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The Patient Experience/HCAHPS: NICU Improvement Strategies Jim Rost, M.D.

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Page 1: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

The Patient Experience/HCAHPS:

NICU Improvement Strategies Jim Rost, M.D.

Page 2: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

Hospital Consumer Assessment of Healthcare

Providers and Systems

Page 3: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

FAM

Page 5: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

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Aim: To improve communication through the implementation

of team behaviors, including the family, into neonatal care.

1. TeamSTEPPS

BK

Page 7: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

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Habit 1: Multi-disciplinary Rounds

Page 8: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

Multi-disciplinary Rounds

Benefits

Includes all team members (Family, RN “drives,” Charge RN, MD, Pharmacist, Social Work, Case Management, Nutritionist)

Everybody agrees on daily plan of care

Reduces follow-up phone calls, orders are clarified

Improves families perception of care

8 Y

Page 9: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

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Habit 2: Formalize Communication

Page 10: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

Habit 3: Nurse Manager Rounding

• amy

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Page 11: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

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Habit 4:

Family Involvement in Handoffs/Handovers

Page 12: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

Habit 5: Family Lunches

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Page 13: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

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Habit 6:

Post-Discharge Patient Phone Calls

• Staff connects with patients

• Confirm understanding of DC

instructions

• Demonstrate empathy

• Provides an opportunity for service

recovery

Page 15: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

NICU PATIENT EXPERIENCE

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Page 16: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

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NICU PATIENT EXPERIENCE

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Page 17: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

NICU PATIENT EXPERIENCE

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Page 18: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

NICU PATIENT EXPERIENCE

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Page 19: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

NICU PATIENT EXPERIENCE

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Page 20: NICU Improvement Strategies - Maryland Patient Safety Center...NICU Improvement Strategies Jim Rost, M.D. Hospital Consumer Assessment of Healthcare Providers and Systems . FAM . 4

Service Excellence is not about smile school, it is

about proven evidence based behaviors that are

requisites for clinical effectiveness, marketplace

competitiveness, malpractice protection and the

quality of our work life

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