Carlayne E. Jackson developed a quality management plan and initiated a task force to oversee quality improvement activities at UT Medicine. Some initiatives implemented include FISH training for staff, clinic inspections, and mystery caller programs. Challenges include serving an indigent population with low expectations, poor access and inefficiencies. Anticipated next steps are developing medical director and quality improvement programs, improving access and utilization, and continuing staff engagement through updates and feedback. Learnings include that change works best from bottom-up with leadership setting vision and allowing stakeholders flexibility in strategies.
In June 2016, training for doctors and nurses was held in the Kyzylorda and Mangistau regions. This presentation is a brief on the training outcomes and the reasons why we believe they were successful.
VU University Amsterdam
Quality Improvement
Health Care Delivery
Hospital Quality
Low and Middle Income Countries
Developing Countries
Resource-Restricted Settings
In June 2016, training for doctors and nurses was held in the Kyzylorda and Mangistau regions. This presentation is a brief on the training outcomes and the reasons why we believe they were successful.
VU University Amsterdam
Quality Improvement
Health Care Delivery
Hospital Quality
Low and Middle Income Countries
Developing Countries
Resource-Restricted Settings
Documenting Your Clinical Efforts In a Way that Countstatetomika
Liudmila N. Schafer, M.D., F.A.C.P.
Associate Professor
Department of Internal Medicine
Division of Hematology and Oncology
Winthrop P. Rockefeller Cancer Institute
U.A.M.S.
Portal Me: Provider perspective on Patient Portal useJeffery Belden
Encouraging patients to enroll in their healthcare portal, use secure messaging, and share their patient-generated health data with their personal physician or healthcare provider.
Chief Allied Health Professions Officer’s Conference 2016
Workshop 2: Primary care – Chair Mark Radford
National Advanced Clinical Practitioner Programme. Professor Mark Radford Chief Nursing Officer, University Hospitals Coventry and Warwickshire NHS Trust.
OVERVIEW -- Care by Design - Putting Care back into healthcare the University of Utah experience in building PCMH level care over the decade of 2001 to . 2011
My presentation to medical faculty re:
Upon completion of this session, you will:
1. Explain the role of objectives in teaching
2. List 1 objective applicable to your practice for each of the 7 CanMed Roles.
Documenting Your Clinical Efforts In a Way that Countstatetomika
Liudmila N. Schafer, M.D., F.A.C.P.
Associate Professor
Department of Internal Medicine
Division of Hematology and Oncology
Winthrop P. Rockefeller Cancer Institute
U.A.M.S.
Portal Me: Provider perspective on Patient Portal useJeffery Belden
Encouraging patients to enroll in their healthcare portal, use secure messaging, and share their patient-generated health data with their personal physician or healthcare provider.
Chief Allied Health Professions Officer’s Conference 2016
Workshop 2: Primary care – Chair Mark Radford
National Advanced Clinical Practitioner Programme. Professor Mark Radford Chief Nursing Officer, University Hospitals Coventry and Warwickshire NHS Trust.
OVERVIEW -- Care by Design - Putting Care back into healthcare the University of Utah experience in building PCMH level care over the decade of 2001 to . 2011
My presentation to medical faculty re:
Upon completion of this session, you will:
1. Explain the role of objectives in teaching
2. List 1 objective applicable to your practice for each of the 7 CanMed Roles.
Ribot is based by the sea, down in sunny Brighton.
If you’re a London-based Android dev, you should seriously consider quitting the smog and joining us! Heck, if you live anywhere else other than Brighton, you should consider making the move. On top of fresh sea air and a chilled beachy lifestyle, we offer a highly competitive salary. It’s worth thinking about.
Have a read and good luck!
Running Head Quality Improvement Project1QUALITY IMPROVEMEN.docxtoltonkendal
Running Head: Quality Improvement Project 1
QUALITY IMPROVEMENT PROJECT 7
Quality Improvement Project
Jerome Phillips
Kaplan University
HS460
Professor Sexton-Tosh
September 22, 2017
The topic on continuous quality improvement for my final project that I selected is Patient Administration. There are many health care sectors that are involved with patient administration.
Some of those heath care sectors consist of:
1. Hospital Management Firms
2. Health Maintenance Organizations
3. Health Information Technology
4. Long Term Care Facilities
5. Public Health
6. Healthcare Network
While CQI implementation is slowing down in some health care sectors after the impact of early adopters may have worn off, other sectors of health care, such as public health (see Chapter 16) and nursing (see Chapter 17), are embracing and expanding CQI concepts and methods. (Sollecito 70)
There are many disciplines involved with patient administration.
1. Public Health
2. Physical Therapy
3. Pharmacy
4. Nursing
This process is real. Patient Administration is an area that Continuous Quality Improvement can make a difference in how patient’s view the healthcare they receive. Healthcare will always be needed, because not many are willing to try the alternative of not getting healthcare.
References:
Sollecito, William A. McLaughlin and Kaluzny's Continuous Quality Improvement In Health Care, 4th Edition. Jones & Bartlett Learning, 20110929. VitalBook file.
As an individual, you have our own wants needs and desires you want to pursue and achieve. Even though you are an individual, you are simultaneously also part of a larger society. Being part of a larger society includes the understanding that our society also has needs it must achieve and maintain if it is going to operate in an orderly manner that is beneficial to the greatest majority of society.
For this assignment, you will write a 1-2 page essay that identifies the key social issues contributing to the need for Criminal Justice practitioners. In your paper, identify and define three key social issues. Also, discuss how the issues impact your role as a criminal justice professional. Provide 2-3 illustrative examples to support your position.
Format your paper with an introductory paragraph, an explanation of the three key social issues, and then a concluding paragraph.
View the Unit 2 Assignment Checklist
NOTE: This assignment will require outside research (at least two outside resources). You may consult the Kaplan Online Library, the internet, the textbook and other course material, and any other outside resources in supporting your task.
Keep in mind that college students are expected to have strong writing skills, and you should put forth your best writing effort for this assignment. You may not be at a point where you have strong writing skills, but you will have every opportunity to develop them as you continue through your program of study. Be sure to use the resources available to you t ...
Write a 3 page evidence-based health care delivery plan for one co.docxowenhall46084
Write a 3 page evidence-based health care delivery plan for one component of a heart failure clinic.
Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.
. Describe accountability tools and procedures used to measure effectiveness.
· Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.
. Develop an evidence-based plan for health care delivery.
· Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
. Apply professional and legal standards in support of a care plan.
· Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
. Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.
.
Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.
Preparation
Refer to the Internet for supplemental resources to help you complete this assessment.
Instructions
Deliverable: Develop an evidence-based plan for health care delivery.
Scenario:
The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.
As a member of the nurse team, you have been asked to develop onecomponent of the clinic.
The hospital leadership established these objective.
Project OverviewThe course project is designed to provide studen.docxbriancrawford30935
Project Overview
The course project is designed to provide students with an opportunity to write a risk management plan specific to the banking industry. The project provides students with the opportunity to investigate the different aspects of business risk and risk management. It is also designed to help students assess their ability to analyze different aspects of financial decision making.
Due Date
Your final project is due in Module 06. There will be individual assignments along the way. The module they are due is noted in the time line below.
Time Line
Module
Assignment
01
Bank Risk Types and Trends
02
Identify Banking Risks
03
Mitigating Bank Risks
04
Bank Credit Risks
05
Bank Lending Practices
06
Risk Capital at a Bank and FINAL Project Submission
Requirements
Your final risk management plan must be 12 - 15 pages long. Your plan should have an introduction with a thesis statement. The body of your plan should be divided into at least 6 subject headings corresponding to your assignments in Modules 1 - 6. Your plan should have a conclusion that summarizes the main points and leaves the reader with a final thought. Your plan should be supported by research from at least 15 different sources. Include both in text citations and a References page in APA format.
Evaluation
Each assignment leading up to the final assignment is evaluated and graded independently. Your instructor will provide specific grading criteria for each step of the project prior to its due date
Running head: COMMUNICATION PLAN 1
COMMUNICATION PLAN 2
Communication Plan
Tiffiany Cooper
Grand Canyon University: LDR-620 Leading as a Manager
August 15, 2016
Communication plan
A communication plan refers to a set of strategies that are employed to give a vivid description of how one intends to communicate the results that they have obtained from a certain kind of an evaluation conducted. One of the strategies that I plan to utilize in my action plan is the formal communication channels to implement the plan. This refers to a channel of communication where the message is passed through means that are predefined (Sehgal, & Khetarpal, 2006). Although this channel of communication is slow, it has a high level of formality, and it is also very reliable in the passing of the message. In the implementation of the action plan, I will make use of the formal communication channel to pass the message to the doctors on the importance of ensuring that the patients who have been given the discharge orders have been discharged within the specified time frame.
The other strategy that I will employ in the implementation of my action plan is the informal communication. This refers to a channel of verbal communication whereby the interchange of the information does not make use of any specific channel. .
Standardized Clinical Placement
Amanda Swenty
MSN-Learner
Walden University
NURS 6600
April 30, 2016
Introduction
Summary of Practicum Project Topic
Project Goals
Project Objectives
Rationale for Goals
Practicum Project Methodology
Practicum Project Findings
Conclusion
I would like to welcome the faculty and course members to this presentation of a topic that I am passionate about as a current faculty member. This project will explain in detail the need for a standardized placement tool for academic settings and hospitals to use.
2
Current difficulty placing students in the clinical setting
Limited sites for faculty led/preceptor led clinical
Disorganized Process of placement of students
Current placement is done individually by each site and it time intensive
Current process shows favoritism
Summary of Practicum Project Topic
As a former student I have felt the pains of placement for students in the clinical setting. As a faculty member I have been exposed to the difficulties that placing students has placed on the colleges and faculty, and the hospitals that host students. The difficulties are in the following areas:
Lack of qualified faculty willing to be flexible in unique clinical times (weekends/nights)
Poor communication between the school/hospital
Time extensive placement for current process ( School sends a request, hospitals wait for requests from all colleges before approving, placement approvals/denial sent back to college). This process can take up to months for a response.
Due to the poor communication sites are limited as managers don’t respond timely so sites go without students on site
The faculty from each college and placement coordinators from each hospital all meet monthly to discuss process. At this meeting it was discovered that one hospital places favoritism to the college associated with them and also the technical college as they have tenure with them. This makes fair placement an issue.
In the Greater Green Bay Healthcare Alliance meeting I presented the proposed topic for approval on April 8, 2016. The above listed issues were discussed and all members agreed to provide data to make placement a standardized process. All faculty and placement coordinators agree to provide all data available to create a useful tool that can be used by all members for student clinical placement.
3
Project Goals
Gather all necessary information to create an effective standardized placement tool
Create a standardized student placement tool
Presentation approved by the Greater Green Bay Health Care Alliance
Successful completion of this course to better prepare me for this advanced degree in nursing
The project goals that I have set for this project are related to the creation of a standardized tool that can be useful for academic setting and healthcare facilities to use to place students in the clinical setting. As listed in the introduction the current process lacks organization, standardiz.
Marita Schifalacqua, RN, MSN, NEA-BC, FAAN,
Chris Costello, MEng, MBA, and Wendy Denman, RNC, BBM, BSN, MSN
Roadmap for Planned Change, Part 2
Bar-Coded Medication Administration
hange—savored by some and feared by many.
How do you as nurse leaders use your
knowledge and insight to move forward and transfer
your vision for quality and safety into reality? What do
you need to do to get key stakeholders on the bus and,
in some cases, even drive the bus? The roadmap for
planned change allows for an infrastructure of thought
brought to increase the likelihood for successful
change. Successful change is important to our patients
and to us as providers of that care.
This article, the second of a two-part series,
focuses on the application of change theory and the
elements of project management most critical to
successfully implementing a bar-coded medication
administration (BCMA) program. Examples will be
from one hospital’s experience, Saint Francis Medical
Center in Grand Island, Nebraska, to a health
system’s (Catholic Health Initiatives, Denver, Colorado)
approach to planning for 30 hospitals.
The definition of the BCMA program includes a
consistent, integrated information technology strategy,
with a focus on point-of-care BCMA to ensure that the
right person receives the right medication, in the right
dosage, via the right route, at the right time (five
rights). The bar code on medication is scanned before
administration to patients.
C
April 200932 Nurse Leader
Nurse Leader 33www.nurseleader.com
APPLICATION OF CHANGE THEORY AND
PROJECT MANAGEMENT
The first article discusses concepts and tools of both change
leadership and project management that lend support in plan-
ning and managing large- or small-scale change. Change lead-
ership is a common methodology of theory and tools that,
when used routinely, are central to integrating a change man-
agement model with the people side of change.
Project management is an application of knowledge, skills,
tools, and techniques customized to the initiative.The project
management elements discussed in the first article that are
most critical to successfully implementing planned change are
project charter, project budget and budget management, proj-
ect plan and schedule management, project staff organization,
project communications management, and project risk and
issue management.
CURRENT STATE ANALYSIS
Changing a process as complex as BCMA can and will
impact a variety of stakeholders. It is important to review
the process of medication administration from the time the
medication enters the facility through the time that the med-
ication is billed to the patient. Employees working in depart-
ments that will experience change with BCMA need to
know that their role is important and that their viewpoint
is valued.
Leadership
The chief nursing officer and vice president of ancillary services
were the executive cosponsors of the project.There was a
BCMA stee ...
For more classes visit
www.snaptutorial.com
Midterm Case Study: Motivating Employees
Due Week 5 and worth 300 points
Imagine that you have been appointed the Director of Health at the Kaluyu Memorial Hospital in Nairobi, Kenya – a for-profit hospital. The facility is also a referral hospital and receives severe cases of accidents, chronicle / communicable diseases, and houses an HIV / AIDS ward. As you settle into your position, you realize that the
ITS IMPORTANT TO MEET THE COMPETENCES (Thats how they evaluate the mariuse18nolet
ITS IMPORTANT TO MEET THE COMPETENCES (That's how they evaluate the work).
Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.
(IMPORTANT) -Describe accountability tools and procedures used to measure effectiveness.
Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.
(IMPORTANT) -Develop an evidence-based plan for health care delivery.
Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
(IMPORTANT) -Apply professional and legal standards in support of a care plan.
Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
(IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.
Preparation
Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment.
Instructions
Deliverable:
Develop an evidence-based plan for health care delivery.
Scenario:
The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.
As a member of the nurse team, you have been asked to develop
one
component
of the clinic.
The hospital leadership established these objectives ...
Assignment ObjectivesSummarize the purpose of a performance impro.pdfrohit219406
Assignment Objectives:
Summarize the purpose of a performance improvement plan.
Summarize and organize the steps needed in the creation of a performance improvement plan.
Purpose: It is important to understand the performance improvement plan and how it works. You
will all work in a setting, whether it be a hospital or a physician’s office managed by a hospital,
where you will get audited and have certain standards to meet. It is important to be prepared and
understand this information now.
Assignment Description: When dealing with a performance improvement plan, there are many
things to consider. I would like for you to write a report detailing how a performance
improvement plan is written. Start with what the criteria is and how it is determined. Move on to
the action plans and then end with the formal report.
Parameters: This paper needs to be at least 1,000 words in length. You need to have at least 3
sources. This paper needs to be in APA format.
The paper will be graded by the following rubric:
Essay contains correct subject matter and covers the objectives, 50
Proper format – introduction, body, and conclusion, 15
Length – 1,000 words at least, 5
APA Style and format, 5
Used proper number of resources, 15
Grammar, spelling, and punctuation, 10
Solution
Performance Improvement Plan :
Following structure will be followed for developing performance Improvement Plan .
Mission Statement:
To offer the best in patient care and to endorse community health.
Vision:
To be a leading hospital provider in the located area.
Service superiority:
Expecting and exceeding expectations of all we dish up: our patients and their folks, providers,
staff, students, volunteers and other partners.
Dynamic work surroundings
Fostering an setting where all are valued and respected, and fervor and opportunities for expert
growth are encouraged.
Building on centers of medical and organizational superiority Doing the right thing by centering
on evidence based patient- and family -centered mind, a commitment to security, the importance
of knowledge and our mission, vision and values.
Innovation and teamwork Building/fostering corporation to enhance care, meet society need and
foresee the demands of a active healthcare environment.
Financial and resource stewardship :
Keeping clinic strong through the accountable use of financial and human resource.
PURPOSE
The principle of the Hospital performance Improvement Plan is to provide a structure for a
collaboratively planned, systematic and company -wide approach to improving organizational
routine. It is designed to provide an included and comprehensive program that will scrutinize,
assess and improve the superiority of patient care delivered at this flair.
Promise to performance :
The core of the hospital performance Improvement Program is that it tackle quality in all areas
and at all levels all through the organization.
For Hospital to succeed in the swiftly changing and increasingly spirited healthcare atmosphere
in t.
Advancing Team-Based Care: Enhancing the Role of the Medical AssistantCHC Connecticut
In this webinar, we explored the expanded role that medical assistants play in improving patient health outcomes. The role of the medical assistant was explored in population management, using electronic dashboards, and health coaching. We discussed how state-by-state variation and regulation may influence medical assistant practice.
Key Performance Indicator Assignment Capstone Written Case ConcepTatianaMajor22
Key Performance Indicator Assignment: Capstone Written Case Conceptualization (20 points) (The client selected should be a high school student. I did my intern at a high school) The student will select a client from their internship site and complete an 8-page (minimum) case conceptualization report detailing the following ten competencies,
1. Assessment Skills: Includes a summary of the DSM-5 diagnosis, biopsychosocial assessment, mental status exam, substance use, risk assessment, and any other assessment instruments used.
2. Intervention & Conceptualization Skills: Includes a summary of how the assessment informs treatment, treatment plan, goals, and interventions used. Incorporates any relevant cultural, racial, ethical, and legal (if applicable) issues related to the case, and reflects the intern’s personal theory of counseling.
3. Writing Skills and Document Organization: Paper clearly and succinctly communicates clinical impressions. Paper is organized, with appropriate grammar, spelling, and APA Style.
4. Use of Supervision: Includes a summary of how supervision impacted clinical decision making and case conceptualization.
5. Knowledge & Application of Site-Specific Information: Includes a description of how the site’s clinical services and structure affect the assessment, treatment, and conceptualization of the selected case. Any relevant policies, regulatory processes, and program evaluation measures associated with service delivery are included.
6. Professional Counseling Competencies: Includes a description of how the case was conceptualized from the professional counseling framework compared to other mental health professions (e.g., counseling promotes clients' optimal human development, wellness, and mental health through prevention, education, and advocacy activities, including advocacy for those with mental health issues.)
7. Personal Attributes & Self-Understanding: Includes a summary of 1. intern’s reactions, awareness of own emotional response, and effective countertransference management related to the client case, and 2. awareness of intern’s impact on client (i.e., intern’s race, gender, religion) and client’s transference responses.
8. Interpersonal Competencies: Includes a summary of how the intern’s interactions with supervisor, interdisciplinary team, and site colleagues informed the case. Describe how the use of Generated: 10/22/2021 Page 7 of 23 empathy, compassion, and respect for client’s autonomy were evident in the client’s treatment.
9. Student’s Strengths: Identify and describe at least three of the intern’s personal strengths that enhanced the client’s treatment.
10. Student’s Areas for Development: Identify and describe at least three of the intern’s areas for development that would further enhance the client’s treatment. This paper must be written in APA Style
Due date 11/13/21
Please see attached “final capstone correct” I have started the paper but I need help completing the rest. I have in ...
1. IA2 (a): Benchmarks Developmental Plan
(Approximately ½ page)
Submit to Patreece Thompson pthompson@treececonsulting.com
and Brian Pelowski Brian.Pelowski@DrexelMed.edu
Please follow the format below when submitting your report
Name: Carlayne E. Jackson, MD
Institution: University of Texas Health Science Center
ELAM program year: 2008-2009
Developmental areas selected (Select no more than two areas):
Leading Employees
Balancing Personal Life and
Work
Participative Management
Resourcefulness
x Change Management
Compassion and Sensitivity
Self-awareness
Being a quick study
Confronting Problem Employees
Doing Whatever it Takes
Putting People at Ease
Building and Mending
Relationships
Straightforwardness and
Composure
Differences Matter
Career Self-Management
Decisiveness
How I reported my results to my raters: I wrote a note on my ELAM stationary to
everyone who was invited to complete the Benchmark survey. I thanked them for taking the
2. time to complete the survey and encouraged them to continue to provide me feedback. In
some cases, I summarized what had been identified as my weaknesses, and told them I
would be developing a project to address these.
Successes and accomplishments: I have developed a Quality Management plan for our
practice plan, UT Medicine, and initiated a new task force on Quality Improvement to oversee
these activities. I currently chair the Clinical Operations Working Group which has been
working for the past 6 months on ways to change the culture of our clinical practice to a more
“patient centric” mentality. Some of the activities that we have already implemented include:
1. FISH training for the staff (based on Seattle Fish Market experience); 2. “Blue Ribbon
Inspections” in which we assess physician, staff and patient related issues and score each
clinic on a variety of metrics; 3. “Mystery Caller” program in which our staff call each other
with a variety of questions and score the staff answering the phone; 4. Clinical Operations
meetings presented to the staff over lunch.
Challenges: UT Medicine has served a predominantly indigent population in the past and
these patients, in general, have low expectations for patient service. We will be moving into a
new 250,000 square foot building this summer (the cost of which is being borne entirely by
clinical revenue) and our plan is to see predominantly Commercial/Medicare payors at this
facility. In order to “grow” our commercial business, both the staff and faculty must learn to
provide exceptional customer service. Currently, we have very poor patient access (3
rd
available appointments are up to 90 days) and inefficient room utilization (most providers see
2-3 patients/room/4 hour session averaged over 46 weeks). Many of our providers cancel
clinics due to “academic” commitments with little thought of how this impacts patient care and
clinical revenue. There are inadequate processes to handle patient messages and refills in a
timely fashion. In addition, consult notes are frequently not being sent back to the referring
provider. Staff turnover during the last academic year was 33%!
Anticipated next steps: 1. Develop a Medical Director program to provide physician
leadership in each clinic and improve the “sense of team” within each work group. 2.
Distribute physician access information to each Chair and Department Administrator and
3. schedule meetings to discuss strategies to reduce 3
rd
available wait times. 3. Review current
room utilization with each Department and designate space in the new building based on
current and projected activities. 4. Host School of Medicine Town Hall in December to review
Clinical Operations initiatives – where we’ve been, where we are, and where we need to be.
5. Launch Quality Improvement program and task force. 6. Continue quarterly Blue Ribbon
Inspections and post results in each staff work room. 7. Work with Clinic Managers on
developing processes for handling refills, messages, and consult reports. 8. Continue
quarterly staff Clinical Operations updates. 9. Take Quality Improvement course sponsored
by UTHSCSA 10. Continue to ask for feedback from Clinic Managers, Department
Administrators and Chairs, and UT Medicine Staff. 11. Ask Vice Dean and Vice President of
Patient Services to be my Coaches.
Learnings to date: Change works best from the bottom up rather than setting rules and
policies from the top down. Leadership needs to set the vision of where we need to be and
allow the stakeholders to make it happen. A strategy that is effective for one Department
may not work at all in another area – centralization is not always the answer. Above all,
change requires that we remain flexible!