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  • Hospital Impact - Optimal healing environment encourages community wellness
    focus on our community s health wellness and well being the ideas came from everywhere well at least once people realized we were not losing our mind The Pathway to Discovery serves as one practical element of an optimal healing environment OHE based on Samueli Instituteâ s framework It focuses on healing spaces It will include A functional clinically integrated outdoor rehabilitation space for physical occupational and speech therapy A pathway with exercise stations leading to our on campus pond and walking path A healing garden next to our women s care entrance An employee entrance park based on an urban park setting in Savannah Georgia A renovated courtyard phase 2 based on the historic Paley Park in New York City We also had a chance to celebrate with our community and showcase our current Arts in Healthcare Exhibit and Food is Medicine Exhibition two additional elements of an OHE By Thanksgiving this first phase should be complete enjoy it if you are running our Turkey Trot We invite you to visit and understand how you can easily transfer similar aspects to your organization Provide your influence now Scott Kashman serves as the chief administrative officer of Cape Coral Hospital part of the Lee Memorial Health System in southwest Florida Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid addiction superbugs Zika outbreak White House seeks 1 8B to respond to virus More hospitals replace nurseries with rooming in with moms Hospitals must train millennial nurse leaders in empathy frontline engagement St Louis hospital creates unit to improve outcomes through innovation 4 ways hospitals can foster family centered care

    Original URL path: http://www.hospitalimpact.org/index.php/2014/11/06/p4961 (2016-02-10)
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  • Hospital Impact - Managers: Set clear expectations to bolster efficiency among healthcare team
    immediately said no She asked if she s ever accused me or expressed concern that I wasn t treating people fairly while holding the department team accountable I said no She said what s the worst thing that could happen to you I shared the fact that she could fire me She agreed and went on to ask Don t you think you would have some warning if this was going to happen or if I had concern with your performance Yes that certainly made sense More She went on to say that if that was the case it would be no surprise and that there would be plenty of opportunities to improve or realize I needed to look elsewhere She said this was not the case In fact she shared This has shaken you up and you need to take a breather for the rest of the day and evening Come back tomorrow refreshed as your authentic self Let your team know what you expect the direction of the department and solicit and listen to their feedback We moved our team in a great direction by using an appreciative inquiry approach Our team really started to rally around our goals looked at themselves in the mirror understood where they could do better and shared where they needed my support Recently I had some managers find themselves in a similar spot My guidance is to stay strong be yourself provide clear expectations and direction and listen to where they need your support So basic So obvious Yet not easy to do with all the other noise we get on a daily basis Leaders our teams need us to lead and influence We know there are days we fall flat on our bottom That feeling stinks and yet it s those times we grow the most as leaders Those following you and influenced by your actions may feel even stronger when they see how you handle adversity Only when you have the real rough days can you appreciate the great days If you fall Get up shake it off and move on as Marty Ryan my great friend and college roommate used to tell me Lead on Scott Kashman serves as the chief administrative officer of Cape Coral Hospital part of the Lee Memorial Health System in southwest Florida Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid addiction superbugs Zika outbreak White House seeks 1 8B to respond to virus More hospitals replace nurseries with rooming in with moms Hospitals must train millennial nurse leaders in empathy frontline engagement St Louis hospital creates unit to improve outcomes through innovation 4 ways hospitals can foster family centered care Pediatric ER seeks to limit stressors for autistic patients Nurses hospital groups clash on Massachusetts bill to improve response to violence Superbug

    Original URL path: http://www.hospitalimpact.org/index.php/2014/10/02/managers_set_clear_expectations_to_bolst (2016-02-10)
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  • Hospital Impact - Small hospital changes can make big healthcare impact
    environment as guiding principles That challenge still remains How can we informally and formally get those ideas from people closest to our patients We use huddle boards staff meetings and rounding which help What do you do in your organization I enjoyed learning from some high school students who used to meet as a group to brainstorm ideas They would reflect on the following I hate it when I wish I could Then they prioritize based on the goals of their project and the estimated resources needed Sounds simple yet it is something we could do even better in healthcare the mindset of continuously improving with a smarter use of our resources So should the future of healthcare concern us Of course Our industry is very challenging but I m optimistic because it s in our hands to make the necessary changes needed within the resources provided As the students asked I hate it when I wish I could Based on the answers to those questions what s one change you and your organization could make starting next week that would add value to your patients and further the organization s mission Let s continue to work together and learn from each other so we identify even the little things that we could change that will make a big cumulative impact in years out Scott Kashman serves as the chief administrative officer of Cape Coral Hospital part of the Lee Memorial Health System in southwest Florida Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid addiction superbugs Zika outbreak White House seeks 1 8B to respond to virus More

    Original URL path: http://www.hospitalimpact.org/index.php/2014/08/21/small_hospital_changes_can_make_big_heal (2016-02-10)
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  • Hospital Impact - Healthcare lessons from Captain Carmine Marceno
    the quick fix a pill After all that s what we have essentially taught society There is a pill for everything And while the pendulum seems to be slowly swinging back we have a long ways to go towards a balanced nutrition discussion and integration More How do we make the change No doubt it will not be fast I ll take a conceptual model just shared with me by Captain Carmine Marceno of the Lee County Sheriff s Office a friend and law enforcement professional He drew a triangle with 3 words Desire on top Ability in the left corner Opportunity in the right corner He let me know we cannot stop someone s desire In his world that meant crime drug use etc Specific to nutrition this means the desire to eat sugar fat and salt By changing the ability to access these desires you limit the opportunity For example if someone has a desire to steal and you leave your car door open they have the ability to access your car more easily and the opportunity to steal your possessions By locking your car you limit their ability to access the inside of your car and therefore limit the opportunity to break in and steal your belongings By comparison as we increase the ability for people to access healthier and tastier food alternatives we will see an increased opportunity for people to live healthier lives There may still be a desire to seek out more salt fat and sugar infused items We do not have to be the providers After all when is the last time you went into a gym and they offered you potato skins and fried chicken behind the counter How about walking into a spa and being offered wings and soda You will not find this because they represent health wellness and well being So do our healthcare systems As healthcare providers we took a stance to reduce the nation wide increase in people seeking pain medications through our emergency departments When should we take a similar stance with the food we offer our patients Captain Marceno put a stake in the ground and shared what he represents and role models So as you think about our obligation in healthcare how are you increasing the ability for people to access healthier choices and have the opportunity to live healthier lifestyles I look forward to hearing from you Scott Kashman serves as the chief administrative officer of Cape Coral Hospital part of the Lee Memorial Health System in southwest Florida Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid addiction superbugs Zika outbreak White House seeks 1 8B to respond to virus More hospitals replace nurseries with rooming in with moms Hospitals must train millennial nurse leaders in empathy frontline engagement St Louis

    Original URL path: http://www.hospitalimpact.org/index.php/2014/07/10/healthcare_lessons_from_captain_carmine (2016-02-10)
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  • Hospital Impact - Healthy eating at hospitals: What's our obligation?
    about two minutes for our community to understand what we stand for in an organization whether it comes to service care safety and healthier living Our organization has made strides towards these areas above and it s just a start we have a long way to go Here are some of our efforts Applied nutrition science We made several changes resulting in an increase in sales We apply this mindset to our offerings and research better sources of sustainable products less influenced by pesticides antibiotics and additives Increased the percentage of whole foods and healthier options including a salad bar and smoothies made right off the salad bar selection There are zero added sugar products in these smoothies Added grass fed and lean bison burgers Removed the fryers and started baking french fries and tater tots although offered on limited days Reduced carbonated soda resulting in almost 300 000 in cost savings Added healthier vending machine options and reduced the overall vending machines hospitalwide Increased the percentage of food from local providers Access Expanded access in our cafeterias and wellness center cafe We also added a weekly farmers market during seasonal months Added more grab and go healthier items for people to take home for dinner Collaborated with a local health food grocer to provide more alternatives for those we serve Policy and price Adopted an organizational philosophy towards optimal nutrition and defined what it meant supporting whole foods while avoiding highly processed foods and concentrated sugars Promoted newborn breastfeeding We do not provide marketing materials from formula companies but instead great services to help mom and baby connect and promote breastfeeding We also became the first hospital nationwide to provide a gentle caesarian section to triplets Agreed to provide whole foods and healthier options at a lower cost to take the cost factor out as a reason people would not eat healthier Participate in the Healthier Hospitals Initiative to leverage knowledge and success stories Education Prepared to start our first stage of our Pathway to Discovery supporting an optimal healing environment and focus on health wellness and well being It will provide a pathway around our campus and include an outside therapy area for patients needing physical and occupational therapy It will include a teaching garden to educate children about nutrition and staying healthy The Pathway will be open for our entire community and support a positive environment for prevention and improvement of the major chronic health concerns including heart disease diabetes hypertension chronic obstructive pulmonary disease obesity osteoporosis and mental health Partnered with some key physicians to educate our medical staff on engaging nutritionists to tailor patient care plans Worked to add more labels specific to calories sodium fat content sugar and cholesterol Added a red yellow green sign around our salad bar to promote a higher percentage of veggies in our smoothies Our organization is just in its infancy towards these changes As healthcare leaders do you think it is our obligation to offer healthier options in

    Original URL path: http://www.hospitalimpact.org/index.php/2014/06/05/healthy_eating_at_hospitals_what_s_our_o (2016-02-10)
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  • Hospital Impact
    best I hoped to still enjoy myself and have a good race I have a few people who stand out and mentally push me at every local race I noticed one of them Aob name disguised for confidential sake was not racing He was cheering runners on a few miles into the race In three races the two of us had less than 5 seconds between our finishes after a total of 19 3 miles In some ways I was disappointed he was not racing Read more Leave a comment Connect with employees to drive hospital performance January 15th 2014 by Scott Kashman I have been getting ready for next month s facility specific orientation towards our hospital and health system goals It is a way for our leadership team to connect with every employee physician and volunteer In turn everyone ideally will understand their specific role in alignment with the goals of their department the hospital and Lee Memorial Health System in southwest Florida We are calling it Connectivity It will involve several presentations and we also will bring an abbreviated version to areas as needed Each presenter must focus on key talking points no more than three key points and no more than six minutes per presenter Read more Leave a comment Develop caring moments for patients December 18th 2013 by Scott Kashman and Joan M Odorizzi As we go about doing our particular work each day it is important to create personal and caring moments for our patients and each other These moments are part of your daily or weekly work In a caring moment you would intentionally choose words and actions that send a message to another and enhance their well being In other words an employee can give a patient a warm face cloth before eating and that in itself is a good thing You can create caring moments by talking with the patient and sharing why you are doing so Tell them you are doing this especially for them to help provide some comfort during this difficult time Caring moments take only seconds of time and have a lasting goodwill effect on someone else Your intent to create these moments changes good experiences into meaningful and caring moments Read more Leave a comment How to build momentum in healthcare November 12th 2013 by Scott Kashman I recently graduated from our Leadership Cape Coral class Lucky 13 and the best class ever where we had a chance to learn about different businesses and leadership styles around our community Last year I provided the commencement speech and this year I went through the program Yes somewhat backwards Looking back I would have slightly changed my message after gaining more perspective of the program See at times we provide leadership without enough intention or understanding of our own environment and culture We need to understand where we are and provide a clear direction on where we are going and how we will get there together Read more

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=scott%20kashman&page=1&disp=posts&paged=4 (2016-02-10)
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  • Hospital Impact - Lessons from Uber car service: Take hassle out of healthcare
    to go and you can get a fare quote Satisfied Then request a driver No need to move from where you are You can track the driver on the app as you watch the car icon get closer The app informs you of the estimated time and the driver can call you to make sure he or she is going to the right place and knows for whom to look That s because when you filled out your profile you provided your phone number Three times I used the app and within minutes the driver was there A fourth excursion was by subway Check out Uber s cousin Hop Stop for a similar metro experience They are not affiliated by the way All of the cars were nice the drivers friendly Yucky moment Paying for the Taxi With Uber your credit card is on file The fare quote you receive includes a tip No cash is ever exchanged It is seamless You simply get out of the car and get on your way No trying to count out cash and doing the math on a tip Yucky moment Luck of the draw on what kind of driver who shows up All of our drivers were incredibly friendly And they were incredibly happy to be working for the car service They talked about having less pressure making their own hours Make no mistake these drivers are screened thoroughly and with every ride you rate them on the app All of my drivers received fives the highest score So hiring for fit assures you have a pleasant ride with a pleasant driver And while I have not experienced this yet drivers tell me that they get to rate passengers and bad passengers could be banned from using the service I probably did a great job of selling you on Uber But here is the healthcare correlation We have thousands of yucky moments in the healthcare experience Instead of mapping the experience we should start looking at the real acute messes in the experience of care Uber nailed it hailing a taxi and paying the bill What are your yucky moments Fix them and I bet experiences will improve dramatically Anthony Cirillo is president of Fast Forward Consulting which specializes in experience management and strategic marketing for healthcare facilities He also is the expert guide in Assisted Living for About com Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid addiction superbugs Zika outbreak White House seeks 1 8B to respond to virus More hospitals replace nurseries with rooming in with moms Hospitals must train millennial nurse leaders in empathy frontline engagement St Louis hospital creates unit to improve outcomes through innovation 4 ways hospitals can foster family centered care Pediatric ER seeks to limit stressors for autistic patients Nurses hospital groups

    Original URL path: http://www.hospitalimpact.org/index.php/2014/07/02/lesson_from_uber_car_service_take_hassle (2016-02-10)
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  • Hospital Impact - Do the right thing for better care delivery
    one of the players doing the carrying She continued All I knew is we were doing the right thing Please watch this video then come back Really watch it Nine year old Myles Myles Eckert from the video said in his note Dear Soldier my dad was a soldier He s in heaven now I found this 20 in the parking lot when we got here We like to pay it forward in my family It s your lucky day Thank you for your service Myles Eckert a gold star kid After you wipe away the tears grasp how big a moment this was Here is a kid finding a 20 bill on the sidewalk outside a Cracker Barrel and giving it to a soldier No one told him what to do But being brought up in a family with values of paying it forward Myles knew what to do He knew the right thing to do In a pressure packed highly competitive healthcare environment providers are paid to do the right thing as measured by irrelevant HCAHPS questions Employees receive or don t financial incentives for scoring high in patient satisfaction for their unit This is not a competition people Yes the experience of care can be a differentiator But people know when it is artificial Do the right thing Consider one of the four principles of happiness we teach in organizations Be conscious which involves being simultaneously aware of what you are doing and how you are feeling so your head and heart can work together It means being awake now rather than ruminating on your past and your future I call it being in the moment Cleveland Clinic recently instituted no pass zones For example if a patient s call light is on and you are the first person passing by the room no matter who you are or what your role it is your responsibility to go in and see what is going on and how you can help I wonder how many times people pass by rooms because tunnel vision is taking them to their next appointment So take a breath Be in the moment Understand what you feel Understand what the patient visitor or caregiver feels Then simply like Myles and Chelsea do the right thing After all it s kid stuff Anthony Cirillo FACHE ABC is president of Fast Forward Consulting which specializes in experience management and strategic marketing for healthcare facilities He also is the expert guide in Assisted Living for About com Leave a comment Please enable JavaScript to view the comments powered by Disqus Enter your search terms Submit search form Web www hospitalimpact org Get Hospital Impact in your inbox Healthcare Industry news Final Obama budget takes aim at opioid addiction superbugs Zika outbreak White House seeks 1 8B to respond to virus More hospitals replace nurseries with rooming in with moms Hospitals must train millennial nurse leaders in empathy frontline engagement St Louis hospital creates unit to improve

    Original URL path: http://www.hospitalimpact.org/index.php/2014/05/30/do_the_right_thing_for_better_care_deliv (2016-02-10)
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