Sunday, August 1, 2010

Improving Mind, Body and Spirit: My 'In your Shoes' Experience

So I had a chance to work with the wonderful team on 4West, our critical care step down unit. I did have a badge made up which included my name and the unit name only. Sometimes, I find that people are 'title' watchers and may change the way they act based on your title and role in the organization.

Everyone on the unit was very welcoming to me. The moment I arrived, Lauren (the Charge nurse - and my boss for the shift) called me into an isolation room with a patient. We had to put on a plastic gown and gloves. Within about 2 minutes, I was overheating and probably looked like I was in a sauna. As a runner, I must tell you, we have to find a more 'breathable' gown (hey, maybe DryFit) that is staff friendly, compliant with our regulations and cost effective.

I had a chance to see the compassionate one on one care our patients need and deserve. It was suggested that we should try to get even more volunteers to help sit and talk with the patients. It could certainly feel pretty lonely hanging in a hospital 24/7 for 3-4+ days.

I was shown our incident report so I could better understand the complexities to filling it out. As an organization, we want to increase the number filled out so we could continue to learn and improve how we provide the safest care to our patients. I had a few minutes of downtime and headed to the Emergency Department to see how things were going and if they needed any assistance. I was asked to take a patient from the Emergency Department over to Radiology. A funny thing happened on the way...I sometimes forget how challenging it could be to move the beds through the hospital. Though I did not hit any walls, I better understand how it could happen. Those beds have a mind of their own. Along the way, I realized that I usually go a different direction to get to Radiology and was almost lost in my own hospital...I'll work on the signage! After dropping off the patient, I let the Emergency Department know the hand-off was complete and headed back to 4West. It was dinner time and I had the opportunity to feed a patient. What a rewarding experience this was for me. It allowed me to better know one of our patients and the experience she was having in our hospital. Of course, when one of the nurses came in I accidentally dropped a strawberry on the patient's lap. I apologized to the patient and and let the nurse nurse know that food was not dropping on the patient's lap through the entire feeding. As I went to leave for the evening I grabbed my drink from what I thought was a 'compliant' location. Well, the team busted me and coached me to put in the staff lounge next time.

Overall, it was a very humbling and rewarding experience. I can't thank the team enough for sharing their time with me.

The care we provide to our patients, truly starts with the care with provide to each other. Our mission focuses includes the following statement:

Our commitment to human dignity compels us to provide compassionate, quality health care for body, mind and spirit, with a special concern for the poor.
What does body, mind and spirit mean? A basic definition is viewing the totality of your mental, physical and spiritual states to arrive at a point of balance between them. It's the essence of the word "holistic" which means to take into consideration all aspects of a person's being rather than just the physical. (Source: http://www.energy-healing-info.com/mind-body-spirit.html)

This has always been important to me and sometimes you need to 'walk in other's shoes' to get additional perspective. We will continue to focus on the mind, body and spirit of our associates volunteers and physicians so they could provide the same for our patients and their families and friends.

Thank you again Lauren and the 4West Team.

I look forward to understanding how you and/or your organization address mind, body and spirit and how you measure the improvement.

Tuesday, July 27, 2010

Not So "Undercover"...In Your Shoes


This Saturday afternoon I will "walk in the shoes" of one of our nurses on 4 West. The nurse joked this was a real life "Undercover Boss." With humor, I let her know since I will work for her and she just shared my work plans with the 4 West team, it did not seem too "undercover."

I look forward to Saturday. For all St. Joseph Medical Center associates, please let me know if you would like me to "walk in your shoes" next.

Monday, July 26, 2010

What Does Retreat Mean to You?


A few weeks ago I met with our Spiritual Care Department. One of the the associates mentioned a Senior Leadership retreat. She said (and I paraphrase), "Scott, you mentioned the Senior Team had a retreat. Is that similar to our retreat where there is lots of reflection and relaxation?" I said it is relaxing but perhaps in more of a "business' way. We did have a chance to reflect with one another and we addressed priority business needs for the organization. We even started the day with a great check-in to see if there were other concerning issues in our lived so we could have a greater perspective of one another during the retreat.

One our Executive Team members brought this cartoon to me from Harley Schwadron. I called Harley and asked if I could post on this blog as it was so fitting. Check out his website and cartoons http://www.schwadroncartoons.com/.

Thank you Harley.

Thursday, July 22, 2010

Employee of the month - July










Congratulations to Joyce Mayfield, our July Associate of the Month. We usually celebrate outside our cafe but this time Joyce asked for a change in venue...in our newly renovated Bono Garden. Joyce led the efforts to renovate the Bono Garden and our 'Green' efforts in addition to her full time role in our Risk Management office.

Congratulations Joyce.




Wednesday, July 14, 2010

ZUMBA Time at SJMC



Zumba classes started. I had a chance top join in for one song (that was tough enough) along with our KU Intern Ben M. The class has such a great energy leve to it.

If you are interested in participating, please call 9432190. Zumba classes this are in the Community Center - Greenlease Room

- Mondays/Wednesdays 5 – 6 pm
- Tuesdays/Thursdays 4 – 5pm
Perhaps next time I could make it thorough two songs and NOT wear my suit.

Monday, July 12, 2010

Hospital Compare - Updated HCAHPS

The updated HCAHPS are out. I have included the link and the latest Table of Data shown.

Running a hospital is an amazing challenge and very rewarding. It is rewarding given the impact we have on those we serve - for me it certainly outweighs the time, navigation through changes, persistence and continuous improvement needed to work through the daily challenges.

Our patient experience (satisfaction) has remained strong. We have seen growth for the first time after a flat and downward trend in volume for 7 straight years. Our quality outcomes have remained strong. In addition, we have more physicians practicing at the hospital than we have over the past couple of years. As you could see by the data below, so much is driven by our communication and relationship with our patients and our own team.

After a rough couple of years of a rough economy and changes throughout the hospital, we will continue our efforts to ensure our entire 'community' of employees, volunteers and physicians look to our hospital as their hospital. Our 'community' of 2,500+ are the reason we continue to provide exceptional, compassionate and quality care on a daily basis.

Survey of Patients' Hospital Experiences



HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national survey that asks patients about their experiences during a recent hospital stay. Use the results shown here to compare hospitals based on ten important hospital quality topics. Read more information about survey of patients’ hospital experiences.


XRemove hospital from comparision ST JOSEPH MEDICAL CENTERST JOSEPH MEDICAL CENTER

1000 CARONDELET DR
KANSAS CITY,MO 64114
(816) 942-4000

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2.5 miles

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XRemove hospital from comparision MENORAH MEDICAL CENTERMENORAH MEDICAL CENTER

5721 WEST 119TH STREET
OVERLAND PARK,KS 66209
(913) 498-6773

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5.9 miles

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XRemove hospital from comparision SHAWNEE MISSION MEDICAL CENTERSHAWNEE MISSION MEDICAL CENTER

9100 W 74TH STREET
SHAWNEE MISSION,KS 66204
(913) 676-2151

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6.8 miles

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Patients who reported that their nurses "Always" communicated well.72%69%72%
Patients who reported that their doctors "Always" communicated well.78%77%74%
Patients who reported that they "Always" received help as soon as they wanted.58%56%53%
Patients who reported that their pain was "Always" well controlled.67%67%67%
Patients who reported that staff "Always" explained about medicines before giving it to them.54%54%58%
Patients who reported that their room and bathroom were "Always" clean.61%54%64%
Patients who reported that the area around their room was "Always" quiet at night.54%53%52%
Patients at each hospital who reported that YES, they were given information about what to do during their recovery at home.85%81%85%
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest).64%61%66%
Patients who reported YES, they would definitely recommend the hospital.71%65%70%

I look forward to hearing from you.

Lions and Tigers and Bears...

This past weekend I went hiking and came across the following sign warning me on the danger of Mountain Lions and Bears. Clearly, some poor hiking outcomes led to some Process Improvements and the sign with a recommended 'process' when dealing with them:

- Do not scream...

- Make yourself as large as possible...

- Speak firmly...

- If attacked, fight back

Well, hospitals probably follow the 'Do not scream' mantra but the other points are better with Lions and Tigers and Bears...'oh my' (sorry - I couldn't resist). We are expected to be the safest place for patients and here is an update on 5 LEAn Six Sigma projects we are working on at SJMC. The combined projects will positively impact our medical staff, patient experience, nursing and support staff, financial performance and compliance.

- Hospital Acquired Conditions related to Blood Stream Infections

- IV Start/Stop Times to ensure documentation compliance

- Central Supply Rental Equipment to improve availability of tools and equipment for staff

- Room Notification and Handoff in Communication to improve the flow of patients
going from the Emergency Department to an Inpatient floor

- OR Instrument and Supply Availability to improve the flow of our surgical cases

Certainly we are pleased with our focus on these intitatives. They will help ensure we are the safest place for our patients and most effective place for our associates, physicians and volunteers to work.

When I compare our challenges to those posed against the Mountain Lion and Bear, I know we are in good hands.