Martha's Weblog

Week of November 4-8, 2002

Tue, 12 Nov 2002 20:56:44 GMT

Continiuing prepartion on scoping of the implementation for the hospital project.

Marla Sanger, the new AVP will be the process owner for the hospital project and the Cindie Becker will be the sponsor.
Met with Marla Sanger and Judy Pratt twice in the past two weeks discussing a number of potential changes that could be done in the inpatient environment. Also discussing different strategies to on how to do the work involved. Getting feedback about membership of the implementation team vs. the hospital guidance team.
The decision was made to combine the team for both inpatient units, vs. two separate teams.
We are developing a spreadsheet identifying all of these change items that could be considered, identifying measurements, barriers, questions, and possible infrastructure needs to bring forth these changes.
Will have a meeting with Cindie Becker in the next week to begin these discussions regarding areas for change. Our sense is that we would need to prioritize these items and do them over different stages.
We will be meeting with Carol Boston this week to have a discussion about how the potential implementation changes will interface with other hospital initiatives. We want to build a direct link with creating healing and compassionate care.
Aniticpate finalizing the Project Charter in the next two weeks, and then preparing for the first kick-off meeting for the Hospital guidance team and Implementation team.

Spoke with 3 different health care organizations this past week about how they are provding care for inpatients with CHF.
Had phone interview with Ron Stock from the Senior Health Center with Sacred Heart in Eugene, Oregon. Discussed what he found most important in the clinic changes they have accomplished.

Two key recommendations are improving flow in the workplace and focus on team development.

Reading a new publication about "Magnet Hospitals" and how to create a healthier work environment
Reviewing articles about use of clinical pathways in hospitals, including the DM guidelines from the International Diabetes center.
Reviewing more articles about extended care pathways presented by the National Chronic Care Consortium
Did 3 presentations about the grant with the Med-Surg and Float unit staff at their staff meetings on 11-6. Generally, staff were receptive and agreed that management of chronically ill patients was not working well

Week of October 21-25th

Wed, 23 Oct 2002 00:17:48 GMT

th-Oct

Oct.21-22, 2002

At school

Oct. 23-27th

Oct.22- Met with Judy Pratt -process facilator for the P2 project-and discussed the planning for the hospital kick-off meeting for Nov. 4^th.

· Outline the presentation about the grant for foundational information

· Discussed role of the management guidance team vs the team members and who should be on it.

· Should we break out in smaller work groups under the team member category?

· Discussed what are the key deliverables that we might do and timeline considerations around interfacing with the electronic shared care plan, medication list, & registry.

· Drafting a timeline and action steps to prepare for the implementation of the project.

· Judy and Mary will meet with Marla Sanger, the new Asst. VP tomorrow to brief her more about the P2 project.

· It is understood that I will co-facilitate the change project with Judy, still focusing on the team development interventions.

Tue, 24 Sep 2002 00:05:56 GMT

My role with the Pursuing Perfection Grant Project as a Team Development Specialist is to support adopting aspects of the “Chronic Care Model” in two inpatients units for St. Joseph Hospital. The two units that are pilot sites are the Cardiovascualar unit managing Congestive Heart Failure and the Medical Care unit working with Diabetic patients. As a member of the project and hospital guidance teams, I see one of my key roles in helping to facilitate communication within the organization. In order for any change initiative to be successful, a thoughtful transition plan needs to be in place. As we prepare for the process changes, one of the early steps in planning for transition is to sell the problem about the limitations of how are current healthcare system is unable to support patients with chronic illness. Some members of our project team have had discussions recently about the fact that we are identifying solutions before we have adequately conveyed to the front line staff why we want to make the changes. We have identified that we want to do a better job in selling the problem to all of the pilot sites, inpatient and outpatient. This is a very important first step. The challenge is finding creative ways to communicate with very busy pilot sites in a meaningful way.

I am involved in developing additional venues to communicate primarily in the hospital environment. Several modalities that have been used over the past few months, include a story board in the lobby, a dedicated column in the bi-weekly electronic newsletter, one on one interviews, live presentations to clinical groups and staff meetings, and a Hospital Update that was sent electronically in late August from Nancy Bitting, CEO. The link to this document is http://www.peacehealth.org/apps/p2/document/DocumentDisplay.asp?DocumentID=81. This Hospital Update document will be updated every few weeks as new developments occur. I will be creating storyboards for all of the clinical areas that will give more detail about the project and will be updated over the course of the grant. It remains a challenge to remain in the loop of all of the information as this complex project moves forward. Ongoing communication and education will be critical to facilitate the success of this project.

test post - edit

Thu, 15 Aug 2002 16:46:05 GMT

test post with new aR theme test edit

test post

Tue, 23 Jul 2002 19:55:35 GMT

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