welcome to pulmonary services department meeting may 19, 2008
TRANSCRIPT
Welcome to Pulmonary Services Department Meeting
May 19, 2008
Please place your cell phones & pagers on vibrate.
Key Priority Updates
Customer
Inpatient Satisfaction FY08
84.1
84.6
85.986.1
87.3
86.3
86.786.5
84.0
86.1
85.8
86.7
88.4
86.5
87.6
82
83
84
85
86
87
88
89
FY01 FY02 FY03 FY04 FY05 FY06 FY07 Oct Nov Dec Jan Feb March April May June July Aug Sept FYTD08
Team Goal 87.1
All Questions 4-Quarter Average Scale
Standard Questions Only12-Month Rolling Average Scale
Pulmonary Services Customer Scores
• Inpatient YTD 89.4
• 90th Percentile
Outpatient Satisfaction FY08
88.4
88.8
90.1
90.8 90.9
93.393.0
92.892.8
93.0
92.6
93.3 93.393.1
93.6
86
87
88
89
90
91
92
93
94
95
96
FY01 FY02 FY03 FY04 FY05 FY06 FY07 Oct Nov Dec Jan Feb March April May June July Aug Sept FYTD08
Team Goal 93.7
All Questions4-Quarter Average Scale
Standard Questions Only12-Month Rolling Average Scale
Pulmonary Services Outpatient Customer Scores
• Outpatient YTD 95.0
• 98th Percentile
Customer
FY 08 Goal
Inpatient Satisfaction
86.3 87.1
Outpatient Satisfaction
93.0 93.7
http://www.cms.hhs.gov/AcuteInpatientPPS/IPPS
HCAHPS
HCAHPS
• The intent of the HCAHPS initiative is to provide a standardized survey instrument and data collection methodology for measuring patients' perspectives on hospital care. While many hospitals currently collect information on patients' satisfaction with care, there is no national standard for collecting or publicly reporting this information that would enable valid comparisons to be made across all hospitals. In order to make "apples to apples" comparisons to support consumer choice, it is necessary to introduce a standard measurement approach.
How often did the nurses communicate well (Oct 06 to June 07)
66
71
73
76
76
79
81
81
82
83
84
0 10 20 30 40 50 60 70 80 90
Cabell
UK
US
KY
St. Claire
OLBH
SOMC
St. Mary's
Holzer
Pikeville
KDMC
How often did doctors communicate well(Oct 06 to June 07)
71
73
79
80
80
82
82
84
84
86
89
0 10 20 30 40 50 60 70 80 90 100
Cabell
UK
US
SOMC
St. Claire
KY
St. Mary's
KDMC
Holzer
OLBH
Pikeville
How often did patients receive the help quickly from hospital staff(Oct 06 to June 07)
58
60
61
62
64
64
64
65
68
74
78
0 10 20 30 40 50 60 70 80 90
Cabell
US
UK
OLBH
KY
SOMC
St. Mary's
St. Claire
KDMC
Pikeville
Holzer
How often was patient's pain well controlled(Oct 06 to June 07)
66
66
66
67
67
69
70
70
73
78
80
0 10 20 30 40 50 60 70 80 90
Cabell
OLBH
UK
St. Claire
US
KY
SOMC
St. Mary's
KDMC
Holzer
Pikeville
How often were the patients' room and bathroom kept clean (Oct 06 to June 07)
49
67
68
70
70
71
71
76
80
82
84
0 10 20 30 40 50 60 70 80 90
UK
Cabell
US
KY
St. Claire
KDMC
Pikeville
OLBH
St. Mary's
SOMC
Holzer
Were patients given information about what to do during their recovery at home (Oct 06 to June 07)
77
78
79
79
79
79
80
80
83
83
84
72 74 76 78 80 82 84 86
OLBH
SOMC
US
KY
Cabell
Holzer
KDMC
Pikeville
St. Mary's
UK
St. Claire
How often the area around the room was quiet at night(Oct 06 to June 07)
40
48
50
50
54
55
56
64
64
66
72
0 10 20 30 40 50 60 70 80
St. Claire
SOMC
Cabell
UK
US
KY
St. Mary's
KDMC
Pikeville
OLBH
Holzer
How often did staff explain about medicines before giving them to patients (Oct 06 to June 07)
57
57
58
60
61
62
63
63
65
66
68
50 52 54 56 58 60 62 64 66 68 70
Cabell
UK
US
KY
SOMC
St. Mary's
Holzer
St. Claire
KDMC
Pikeville
OLBH
Overall rating as the best possible hospital (Oct 06 to June 07)
58
59
60
62
63
65
67
72
76
76
80
0 10 20 30 40 50 60 70 80 90
St. Claire
SOMC
UK
Cabell
US
KY
OLBH
Holzer
St. Mary's
Pikeville
KDMC
Would patients recommend the hosptial to family and friends (Oct 06 to June 07)
61
61
66
67
68
68
72
72
75
83
84
0 10 20 30 40 50 60 70 80 90
SOMC
St. Claire
UK
US
KY
Cabell
OLBH
Holzer
Pikeville
St. Mary's
KDMC
Quality
Quality
FY 08 Goal
Medicare LOS 4.66 4.65
CMI 1.81 1.79
CMI Adjusted LOS 4.62 4.65
Quality
FY08 Quality Matrix Goals (at or above benchmark)
YTD Actual
Goal
Quality Indicators 8 of 12 8 of 12
Pulmonary Services Quality Goals
• Document and report timely on average 98.4% of all lab panic values.
• Currently at 99.02 YTD
Community
Community
FYTD FY08 Goal % of Goal
Adults 49,839 115,000 43%
Children 42,191 72,000 59%
Total: 92,030 187,000 49%
Participants 1,635 2,121 77%
Health Connections Contest• Volunteer. Bring a teammate. Win a prize!
– Team members can sign-up a teammate who has not volunteered yet this fiscal year for an event in May and/or June to be entered in a drawing
– Both names are entered for the chance to win a 1 GB iPod or KDMC logo jacket
• Thanks to the 41 departments that have 85% or higher volunteer participation already!
Pulmonary Services Community Service
• We currently have 89 team members
• 40 Pulmonary Services team members have volunteered for community service
• 44.9% of our staff has volunteered
Finance
FYTD
Actual
FYTD
BudgetFY08 Goal
Operating Income
We are meeting this goal
Cash We are meeting this goal
Pulmonary Services Budget
• HPPD YTD shows us at 4 FTE under budget
• I have submitted for 2 Full Time positions
• Will evaluate further staffing needs
• Supply expenses YTD is over 4%
• Please uses supplies appropriately
Equipment Update
• Purchased 14 Servo 300 to replace 900C
• Purchased Vision
• Currently putting capital requests (any items greater than $10,000) together for 2009: looking to continue to update ventilator fleet, GEM 3000 for HVC
• Any suggestions let Debbie know ASAP
Finance Issues
• A reminder to those administering Nitric Oxide.
• Please remember to shut off the Nitric Oxide once the procedure is completed. We are charged for the time that tank is “on”.
• We lost $37,000.00 to thin air because someone left the tank on for 12 days.
• The budget is going to take a big hit. • This may required some changes such as a
check off sheet.
Another Finance Issue
• It has been brought to our attention that we may be losing a lot of valuable supplies when we set up new CPAP/BiPAP machines.
• We need to be extra careful when we size patients for their masks, we cannot just open one mask after another until we find on that fits.
• We must exercise some judgment in these situations. Also, please bring back any unused/ unopened masks and do not leave then on the floors, where they can be thrown away.
• These masks are very expensive, they run between 85-100 dollars each.
• So if you waste 3-4 masks each time you set one up …we can’t afford you!!
Culture
Culture
EPIC Phase 1 Score Card
FYTD FY08 Goal
4.0 3.5
0-5 Scale
Workplace of Choice
Workplace of Choice
• Best Places to Work in KY – Top 3
• Voluntary Retention FYTD – 96%
Dress Code Guidelines
No Change
Dress Code Policy Update
• No policy change in the foreseeable future
• Clinical departments may choose a particular scrub color (not exclusive)
• Black, denim, camouflage – not permitted
• KDMC T-shirts and sweatshirts are still permitted
Pulmonary Services Culture
• Promote team-together everyone accomplishes more
• Concentrate on the patient and not personal issues
• Enforcing of all guidelines/deadlines
• Increase recognition
Signing Off Orders
a. Just a reminder to everyone, team members are supposed to be signing and dating new physician orders when they check them.
b. Also, patients in our system have been found on the wrong therapy when compared to physician orders. This is a serious patient safety issue.
c. We will be beginning a monitoring program shortly as we have determined that this is happening frequently.
d. Team members will be given one warning, then proceed to DWP
Schedule Issues– Beginning with the current self-schedule in the book now,
we will be strictly enforcing the rules. – Please make sure you schedule your weekends, watch the
number shifts per day, circle your extra days, initial & date, etc. or you will be at risk of losing your self-scheduling privileges for a period of time to be determined by the director.
– Jodie will be picking up the schedule on the Wednesday of the third week of the schedule. This will give everyone a couple of extra days to make sure they are meeting the guidelines.
• Once Jodie has started the schedule you can no longer submit your schedule or changes.
• If you need changes after she takes up the schedule you will have to trade your shifts.
• If after you try to trade a shift and fail, then call off for that shift, we will proceed with DWP.
Schedule Issues (continued)
– Mike C will also post the scheduling deadline date on the Deadlines/due dates page.
– The scheduling deadline for the next schedule is June 4, 2008 @ noon. No changes will be accepted after this time.
– As before, every effort will be made to give team members what they request, however, the needs of the department and its patients are our first concern.