Friday, December 31, 2010
The CMS has added new information about physicians and other healthcare providers to the agency's physician directory tool. Called Physician Compare, the new site updates the agency's healthcare provider directory that guides beneficiaries looking for Medicare-participating physicians online.
According to the CMS, the new site was required by the Patient Protection and Affordable Care Act and contains information about physicians enrolled in the Medicare program, including doctors of medicine, osteopathy, optometry, podiatric and chiropractic medicine. It also contains information about other health professionals who care for Medicare beneficiaries, such as nurse practitioners, clinical psychologists, registered dieticians, physical therapists, physician assistants and occupational therapists.
The CMS said it plans a second phase of the in 2011, which will indicate whether professionals chose to participate in a voluntary effort with the agency to encourage physicians to prescribe medicines electronically, as opposed to paper-based methods. In the future, the Physician Compare site will include information about the quality of care Medicare beneficiaries receive from physicians and other healthcare professionals who are profiled on the site.
“Today's release of Physician Compare moves us closer towards CMS' goal to improve the quality of healthcare for people with Medicare in all the places where they receive care, including the doctor's office,” CMS Administrator Donald Berwick said in a news release. “By using a considered, step-wise approach to spotlighting quality of care, we can create a tool that will help doctors and patients for decades to come.”
Certainly these efforts should help as more details are added over time. It seems Dr. Donald Berwick has wasted no time since taking his new post.
Happy New Year
Monday, December 27, 2010
"Biggest Loser" (optional) Work Competition.
Check out the rules and let me know of other post holiday challenges going on in your workplace.
Thank you for getting this started 5 South team.
1. “HAVE FUN”, eat healthy, and exercise.
2. The first weigh in will be on Tuesday, Jan 11th at 7:15am or 7:15pm
3. The final weigh in will be on Tuesday, April 19th at 7:15am or 7:15pm(15 WEEKS)
4. Weigh-in’s will occur every Tuesday at 7:15am or 7:15pm.
5. There is a $5 registration fee which “MUST” be paid during your first weigh in.
6. (You can join at any time during the first three weeks but the longer you wait the harder it will be to win.)
7. All monies owing to the pot should be paid during the time of weigh in or prior to the following weigh in.(So if you have a bad week, be prepared break out the spare change)
8. There will be a penalty fee of $1 if you miss weighing in. This dollar will be combined with the weekly weigh in fee of $1, for a total of $2 dollars each time you miss a weigh in. However, you may weigh in within 24 hours of the weigh-in (with a witness), either before or after the designated Tuesday weigh-in times and record the weight in the "Biggest Loser" log book that will be located in the break room.
9. There will be a penalty fee of $1 added for gaining greater than 1/2 pound of weight.
10. Only weights recorded on the Biggest Loser scales on Tuesdays will be valid. (You will not be able to submit your weight via e-mail or after the fact. So unless you are sick, have made other weigh in arrangments or cannot make it in due to weather, a $1 penalty will be applied, as stated in Rule 8.)
11. The winner will be the person who loses the largest percentage of body weight. (start at 200 pounds and lose 10 pounds and you have lost 5%)…[(Start weight - Finish Weight) X 100 / Start weight = percentage lost.]
12. A percentage of the pot will be used to pay for the scale. At the end of the contest, the winner will be awarded the scales 60% of the pot. Second place will be rewarded with 30% of the pot. Third place will be rewarded with 10% of the pot.
13. Challenge your friends and LOSE WEIGHT
Saturday, December 25, 2010
I had never really thought about the origin of Rudolph until yesterday. Then yesterday - one foggy Christmas eve (I could not resist) I heard about it on the radio and then confirmed about.com.
The story of Rudolph, Santa Claus' special ninth reindeer, was written in 1939 by Robert L. May. He was an employee of Montgomery Ward, and the store created a book about Rudolph to give away to children on Christmas.
May's brother-in-law, Johnny Marks, turned the story of Rudolph into a song in 1949. It became a hit for Gene Autry and has since become so enmeshed in American culture that it's considered a folk song despite the fact that it's not in the public domain.
"Rudolph the Red Nosed Reindeer" Lyrics
The lyrics to "Rudolph" are based largely on May's story about Santa Claus and his magical reindeer. Its theme is similar to the story of the ugly duckling who grew up into a beautiful swan. Rudolph is teased and rejected by the other reindeer until he proves himself useful and industrious. It's a very American dream-like story line about how everyone can be special and important when they use their gifts and talents (isn't that what many of us look for in our personal and professional lives):
Then one foggy Christmas Eve Santa came to say:
"Rudolph with your nose so bright,won't you guide my sleigh tonight?
Merry Christmas. Enjoy a safe and healthy holiday weekend.
Thursday, December 23, 2010
Congratulations to Dr. Jason Day, Vascular Neurologist.
Great artice in Stroke: The Journal of The American Heart Association
Tuesday, December 21, 2010
Just last week my wife mentioned the same thing to me..."Isn't life just about the relationships we form at home, work, the gym, church, temple, social event....(and the list goes on)." It is so very basic yet easy to miss at times. When things are not going well, it could usually go back to a relationship and the expectations of each party. When things don't go well, the same applies.
There was even an interesting medical study noted by The Early Show's medical correspondent Dr. Emily Senay. "She notes that previous research suggests close relationships are good for heart health, and there's lots of evidence that emotions can have powerful effects on physical health. Psychological factors are now recognized as contributing to the development of heart disease."
As we hit the Christmas and New Year weekends, please enjoy those key relationships that make your world whole.
Friday, December 17, 2010
Thursday, December 16, 2010
A local hospital recently added a 'don't ask, don't tell' policy for all employees. It seemed they felt they could provide safer, more effective care if officials and co-workers of the organization were oblivious to facts about their associates. When asked what the healthcare system expected to accomplish, officials stated the "don't ask, don't tell policy" should help the organization advance their quality agenda, improve their relationships with key physicians and insurance companies, improve their patient satisfaction and associate engagement and drive stronger financial margins...
In these day where we need to provide more transparent leadership, how will the public respond to the tactics from the healthcare system above?
The same should hold true for our military. According to the Washington Post, House lawmakers on Wednesday again approved a bill to repeal the "don't ask, don't tell" law, delivering renewed momentum to the years-long campaign to end the ban on gays in the military ahead of a possible Senate vote next week.
As you probably imagined, the healthcare organization above is a made up story. There are many things we are far behind with in healthcare but the "don't ask, don't tell policy" is not one of them.
The nation needs continued transparency in all we do so we could make the most effective decisions based on our collective input.
Monday, December 13, 2010
Friday, December 10, 2010
The articlew by Alan Bavley with The Kansas City Star stated:
A prominent cardiologist who’s written a diet book. A urologist who’s part of a booming group practice. A family practice doctor, two psychiatrists and two specialists in pain and rehabilitation.
They are area members of the $100,000-plus club — physicians paid six-figure sums by drug companies.
For their paychecks, the doctors give promotional talks to other doctors about the drugs the companies make. They lead forums. They serve as industry consultants.
More than 100 area doctors are taking money from drug companies for speaking gigs and other work, according to data from the nonprofit journalism organization ProPublica. From the beginning of last year through the first half of this year, area doctors have received at least $2.2 million.
The drug industry and the doctors themselves said they were doing an important job by teaching colleagues how to use medications and giving them the benefit of their experience dealing with patients.
Critics said education is not the only reason — or even the primary reason — why drug companies paid so much to doctors. They say it’s all about promoting the companies’ products.
And, critics said, the practice could lead to doctors prescribing drugs too often; prescribing problematic drugs; and writing prescriptions for more-expensive medications when cheaper ones would do.
Payments to physicians by drug companies is an issue that has simmered for years in the medical community.
The Association of American Medical Colleges and the Institute of Medicine have questioned whether doctors should participate in speakers’ bureaus for drug companies.
Certainly their are mixed reviews I have heard across the hospital and in the community. There is not necessarily a wrong or right answer, of course.
Overall, our healthcare system is trying to provide the highest quality care and help improve the health of our population, improve the patient experiences and lower the cost of providing our services.
So, what's your opinion on the physician fees received?
Thursday, December 9, 2010
The students had some great questions regarding the future career opportunities and the impact of healthcare reform on the country. A couple of their tough questions included:
1. What it the most challenging part of providing care to the patient from the time they are admitted until they are discharged. That, of course, reflects the entire experience and it almost always comes down to how we treat our patients and each other and how well we coordinate their care through the process.
2. How do we provide the best care to our patients and advocate for all the necessary resources since many organizations "seem' bottom line driven. Another great question. As organizations need a bottom line, it has to start with Quality. If we need additional resources, we should request them. If we can not get additional resources, we must ask ourselves, "how can we still provide safe and effective care today?" If we can't provide safe and effective care, my vote is to get the patient to a place where they could get safer and more effective care. We have limited resources in healthcare and need constant communication to understand our priorities and back-up plans if we do not have all the resources we need.
Anyway, we had a lot of fun with the presentation. They told me this was their first video presentation so I made sure to take a picture...I could only capture a few in the class.
Tuesday, December 7, 2010
Friday, December 3, 2010
The video shows various safety tips and CH's own version of Dancing with the Stars. There was great participation in the making of the video, and while it's entertaining, it also carries serious reminders about the importance being safe in the care we provide to our patients. It is played to Men Without Hats popular 80's song, Safety Dance. Thank you Stefan!
Tuesday, November 30, 2010
RE: Christmas decorations
All the departments throughout the hospital
Liked the Holiday Season a lot…
But the Environment of Care (EOC) Committee
It seemed, for some reason did not!
The Safety Committee was nervous,
Realizing the Holiday Season was here,
And let’s not forget – regulatory agencies are always near.
While departments are decorating and decking their halls,
Putting up trees and wrapping the walls,
The Committee knew it was the time to send out the information this year.
So, the Committee set up guidelines to which all departments must adhere.
All artificial decorations, including wreaths and trees
must be made out of non-combustible materials,
And proof of flammability rating we must see.
No decorations can be hung or strung from fire sprinklers, ceilings or lights.
All electrical decorations or string lights are just NOT permitted.
It is even stated that one cannot be committed
To decorating a large area or space
With wrapping paper used to grace
And cover the walls, deck the columns, wrap desks or floors,
And don’t even think of covering the Code Red Barrier Doors!
Last but not least, all decorations and/or trees
Should not be placed in corridors, landings or near these:
Hose cabinets, circuit boxes, informational signs, areas of EXIT keep free,
From covering as well as the fire extinguishers, blocked they should never be!
Wait! There is one more thing to hold dear.
Our decorations should not interrupt
The quality of patient care -
For that is why we are all here.
The moral of the story is the EOC Committee does like the Season,
For what they do, they do for a reason.
Keeping everyone and the building safe
Is a duty this Committee must face.
Have a Safe, Healthy and Happy Holiday Season!
Wednesday, November 24, 2010
Have a safe, healthy and Happy Thanksgiving.
Thursday, November 18, 2010
Monday, November 15, 2010
Thursday, November 11, 2010
We're all familiar with the interactive kiosks these days. Certainly, they do not take the place of human interaction. They are one part of an overall customer experience Usually, they have been used to help with decreasing time - both to those receiving service and those providing the service.
Tuesday, November 9, 2010
This morning, I heard the phrase, "slow down to speed up" one two different scenarios. One time was while I was swimming before work and the second time during a discussion with our executive team.
Saturday, November 6, 2010
Monday, November 1, 2010
Sunday, October 31, 2010
Saturday, October 23, 2010
I stopped at the gas station the other day for gas and a "pit stop.". When I walked into the bathroom, I saw a father and his son who was around 5 years old. The father turned to the son and told him to wash his hands. The son then turned t the father and said, but Dad, you NEVER wash your hands after you go to he bathroom." The father, clearly embarrassed, looked over to me and then back at his son and said, "I always wash my hands." His son repeated "No you don't Dad. I never see you wash your hands." The father then made sure they both washed their hands as he said to his son, "let's hurry because others are waiting to wash their hands."
So many of us see this - when others are watching, the percentage of people washing their hands probably goes up. It should be 100% and in hospitals it should definitely be 100% given the probablity of spreading infections without washing. This is something we audit in the hospital.
I was browsing the website, www.infectioncontroltoday.com. It stated:
In the healthcare setting, handwashing is often cited as the primary weapon in the infection control arsenal. The purpose of handwashing in the healthcare setting is microbial reduction in an effort to decrease the risk of nosocomial infections.
Hand hygiene can also be a problem in busy health centers and clinics where patients are seen both in increasing numbers and treated in rapid succession.1 Prevention and control of infectious activities are designed to limit the spread of infection and provide a safe environment for all patients, regardless of the setting.2 In light of the emergence of antibiotic resistant organisms, effective infection control measures, such as handwashing, are essential to prevention.
Monday, October 18, 2010
Last year, it took 2 months (approximately 1,400 hours) for the same amount of registrars. Technology and peoples' comfort with technology increases daily. Many people were hoping to race this fall in order to qualify for Boston next year. Looks like the game changed.
As we head into the fall and winter season, I open up a Boston Marathon challenge to all...
We are 6 months until Patriots' Day on Monday April 18, 2011.
Time to do a 360• on yourself and go 360 miles in preparation for Boston. That's 15 miles per week for the next 6 months - run, walk, bike and swim. Any way you can get there, just keep moving! Of course, we'll have a 26.2 mile challenge the week of the race and a special recognition for all those who complete any marathon through April 18th.
Send me your weekly mileage and race success stories (e.g., 5k, 10k, 1/2 and full marathons, triathlons, etc.). I will post updates on my blog including all competitors (I will not publish your last name unless you approve). Plan on fun giveaways as you hit your goals of at least 60 miles per month.
Let the healthy training for life challenge begin...
I look forward to hearing from you.
However, it is a work in progress, so if you notice content needing updating or have information that should be added, please e-mail me with the information.
Again, this is just phase one and improvements will continue to be made. Please click on one of the links below to visit our new sites.
Friday, October 15, 2010
Last week, I did another In Your Shoes. This time I worked in the Emergency Department (ED) with Kimberlee, my boss for the shift (that's us in the picture). She made sure I was oriented to the unit. Laurie, our unit educator put an exceptional orientation packet together for me. She showed me the ropes in the supply area so I could quickly find what was needed. I had a chance to transport and move patients. I had the opportunity to watch great care and a team effort by the entire ED team. As luck would have it, I was told, it was "not a typical day in the ED and it is usually much busier." I joked that it is never a typical day when I do In Your Shoes but they could count on a lot more action once I left the ED - that always seems to be the case. The Emergency Department accounts for approximately 50% of the patients who are admitted into our hospital so it is extremely important that we are able to get patients in and out in a timely manner so they could be discharged home or admitted to the most appropriate level of care. This is this the right thing from a clinical perspective and serves as a strong patient and family satisfier. The patient flow in our ED has been a major focus of our LEAN Six Sigma initiatives.
As usual, I had a great experience and recommended that others in the department try In Your Shoes in other areas to get a different perspective. It has helped me understand our current issues and opportunities and also allowed me to see where other staff could support different departments. In this case, I know I could help transport, get supplies, etc.
I spoke to some of our EMS folks and noticed that they had a new mechanism to reduce any potential injury for their team and their patients. There is a cable and hook that goes onto the back of the patient cart and pulls the patient up the ramp leading to the back of the ambulance - I was told it could pull up to 700lbs.
Having watched too many ED shoes over the years, I walked out to the Ambulance Bay hoping to see other colleagues either playing basketball or meeting their co-workers waiting for multiple ambulances to show - while a couple ambulances were present, we lacked the basketball court. Probably a good thing in this case!
Monday, October 11, 2010
Every couple of years, Ascension Health has their convocation. This year the themes around Remember - Celebrate - Believe gave us the opportunity to explore the past 10 years since AH started. We also had a chance to hear many great ideas across the country where the various hospital ministries are improving the way they currently deliver care and the overall patient experience. We had a glimpse into some future ideas on delivering patient centered care outside the hospital settings. Certainly an effective forum to further relationships and leverage knowledge across the country.
I look forward to hearing how your organizations share ideas in order to deliver a more effective product to those you serve.
Wednesday, October 6, 2010
As I get around the hospital, I love to see all the care takes place. We are constantly talking about new, different of just more effective ways of doing things. Several years ago, I was working at another hospital and our Nursing Director for the Short Stay Unit left with very little notice period. At the time, she spent a majority of her day staffing this area. I was very concerned as I had was not familiar with all the details on how she did staffing so I met with the staff to see how we could help each other to get through this transition while still meeting our goals. They asked if I could meet with them every other week to keep them posted on organizational updates, key focus areas, and overall goals. Then they took it from there. They staffed each shift within the resources they had, they ensured we were in compliance, they grew the service by fostering and developing key relationships and they made sure the care was superb. When the new Director started, the staff asked to keep doing these things so the new Director had an opportunity to focus on different priorities and our organization was able to perform even better than we had in the past.
Remember the Post-it® notes history (see www.ideafinder.com): Most people use them. Most people love them. But Post-it® Notes were not a planned product. No one got the idea and then stayed up nights to invent it. A man named Spencer Silver was working in the 3M research laboratories in 1970 trying to find a strong adhesive. Silver developed a new adhesive, but it was even weaker than what 3M already manufactured. It stuck to objects, but could easily be lifted off. It was super weak instead of super strong. No one knew what to do with the stuff, but Silver didn't discard it. Then one Sunday four years later, another 3M scientist named Arthur Fry was singing in the church's choir. He used markers to keep his place in the hymnal, but they kept falling out of the book. Remembering Silver's adhesive, Fry used some to coat his markers. With the weak adhesive, the markers stayed in place, yet lifted off without damaging the pages. 3M began distributing Post-it ® Notes nationwide in 1980 -- ten years after Silver developed the super weak adhesive.
Sometimes we find out better and different ways of doing things "by accident". I look forward to hearing about your accidental success stories.
With Healthcare Reform on many of our minds, I am trying to get a sense of what other health systems are doing as we explore our own strategies. One large health system indicated their focus on Reform with a few "simple" focus areas: Manage supplies and labor expenses, incorporate LEAN processes throughout their organization, grow key services and always, always provide exceptional care. Another reminder on why we all entered into the field.
Today, I was reading some information on medicine.com and came across the following that made me think about the examples above:
In 1979, M*A*S*H star and actor, Alan Alda, provided the commencement address to Columbia University College of Physicians and Surgeons’ graduating class. He was the first non-physician to provide this address.
"It’s certainly true that I’m not a doctor. I have a long list of non-qualifications. In the first place I’m not a great fan of blood. I don’t mind people’s having it, I just don’t enjoy seeing them wear it. I have yet to see a real operation because the mere smell of a hospital reminds me of a previous appointment. And my knowledge of anatomy resides in the clear understanding that the hip bone is connected to the leg bone. I am not a doctor. But you have asked me, and all in all, I think you made a wonderful choice."
Wednesday, September 29, 2010
Monday, September 20, 2010
My blog tagline references training for life and I have spoken about many similarities to health & wellness and our workplaces. Both involve continual assessment and advancement. The vision for both are rooted in a journey and a constant pursuit of excellence related to your goals. So you work diligently, celebrate milestones, assess ways to improve and have fun and good humor along the journey.
At our hospital, we are committed to providing the safest hospital for everyone we serve. We have daily safety huddles where we review any potential safety concerns brought forward by our associates and physicians who are closest to the bedside. Through these efforts, we dig in and complete root causes on concerning trends or events. It allows us to not only learn from it but also re-evaluate and possibly change our processes for better outcomes.
So, I thought I would complete a deep dive on my performance last Sunday...
My goal was under 6 hours and my actual was 6:11. I started the swim and swallowed a lot of lake water-felt like stopping within first minute. Then was grabbed and slapped around by my fellow triathletes so I moved to the far outside and probably swam closer to 2 miles than 1.2! Then I fumbled around too long at the first transition though it was much more relaxing than the swim. The bike was in the Ozark mountains so I was either climbing hills or going too fast downhill. My legs were not made for biking hills. Then off to the run when it was 90 degrees. I stopped several times as my socks were soaked from dumping water over my head and getting sprayed by 2 guys with hoses (actually those
were more enjoyable moments). I finally stopped, dumped the socks and carried on to the finish. There is a lot that went well and many parts a comedy of errors. Certainly I will change some key things as it is all about training for life...and continuously improving along the way.
I look forward to hearing your stories in and outside of work when you apply the same deep dive review.
Congrats to all the race participants and thank you to the volunteers and Ryan Robinson, the Race Director, for keeping us safe.
And the race winners are...
September 19, 2010
S 1.2 mi. / B 56 mi. / R 13.1 mi.
1. Ben Hoffman (USA) 4:02:53
2. Tom Lowe (GBR) 4:05:38
3. Brian Fleischmann (USA) 4:08:25
4. Michael Lovato (USA) 4:11:04
5. James Cotter (USA) 4:14:36
6. Brent Poulsen (USA) 4:15:14
7. Gavin Anderson (USA) 4:21:40 * M30-34
8. TJ Tollakson (USA) 4:21:44
9. Jonathan Shearon (USA) 4:37:39 * M35-39
10. Scott Bredehoft (USA) 4:39:34 * M25-29
1. Kelly Williamson (USA) 4:25:47
2. Angela Naeth (CAN) 4:33:47
3. Pip Taylor (AUS) 4:41:57
4. Nina Kraft (GER) 4:42:41
5. Marisa Asplund (USA) 4:59:16
6. Tami Ritchie (USA) 5:02:30 *W25-29
7. Ali Rutledge (USA) 5:22:00 *F35-39
8. Betsy Mercer (USA) 5:22:52 *W30-34
9. Kari Fritchie (USA) 5:26:03 *W18-24
10. Jessica Imm (USA) 5:26:09 * W25-29
Becky and the team provided great direction for me. They showed such a great team effort with each other among the nurses, PCAs and other support staff. Their handoffs at change of shift were like watching a well-orchestrated play or musical. After each patient handoff, the nurse leaving would find their next nurse partner and 'handoff' their next patient. Becky said the nurse leaving usually takes the lead to find the next nurse. I understand that this coordination of care is key in any healthcare system but it does not always play out that way.
I had dinner with some of our executive team members the other day. Bob F. said our physicians are great, our nurses are wonderful, we have a great support team at the hospital and pretty good facilities and equipment. But our patients, our staff, volunteers and our associates will see our greatest difference by the way we care for one another. That's what will always make us shine. And I saw that true focus on caring when I worked on 4 East. Thank you Becky, Angela and the 4East team. It was a great experience.
Thank you to those of you who would like me to do In Your Shoes with you. I have upcoming sessions with our PBX Operators, one of our surgeons (no, I will not be performing surgery) and our nurse navigators. I look forward to hearing your In Your Shoes stories. The experience will certainly give you a greater perspective.
Friday, September 17, 2010
Thursday, September 16, 2010
It is interesting to reflect back on the many challenges faced over the past couple years and also a time to reflect on all the good... This morning, while driving into work 810 radio was discussing the Kansas City Chiefs game as they beat the San Diego Chargers. One of the comments brought up was the fact that the team is not perfect and has lots of things they could continue to build on this year and over the next few years. However, the city needs to 'allow ourselves to celebrate'. It is easy to beat up on all the bad or all the potential opportunities but we need to allow ourselves to celebrate the good. The same need to celebrate the good exists in all of our organizations along with the need to evaluate the ways to continually improve.
This brings me back to last night's presentation with the students. We have seen many changes st SJMC over the past few years and I am so proud to be a part of this organization and the great care we provide to those we serve. One of the students mentioned that she had worked at the hospital 5 years back and realized some of those similar challenges existed back then. SJMC has seen strong growth in our volumes and improvements in quality and satisfaction. Certainly cause for celebration.
The students asked great questions which certainly kept me on my toes. We discussed key skill sets needed for the healthcare field. I think the needs are critical thinking/analytics, process improvement, writing and relationships.
I am interested in hearing your recommended skill sets for our future and current leaders?
Sunday, September 12, 2010
Sunday, September 5, 2010
With 2 weeks left until my first Half Ironman triathlon, I headed out this morning for my last brutal workout before the taper phase. I went out for a 15 mile run and 1.3 mile swim and it provided me some time to think about service (actually that is what popped into my head - one never knows what will come to mind during a long stretch of time). Along the route, I came across a golf course where my 'birthday' friend was playing. I saw the 'cart person' come around and stopped her. I asked her to relay a message to my friend when she saw him...within 15 minutes, I received a call from him that the message was received. I was very impressed that the message was provided so quickly. She was truly wired for service.
Then, I made a stop for some water at a restaurant and the people working there were so nice even though I technically wasn't buying anything. They treated me well knowing I may be back after the workout or another day for lunch - a potential future customer.
After the run, I went to swim and tried out a gym where I had a pass. Wow, there was essentially a full spread continental breakfast in the locker room. It was clear to me why people spent just as much time in the locker room as they did working out. Again, taking note that organizations are continuously elevating the bar to ensure customers stay loyal to them.
After the swim (and a bagel and coffee to go), I headed to Bayshore Mall. If you haven't been to Milwaukee recently, or ever, this is a totally new look than 5 years back. There were many shops and restaurants. I was really impressed with the Apple Store. I walked into the store a saw a huge crowd of people. Halfway into the store, I thought this was going to take too long so I almost turned around to leave. Just then, one of the sales people, asked me if he could help, found what I needed and went to ring me up. I asked if I had to wait in the long line at the front. He indicated they now could check me out from his 'office' located anywhere in the store. With his hand device, he scanned the product and my credit card and emailed my receipt within a couple of minutes. He said, 'what seems strange now, will be the expectation in the future.' He is right...think about the start of credit cards at the gas station pumps, the increased use of ATMs instead of walking into the bank, self check-out at the grocery stores...obviously, these are just a few basics but the world has changed what we expect from the time we thought 'this seems strange'.
This is how we will have to change how we do things in our healthcare system. Yes, things have evolved and technology has helped. However, we do still have a ways to go to ensure we provide the experience our patients, physicians and associates expect every time they are in the hospital. We also need to look at ways to make things more forward thinking and intuitive based on where we expect the next set of expectations.
I look forward to hearing the forward thinking changes your organizations are making towards those next set of expectations.
Wednesday, August 25, 2010
The 2p shipment just arrived. Our task was to get the right products to the right department for our patients. Easy right? Absolutely not! First, we had to match the order with the boxes. Of course, the shipments did not arrive with each order on the same pallet. This added a lot of wasted time for us. I was certain that those sending the boxes were just playing games with us. Could you imagine looking for cereal at the grocery store only to find the different brands spread over 5 aisles. Phines was so good that he pointed to a box I was looking for without even seeing the label!
At one point, I picked up the boxes and Phines said, "Hey, no Mighty Mouse in here. Use the cart. We need everyone safe and back to work tomorrow."
Thank you Steve F, Regional Manager, for your support and to my two bosses Phines and Antonio.
Perhaps we have to do a contest where Laura redecorates your office!
I look forward to hearing from you.
Tuesday, August 24, 2010
Saturday, August 21, 2010
Thursday, August 19, 2010
When Vanessa went on break, Evan, our back-up Barista and Food Service Associate came over with Laura, our new Associate. She did not know I was the CEO and asked Evan why I was not given a 15 minute break with Vanessa. I let her know that 'Vanessa would not allow such a break for me.' I did see Laura later and we enjoyed a laugh about her concern for my well being- thank you Laura.
Wednesday, August 18, 2010
Thursday, August 12, 2010
My grandmother-in-law ('grandmother') is living on a memory unit in a long term care center. One day the residents were going around the room sharing their favorite desserts. The lady before her stated her favorite deserts were Sundaes. My grandmother stated that her favorite were 'Mondays' and she proceeded to laugh...
We just returned from a family wedding and flew there/back. On the way back, my kids were reviewing the drink options - my daughter tried a cranberry juice...
A while back I discussed one of our executive retreats. We talked about 'understanding separate realities' and coming fom a place of 'curiosity vs. judgement' when trying to learn more about another person and what they are really thinking for feeling - their true motives. Well, in the cases above, the following took place:
The staff member on the memory unit shared with my mother in law that my grandmother indicated her favorite dessert was a Monday and that she was confused. My mother in law stated that this happened to be an ongoing joke my grandmother liked to share so actually she was showing some good signs of memory...
When I asked my daughter why she chose the cranberry juice, she stated that she did not know it was offered on planes until now. She actually took he time to explore all the various beverage choices. I can't remember the last time I did that and their were some different options now...
Basically, it was interesting to me that when more questions were asked or the situations were further explored, we found out another perspective.
In the workplace and in our own personal lives, it is very easy to get caught up in one perspective, especially when we may tend to believe that perspective as well. I would encourage everyone to get that extra perspective or two so you could truly validate what you think you are hearing or seeing. It is certainly not easy for me to remember this at all times but a great reminder when I get that extra perspective.
Tuesday, August 3, 2010
I saw a very good article in Kansas City's very cool magazine, 435 South.
Check it out. Very informative and truly provides some ways to make all our communities healthier.
Wellness Wisdom by Mitzi Dulan, RD, CSSD
Have you ever heard you should “eat clean” but didn’t really understand exactly what it meant? Simply put, clean eating is to eat food as close to nature as possible. It means you avoid artificial ingredients (colors, flavors, and sweeteners) and highly processed foods. By eating clean, you will improve your energy levels and get leaner. Here are my top tips for eating and living clean.
1. Drink ½ your body weight in water. Take your body weight in pounds and divide by two. This number is how many ounces of water you should be drinking each day. If you want to add a little flavor squeeze a lemon into your water.
2. Slow it down and savor. Eating should be an enjoyable part of life. Take your time to embrace the slow food movement by savoring the flavors of your meal while enjoying a good glass of wine. Most importantly, allow yourself time to relax and be fully present to spend time with your family and friends.
3. Eat healthy fats. Most people have heard that trans fats are the worst type of fats for your body and you should aim for a consumption of ZERO trans fats. You want to focus on eating more foods with omega-3 fats such as salmon, halibut and walnuts.
4. Avoid artificial ingredients in your foods. Aim to eat clean, real foods with simple ingredients that are easy to pronounce. The shorter the list the better. Reading an ingredient label shouldn’t feel like you are taking a chemistry test.
5. Pack it up. Make some meals like black bean soup or clean chili and pack it up for a clean lunch the following day. This helps you to eat clean and also save money.
6. Avoid the clean plate syndrome. Do you always clean your plate? If so, I’m giving you permission to leave food on your plate. In fact, I’m encouraging it! Unfortunately, you aren’t helping the starving children of the world by stuffing yourself at mealtime. Please stop eating when you feel satisfied; not full, stuffed or sick. This saves calories and helps you feel better.
7. Avoid drinking calories. Calories from soda, juice, and high calorie coffee drinks can sabotage your weight loss efforts and don’t satisfy your appetite. Did you know drinking an extra 150 calories a day can pack on an extra 15 pounds per year?
8. Eat a source of protein at every meal. Protein keeps you satisfied and helps prevent food cravings from sabotaging your diet. Aim to get at least 20 grams at breakfast and 30 grams at lunch and dinner.
9. Start lifting. I’m definitely an advocate of weight training and that is for all the ladies, too! Aim to do about 10-30 minutes of weight training three times per week. You can buy some inexpensive dumbbells at Wal-Mart or Target.
10. Avoid eating after dinner. This one is HUGE and has helped countless numbers of my clients to successfully lose weight. By avoiding these extra calories you will promote a weight loss. Which would you rather be doing while sleeping: burning fat or digesting a meal? If you want to burn fat then skip the after-dinner eating.
11. Get moving! Alternate jogging and walking with a goal of eventually building up to 30 minutes four to five days per week. Aim to sprint for 15 seconds and then walk for 45 seconds while gradually adding more minutes. (Always talk to your doctor first prior to starting an exercise program).
12. Out with the white, in with the whole grains. No more buying white pasta, white bread, white rice, etc. Instead, choose whole wheat pitas, whole wheat pasta, whole wheat bread, oatmeal, etc.
13. Record your food intake daily. Research shows that people who lose weight and maintain the weight loss are more likely to log their food intake. Food logging keeps them accountable. If you have an iPhone check out the Lose It application which allows you to log your food intake and track your weight loss.
14. Aim to eat at least one plant-based meal each day. We know that eating more plants is good for you. This will also save you money and is good for the environment. Just make sure even when you are eating plant-based that you still include foods like beans or quinoa.
15. Remove five highly processed foods from your diet. You want to eat fewer packaged and processed foods so write down five processed foods that you are throwing out of your refrigerator and pantry RIGHT NOW!
Thanks 435 South...
I look forward to hearing some other health & fitness tips you'd like to share.