archive-org.com » ORG » H » HOSPITALIMPACT.ORG

Total: 785

Choose link from "Titles, links and description words view":

Or switch to "Titles and links view".
  • Hospital Impact - How to eliminate disrespect in healthcare
    I recently attended the discussion touched on the notion of rackets defined as an unproductive way of being or acting that includes a complaint that something shouldn t be the way it is The problem is that rackets simultaneously present a payoff and a price Whether our complaints are justified we receive some benefit that bakes in the pattern of behavior Yet this way of being can lead to lower levels of vitality affinity self expression or fulfillment We all show up at work with baggage We all have reasons for why things are the way they are and they affect all aspects of human relationships So physicians think they are entitled Staff thinks they are not empowered Patients feel they are victims Perhaps at one time a patient experienced a situation in which they were treated poorly But they translated it into being a victim And perhaps it serves them well they may get more care showered on them but at the same time in keeping with a victim s role they sacrifice self expression and empowerment in their care A physician administrator or staff member can t simply go through communication training customer service training or compassion training and come out a better person A physician speaking to a patient more empathetically is inauthentic if at the same time that little voice in their head is saying things like This person brought the condition on themselves or They ll never stop their bad habits or Why should I treat them with respect when they don t treat themselves that way And on and on I have referenced this a few times in previous Hospital Impact blog posts a comment from a physician reader In the end you reap what you sow and it is not doctors responsibility to heal society There are a lot of other people with jobs to do and I do not see they or you coming to my house to work for free to pay off their meager 100K hospital bill to save their life 1K of which I get almost all of which goes to the bank Imagine that doctor undergoing empathy training when he looks at a patient and just sees a bill not being paid and his paycheck being affected Leape says a new expectation of respect must be built into hospital codes of conduct and performance reviews as well into the very culture of medical education In a society where people lack trust and think everyone is out to get them no amount of training or carrot and stick mentality will work I say lose the baggage get over it and live in the moment That is all you have Sure easier said than done But if you approach every human encounter that way you are open to any possibility and therefore true compassion and empathy You may discover some things that may be challenging to and about yourself that also can be transforming at the same time Your communication

    Original URL path: http://www.hospitalimpact.org/index.php/2013/01/07/how_to_eliminate_disrespect_in_the_healt (2016-02-10)
    Open archived version from archive


  • Hospital Impact - Understand the patient's passion, purpose for better care
    their community s unprecedented levels of dementia disability depression and death Martin is doing something about it He serves as the welcoming committee in his facility and has built an entire program in helping new residents not only feel welcomed but also feel validated in a life well lived with more living to do He told us on the call that as big as our hearts and intentions are in spreading principles of person centeredness what residents read patients home bound elders all of us want is purpose Of course I instinctively knew this But I have been preaching about passion and purpose for our healthcare workforce as a systemic solution to creating better healthcare experiences Maybe we need to look at this from another angle as well Maybe we need to look at our patients as they lie at our mercy and think about their purpose It is more than capturing their story as a means of building a relationship It is more than fancy marketing campaigns about getting people back to what s important It s actually about deeply understanding that those we are caring for have deep passions and a purpose in their lives And they want to get back to them Understanding what a person s purpose is could deeply affect how you care for them couldn t it Take me for example If I was your patient or resident and you took the time you would find out I am passionate about singing for our elderly My voice is a gift and I protect it accordingly So I would never want any procedures pharmaceuticals or other therapy that would damage my vocal chords You would end my life far sooner than the illness I might have We are on the outside thinking we have all the answers to what goes on in the inside of our facilities We get to go home at night after all Martin brought home two things for me One we all have purpose and if we deeply look at those in our care as people with purpose we would care for them differently and more empathetically Second Martin s voice rang so true because we CCAL have an organization that thought enough to include a resident s voice on it And that is why the work of patient family advisory councils is so important And the inclusion of the patient voice in grand rounds is equally important Passion and purpose as you understand yours come to understand the passions and purposes of those you care for every day 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 and Healthcare Channel Partner for CEO 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/12/04/understand_patients_passion_purpose_for (2016-02-10)
    Open archived version from archive

  • Hospital Impact - Building patient trust from the top down
    to drive the continuing conversation with their peers Shape the public discourse on issues Explain the advantages for customers Business must exhibit its role as community partners The IBM report perhaps frames a blueprint for how to accomplish the above Its CEO respondents desire to create more open and collaborative cultures They note that openness comes with risk so to mitigate that organizations need a strong sense of purpose and a shared belief system to guide decision making IBM suggests that as CEOs look for employees who reinvent themselves CEOs need to reinvent themselves as well In its words the CEO must organize a major wake up call and the entire C suite must lead the shift Going forward IBM continues employees must truly believe in the purpose mission and values of the organization And to develop a shared belief system employees must help create it It is eerily familiar to how we work with organizations When we reinvent CEOs and employees we call it mastering self you know that passion purpose compassion and empathy stuff I harp on each month Our CEOs create a compelling vision Then everyone from the C suite staff to the environmental services staff has a shot at it They co create the purpose mission values and vision for the organization In the process the bonds of team members are so strongly cemented that trust grows We call that mastering relationships Then a funny thing happens The vision becomes unlike anything their industry has ever seen because it is so much more than about making money it s about making meaning It turns out consumers like nice companies that care about their communities and society Those companies succeed We call it mastering a game worth playing If patients trust a person like me than they are putting that trust directly in their caregiver The patient experience starts with each individual employee Each employee is both chief experience officer and chief marketing officer And how they show up is important In a PwC Health Research Institute Report healthcare providers were compared to other industries in terms of customer experience More so than in other industries one of the biggest reasons for positive experience in hospitals was the staff Consumers are about twice as likely as those in the airline hotel and banking industries to say staff friendliness and attitude contributed to a good or bad experience Staff attitude was cited as the main contributor to positive moments of truth by 70 percent of consumers in the provider sector compared to 38 percent of retail shoppers and 33 percent of bank and airline customers A winning attitude starts with a winning vision that employees share because they created it So let s give a shout out to IBM A wake up call is what is needed in business none more so than healthcare Anthony Cirillo FACHE ABC is president of Fast Forward Consulting which specializes in experience management and strategic marketing for healthcare facilities He also is

    Original URL path: http://www.hospitalimpact.org/index.php/2012/11/07/title_72 (2016-02-10)
    Open archived version from archive

  • Hospital Impact - Unite care continuum with a common vision
    is in a crisis too Maybe despite it all the industry does not think it is in a crisis After all when asked in a Health Leaders survey if healthcare was moving in the right direction 56 percent of leaders said the industry was on the wrong track while 74 percent said their organization was on the right track This in an industry experiencing 16 percent to 20 percent CEO turnover Is healthcare too big to fail Will my fellow boomers who have let their bodies go to pieces seek care in record numbers causing record profits Or will an empowered patient change the equation Guest author Aanand D Naik in a Mind the Gap blog post adds some further perception Transparency occurs when patients understand in their gut the meaning of the health problem and how health care will impact their daily lives Patients have control when they choose not to pursue a course of action the doctor might recommend because those outcomes are not consistent with their values or the desired course of their lives In the non transparent form of PCMH access to health care improves but health costs will continue to skyrocket What we need now is real discussion of patient control and transparency rather than platitudes about Patient Centered Care And Tom Dahlborg put some of this in perspective with his May 18 Hospital Impact blog post From Dalhborg It still amazes me how important time relationship caring continuity trust and empathy are to healing AND how consistently the healthcare system considers these items as afterthoughts and or positions them as unimportant or worse sets them aside to ensure productivity and revenue generation Perhaps it is the patient we fear in the end and their ability to become truly empowered and vote with their feet The stalwarts relationship caring continuity trust and empathy seem to be lost among the disparate healthcare players in their actions toward each other The platitudes come when the movers and shakers appear on panels as if united only to go and pursue their own agendas after the show is over As summer is here perhaps this is an appropriate analogy Healthcare is like a child on the beach The shifting sands and the tides of healthcare reform swirl around He she still builds a sandcastle only to see it knocked down by the waves of reform The child could get mad and throw sand in people s faces or maybe they build something different They take the sand and the water and mix it with the cement of new relationships to build a concrete solid healthcare condo where all the players live and interact and where all patients need only one place to go for their needs Sounds childish right Even if two disparate players got together and did this it would be a great start A child on the beach is not afraid to make new friends Healthcare shouldn t be afraid either Is anyone really willing to come

    Original URL path: http://www.hospitalimpact.org/index.php/2012/07/25/healthcare_needs_a_voice (2016-02-10)
    Open archived version from archive

  • Hospital Impact
    care around this issue and I used the medical home as the foundation while also including geriatric care managers patient advocates home health and even long term care facilities in the mix But the crux is the medical home Read more Leave a comment People not hospitals change physician behavior September 4th 2012 by Anthony Cirillo A recent trade journal about organizational approaches to patient experience posed the question as to why the industry was unable to do a better job in the area of patient experience despite a stated high priority for it It then went on to describe several approaches to patient experience in hospitals And while all were solid they also were tactical and prescriptive Meanwhile another trade article about creating a culture of excellence talked about how changing a culture can take eight to 10 years And that it starts with changing behaviors using checklists working in teams and getting expert help when needed It further stated that leaders play a crucial role in changing behaviors Time out An organization or its leaders can t change someone s behavior Oh sure maybe they can in the short term when performance reviews and other carrots and sticks are on the line but it is not sustainable Read more Leave a comment Compassionate healthcare starts with you August 10th 2012 by Anthony Cirillo I was having dinner recently with a venture capitalist He just left his firm and was searching for investments He had followed the traditional route good school major consulting firm venture capital firm But he spent his days droning over statistics financials and other analytics to see what would make a good investment It became meaningless to him He felt empty He now was looking to invest in something that had meaning something he could actually see manifesting and helping others John C Maxwell has this to say about the above There has to be a certain amount of success in people s lives before they are willing to take the step to significance where they ask themselves What else is there in life beyond professional and monetary success When you move to significance you move outside yourself and it becomes about compassion for others However before you can get there you actually do have to put yourself first Read more Leave a comment Unite care continuum with a common vision July 26th 2012 by Anthony Cirillo I have attended many hospital and long term care conferences in the last few months and it has become clear There is confusion and fear in the industry And while every part of the continuum has a vision for their particular segment no one has a clear vision for how the continuum will work together Or even if it will work together Everyone seems to be hunkered down in their foxholes waiting for the next shoe to drop And at the same time industries are sneaking out of those holes encroaching on one another Read more Leave a

    Original URL path: http://www.hospitalimpact.org/index.php?blog=1&s=anthony%20cirillo&page=1&disp=posts&paged=8 (2016-02-10)
    Open archived version from archive

  • Hospital Impact - Hand washing: A simple, but effective safety solution
    For example Novant Health headquartered in North Carolina achieved 99 percent hand hygiene compliance and 63 percent reduced methicillin resistant Staphylococcus aureus MRSA infections through a creative comprehensive campaign Novant generously made its campaign materials downloadable for free at WashingHandsSavesLives org to any organization All departments at St Mary s Hospital designated hand washing champions who met monthly at first and less often as the process progressed I personally became the Administration champion Through our SSMHC planning process each department established hand washing goals aligned with our organizational goals Monthly progress based on agreed upon measures was recorded on prominently displayed departmental goal posters Lastly each individual employee at St Mary s was required to have a personal hand washing goal documented on his her Passport the personalized goals tool we provide to each staff member One of the biggest barriers we faced was our Midwestern politeness where we were reluctant to correct each other if we observed less than optimal hand washing This was particularly true with physicians An unsuccessful attempt to address this was to have people submit names of those who needed reminders each would then receive a letter signed by me That proved completely ineffective at doing anything but angering the recipients one of whom commented I wish someone would have told me when they saw me rather than me getting this letter from you six weeks later It s too early to declare victory but our results have improved dramatically We went from 76 percent compliance to more than 90 percent for the last twelve months and as high as 97 percent for two months Simultaneously we experienced a statistically significant reduction in healthcare onset MRSA from 0 362 per 1000 patient days to 0 194 per 1000 patient days p 0 003 Given these great results we also took care to celebrate our successes and the hard work of those who brought us to this point For example we provided each of our department champions with logowear embroidered with St Mary s Hand Hygiene Champion All of our efforts continue plus we re adding more all the time the latest of which is a contest encouraging staff to develop videos and or posters on hand washing We are not letting up Hand washing it s a simple but important act Yet we believe that it has dramatically contributed to helping us fulfill our commitment of providing a safe environment for those we are privileged to serve Frank D Byrne M D is the president of St Mary s Hospital in Madison Wis 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/06/19/hand_washing_so_simple_yet_so_effective (2016-02-10)
    Open archived version from archive

  • Hospital Impact
    of mentors lately with the passing of someone who was one of the most influential people in my life and my career Stan Nelson Stanley R Nelson LFACHE was my predecessor twice removed as president of Parkview Hospital in Fort Wayne Ind where I served prior to coming to St Mary s Hospital in Madison Wis Interestingly I had never met him when I became Parkview president in 1995 Fortunately a mutual friend arranged for my wife Cindy and me to meet Stan and his wonderful wife Rif 15 years ago Since that time Stan and Rif have been advisors role models and friends They served so many roles in our personal and professional lives it s hard to distinguish between the two Read more Leave a comment Hand washing A simple but effective safety solution June 19th 2012 by Frank D Byrne You wouldn t think that we d have to devote a lot of time attention and effort to getting people to wash their hands would you It s pretty straight forward Efficient hand washing is probably the least expensive and certainly one of the most effective patient safety interventions to prevent hospital acquired infections Yet hand washing results across hospitals and other healthcare organizations are routinely dismal At St Mary s Hospital in Madison Wis we were right there A few years ago our compliance of staff and physicians using accepted hand washing protocol before and after patient contact was only 76 percent ranking us near the bottom of all hospitals in our SSM Health Care system Needless to say when these results were shared we were distressed as these numbers were significantly out of line with our other patient safety indicators So we utilized our SSM Health Care culture of continuous improvement to get better Read more Leave a comment Physician engagement It s about relationships and structure May 23rd 2012 by Frank D Byrne YWith the advent of healthcare reform s accountable care organizations ACO readmission penalties and emphasis on moving from volume to value based compensation consultants are fanning out all over the country trying to teach organizations how to engage physicians This has caused great anxiety among many hospital administrators some of whom have spent their careers avoiding physicians or through chief medical officers and vice presidents of medical affairs insulating themselves from direct interaction with physicians Read more Leave a comment 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 linked scopes

    Original URL path: http://www.hospitalimpact.org/index.php?s=Frank+Byrne&sentence=AND&submit=Search (2016-02-10)
    Open archived version from archive

  • Hospital Impact - A hospital mission is more than a slogan on the wall
    mission as you seek to position it to achieve its vision Mindfully assessing the answers embracing any challenges that arise from this quest and reenergizing the comprehensive communication and organizational clarity of purpose defines the pathway to honoring your role as a leader venerating the importance of your team and positioning your entire healthcare organization to fully understand and embrace its mission and vision And yet there is even more work to do In addition to having a well understood and honored mission and vision it also is important to have a defined set of organizational core values Values define what matters to an organization and where people will spend time and energy and where they will not Patrick Lencioni in his book The Four Obsessions of an Extraordinary Executive highlights the need for the delineation of organization values to further ensure clarity throughout the organization He also stresses the need to ensure that all organizational decisions are aligned with the values of the organization without exception Without exception Here are key concepts highlighted in the core values from five different healthcare organizations Patients come first Ethical responsible accountable always Caring for all Shared decision making Whole person focus As a self assessment please consider some of the most challenging issues you and your healthcare organization are currently facing be they financial personnel service or other and assess whether you truly believe your potential solutions are aligned without exception to your hospital s core values Now consider where if these solutions are not aligned and identify the disconnect Why is there misalignment Are your values wrong Are your solutions wrong As Sean Connery said in The Untouchables What are you prepared to do Now consider the challenges your staff is facing and whether it has a clear understanding of the organization s values much like the mission and vision discussion and the without exception directive Again What are you prepared to do The challenges we healthcare leaders face are increasing and becoming more complex Clarity of mission vision and values and intentions associated with each is critical to creating an understood construct in which aligned decisions are made at all levels of the organization what Lencioni calls a healthy organization It is imperative that healthcare leaders create this clarity if we truly intend to honor all those we serve and live our mission according to our values as we seek to achieve our vision Now consider once again What are you prepared to do Thomas H Dahlborg M S M is Vice President for Strategy and Project Director for the National Initiative for Children s Healthcare Quality NICHQ where he focuses on improving child health and well being He has 23 years of experience leading collaboratively creating optimal healing environments analyzing and addressing practitioner and patient needs and developing and implementing aligned strategic plans 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

    Original URL path: http://www.hospitalimpact.org/index.php/2012/05/03/title_47 (2016-02-10)
    Open archived version from archive



  •