We are half way through the year so the status of the 2013 Shared Success program is becoming an attention grabber. In this program the maximum compensation for staff is $750, or $250 per each of the three metrics below, so far 2 of 3 are on target.
Each of these metrics were birthed from the idea of aligning teams and promoting excellence is three critical areas Financial, Quality and Customer Service. This is year two if our staff shared success program last year $350 was awarded to staff for quality and customer service.
#1 Financial -Productivity YTD as of July 13 is 101% the average daily visits have been 205. We budgeted for 200 visits per day. The year to date visits as of July 13 is 40,138, In 2012 we had just under 73,000 visits, at the current rate 75,000 is possible. The probable addition of thousands more ACA Medcaid” patients will simply stress an already ACCESS crippled system.
#2 Quality Blood Culture rejection rate <3% we have the best score of all 10 Sentara Hospitals. WE are consistently below the 3% threshold on weekly blood culture rejections rates. There has been steady sustained improvement of 35% increase in compliance the last 3 years, starting at 45% now at 78%.
#3 Customer Satisfaction survey the Sentara system wide goal is 80% percentile ER is below 80% at this time. I really feel the “White boards” in each patient room with bedside report will boast scores. It was great to see the ER start these 2 weeks before the rest of the house.
Monthly ER Dept meetings Over last 5 months attendance has grown from 30% (20 staff) to 66% (95 staff) we start using call-in option three months ago. The goals are get the audience and have a powerful message. It is fantastic the share the many success stories especially were the ER Team is Number 1. Leaders must promote excellence and show their pride with their teammates. “Talking up” the ER Team both publically and privately is greatest gift Stammy has given them over the last 5 months. John Maxwell calls this the Law of Lid, set the Lid low and you promote poor outcomes set the Lid high and you promote great outcomes.
Two awesome success stories to share…
One June 30th most of Virginia was hammered with powerful storms that left 1.2 million people without power. It took a week for everyone to get power back. The next day we saw 247 people, many without electricity hampers the use of oxygen concentrator and air compressor for MD, both powered by electricity. There were traumas patients who were unable to be transferred because the closest level III trauma center was on divert.
On July 15th one of my senior RTs called to tell me how great the ER team had handled a very difficult patient. a 57 year old man who had had some chest pain followed by an episode of unresponsiveness. He was a very difficult intubation, and ended up performing a tracheostomy to obtain an airway. The procedure was hard, and the pt ended up losing a lot of blood. Soon, there was general surgery, ENT, pulmonologist, and RT in the room along with a handful of nurses and techs. The patient lost his pulse a few times, but they were able to get it back. After 2 hours they were finally were able to get him to CT. It showed several large PEs in his left lung. The teamwork was awesome!
Safety Success Stories
My “street safety:” education continues. An ER RNs “internal smoke detector” was alerting her when a patient was cleared with the hand scanner for metal. She pursed it and discovered the patient hide a razor blade in ER patient room before leaving room before being scanned. While gone for test the RN found razor blade on ER Room. Later discovering the patient also hide razor blade under bandage on arm. Wow! Lesson to everyone ALWAYS listen to your internal smoke detector. Lesson to leaders ALWAYS thank staff for doing this, no matter if they find anything.
Hurray! Consumer Report rating RMH received a safety score of 63 out of 100 from the independent consumer-product rating organization, ranking it second highest in the state of Virginia on the published list. Consumer Reports used information from the Centers for Medicare and Medicaid Services and from the state to compile its rankings of 1,159 hospitals nationwide. The report analyzed hospitals across the country in six areas: infections, readmissions, communication, CT scanning, complications and mortality.
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Another example of “what you promote you permit” is the time has come to confront internal covert negativity, lack of respect, etc. The plan was to build relationships while we quickly dissected issues so we knew the correct answers. The time has come for vast majority to be given the truth “correct” answers to bedrock issues. They want something to cheer for! So we are teaching leaders how to professionally publically confront “Bullies” “Horizontally Violence is a sad reality that is quickly being recognized legally. So if we permit it we promote it, it is time to put on the big boy and girl pants stop this, OUR patients and teammates deserve better.
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