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

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

Jan 08, 2024 955 likes •1.17k views

4/20/2017 Putting the Pie c e s T oge the r ~~~~~ Making Se nse of All T hats 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

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Nikki Me da le n, MS, BSN, APHN-BC Je a n Ro la nd, RN, BSN, CPHQ

Putting the Pie c e s T

  • ge the r

~~~~~ Making Se nse of All T hat’s Available

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.

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3

Ne w Ho spita ls!

Ne w Hospitals

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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

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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

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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

Huddle Boar ds:

 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

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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

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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

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Patie nt and F amily Advisor y Counc ils

Sanfor d Mayville CHI-Valle y City CHI-De vils L ake

F irst Ca re He a lth Ce nte r – Pa rk Rive r Sa nfo rd Hillsb o ro

  • St. Andre w’ s Me dic a l

Ce nte r - Bo ttine a u Ca rring to n He a lth Ce nte r No rthwo o d De a c o ne ss Sa ka ka we a Me dic a l Ce nte r - Ha ze n

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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

  • wne r Co unty Me dic a l Ce nte r - Ca ndo

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Re admissions

Pr

  • vide r

Champion: I

mple me nting BOOST re a dmissio ns stra te g ie s – T

  • wne r Co unty

Me dic a l Ce nte r

Disc har ge Planning Che c klist: CHI

  • Dic kinso n,

He a rt o f Ame ric a

Case Manage r Post Disc har ge: Ca rring to n

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

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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

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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

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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

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Ac knowle dging Bar r ie r s…

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 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

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?

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 Adve rse Drug E

ve nts (ADE s)

 Ca the te r Asso c ia te d Urina ry

T ra c t I nfe c tio ns (CAUT I )

 C. diffic ile I

nfe c tio ns (CDI )

 Ce ntra l L

ine -Asso c ia te d Blo o d Stre a m I nfe c tio ns (CL ABSI )

 Injur

ie s fr

  • m F

alls and Immobility

 Pre ssure Ulc e rs (PrU)  Se psis  Surg ic a l Site I

nfe c tio ns (SSI )

 Ve no us T

hro mb o e mb o lisms (VT E )

 Ve ntila to r Asso c ia te d E

ve nts (VAE )

 MRSA b a c te re mia e ve nts  Ho spita l Pa tie nt Sa fe ty Culture  Re admissions (12% r

e duc tion)

20/ 12 Re duc tion

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F e llowship E nr

  • llme 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

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F e llowship E nr

  • llme nt

Quality Impr

  • ve me nt – F
  • undations

 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

  • ve n – Pre se nta tio n Me dic a l Ce nte r

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F e llowship E nr

  • llme nt

Quality Impr

  • ve 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

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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

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25

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

INTERESTS INTERESTS ASSETS ASSETS

  • 1. What change do we want?

(What is our interest?)

  • 2. Who has the assets to

create that change?

  • 3. What do they want?
  • 4. What assets do we

have that they want?

YOUR AIMS

C

C = Commitme nt

YOUR MAP OF ACTORS

Powe r Analysis

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

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Map of Ac tor s

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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  T

  • r

e c ognize pe ople as our gr e ate st asse t!

 T

  • 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

  • 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

  • b uild po we r ‘ with’ – inste a d o f do ing ‘ to ’ o r ‘ fo r’

 T

  • se e c o nstitue nts a nd sta ke ho lde rs a s pa rtne rs in he a lth

 T

  • illumina te mo me ntum b uilde rs & ro a db lo c ks

 T

  • 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

  • ge ne r

ate c olle c tive powe r to c o-pr

  • duc e he alth

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Map of Ac tor s: Why?

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

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T he rig ht pe o ple A c o mpe lling purpo se An e na b ling struc ture E ffe c tive T e a m

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Po we r isn’ t so me thing yo u have …it’ s a re la tio nship with o the rs.

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!

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Map of Ac tor s

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Map of Ac tor s: Candidate s

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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

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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

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Coac hing

 Ca n yo u b e mo re spe c ific in c e rta in pla c e s b y

na ming pe o ple b y na me , no t just o rg a niza tio ns?

 Are the re o the r influe ntia l sta ke ho lde rs missing

fro m this ma p? Co nside r c o mmunity, c o unty, re g io na l a nd sta te wide pa rtne rs.

 Wha t c o nside ra tio n ha ve yo u g ive n to the po we r

dyna mic s a t pla y in yo ur ma p?

 Will yo u/ te a m g o b a c k to ma p the va lue s,

inte re sts a nd re so urc e s o f e a c h a c to r?

33

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

34

I nte re sts:

  • Wha t do the y wa nt?
  • L
  • o k a t the ir missio n

sta te me nt

  • Who funds the ir wo rk?
  • Who do the y se rve a nd wha t

a re the ir g o a ls?

  • Wha t a re the ir pa ssio ns?
  • Wha t drive s the m?

Ac to r Ana lysis

Nig htma re :

  • Curre nt nig htma re the y

live a nd wa nt o ut o f?

  • Nig htma re the y a re trying

to a vo id? Dre a m:

  • Wha t is the ir mo tiva ting visio n?

Asse ts:

  • T

hink b e yo nd mo ne y….

  • I

nflue nc e ?

  • Co nne c tio ns?
  • Sta ff?
  • Me e ting spa c e ?
  • Pro g ra ms?

Wha t va lue s do we c o nne c t o n?

  • Whe re is the c o mmo n

g ro und?

  • Whe re do we wa nt the

sa me thing s? Wha t a sse ts do we ha ve tha t c a n he lp the m a ddre ss the ir Nig htma re / Dre a m/ I nte re sts? Our ASK :

  • ST

RONG, CL E AR, b a se d o n sha re d va lue s

  • “Will yo u jo in me …?

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

Our OF F E R:

  • Ba se d o n wha t T

HE Y wa nt & ne e d, NOT

  • n wha t we think the y sho uld

ha ve o r c a re a b o ut….

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Map of Ac tor s: L e ssons L e ar ne d

Unde rsta nd va lue s a nd inte re sts in re la tio n to

a c to rs a nd a sse ts to c re a te a b a sis fo r mutua l e xc ha ng e s

Ac to rs c a n ha ve multiple ide ntitie s (suppo rt,

c o nstitue nc y, o ppo sitio n, e tc .)

I

t is a ‘ living ma p’ – Upda te a s yo u g o

T

he ma p itse lf is a n a sse t!

Assume that you will ne e d to lose a bit of

c ontr

  • l for

muc h, muc h mor e powe r

35 36

F ro m o ur te a m to yo urs: Be st wishe s o n yo urHI I No va tio ns!

Je an Roland

701- 852- 4231

jr

  • land@qualityhe althnd.or

g

Nikki Me dale n

701- 537- 5548

nme dale n@qualityhe althnd.or g

Jon Gar dne r

701- 852- 4231

jgar dne r @qualityhe althnd.or g

We ne e d yo ur pic ture !

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HIIN Re sour c e s

 I

nno va te ND Ne wsle tte r

 HRE

T HI I N Re so urc e s: www.hre t-hiin.o rg

 E

nc yc lo pe dia o f me a sure s

 HRE

T list-se rve s

 Virtua l e duc a tio na l e ve nts (a ll re c o rde d)  Cha ng e Pa c ka g e s a nd Che c klists  F

a c t she e ts

 Ca se studie s  Guide line s/ c rite ria  T

  • o lkits

37

Our Commitme nt

 T

  • le ve ra g e prio r pro je c t suc c e sse s a nd

le a rning s

 T

  • c o mmunic a te e a rly a nd o fte n

I nno va te -ND Ne wsle tte r I nno va te -ND We b site HRE T HI I N We b site

 Co lla b o ra te with in-sta te pa rtne rs to pro vide

  • ptima l suppo rt a nd a c hie ve pro je c t g o a ls

 T

  • mo ve a s q uic kly a s we c a n to a c hie ve

the 20/ 12 pe rc e nt re duc tio n in ha rm!

38

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Our Re que st of You

Re ma in fo c use d o n Re duc ing Harm

Ac ro ss the Bo ard

Do mo re o f wha t is a lre a dy wo rking Authe ntic a lly a nd fully e ng a g e yo ur

pa tie nts in the impro ve me nt wo rk

Co lla b o ra te to se rve a s c a ta lysts fo r

c ha ng e

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