hospice clinical orientation better together valorie grimes, dianne halderman, vivian lewis, barbara...
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Hospice Clinical Orientation
Better Together
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Kindred at Home Video
Ripple Lives Kindred at Home
https://youtu.be/b0l0tW1m2oc
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The Best of the Best is Here!
• One of the key success factors of Kindred
Healthcare is to “take care of our people.”
• Kindred’s goal is to attract, develop and retain
outstanding talent and to provide the tools and
training to continue to excel and grow
professionally.
• By providing our employees the most appropriate
and applicable orientation/education for today’s
home care environment – we will be able to bring
compassionate care home.
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Thank You to our Orientation Work
Group - our Subject Matter Experts
• The SMEs worked long and hard to create
this orientation.
• David Eubanks, Lisa Archibong, Donna
Curry, Valorie Grimes, Dianne Halderman,
Vivian Lewis, Barbara Mammen, Latasha
Moss, Stephanie Sanchez, Beverly Weber,
Laura Williams, Audrey Williams, Jeré Dye
THANK YOU ALL!!!!
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Why is orientation important to KAH?
• Even when new hires come to us with experience –
we want them to know and understand the mission,
vision and value of Kindred at Home and Kindred
Healthcare.
• Orientation is our first opportunity to introduce our
standards and philosophy:
– We are committed to the highest quality standards
– We follow our policies and procedures
– We utilize standards of care
– We use evidence based practices
– We provide exceptional patient care each and
every day
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Common Perceptions About New Hires
• Is it really that important to fully orient the new
hires ?– they will eventually catch on!!
• My new hire has been doing visits for years –
why can’t he/she do visits on day 2?
• I wanted to provide a thorough orientation but
there are so many patients that need to be
seen.
• We are so short staffed – let’s hire the next
warm body that fills out an application.
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The importance of Orientation
• Orientation is important because it lays a
foundation for the new employee’s entire
career with KAH.
• First impressions are important because they
set the tone for the beginning of our
relationship with our new hires.
• Without a solid orientation, a new employee
sometimes feels uncomfortable in his/her new
position and it takes longer to reach his/her
full potential.
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The importance of Orientation
• It provides the new employee with concise and
accurate information to make him/her more
comfortable in the job.
• It encourages confidence and helps the new
employee adapt faster to the job.
• It contributes to a more effective, productive
workforce.
• It improves employee retention.
• It promotes communication between the up-line
manager and the new employee.
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The importance of Orientation
• It is so important to make our new hires feel welcome
and that we are happy to have them join our team.
• Providing a solid orientation in a productive and
efficient manner is a win- win for all.
• We want our employees to know we will invest the
time in them:
– To make sure they are oriented and prepared.
– To provide them the opportunity to be successful.
• As a result our patients will be well cared for and our
programs will flourish.
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The importance of Orientation
• Using any EMR in our home care arena has many
positives however, there is something very
important to keep in mind.
• One of the purposes of using an EMR is that the
time the employees spends in the office will be less
– what does that mean for your orientation
program?
• It means the time you spend with your employees
needs to be well spent.
• This is the time - loyalty is built, relationships are
formed, confidence is created and teamwork is
established.
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Our Orientation – “The Best of the Best”
• The foundation of our orientation is based on Kindred’s
mission, goals and values.
• It optimizes a time frame for an individualized approach
to a standardized orientation format.
• It has material that is easily accessible AND user
friendly.
• The completed courses are electronically tracked.
• Updated materials are in one area.
• Provides a standardized orientation to be utilized by all
of KAH.
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Hospice
• Content is presented:
− Core Orientation Module for all employees
− Followed by Discipline/Role Specific Tracks
• Material is delivered in 3 venues:
− E-Learning and Self- Paced Documents
− Virtual Classroom
− In Person
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Tracks for Hospice
• RNs have 3 Tracks:
• Track 1: No experience
• Track 2: Hospice Experience
• Track 3: Current Certification in Hospice and
Palliative Care
• For each of the other disciplines - an
individual discipline specific track was
developed.
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Hospice RN Tracks
• The Clinical Manager would assign the RN
track to the new hire based on the
employee’s interview and resume’.
• It is important to understand that the
assignment of the RN tracks is made by the
Clinical Manager and not the Office
Manager/designee.
• The RN track can be changed by the Clinical
Manager/Up-Line Manager at any time if the
new hire needs to be moved to a different
track.
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Hospice Tracks
• Employees new to the homecare world would go
on a visit the first week – after their TB test
comes back negative and they have completed
the education that is needed prior to going into a
patient’s home.
• This is important because if either the employee
doesn’t feel homecare is a good fit for him/her or
we as his/her employer don’t feel it is a good fit
either - then there has been no wasted time or
money on either party.
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Core Orientation Checklist
• Our core orientation checklist was
developed to include information that was
relevant to all KAH employees (except
sales).
• It helps guide the branches/programs
through the education that needs to be
provided to our new hires.
• It can be printed/saved as a resource
document for the new hire.
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Core Required Education • This all inclusive orientation document will provide several
benefits.
• We reference KAH policies and available Relias courses
for each topic:
– This provides additional resources to the new hires.
– It also provides available courses for the branch
leadership for additional education if/when it was
needed.
• Also, the Core Orientation required education document
allows us to provide home care and hospice specific
education instead of general topics that work for all health
care employees.
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Core Required Education
• It takes far less time to complete orientation
and education in this format than completing
multiple courses in Relias.
– This will ensure more compliance.
– New Hires will be able to make visits
sooner.
– Cost savings to the branch.
• Taking a two part Quiz and receiving a
passing score of 80% (for each part) is
required upon completion of this education.
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Core Required Education
• Orientation will provide the education required by
our regulatory bodies (Federal and CHAPS) and
our policies.
• All the required education for both Federal and
CHAPS will be in one document.
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What is not included in the Core
Orientation Education
• Ensuring state requirements are met - is the
responsibility of the region/area.
– Courses to meet these requirements will be available
in Relias/Kindred at Home Learning.
• Kindred Required Education: General Compliance
Training, HIPAA, CIA and Violence in the Workplace are
not included in this document.
• New hires will be auto enrolled into these courses
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Preparing for our New Hires
• Being prepared prior for the new hire’s
first day is a win- win for everybody.
• The new hire feels important and
welcomed knowing you are ready to
begin his/her orientation as soon as
he/she arrives on Day 1.
• YOU have been proactive and not
reactive and are prepared!
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Employee Orientation Checklists
• Each new employee will have a Hospice
Employee Orientation Checklist.
• Examples of items included:
– Preceptor and Up-line Managers name/phone
number
– Log ons
• It should be completed prior to the New Hire’s
First Day.
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Create a Warm Welcome
• The first day of a new employee is a very big
deal.
• You don’t get a second chance at a first
impression.
• Welcome them warmly and congratulate
them on their new job.
• It is important to be prepared and welcoming
– this will give the new hire a sense of
belonging and security.
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Orientation Evaluation
• We will utilize survey monkey to evaluate our
orientation program.
• Surveys will auto assigned to new hires:
– 1st week – brief survey related to customer
service
– 30 or 45 days – “pulse check”
– 90 days – overall assessment of our
orientation process
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Your follow up with the new hire
• Spotlight Report for New Hires
– Done at 30 and 90 days
– What is working well?
– Who can I, as the leader, recognize that
helped you in your first 30 days?
– Are we doing what we said we would do
during orientation?
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Revisions to Orientation
• Our core orientation work groups will reconvene
in 90 days to review feedback.
• Thereafter we will meet every 6 months to
discuss:
– What is going right with the orientation content
and process.
– Feedback and what needs to be revised.
• Make revisions.
• When new regulations or standards are released
– orientation material will be updated
accordingly.
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Kindred at Home Learning
• New Hire Orientation will be housed and tracked in
Kindred at Home Learning.
– Easy Access to all employees via a URL.
• Can access material anywhere you have a
computer and an internet connection.
– Orientation will be auto assigned/enrolled per
job code.
– Courses/curriculum will be electronically tracked.
– A standardized orientation is now available for
all our branches/programs nationally.
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Kindred at Home Learning
Resource Section
• After you log into Kindred at Home Learning.
– Click on KAH Resources
• Click On Hospice Orientation.
• Here you will find the paperwork to help you prepare
for your new hire’s orientation.
– The discipline specific tracks (Clinical Manager will
choose appropriate track for the new hire)
– Employee Orientation Checklist
– Warm Welcome Letter
– Virtual Clinical Orientation Instructions
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Auto Enrollment
• Auto-enrollment is based on the job code
assigned to the learner, which the system
uses to determine which required courses
should be assigned to the learner.
• Learners are automatically assigned to
required courses in Kindred at Home
Learning based on their job codes.
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Accessing Kindred at Home Learning
KindredatHomeLearning.com
• If you don’t have your User name and Password
– please call the HELP Desk:
– Legacy Gentiva: 800-944-4357
– Legacy Kindred: 800-836-0376
• If there is a time when the HELP desk cannot
assist you – please email:
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KindredAtHomeLearning.com
Type in KindredatHomeLearning.com
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Use Internet Explorer
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In Summary
• We have been so fortunate to have
such solid material and processes that
both Legacies have been utilizing –
thank you for making that happen.
• The success of this orientation program
will be contingent on the commitment of
the branch/area/regional leadership.
• We are Better Together!!!
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