics to evaluate MDR 10 5
7/18/2011 Current State Assessment What is the state of rounds on your unit? (summarize the survey results) � Describe unit structure (i.e. ICU, non-ICU, open unit, closed unit, intensivist, hospitalist) � How often are rounds held? � Who usually attends rounds? � What are the roles of each member? � Where do rounds usually take place? � Is their a defined structure/process for rounds? If so what is it? Or does it depend on who is running them? � How have rounds made a difference during the past year in improving the performance on your unit? � What is the major barrier for multidisciplinary round implementation on your unit? 11 Multidisciplinary Rounds with Daily Goals Steps to Implementation 4. Identify gaps between current process and what you want it to look like 5. Define the standard work of rounds, roles and responsibilities of each member and develop checklist and goal process 6. Define metrics to evaluate MDR 12 6
7/18/2011 Future State What Multidisciplinary Rounds should look like? � Video samples � Defined and agreed upon purpose and goals for MDR with Daily Goals � Consistent time, members, member roles and structure to rounds � Defined checklist and daily goal documentation 13 Standardized Work Paradigm Old Paradigm - I know you’ll be able to figure it out. Just get it done the best way you can. New Paradigm - In order to have consistent results we must do things the same way every time. 14 7
7/18/2011 Standard Work System � Standardized Work is a system for achieving a stable baseline for a process in order to systematically improve it. � Standardized Work Systems are the basis for Continuous Improvement. ������������������������������ ����������������������������� 15 MDR with DG Action Plan Task Responsibility Due Date Obtain executive buy-in Define members of rounds and their roles Define time of day and frequency Structure of rounds: � Review of systems (or major issues) � Define components of checklist � Time for each patient Documentation: � What is documented in medical record � daily goal—where is it documented? Define metrics and evaluation process 16 8
Recommend
More recommend
