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Surprise Surprise "The Home Coming" Interim Director of Heart and Vascular Center #3

By William Holland MS CRTT, RRT FAARC posted 01-24-2015 12:53

  
Sorry it has been three months since the last Blog...time flys when you are having a good time (or you are up yo your _____ with alligators) ....

Complexity-the organizational structure is complex unlike RT. RT is smaller, more agile, quicker to adapted to change. HV has three times the number of physicans. The number of meetings has tripled. Often they are "after work" 1730 to 1900 ....this is hard since my day starts in RT at 0630. The phyisican leaders have responded well to streamlining agendas and finishing on time. It is critical to keep phyisican leaders engaged...yet they rarely communicate with there partners.

Ebola ? Nope...The Flu-We trained so much for Ebola but the Flu has kicked our butts. We have been on Divert because of staff illness especially. HV has been awesome. They have come in extra on weekends to keep Echos, Stress tests, and PVLs studies so patients can the discharge sooner, also the Cath lab team added a second Stemi team to help support ICU staff while we find beds at other hospitals.

Serious Safety Events-my training as a safety event investigator has been of great value. We had a safety event that included four cardiologists, three pharamologists, and two nurses with medication called Tinkson. The swiss chess holes lined up...I am blessed to have amazing EP phyisican who agreed to help us improve the process. It was very interesting sharing the timeline of the event with him. It really "made the case for change"

Intergration with Sentara systems-As of Jan 1st we have switched over to five major "corporate or sentara systems" Payroll, Supply ordering x2, HR, and invoice paying. It is very good we donot know who made this decision.....There is a country song  "response What was I thinkin" by Deirks Bentley....My response would have been like the father with the shot gun...just joking ...

Hard Decisions-there have been some hard personel decisions, a few staff have simply not met expectations. So we have worked closely with our HR team and held folks accountable. Their peers and now former peers have been very apprecative.  I was once told I would spend 80% of my time with 20% of the staff ...the 20% Low performers. That is Nonsense!!! That means the 80% that deserve our attention DONOT get it! The 20% are parasites...( I didnot use that word with HR)

How can I help you?  what do you need from me? I tried something diffferent with my six managers in PS, Chaplain, and HV. I try to ask them often How can I help you ? or what do you need from me? With all the change I must lead by first giving grace. It has been exciting having an addtional 60 people to learn from....


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