INSPIRATION Faxton Campus St . Lukes Campus Faxton-St . Lukes - PowerPoint PPT Presentation

INSPIRATION Faxton Campus St . Luke’s Campus Faxton-St . Luke’s Healthcare

EDUCATION Infrastructure Waves Infrastructure Wave I Wave I Wave II Wave II Wave III - Sept. 2007 Wave III Wave IV Wave IV - Feb. 2008 Pediatrics Pediatrics Operating Operating   Emergency Emergency • • Critical Care Unit Critical Care Unit     Nursery Nursery Room/PACU/PAS Room/PACU/PAS   Department Department Intensive Rehab Unit Intensive Rehab Unit   Labor & Delivery/Post Labor & Delivery/Post Endoscopy Endoscopy   • • 1st Floor 1st Floor - - Intensive Care Intensive Care     Partum Partum Ambulatory Surgery Ambulatory Surgery • • Medical/Surgical Medical/Surgical Unit (ICU) Unit (ICU) Psychiatric Unit Psychiatric Unit OPIU OPIU   • • 4th Floor 4th Floor - Med/ - Med/ Surg Surg   3 East - 3 East -   Radiation Therapy Radiation Therapy Telemetry Telemetry • • Medical/Stroke Medical/Stroke 5th Floor 5th Floor - Med/ - Med/ Surg Surg   Unit Unit Telemetry Telemetry • HIM • HIM 3 West - 3 West - Dialysis Dialysis     Medical/Renal Medical/Renal • Finance • Finance Unit Unit • • NDS NDS Central Sterile Central Sterile • • • • 6th Floor - 6th Floor - • Environmental • Environmental • Pharmacy • Pharmacy Supply Supply Oncology Oncology • Maintenance • Maintenance • Imaging/ • Imaging/ • • Transport Transport • Laundry • Laundry Interventional Interventional • • Hearing & Speech Hearing & Speech • Patient Access Services • Patient Access Services • Nutrition • Nutrition Case Management Case Management • • • Bio • Bio - - Med/Telecomm. Med/Telecomm. • Lab • Lab • • Regional Cancer Regional Cancer • Physical Therapy • Physical Therapy • Billing • Billing Center Center • Occupational Therapy • Occupational Therapy • Materials Management • Materials Management Infection Control Infection Control • • • Respiratory Therapy • Respiratory Therapy • Medical Staff Office • Medical Staff Office

EDUCATION • Manager support is critical to UPC success • “Get Smart Day” is key to initial education • Sample agendas for UPCs • RBC Coordinator/Executive Sponsors •UPC Presentation/Go Live

INFRASTRUCTURE Results Council: • Led by nursing leader and support services leader • Populated with “Results Council” groups including a labor representative, physician leaders, board member, executive staff, front line staff. • Purpose was to understand concepts from the book/Chapter reviews and discussions • Evolution of Results Council

INFRASTRUCTURE Lessons Learned: • Insist that the actual UPC chair does the report out (early on our managers often did the report out) • Be clear with what the role of the Executive Sponsor is • Be careful to not confuse communication with education • Make attendance expectations very clear • Allow UPC Chairs and/or Subcommittee Chairs to rotate from leadership role • Focus on outcomes…stay consistent with measuring whether a patient was assigned a primary nurse and did they know it

EVIDENCE • Begin Where You Are - Accept your current reality-look in the mirror - Communication - Open forums - create safety - Transparency through pillar boards - Take every opportunity to connect the dots

Leadership Development • 360s with coaching • Leading an Empowered Organization (LEO) • RBC practicum

Culture Reigniting the Spirit of Caring • Reconnect to the joy, meaning and purpose of our work • Caring for self, colleagues, and patients • Mind, body and spirit Organizational Efforts to Sustain the Gains of Relationship-Based Care • Developed Standards of Performance which linked into our Care Standards ( C hanging A ttitudes R edefining E xcellence) and Commitment to Co- Worker • Celebrate moments of excellence • Spirit of Caring Award

Primary Nursing • Primary Nursing in all specialties - Learning the unique stories of our patients - Five minute seated conversations - “Two minutes sitting at my bedside is more meaningful than five minutes at the door” - White boards - Hourly rounds - Enhanced interdisciplinary collaboration

Care Delivery • One word…interdisciplinary • Unit and Department Practice Councils in every department led to: - Pulmonary Assessment Liaisons (PALs) - Primary physical/occupational therapists - Primary purchase agents - Primary pharmacists - Facilities management, clinical engineering, HR and finance liaisons …and the list goes on and on.