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Executive Summary for Davis Health Care Staff Development and Team Improvement for
Quality of Service Improvement
Julie Bentley
HCS/588
January 25, 2016
Deborah Olsen

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Executive Summary for Davis Health Care Staff Development and Team Improvement for
Quality of Service Improvement
EXECUTIVE SUMMARY
Davis Health Care
Premier Health
101 Burlington Pike PH: 859-000-0000
Florence, KY 41042 Email: healthcareproviders@davishealth.com
Davis Health Care was established as a Health Care Facility, an S Corporation at 101 Burlington
Pike, Florence, KY, 41042, with the expectation of rapid expansion in the Health Care Industry -
Midwest Region with the accumulation of 6 hospitals, 20 clinics, and 109 Provider offices. Davis
Health Care solicits Board of Trustees approval and financial assistance to achieve the 2016 Staff
Development and Team Improvement for Quality of Service Improvement at Davis Health Care
Facilities.
Business Description:
Davis Health Care was formed on December 27, 1869 as a health care hospital/home which
changed to an S Corporation in 1989 for tax purposes. It was formed under Kentucky State Laws
and bought by Premier Health in 1977. It currently operates 6 hospitals, 230 clinics, and 106
Provider offices. Management and Implementation of Health Care to Boone County, Kentucky.
Strategic Health Care Analysis and Planning, Quality Improvement in Boone County, Kentucky,
for all residents, surgical, ambulatory, in-patient, and quality improvement for the community.

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Davis Health Care has a total number of 10,000 patients per month in combined facilities in
Boone County, KY. This includes 20% ambulatory, 10% same day procedures, 40% inpatient,
30% provider visits.
Davis Health Care is implementing a continuous quality improvement for Staff Development and
Team Improvement for Quality of Service Improvement initiative to run Spring 2016 through
November 30, 2016. Davis Health care employs 1092 full time employees, and 837 part time
employees.
Management Team:
Davis Health has assembled an experienced management team:
Board of Trustees Director – Harold Davis, 25 years
Chief Financial Officer (CFO) – David Harrison, 22 years
Chief Nursing Officer (CNO) – Debbie Hartman, 21 years
MD Administration Director – Stephen LaRoy, MD, 23 years
Quality Management Director – Julie Bentley, 12 years
Chief Operations Director – Steve Davidson, 10 years
Chief of IT security – Leroy Ott, 2 years
Information Technology Director – Brenda Ogden, 18 years
Patient Consumer Representatives (2) – Patty Rue & David Johnson
Business Mission:
The Needs of the Patient Come First – Davis Health Care will provide accountable reliable
health care service to those that require it for short and long term illness to the excellent capacity
standards experience in the health care field to all that enter the facility doors.
New Quality Improvement Service:

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Davis Health Care is prepared to introduce the following quality improvement service in all
facilities by November 30, 2016 which will start with a pilot hospital in Hebron, KY.
Staff Development and Team Improvement for Quality of Service received in last 30 days with a
score of 10. Readiness Survey of staff will focus on score of 10 for staff development.
Demand of service – 100% in Boone County and rural Florence, KY, community.
Achievement of Objectives of Long-Term:
The scope of the complete quality improvement implementation is one of great excellence and
setting Davis Health care apart as a benchmark and quality indicators for other health care
facilities in the area of the Midwest regional United States. No International health care facilities
due to health care law and regulation can be a benchmark, but their initiatives will be used to
evaluate the continued process for the quality improvement staff development and team
improvement plan. The behavioral science lab at John Hopkins was consulted and asked for their
input on the quality measures for effective teams. Learning tools such as the information
technology software that works well in high stress, critical care environments was evaluated for
the correct staff development and direct quality of service standards that health care consumers
and stakeholders are looking for today when they enter the health care facility doors.
The quality improvement plan will be initiated as a pilot program for 7 months at the
Hebron, Kentucky Davis Health care site, then will implement at the other facilities once
analysis is complete on the pilot project.
Internal as well as external benchmarking will be analyzed. For 2-3 months internal
department benchmarking and scorecards will be sent to the Quality Director’s office. External
benchmarking was mentioned above with the Jasper Healthcare Facility, and Christ Hospital in
northern Kentucky.

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The activities will require training and demonstration in the simulation lab with role
playing with quality managers with date and time recorded for staff employee records. The
activities will also include for all staff an understanding of staff development plays a role in how
the community sees us as a healthcare facility. It builds trust in the care that Davis Healthcare
provides, and how that will continue to improve healing and safety and confidence upon the
return home for those we serve.
Following is the list of expectations on November 30, 2016:
1) 100 % completion of yearly educational online course through Davis Health which
includes domestic violence, infectious disease, information technology security,
HIPAA, and other quality standard classes per unit and department which depends on
evidence based clinical practice.
2) 100 % compliance and completion of teamwork leadership training.
3) 100 % performance evaluation for goals chosen per employee, and correspondence
with strategic and operational PDSA cycle initiatives.
4) 100 % response with score of 10 for customer service satisfaction.
Barriers:
1) Buy-in of all staff from Board down to volunteer.
2) Understanding of strategy and staff development & Team Improvement Objectives
and Implementation Schedule
3) Culture for implementation.
4) Understanding of resources available for continued staff learning and documentation.
5) Establishment of a corporate performance management officer.
6) Non-compliance of staff.

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7) No response to surveys.
Funding Request:
Davis Health Care requests a total loan and distribution of resources of $1.5 million dollars over
the next 1-3 years to be used for the following Quality Improvement purposes:
1) Assurance Software and Computer data entry hardware for quality improvement services.
2) Consultation Services for John Hopkins Behavioral Science Lab, Cleveland Clinic, and
Kaiser Health Systems.
3) Readiness Survey Software for training and evaluation purposes of staff.
4) Staff Training
5) 10-12 positions (jobs) for quality improvement implementation with 1 additional co-
director position.
We expect to break even within 1 -3 years of our introduction of quality of service with staff
development and team improvement. Satisfaction survey response will have 100% return at
end of implementation of Quality of Service Improvement due to the increase in patient
consumers treated.
Business Goals and Objectives:
Short-Term Goals:
The improvement of quality of consumer (patient) service in relation to staff development and
team improvements. The scorecard data will be collected as a satisfaction survey with a
numerical data scale of 1-10 with 10 being the best excellent customer satisfaction score and 1
being the lowest customer satisfaction score. This scorecard will be within the last 30 days of
health care service and will require a score of 10. Another short term goal is the readiness survey

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for health care staff at Davis health with a score of 10 throughout the 6 facilities including the 1
pilot trial facility located in Hebron, Kentucky.
A bar and line graph will be used for evaluation of staff development documented classes taken
online at Davis Health Care within 6 months of implementation. A cause and effect chart will be
collected and tallied to see the root cause of why the quality of service is decreased at a lower
numerical number of less than 10 that is measured within 30 days of service. The flowchart data
is calculated for improvement of quality of service experienced during the care at Davis Health
Care.
Long-Term Goals:
Davis Health Care endeavors to continue quality process improvement for staff development and
team improvement in patient and staff care as a safety, timeliness, patient centeredness focus of
quality improvement.
Continued scores of 10 for service quality through 2018 as a record standard for Benchmarking
Quality Indicator Scores at area health care facilities in the Northern Kentucky health care
industry community.
Thank you
A thank-you to the executive Board for the decision making and acceptance of this proposal on
quality improvement of staff development and team improvement. We as a health care industry
called Davis Health Care attract the most talented innovative health care staff and retention of
them is needed in the growing health care needs of Boone County.

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