Silverton Health

10/5/2012
Med-Surg & Family Birth
Center
Our RT2C Journey so far…
“Saddle-Up Girls, Here We Go!”
A
Few
Good
RNs
s
Saddle-Up!
Sue Brody, our CNO sought out RT2C to
arm our Staff with tools to transform
bedside care.
A Evans,
Ann
E
RN P
Professional
f
i
lD
Development.
l
t
By the way- you are RT2C “Lead” for your
Unit!
How did we get “roped” into this?
1
10/5/2012
Building our Program:
Forming our Team‐
 Original Team members ‐ Care Oregon ‐ October & January
 Voluntary & Assigned! 
Coming together as MS & FBC
Management Changes in all Nursing Areas
Who will help us?
Who Cares? Now What? Resources!
Lizzie Cunningham, the Matron of it all!
RT2C Module Guides
CareOregon & NHS Websites
Using our Hospital Resources
We were both night shifters- the
world is much smaller in the dark!
New understanding of our Hospital
System
Conference Calls
These have been a big help to us:
 Forces us to summarize our work
 Keeps us on task
 Creates regular structure in our
communication with each other and a
nice scheduled meeting time
 Great opportunity to ask questions and
get help from other Hospitals!
2
10/5/2012
Knowing How we are Doing
(KHWD)
Vision - great way to bring staff together!
Metrics - Who can give us
information?
Different Cowgirls
Cowgirls,
Different Landscapes
 MS & FBC are NOT the same!
Lizzie visits the West! She lit a
under us!
KHWD - FBC
KHWD - MS
3
10/5/2012
(Data from KWHD
Metrics)
• Direct Care Percentage from Activity Follows
• Nurse Driven Metric – XEN/CITRIX
• Time Spent logging in ($ / wages)
• FBC Admission Process – Social Questions
• Patient Satisfaction Data
• MS Discovered Value
of Hourly Rounding
Collaborative Practice
• There are other Sheriffs in town… • Coming together – BIG meeting to discuss our roles & purposes – Barriers, Commonalities, Solutions
Barriers Commonalities Solutions
– Lizzie joined us to Facilitate
• Big Day, Simple Solution! “The What and the How”
• Action Plan – Communicate, Share!
Some days it’s a
Search and Rescue
operation. Some days
it’s just a nice trail ride
on a sunny day.
Marion County Sheriff’s
Posse
Ray Wilson, RN Manager
MS-ICU-OESU
4
10/5/2012
Collaborative Practice
WOW! (Well Organized
Ward)
• Moving on…
• Bumps in the road…
• Construction near Med-Surg
Med Surg – delays in
finding projects that we can sustain
• FBC- Reality sets in- Love at first, then
resistance to projects
WOW...
A Hitch in our Get-Along
Understanding ripple effect on other
Departments and stakeholders
Understanding Lizzie’s Wisdom following the process completely, “not just
a good tidy up.”
 What are we trying to fix?
 Audits, evaluation, sustaining
5
10/5/2012
WOW
!
WOW
!
Roll it Out –
Internal RT2C Training
New Ranch Hands…
Two Training classes held at
Silverton Health so far in
2012
Educate Collaborative
Practice Members,
Management, & Enthusiastic
Staff
6
10/5/2012
Patient Status at a Glance
(PSAG)
We scheduled an OHSU tour ( Thanks
OHSU!)
Establishing Leads
New Deputies!
MS and FBC working together
Interruptions
Departmental differences
“Magic Whiteboard”
Brief delay due to new EMR, new Unit
opening
Patient Status at a Glance
(PSAG)
Patient Status at a Glance
(PSAG)
Planning Meeting Drafts
7
10/5/2012
Our First Care Oregon
Collaborative Meeting 7/12
Big win for us!
Email from our President: “Amy and Erin….
your presentation to CareOregon…WOW!!! Thanks so much for taking the time
and effort to share our story of RT2C… I really appreciate your involvement
…thanks for all you do for us…Take care.” Rick (Rick Cagen, President - Silverton
Health).
RT2C must Succeed!
Importance of tallying $$
saved as we go! Value added!
What we have Learned
What RT2C is…
Communication
Every change has a ripple effect
Ask for help – take advantage of talents
Fitting it in- perseverance
Hospital Resources available, take
advantage of the work already being done
Value of transparency
Successes & Wins
Increased Awareness of Quality Incentives
“A year ago, I didn’t know what a CAUTI was!”
Falls in FBC & Med Surg
Blood Administration Documentation
Staff Involvement – they have a Voice now!
SH Leadership Involvement & Development
Publicity – Hospital Board, CO presentations,
local School Board
Working Together with Collaborative Practice
8
10/5/2012
What’s Next ?
Continuous Improvement with KHWD
Continue WOW Projects
PSAG – October, 2012
Onboard ICU/OESU & STEPS
STEPS- they have
already attended Internal Training
Future Departments – Training for ED &
Surgical Services
Questions ?
9