Engaging Physicians in the RROHC Process

Today on the Level 2 RROHC Facilitator coaching call, several recommendations emerged from the group, related to engaging physicians in the RROHC processes.
1) As RROHC is introduced, inform key physician leaders through existing committees such as the medical executive team or subspecialties groups.
2) Always consider: What’s in it for them? How could RROHC impact their lives? In addition to the obvious improvement in patient care outcomes, what about such issues as happier nursing staff, happier patients/families (taking less physician time to voice complaints), fewer telephone calls from nurses with queries (nuisance calls) due to improper understanding of the patient’s orders, fewer (or shorter in duration) patient trips back to the hospital or physicians office due to patients not understanding discharge instructions, overall:  more smooth, streamlined care due to better understanding by other disciplines of the physician’s plan of care.  An easier home life for busy physicians? You bet!
3) Results such as better patient satisfaction with the physician’s care (if measured by your facility), better lengths of stay, better clinical outcomes and less recidivism (or readmissions) have been noted at many RROHC facilities. Many physicians are competitive, and data being displayed in reference to other practitioner’s data will often motivate a physicians approach to bedside manner!
4) Evidence based practice! We are happy to share with you the slides we use to instruct doctors regarding RROHC and methods for better patient/physician/family relationships, with the research studies noted on each slide. We would also recommend current articles in the news such as a recent NYTimes article by Paul Chen, MD:
| July 30, 2009
Doctor and Patient: Treating Patients as Partners, by Way of Informed Consent
By PAULINE W. CHEN, M.D.
The medical consent process can be a way to strengthen the bond between patients and physicians.

5) Unit and department managers must address RROHC and WIIFM (What’s in it for me?) for the physicians that frequent their areas, to describe how nurses in the level 1 program will be requesting input as to their communication styles and effectiveness, and the impact of RROHC as nurses discuss the patient/family’s short and long term goals with the patient on a daily basis. Leaders may need to visit the offices of key stakeholders and physician leaders to continue the education process.
We know in our hospitals and departments in which physicians have wholeheartedly accepted and endorsed RROHC concepts have reaped excellent results! We invite other experiences and suggestions to add to our blog posting!
Thank you!
Ruth and Kimberly

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