Neosho Memorial Regional Medical Center Chanute, KS

Neosho Memorial Regional
Medical Center
Chanute, KS
Pillars of Excellence
Service
Quality
People
Finance Growth
Nine Principles
®
Commit
to Excellence
Build Individual
Accountability
Measure the
Important Things
Build a Culture
Around Service
Align Behaviors
with Goals and
Values
Communicate
at All Levels
Create and Develop
Great Leaders
Recognize and
Reward Success
Focus on Employee
Satisfaction
Tools We Use to Sustain Our
Culture

Rounding for Outcomes




Employee
Support Services
Patient
Physician

Key Words at Key Times
 Discharge Phone Calls
 Onboarding



30 day review
90 day review
BESTEST Luncheon
IDEAL CARE
 Customized
care with immediate response
 Exactly what is needed
 Everything done in a safe (physical,
professional, emotional), waste free
environment
That’s IDEAL – Exactly what is needed,
customized, immediate response, no
waste, and safe (physical, professional, &
emotional) for all.
Culture of Safety Survey

Feedback and Communication about an error

90%
• Supervisor/Director follow up on every error
 Teamwork Within Units

90%
• Hold All Nursing Quarterly Meetings
• Float to all Departments
 Supervisor/Manager Expectations and Actions Promote Patient Safety

85%
• Chasing Zero Council
 Weekly e-mails to staff
• Rounding on a Defect
 How will the next patient be harmed?
 What process failed you?
CLABSI- Medical Surgical Results
2011
CLABSI
Device Days
Central Line
Utilization
Rate
January
51
12.1%
0
0
0.0%
February
56
14.3%
0
0
0.0%
March
38
8.5%
0
0
0.0%
April
59
14.1%
0
0
0.0%
May
86
22.3%
0
0
0.0%
June
67
16.9%
0
0
0.0%
July
28
10.3%
0
0
0.0%
August
38
10.2%
0
0
0.0%
September
27
7.8%
0
0
0.0%
October
42
12.7%
0
0
0.0%
November
40
12.0%
0
0
0.0%
December
36
9.4%
0
0
0.0%
568
12.6%
0
0
0.0%
Total
CLABSI
Infection
Rate
Infection
Days
Infections
CLABSI-Medical Surgical
Results 2012
CLABSI
Device
Days
Central Line
Utilizatio
n Rate
Infections
CLABSI
Infectio
n Rate
Infection
Days
January
59
14.2%
0
0
0.0%
February
88
24.6%
0
0
0.0%
108
25.1%
0
0
0.0%
April
64
0.0%
0
0
0.0%
May
85
23.5%
0
0
0.0%
Total
404
21.1%
0
0
0.0%
March
CLABSI-ICU Results 2011
CLABSI
Device Days
Central Line
Utilization
Rate
January
13
20.6%
0
0
0.0%
February
11
17.7%
0
0
0.0%
March
27
30.3%
0
0
0.0%
April
18
33.3%
0
0
0.0%
May
10
16.1%
0
0
0.0%
June
6
9.7%
0
0
0.0%
July
12
18.8%
0
0
0.0%
August
17
29.3%
0
0
0.0%
September
12
25.0%
0
0
0.0%
October
7
16.3%
0
0
0.0%
November
8
13.3%
0
0
0.0%
December
11
13.8%
0
0
0.0%
152
20.4%
0
0
0.0%
Total
CLABSI
Infection
Rate
Infection
Days
Infections
CLABSI-ICU Results 2012
CLABSI
Central Line
Utilization
Rate
Device
Days
Infections
CLABSI
Infection
Rate
Infection
Days
January
13
17.3%
0
0
0.0%
February
9
12.7%
0
0
0.0%
15
17.0%
0
0
0.0%
April
8
14.0%
0
0
0.0%
May
14
19.4%
0
0
0.0%
Total
59
16.3%
0
0
0.0%
March