Download TCAB

TCAB at Medina
Hospital 3/09 - Present
Transforming Care at the Bedside
Medina’s Aim Statement
Focus
 Increase Patient Satisfaction
 Improve Work Environment
Adopted Tests of Change
 Reducing and eliminating waste from the
work environment
 Walkie Talkies
 White Boards
 Hourly Rounding
 Physician Communication Form
 More comprehensive and patient friendly
Congestive Heart Failure discharge
instruction packets
Med-Surg Progress Report
Key Metrics:
 Patient Satisfaction
 Pressure Ulcers/Falls
 Nurse Turnover
Medina’s TCAB Impact
If pain, did hospital staff do everything to control your
pain?
"Always Response"
100
80
60
40
20
0
Mar-Apr
Jun-Jul
Aug-Sept
Oct
Nov
Dec
Medina’s TCAB Impact
Was your pain controlled?
"Always Response"
100
80
60
40
20
0
Mar-Apr
Jun-Jul
Aug-Sept
Oct
Nov
Dec
Medina’s TCAB Impact
During hospital stay did you receive help to bathroom
as soon as you wanted?
"Always Response"
100
80
60
40
20
0
Mar-Apr
Jun-Jul
Aug-Sept
Oct
Nov
Dec
Medina’s TCAB Impact
During hospital stay was call light answered quickly?
"Always Response"
100
80
60
40
20
0
Mar-Apr
Jun-Jul
Aug-Sept
Oct
Nov
Dec
Medina’s TCAB Impact
Were you told of medication's possible side effects?
"Always Response"
100
80
60
40
20
0
Mar-Apr
Jun-Jul
Aug-Sept
Oct
Nov
Dec
Medina’s TCAB Impact
Did hospital staff tell you what medications were for?
"Always Response"
100
80
60
40
20
0
M ar-Apr
Jun-Jul
Aug-Se pt
Oct
Nov
De c
Medina’s TCAB Impact
PCU II Pressure Ulcer Prevalence Rate
25%
20%
15%
10%
5%
0%
-5%
June
July
August
Sept
Oct
Nov
Dec
Jan
Medina’s TCAB Impact
 Last Pressure Ulcer 39 days ago
 Last Fall 9 days ago
Medina’s TCAB Impact
PCU II Turnover RN
25%
20%
15%
10%
5%
0%
2008
2009
Dec
Nov
Oct
Sept
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
Dec
Nov
Oct
Sept
Aug
-5%
Current Tests of Change
 Standardized “Hand Off Communication”
at the bedside including the patient
 Decentralizing where supplies are stored
to improve efficiency
 Spread of positive tests of change
throughout the hospital
Questions
?