Medical Center of McKinney
Employee Orientation
Mission

• To attain leadership in the health care field;
• To provide excellence in healthcare;
• To improve the standard of health care in our community;
• To provide superior facilities and needed services to
  enable physicians to best serve the needs of their
  patients;
• To accomplish this mission within an environment of
  honesty and integrity;
• To generate measurable benefits for our patients,
  community, employees, and medical staff
Vision Statement



To be the most comprehensive, provider of quality
        health care services in North Texas.
Values

• We recognize and affirm the unique and intrinsic worth of
  each individual.
• We treat all those we serve with compassion and
  kindness.
• We act with absolute honesty, integrity, and fairness in
  the way we conduct our business and the way we live our
  lives.
• We trust our colleagues as valuable members of our
  health care team and pledge to treat one another with
  loyalty, respect, and dignity.
• We recognize each individual’s right to the assessment,
  evaluation, and management of pain.
HCA Family of Hospitals & Facilities
HCA – Over 40 Years of Caring

• Our hospital/facility is one of about 170 hospitals and 115
  outpatient centers in the HCA system.
• Combined, HCA facilities have about 40,000 licensed
  beds and treat more than 5 million patients a year.
• One out of every 20 hospital procedures is done at an
  HCA location.
Medical Center of McKinney




•   Medical Center of McKinney opened its doors in the 1920s.
•   Hospital moved to current location in 1998.
•   Medical Center of McKinney’s Wysong campus was original a
    hospital started by Dr. Charley Wysong in the late 1970s.
Senior Administration Team




           Ernest C. Lynch, III
     President & Chief Executive Officer
Our Senior Staff




               Sharn Barbarin
Senior Vice President & Chief Operating Officer
Our Senior Staff




                Dwayne Ray
Senior Vice President & Chief Financial Officer
Leadership Team




Randy Blanchard, CNO
Medical Center of McKinney
         Overview
Emergency Services

•   Full Service Emergency Department
•   Accredited Chest Pain Center
•   Dedicated Pediatric Treatment Room
•   Cardiac Trauma Care
•   Accredited Stroke Center
Cardiovascular Services

•   Cardiac Catheterization & Interventional Lab
•   Cardiac Rehabilitation
•   Cardiovascular Surgery (Open Heart)
•   Post Plasty Unit
•   Vascular Surgery
Center for Orthopedics

•   General Orthopedics
•   Joint Replacement -Certified
•   Sports Medicine
•   Specially trained orthopedic nurses
•   Dedicated Orthopedics Unit
Center for Neurosciences

•   Neurology
•   Neurosurgery
•   Stroke Care
•   Alzheimer’s Care
•   Parkinson’s
•   Headache Clinic
•   Pain Management
Maternity Services

•   Labor & Delivery Suites
•   Recovery Suites
•   Education Series
•   Lactation & Prenatal Guidance
•   Maternal Fetal Medicine
•   Newborn Nursery
•   Level II Nursery
•   Neonatology
Other Services
              Outpatient Services

•   Ambulatory Surgery Center
•   Community Education & Support Groups
•   Occupational Health Center
•   Outpatient Imaging
•   Sleep Lab
•   Physical, Speech & Occupational Rehab
Patient Satisfaction
Header (Arial / Bold 28 pts)
                    Patient Satisfaction
                                                                Inpatient
• You make it happen                                            Wings
   – Introduce yourself when entering a patient’s room       (1st Qtr 2009
                                                                Preliminary)
        • This includes all employees – Registered Nurses,
          Housekeeping, Phlebotomists, Radiology Techs,      •   2E 3.88
          etc…                                               •   2N 3.66
   – Inform the patient of your name and department          •   2S 3.85
                                                             •   2W 2.94
                                                             •   3N 3.58
 • Is there anything else I can do for you?                  •   3W 3.40
     – I have the time.                                      •   4E 3.20
                                                             •   4N 3.60
                                                             •   4S 3.71
                                                             •   4W 3.64
                                                             •   REHA 3.55
HCAHPS
•   The intent of the HCAHPS initiative is to provide a standardized survey instrument and data collection
    methodology for measuring patients' perspectives on hospital care. While many hospitals have collected
    information on patient satisfaction, prior to HCAHPS there was no national standard for collecting or publicly
    reporting patients' perspectives of care information that would enable valid comparisons to be made across all
    hospitals. In order to make "apples to apples" comparisons to support consumer choice, it was necessary to
    introduce a standard measurement approach: the HCAHPS survey, which is also known as the CAHPS® Hospital
    Survey, or Hospital CAHPS. HCAHPS is a core set of questions that can be combined with a broader, customized
    set of hospital-specific items. HCAHPS survey items complement the data hospitals currently collect to support
    improvements in internal customer services and quality related activities.

    Three broad goals have shaped the HCAHPS survey. First, the survey is designed to produce comparable data
    on the patient's perspective on care that allows objective and meaningful comparisons between hospitals on
    domains that are important to consumers. Second, public reporting of the survey results is designed to create
    incentives for hospitals to improve their quality of care. Third, public reporting will serve to enhance public
    accountability in health care by increasing the transparency of the quality of hospital care provided in return for
    the public investment. With these goals in mind, the HCAHPS project has taken substantial steps to assure that
    the survey is credible, useful, and practical. This methodology and the information it generates are available to the
    public.

    In May 2005, the National Quality Forum (NQF), an organization established to standardize health care quality
    measurement and reporting, formally endorsed the CAHPS® Hospital Survey. The NQF endorsement represents
    the consensus of many health care providers, consumer groups, professional associations, purchasers, federal
    agencies, and research and quality organizations.
LEAD Performers: Key Features


          Leadership                                                            Empowerment
        • Knows HCAHPS Domains                                            •   Everybody’s “JOB”
        • Actively Engaged                                                •   Everyone knows their role
             o Current performance
                                        Better
                                                 Patient Experience       •   Everyone is involved
             o Goals                                                      •   Everyone responds
             o Championing            Better
                                               HCAHPS Performance
             o Supporting




         Accountability                                                            Dedication
•   Clear expectations                                                • Demonstrate proven behaviors
•   Routine reviews of action plans                                       o Every day
•   Routine reviews of performance                                        o Every patient
•   Recognition and rewards                                               o Every encounter
Individual Question Analysis

Rank                                               HCAHPS question                                                        Dimension           Somers' d
 1 q1 - During this hospital stay, how often did nurses treat you with courtesy and respect?                         Nurse Communication        0.69
 2 q2 - During this hospital stay, how often did nurses listen carefully to you?                                     Nurse Communication        0.64
     q14 - During this hospital stay, how often did the hospital staff do everything they could to help you with
 3                                                                                                                     Pain Management          0.61
     your pain?
 4    q3 - During this hospital stay, how often did nurses explain things in a way that you could understand?        Nurse Communication        0.58
 5  q5 - During this hospital stay, how often did doctors treat you with courtesy and respect?                     Physician Communication      0.55
    q4 - During this hospital stay, after you pressed the call button, how often did you get help as soon as you
 6                                                                                                                   Staff Responsiveness       0.54
    wanted?
 7 q6 - During this hospital stay, how often did the doctors listen carefully to you?                              Physician Communication      0.50
    q16 - Before giving you any new medicine, how often did hospital staff describe possible side effects in a
 8                                                                                                                 Medication Communication     0.50
    way that you could understand?
 9 q8 - During this hospital stay, how often were your room and bathroom kept clean?                                      Cleanliness           0.49
 10 q13 - During this hospital stay, how often was your pain controlled?                                               Pain Management          0.48
 11 q7 - During this hospital stay, how often did doctors explain things in a way that you could understand?       Physician Communication      0.46

 12 q11 - How often did you get help in getting to the bathroom or in using a bedpan as soon as you wanted?          Staff Responsiveness       0.46
    q17 - Before giving you any new medicine, how often did the hospital staff describe any possible side
 13                                                                                                                Medication Communication     0.44
    effects in a way that you could understand?
 14 q9 - During this hospital stay, how often was the area around your room quiet at night?                        Quietness of Environment     0.39
    q20 - During your hospital stay, did you get information in writing about what symptoms of health
 15                                                                                                                  Discharge Information      0.34
    problems to look out for after you left the hospital?
    q19 - During your hospital stay, did hospital staff talk with you about whether you would have the help
 16                                                                                                                  Discharge Information      0.34
    you needed when you left the hospital?
Certification & Accreditations
Medical Center of McKinney is…

     • Accredited by the Joint Commission
     • An accredited Stroke Center by the Joint
       Commission
     • Accredited Chest Pain Center
     • Accredited Joint Certification in Total
       Hip/Knees by Joint Commission
     • Accredited Sleep Lab
     • CAP Accredited Laboratory
Medical Center of McKinney is…

• One of 25 hospitals across the nation to participate in
  all three American Heart Association quality programs
   – Gold – Coronary Artery Disease
   – Gold– Stroke
   – Silver– Heart Failure
Marketing & Community Relations
Innovation
Innovation
Dates to Remember


July 29 and 30th Skills Fair for all employees at Wysong
  Campus

August 24th-25th Town Hall Meetings

September 11th Meet the Troops at DFW Airport

October 3rd MCM Employee Picnic

Medical Center of McKinney

  • 1.
    Medical Center ofMcKinney Employee Orientation
  • 2.
    Mission • To attainleadership in the health care field; • To provide excellence in healthcare; • To improve the standard of health care in our community; • To provide superior facilities and needed services to enable physicians to best serve the needs of their patients; • To accomplish this mission within an environment of honesty and integrity; • To generate measurable benefits for our patients, community, employees, and medical staff
  • 3.
    Vision Statement To bethe most comprehensive, provider of quality health care services in North Texas.
  • 4.
    Values • We recognizeand affirm the unique and intrinsic worth of each individual. • We treat all those we serve with compassion and kindness. • We act with absolute honesty, integrity, and fairness in the way we conduct our business and the way we live our lives. • We trust our colleagues as valuable members of our health care team and pledge to treat one another with loyalty, respect, and dignity. • We recognize each individual’s right to the assessment, evaluation, and management of pain.
  • 5.
    HCA Family ofHospitals & Facilities
  • 6.
    HCA – Over40 Years of Caring • Our hospital/facility is one of about 170 hospitals and 115 outpatient centers in the HCA system. • Combined, HCA facilities have about 40,000 licensed beds and treat more than 5 million patients a year. • One out of every 20 hospital procedures is done at an HCA location.
  • 7.
    Medical Center ofMcKinney • Medical Center of McKinney opened its doors in the 1920s. • Hospital moved to current location in 1998. • Medical Center of McKinney’s Wysong campus was original a hospital started by Dr. Charley Wysong in the late 1970s.
  • 8.
    Senior Administration Team Ernest C. Lynch, III President & Chief Executive Officer
  • 9.
    Our Senior Staff Sharn Barbarin Senior Vice President & Chief Operating Officer
  • 10.
    Our Senior Staff Dwayne Ray Senior Vice President & Chief Financial Officer
  • 11.
  • 12.
    Medical Center ofMcKinney Overview
  • 13.
    Emergency Services • Full Service Emergency Department • Accredited Chest Pain Center • Dedicated Pediatric Treatment Room • Cardiac Trauma Care • Accredited Stroke Center
  • 14.
    Cardiovascular Services • Cardiac Catheterization & Interventional Lab • Cardiac Rehabilitation • Cardiovascular Surgery (Open Heart) • Post Plasty Unit • Vascular Surgery
  • 15.
    Center for Orthopedics • General Orthopedics • Joint Replacement -Certified • Sports Medicine • Specially trained orthopedic nurses • Dedicated Orthopedics Unit
  • 16.
    Center for Neurosciences • Neurology • Neurosurgery • Stroke Care • Alzheimer’s Care • Parkinson’s • Headache Clinic • Pain Management
  • 17.
    Maternity Services • Labor & Delivery Suites • Recovery Suites • Education Series • Lactation & Prenatal Guidance • Maternal Fetal Medicine • Newborn Nursery • Level II Nursery • Neonatology
  • 18.
    Other Services Outpatient Services • Ambulatory Surgery Center • Community Education & Support Groups • Occupational Health Center • Outpatient Imaging • Sleep Lab • Physical, Speech & Occupational Rehab
  • 19.
  • 20.
    Header (Arial /Bold 28 pts) Patient Satisfaction Inpatient • You make it happen Wings – Introduce yourself when entering a patient’s room (1st Qtr 2009 Preliminary) • This includes all employees – Registered Nurses, Housekeeping, Phlebotomists, Radiology Techs, • 2E 3.88 etc… • 2N 3.66 – Inform the patient of your name and department • 2S 3.85 • 2W 2.94 • 3N 3.58 • Is there anything else I can do for you? • 3W 3.40 – I have the time. • 4E 3.20 • 4N 3.60 • 4S 3.71 • 4W 3.64 • REHA 3.55
  • 21.
    HCAHPS • The intent of the HCAHPS initiative is to provide a standardized survey instrument and data collection methodology for measuring patients' perspectives on hospital care. While many hospitals have collected information on patient satisfaction, prior to HCAHPS there was no national standard for collecting or publicly reporting patients' perspectives of care information that would enable valid comparisons to be made across all hospitals. In order to make "apples to apples" comparisons to support consumer choice, it was necessary to introduce a standard measurement approach: the HCAHPS survey, which is also known as the CAHPS® Hospital Survey, or Hospital CAHPS. HCAHPS is a core set of questions that can be combined with a broader, customized set of hospital-specific items. HCAHPS survey items complement the data hospitals currently collect to support improvements in internal customer services and quality related activities. Three broad goals have shaped the HCAHPS survey. First, the survey is designed to produce comparable data on the patient's perspective on care that allows objective and meaningful comparisons between hospitals on domains that are important to consumers. Second, public reporting of the survey results is designed to create incentives for hospitals to improve their quality of care. Third, public reporting will serve to enhance public accountability in health care by increasing the transparency of the quality of hospital care provided in return for the public investment. With these goals in mind, the HCAHPS project has taken substantial steps to assure that the survey is credible, useful, and practical. This methodology and the information it generates are available to the public. In May 2005, the National Quality Forum (NQF), an organization established to standardize health care quality measurement and reporting, formally endorsed the CAHPS® Hospital Survey. The NQF endorsement represents the consensus of many health care providers, consumer groups, professional associations, purchasers, federal agencies, and research and quality organizations.
  • 22.
    LEAD Performers: KeyFeatures Leadership Empowerment • Knows HCAHPS Domains • Everybody’s “JOB” • Actively Engaged • Everyone knows their role o Current performance Better Patient Experience • Everyone is involved o Goals • Everyone responds o Championing Better HCAHPS Performance o Supporting Accountability Dedication • Clear expectations • Demonstrate proven behaviors • Routine reviews of action plans o Every day • Routine reviews of performance o Every patient • Recognition and rewards o Every encounter
  • 23.
    Individual Question Analysis Rank HCAHPS question Dimension Somers' d 1 q1 - During this hospital stay, how often did nurses treat you with courtesy and respect? Nurse Communication 0.69 2 q2 - During this hospital stay, how often did nurses listen carefully to you? Nurse Communication 0.64 q14 - During this hospital stay, how often did the hospital staff do everything they could to help you with 3 Pain Management 0.61 your pain? 4 q3 - During this hospital stay, how often did nurses explain things in a way that you could understand? Nurse Communication 0.58 5 q5 - During this hospital stay, how often did doctors treat you with courtesy and respect? Physician Communication 0.55 q4 - During this hospital stay, after you pressed the call button, how often did you get help as soon as you 6 Staff Responsiveness 0.54 wanted? 7 q6 - During this hospital stay, how often did the doctors listen carefully to you? Physician Communication 0.50 q16 - Before giving you any new medicine, how often did hospital staff describe possible side effects in a 8 Medication Communication 0.50 way that you could understand? 9 q8 - During this hospital stay, how often were your room and bathroom kept clean? Cleanliness 0.49 10 q13 - During this hospital stay, how often was your pain controlled? Pain Management 0.48 11 q7 - During this hospital stay, how often did doctors explain things in a way that you could understand? Physician Communication 0.46 12 q11 - How often did you get help in getting to the bathroom or in using a bedpan as soon as you wanted? Staff Responsiveness 0.46 q17 - Before giving you any new medicine, how often did the hospital staff describe any possible side 13 Medication Communication 0.44 effects in a way that you could understand? 14 q9 - During this hospital stay, how often was the area around your room quiet at night? Quietness of Environment 0.39 q20 - During your hospital stay, did you get information in writing about what symptoms of health 15 Discharge Information 0.34 problems to look out for after you left the hospital? q19 - During your hospital stay, did hospital staff talk with you about whether you would have the help 16 Discharge Information 0.34 you needed when you left the hospital?
  • 24.
  • 25.
    Medical Center ofMcKinney is… • Accredited by the Joint Commission • An accredited Stroke Center by the Joint Commission • Accredited Chest Pain Center • Accredited Joint Certification in Total Hip/Knees by Joint Commission • Accredited Sleep Lab • CAP Accredited Laboratory
  • 26.
    Medical Center ofMcKinney is… • One of 25 hospitals across the nation to participate in all three American Heart Association quality programs – Gold – Coronary Artery Disease – Gold– Stroke – Silver– Heart Failure
  • 27.
  • 28.
  • 29.
  • 30.
    Dates to Remember July29 and 30th Skills Fair for all employees at Wysong Campus August 24th-25th Town Hall Meetings September 11th Meet the Troops at DFW Airport October 3rd MCM Employee Picnic