Fremont Medical Center World Class Performance & Caring Science:

Vital Signs DiscussionsFremont Medical Center

“Tactical”Strategic yet Prescribed Processes

“Presence, Consciousness & Intentionality”

Professional Practice Framework

Align Hearts + Reignite Passion + Reinforce Power + Reaffirm Perspective + Inspire Accountability

Beliefs & BehaviorsAuthentic Practices

Transform Approach, Practice & Relationships

(e.g. policies & procedures, workflows, interactions, culture)

Internalize Performance Excellence // Embed WCH Outcomes

Align Goals + Reinforce Behavior Standards & Communication Tactics + Define Accountability

Behaviors -Performance

WCH – Care Experience Initiatives

(Highly Skilled & Motivated Workforce // Quality Leader // Exceptional Care Experience // Care without Delay)

Caring SciencesTheory Integration

(Heart // Voice // Home // Path // Journey)

Integration Loop

ignites the hearts

and minds of

care givers

Care Experience / Caring Science Integration

Manage Processes – Lead Others

2012 Care Experience Vision: NKE

WHAT IS THE PROCESS?

WHAT DO WE WANT FROM

STAFF?

WHAT ARE OUR VALUES?

OPENNESSPEACE

ACCEPTANCE

TEAMWORK

EFFECTIVE COMMUNICATION

SAFE ENVIRONMENT

HEALING ENVIRONMENT:

CREATING A SPACE

RESPONSIVENESS / ANTICIPATION

Greetings/Introductions

Clinical HandoffConclusion: return

time frame and what will bring at

that time

Validate goals: achievement/ set

new

EVOLVED CONSCIOUSNESS

WHAT DO WE WANT FOR PATIENTS?

CLEAN & UNCLUTERED

COMFORTABLE LIGHTING, TEMP, SOUNDS & SMELL

EXPERIENCE AUTHENTIC CARE

NKE:

2012 Care Experience Vision: Quiet for Healing

WHAT IS THE PROCESS?

WHAT DO WE WANT FROM

STAFF?

WHAT ARE OUR VALUES?

OPENNESSPEACE

ACCEPTANCE

TEAMWORK

EFFECTIVE COMMUNICATION

SAFE ENVIRONMENT

HEALING ENVIRONMENT:

CREATING A SPACE

RESPONSIVENESS / ANTICIPATION

9p: Set Expectations

– Pt & Staff bond

10p: Closing the loop - AHV

6a: Evaluation ‘NOC’ - NKE

11p: Set tone – prepare

environment

EVOLVED CONSCIOUSNESS

WHAT DO WE WANT FOR PATIENTS?

CLEAN & UNCLUTERED

COMFORTABLE LIGHTING, TEMP, SOUNDS & SMELL

EXPERIENCE AUTHENTIC CARE

QUIET:

2012 Care Experience Vision: Reinforce Professionalism

WHAT IS THE PROCESS?

WHAT DO WE WANT FROM

STAFF?

WHAT ARE OUR VALUES?

OPENNESSPEACE

ACCEPTANCE

TEAMWORK

EFFECTIVE COMMUNICATION

SAFE ENVIRONMENT

HEALING ENVIRONMENT:

CREATING A SPACE

RESPONSIVENESS / ANTICIPATION

Attendance Clock in and Clock out Unauthorized OTBreaks and Meals

EVOLVED CONSCIOUSNESS

WHAT DO WE WANT FOR PATIENTS?

CLEAN & UNCLUTERED

COMFORTABLE LIGHTING, TEMP, SOUNDS & SMELL

EXPERIENCE AUTHENTIC CARE

Reinforce Professionalism:

2012 Care Experience Vision: From Advocacy Circles to Adv Council

WHAT IS THE PROCESS?

WHAT DO WE WANT FROM

STAFF?

WHAT ARE OUR VALUES?

OPENNESSPEACE

ACCEPTANCE

TEAMWORK

EFFECTIVE COMMUNICATION

SAFE ENVIRONMENT

HEALING ENVIRONMENT:

CREATING A SPACE

RESPONSIVENESS / ANTICIPATION

Med-Surg & Telemetry ICU and Stepdown

Group Activities: Monthly meetings

Summer PicnicChristmas party

PCC, RT, EVS, Nutrition, Rx,

EVOLVED CONSCIOUSNESS

WHAT DO WE WANT FOR PATIENTS?

CLEAN & UNCLUTERED

COMFORTABLE LIGHTING, TEMP, SOUNDS & SMELL

EXPERIENCE AUTHENTIC CARE

Forming Caring Advocacy Circles:

+ +

Vital Signs Dialogue – Method & Components

Meet monthly with every staff member to discuss:

• Our interests – areas of focus upon which our performance is based

• Our performance – how we are doing in terms of our interests

• Our commitments – what are our goals?

Vital Signs Dialogue – Clinical Excellence & Best Quality

Our Interests Our Performance Our 2012 Goals

HAPU No HAPU in 1Q12. Last HAPU: 11/17/10

0

Falls Last fall: 3/12/2012 (1 for 2012). No pt fall under your care

0

Handwashing 66% in Nov, 2011 90%

Central lines & IV care

No CLABSI in 1Q12. Last CLABSI in Nov, 2011

0 CLABSI

Core measures 100% on all Core Measures Per TJC

Stroke #1 on Pt. Education for the entire NCAL region; #2 on Overall Stroke Performance for the entire NCAL region

Per TJC

Personal recognition/opportunities (How are you contributing to ensure that we achieve our clinical goals?): Teamwork is very evident especially during admissions.

Vital Signs Dialogue – Patient & Family Experience

Our Interests Our Performance Our 2012 Goals

Overall score 77.3 85%

RN communication 68.1 80%

Quiet at night 53.85 60%

Care boards 53.3 85%

ED to bed 93% 80%

OR to bed 88% 80%

Personal recognition/opportunities (How are we living our vision through personalized care?)

1. Remember to consistently use patient-friendly language2. Need to provide new erasers for cleaner care boards

Vital Signs Dialogue – Financial Health

Our Interests Your Performance

Our Performance

Our Goals

Attendance 72 hours of sick, 12 hours AB109, most sick hours in unit

1103 sick hours

131 hours unpaid

238 hrs AB109

10% lower than KP set goals

Unauthorized OT (Incremental)

6 occurrences, total of 1.4 hours paid at double time

We are #1 in IOT (198.3 hrs). At $55/hr = $21,813 paid

0

Missed Meals/ Missed Breaks

0 Missed Meals

0 Missed Breaks

$1,653 paid for MMMB

0

Ineffective use of the TIME System (Danglers)

0 Total of 104 0

Tardy 0 0

Personal Recognition/Opportunities (How are you contributing to ensure that we achieve our financial goals?): Child with chronic condition, will apply for FMLA

Vital Signs Dialogue – Professional Growth and Wellness

Our Interests Your Performance

Our Performance

Our Goals

WPS: Injury Rate 0 2 injuries:1 due to chest compression, 2nd due to reaction to soap

0

Learning Currently pursuing MSN

Professional Goal As above

Leading/Mentoring n/a at this time but will seek your help for my preceptorship

Personal Recognition/Opportunities: Please recognize my co-workers for contributing to a smooth flow and pleasant work atmosphere.

Vital Signs Dialogue – Our Agreements

What do you need from me?Please continue sharing this information with me and guide me in applying for FMLA

What can I help you with?I want to join a performance improvement committee like the ED to Unit Committee.

Our Agreements and Discussion Overview:1. Apply for FMLA

2. List of committees open for membership