It is interesting to note that 4% of the Top 50 and 8% of the Top 100 Hospitals have been Hansten Healthcare and/or RROHC clients. We cannot always draw a clear Cause-Effect line for research purposes, but certainly these organizations prize quality and patient safety! Congratulations!
Ruth Hansten and the RROHC team
Hi RROHC Organizations! We now have also included the newsletters on the blog: See to the right side of this page and the headings below. Thanks, Ruth Hansten
Delegation/Supervision/Teamwork at the Bedside
The AONE webinar on February 17th was attened by 49 sites and over 100 individuals from across the country. Ruth Hansten reviewed the evidence around delegation and supervision as well as how to assess your department or unit. The RROHC principles and model of care provide steps for delegation and supervision of assistive personnel so that RNs and UAPS can work together with a shared mental model.
The follow questions were raised:
How long does it take for a team to start functioning well after starting s delegation model? The time is variable depending on the amount of education and applied skill development and coaching but for many hospitals it is about 18 months to 2 years before the actual improvements in clinical results (Nurse sensitive indicators, etc) can be realized.
what are the 4 P”s in shift report slide? The 4 Ps are the Purpose, Picture, Plan and Part. These are the foundations of planning and delivering care in partnership with the patient/family. Contact us for more information about the RROHC program and how to use the 4 Ps in your work.
How can we get a copy of the slides? AONE provides these slides on the website. Contact AONE or JCopeland@aone.org
Would you reccomend bedside reporting between RN and NA in semi-private rooms and how do you do that when one CNA is working with 3 RN’s/ Discuss the PODS? Although I answered this on the webinar, creating a care delivery model for your unit means that you may have to change the way you assign patients in order to better communicate and care for them in a team-approach, patient/family centered manner. Contact us for an indepth discussion or to provide an individualized webinar for your unit or facility depending on what type of unit you work on, the answers will be variable?
Can we use your survey questions that we answered, with our staff to survey them? Yes, as long asyou are willing to share your results with us; also we are used to administering these tools and would be able to help you interpret the results if you wish.
Can we address challenges with delegation in the outpatient, home health and hospice setting? One resource we would draw your attention to is “Home Care Delegation Skills” by Hansten, Washburn,and Kenyon. (Jones and Bartlett Publishers JBpub.com) We could not cover outside of the hospital issues in such a short webinar. We would be happy for you to contact us for specific assistance for your setting!
Thanks, Ruth Hansten
The Survey for participant nurse leaders in the February 17th AONE webinar featuring Ruth Hansten as a facilitator shows that, as we have noted in our work in the field, leaders see that nurses are aware of their accountability, but are not planning with assistive personnel, not providing oversight or feedback, and that checkpoints or “huddles” and discussions during the shift are not a part of the daily plan.
We are proud to note that 9 of the Top 100 hospitals rated by Healthgrades for Clinical Excellence are current or previous RROHC or Hansten Healthcare PLLC Clients. The William Beaumont Hospitals, Genesys Regional Medical Center, Danbury Hospital, Norwalk Health System were listed in the Top 100. Congratulations!
As noted on the Healthgrades website, the ratings were calculated as is discussed below:
Each year HealthGrades independently assesses the quality of care provided at the nation’s 5,000 nonfederal hospitals. In the eighth annual study, HealthGrades has objectively identified hospitals that are performing among the best in the nation across 26 diagnoses and procedures. These hospitals are further designated as a HealthGrades Distinguished Hospital for Clinical Excellence™. These ratings and a list of specific recipients are available to consumers in order to help them make health care decisions based on the quality of care provided.
To be considered for HealthGrades Distinguished Hospital for Clinical Excellence™ (DHA-CE), a hospital had to have star ratings in at least 19 of the 26 HealthGrades procedures and diagnoses ratings using MedPAR data. After creating a list of hospitals that met the above criteria, HealthGrades took the following steps to determine the DHA-CE recipients.
Overall, the Distinguished Hospitals for Clinical Excellence consistently outperformed all other hospitals from 2006-2008.
Distinguished Hospitals:
Patients in need of a medical procedure who choose to receive their care at a Distinguished Hospital for Clinical Excellence will have a lower risk for an adverse clinical outcome relative to all other hospitals. In fact, if all hospitals performed at the level of Distinguished Hospitals, 150,132 Medicare lives could potentially have been saved and 13,104 Medicare inhospital complications could potentially have been avoided.
From AONE: Nurse managers interested in pursuing the Certified Nurse Manager and Leader (CNML) credential should consider the upcoming webinar “Why Nurses Still Need to Learn to Delegate…and How” as a study resource for the exam. This webinar will deal with some topics on the exam including the impact of state practice rules as they affect role differentiation; methods to measure, educate and train staff to develop better teamwork at the bedside; current evidence for methods of implementing best bedside practices; improving internal and external satisfaction measures; staff retention strategies and ultimately, clinical outcomes. Brush up on your skills or learn new and valuable information as you prepare to become credentialed and receive one hour continuing nursing education credit in the process. Join us on Wednesday, February 17 at 2:00 p.m. ET as Ruth Hansten of Hansten Healthcare, PLLC, presents “Why Nurses Still Must Learn to Delegate…and How.” Register now for the first webinar in our 2010 series. Can’t make the webinar? Purchase the on-demand content available 24/7. The American Organization of Nurse Executives (AONE) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
On February 17th, Ruth will speak on the nationally distributed AONE webinar: Why Nurses Still Must Learn to Delegate, and How. To register, the link below will be helpful:
http://online.krm.com/iebms/reg/reg_p1_form.aspx?oc=10&ct=00300263&eventid=16506
Join the webinar and help support AONE!
This is the text of the Oakwood press release! Congratulations Diane, one of our RROHC Facilitators!
Ruth Hansten and RROHC faculty
Oakwood Featured in Nursing Textbook Oakwood nurse executives provide their expertise in a university textbook so that future nurses can learn from Oakwood’s Relationship Oriented Care model. Oakwood’s nursing expertise is now available to nursing students nationwide. Director of Nurse Recruitment & Retention Diane DiFiore, RN, MSA, and Sandy Schmitt, RN, BSN, Manager of Nursing Development, were quoted in Critical Thinking Tactics for Nursing, a respected university nursing textbook written by two Eastern Michigan University educators. Diane and Sandy were interviewed about Relationship Oriented Care (ROC), the patient- and family-focused care model used by nurses throughout the system to provide better care at the bedside. For more information, visit the News section of oakwood.org. Kudos to Diane and Sandy!
A study by researchers at the University Wisconsin School of Medicine and Public Health reported in Family Medicine that when physicians expressed concern or empathy for the patient, they experienced one fewer day of cold symptoms than those who did not perceive care provider empathy. There was a boost of the patients’ immune systems with a direct relationship between the MD’s empathy level and the patients’ level of IL-8 (which reportedly summons immune system response). This was reported by Harvey Black in the Nov/Dec 2009 issue of Scientific American Mind.
This research follows our premise that there is a healing effect in healthcare that treats the individual patient with compassion. This supports the Relationship & Results Oriented Healthcare Program’s 3 elements and 10 steps.
We applaud the University of Wisconsin for conducting this randomized controlled trial.
Ruth Hansten and the RROHC Team
Wow! We are impressed! Our RROHC-er clients, Glades General has moved to their new medical center, Lakeside, AND we just heard that they have had ZERO Ventilator Associated Pneumonias over the last year! They are very humble about their stellar record with hospital acquired conditions (HACs)! Congratulations!
Ruth Hansten and the RROHC team