Scott Kashman is Healthcare Executive, fitness, health & wellness enthusiast. Promoting a holistic team approach to healthcare delivery and prevention. He is a freelance writer and contributes to this site and others with his industry knowledge and experience.

Making "big", SMALL

Making

How do you make big, small when dealing with complex issues which may seem overwhelming and never achievable? As easy as it sounds, it is a major challenge to execute and ensure you are following a plan every day...making big into small. Essentially not "boiling the ocean" as the saying goes.

Some examples of complex issues include moving from volume to value payment models, patient flow, readmissions, hospital-acquired conditions and patient experience.

So how do you take any of these "big" and help make them "small"?

Start with understanding the position of "one," as this promotes the need for a more focused and disciplined approach. Let's take an example with a patient (n=1) at risk of readmission. She has congestive heart failure (n=1) which is one of the subset diagnoses with a higher risk of readmission.

Try this four-step approach to focus on the "n of 1" to see if you have a solid plan in place that can be managed every day:

Awareness: Ensure systems are in place to provide early identification that there is a patient you have to manage who has congestive heart failure. Do you know where all these patients are in your health system today? What tactics will ensure you do well and what obstacles get in your way to deliver consistent high performance?

Collaboration (Bridging Silos and Integrating: Who do you need to work with to coordinate the care of this patient while he or she is in your care and where will you transition this patient post-hospital stay? Do those post-acute locations know what they should be doing to continue the care you provided? How do you ensure you are all in sync with your efforts?

Intervention: How will you manage this patient while in the hospital? What are the patient risk factors and what is the plan of care and key care needs such as better nutrition, awareness of medications and potential side effects, and clear and understandable discharge plans?

Measured results and follow-up: Was this patient readmitted 30 days post hospital stay? If yes, why and how could it have been managed differently? If no, how was it managed so you could replicate with other similar patients and apply the same approach toward other "big" situations?

This approach will also help with the health and wellbeing of your team. With the rise in burnout along with the need to improve resiliency, these steps should help allow others to stay inspired and make a positive impact every day. 

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Fun at Work?

Fun at Work...
I've heard the comments..."there should be no fun in the workplace" and "they call it job for a reason." However, since many of us spend 30%+ of our time at work and another 20-30% of our time sleeping, it is good to find those fun times at work...What's going on in your workplace to make it more enjoyable for you and your colleagues?

I was speaking to one of our Surgeons and we started to discuss the excitement and challenges in healthcare. He enjoys surgery, good dialogue, his colleagues and having fun while at work. He let me know he would not want to work in a place that was not enjoyable day in and day out. That would be a "dreaded place to be." This doesn't mean goofing off all day long. It does mean enjoying the time you spend in the workplace and helping to make it enjoyable for you and others. That creates a place for all of us to thrive.  And the other beneficiaries of this kind of place..our patients.

Forbes had an article reflecting on the benefits of fun in the workplace.

Also check out  these 8 tips from Tres Coaching:

1. Put fun first on your list of priorities, and the rest will fall into place. 
2. Laugh more. Laughter can be a great medicine for what ails you and your workplace. 
3. Be spontaneous with recognition, praise and a simple “thank you”. 
4. Schedule fun-based activities with employees, customers and suppliers. 
5. Find your inner child. Let others see the humorous side of your personality. 
6. Live with the 3E’s – Energy, Enthusiasm and Empathy. 
7. Take mental health breaks and/or extended lunches to refresh and re-energize. 
8. Keep things in perspective. Your work is a means to an end, not the end!

Regardless of where you are in your career, if you’re not having fun – what’s the point? Life is too short to not enjoy what you are doing, so find a way to put fun back into your work or do something else. The continuing negative trends in business as a result of downsizing, restructuring and the financial markets meltdown have taken a huge toll on the workplace, and the workforce tasked with doing more with less. We need to find ways to reduce stress, improve productivity, and keep our morale and energy levels up.

There are unlimited challenges and exciting times ahead in healthcare. Why not make the best of it and ensure we have some fun while constantly improving the healthcare experience.
 
What do you do to infuse fun into your work environment?

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The Optimal Workplace Environment: Bridging Provider Work Life and Well-being

I'm one "click" away from a meltdown!

Recently, I was part of one of our clinical service line annual retreats. The focus was on several performance goals in support of our organization's strategic priorities.  The group's dialogue constantly moved us towards a shared vision. It was inspiring and refreshing to be part of this discussion.  

So many conversations in healthcare and around the nation are polarizing. An "all or none" or "a win or lose only scenario".  Even as health and well-being is discussed, many people want to stick with one view... People will share only one view..."it's all about lifestyle behaviors or the payment models/how and who gets paid or just take medications or just get the surgery or my patients will never comply".  Each view is a narrow lens of keeping our patient's overall care at the center of all our clinical decisions. There really needs to be a balance of all aspects of health to better meet our patients' needs. This includes clinician and staff's workplace wellbeing.  One example brought up in our retreat was around the electronic health record and the number of "clicks' to enter the necessary information. There is a delicate balance between ensuring high safe, quality care and exhausting those who are providing the care.

In the book, Mindful Healthcare: Healthy Team, Healthy Business, Dr. Wayne Jonas references the Quadruple Aim, focused on clinician's work life as well as the need to look at real ways to "transform" healthcare. He states, "as our policy leaders debate coverage, pre-existing conditions, central vs. local control, and the role of government in healthcare as it is, they will continue to miss healthcare as it needs to be and can become."  Our role in healthcare is to collaborate across our system and community, with patients and key partners in pursuit of an improved healthcare delivery system. 

What can you do to advance health in your organization?

We all know in order to take better care of our patients, you need to stay focused on the needs of your team.  Think about what is contributing to better clinician and staff work life and well-being. Also give thought to what takes away from this. If you are not sure, just ask your team and you will find out in 5 minutes! 

Try moving forward with small tests of change so you are better able to disrupt outdated care models and work processes. These steps could include:

1. Frame the vision and goals, facilitating the discussion and work towards a shared vision;

2. Understand your current outcomes and variances against national benchmark;

3. Review your work processes, work loads and work situations which contribute or reduce work place stressors;

4. Appreciate the need to reduce staff "burnout" and share stress management techniques to improve staff resiliency; and

5. Acknowledge that exceptional care can not be achieved consistently without the focusing on the wellbeing of your team.

Healthcare organizations need to learn from our health system as well as other industries.  Please share ways you are creating an optimal workplace environment in your organization. 

Game on!

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Only 5-Star Applicants Need Apply

Only Five-Star Applicants Need ApplyIn a recent post, I shared our health system’s four strategic priorities and how each facility and every department cascades these priorities to their respective areas and to every individual working in them.

Every week during orientation, I remind new and returning employees about 5 key things that are key to ensuring they could help us run our health system every day:

  1. Know your own “purpose” and “why’ you chose to take this job. Was it because you had a calling to be a caregiver, because you get to impact the lives of others, because you could provide a livelihood for your family. Whatever the reason, everyone is excited when they receive the offer and yet sometimes these same employees forget why they were excited, their they forget their purpose and they start to negatively impact their colleagues, patients and families we serve.
  2. Ensure you align with our mission, vision and values.
  3. Learn our goals.
  4. Understand how your role contributes to helping our health system achieve its achieve goals.
  5. Learn how you help the organization improve every single day on every shift.


We count on our leaders to select for the “right fit”. After all, we have a community of nearly 20,000 employees, physicians and volunteers serving our patients, families and community.

In the 2/28 blog, “Industry Voices—The power of rounding to engage staff in your organization’s strategic priorities”, my co-author, Matt Walker shared how his Director was excellent at selecting the right individuals.

Kristi Cottrill, Lee Health - Healthpark Medical Center’s Director of Housekeeping and Transport Services shared the following about “hiring the right people”:

As we continue our journey toward excellence, finding and hiring the right people is crucial to our success. Without 5-Star employees, we cannot be a 5-Star organization. Interviewing and selecting the right talent is one of the most important jobs a department leader can do for the team. For large departments, the commitment is huge and the results are well worth the undertaking.


Who knows more about what you’re looking for than you?

My team recognizes that our responsibility goes beyond finding the right people to transport our patients. Many staff members use this entry level position as a stepping stone to other healthcare careers. With that in mind, we utilize the interview process to select those individuals we believe will become outstanding healthcare professionals for the larger team. It is a two-way street. What we are looking for and what the applicant wants as well.

  1. It begins with the all-important first impression.
    Is the applicant neatly groomed? We don’t expect formal attire, as not everyone has the means to dress professionally. We do expect the applicant to be clean and neatly groomed.
    A warm, outgoing personality and an ever-present smile rank very high on our list of priorities. We try to look beyond the expected nervousness that goes along with an interview to determine if they possess the verbal communication skills that will “wow” our patients. Do they fit the image of a 5-star professional?

  2. Short and long-term goals are discussed to help us determine if the applicant is focused on his/her future. Are they ambitious? College students studying health professions have an advantage, as we recognize our organization’s need for great nurses, Physician Assistants, Emergency Medical Technicians, etc. Additionally, it gives us an idea of how the applicant’s educational commitments will impact our department. If the applicant receives a job offer, we make every effort to assign a shift that will keep school related scheduling adjustments to a minimum.

  3. While reviewing the work history, we focus on job stability. An unstable work history is an indication of “job hopping” and requires explanation. We want reasons why the applicant moved around so much. We also want to know what their past employers have to say about them. We check references!

  4. Teamwork. In our department, the ability to work well on a team is important, as transporters often help each other with more difficult transports, and assist other departments during periods of lower activity. Often a team member will be routinely assigned to a high-volume area such as the Emergency Department. They become as much a part of that team, as they are a part of our team. For these reasons, we ask the applicant to share work and/or school examples of team projects, specifically, what they liked about working on the team and what challenged them.

  5. Applicants are encouraged to share their customer service experiences; their greatest success stories and the ones they wish they could do over. They are asked to provide examples of how they handled certain situations such as: their most challenging customer, a time they disagreed with a policy, an example of when they went above and beyond, etc. This helps us evaluate their interpersonal skills and by their responses, we can determine if they are genuine and open in their communication. We listen intently as we evaluate their fitness for our team. Then, the applicant has an opportunity to convince us that extending a job offer would be the right decision for us, and for our patients.

  6. The focus of the interview will then shift to what we have to offer.
    We build their excitement by sharing the great opportunities available for top performers within our health system, including tuition assistance and growth/advancement.
    We boldly declare that we are the best employer in the county and we are interested in hiring only the very best people. We paint a very clear picture of what that looks like such as; our very high standards for patient safety, dependability, compassionate behavior, and teamwork.
    Our team is especially proud of our commitment to “Patient Experience” and the opportunity we have not only to be one of the first people a patient sees, but also the last, as they are wheeled out upon discharge. We pride ourselves in providing both a great beginning and a warm, friendly end to their stay with us. While here, we strive to treat them like our most favorite relative.

  7. While sharing what we’re passionate about, we watch their non-verbal communication to gage whether or not a fire has been ignited inside them.

The ultimate goal is to “hire tough,” so that leading the team will be easy.

Selecting the right candidates is only part of what makes a winning team. Setting the bar high and holding them accountable for the promises they made during the interview are key to the ongoing success of both the employee and Lee Health.

Be well. Stay inspired.

Scott

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My New Book: Mindful Healthcare

Mindful Healthcare: Health Team BusinessScott's New Book: Mindful Healthcare: Healthy Team, Healthy Business

A healthcare organization needs to be more than capable nurses and doctors, sterile operating theaters, a business office, and an emergency room. Every successful medical organization should be an optimal healing environment. This holistic, person-centered approach to the business of medicine focuses on empowering the hospital and health system's working community. It reduces stress, eliminates burnout, and increases staff resiliency, helping your team to remember why they chose to pursue a career in healthcare. When your healers thrive, your hospital will flourish.

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Focus on Health & Well being Leads to Corporate Outcomes

Focus on Health & Well being Leads to Corporate Outcomes

Focus on Health & Well-being Leads to Corporate OutcomesFocusing on your team's individual well-being will lead to them taking better care of themselves and in turn, your organization.

Share ways you have helped your team member do the same.

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CAPE PRIDE - June 24, 2015 Page 1 of 2

Good morning Cape Coral Employees, Physicians, Volunteers, Auxilians…

CNAs
A CNA is a certified nursing assistant. Certified nursing assistants, also known as certified nurses aides, have completed an accredited CNA program and taken a state exam to be placed on the CNA registry. They work under the direct supervision of a nurse and are an important part of your healthcare team.  See page 2 for a Poem written by our very own, Anna Marie McCarthy, Nursing Director on 3North.  Thank you Anna Marie for sharing!

TRAINING FOR LIFE!
Congratulations to George Boldissar and Erick Rodriguez for competing in the Powerlifting Competition.  George has been training at the Wellness Center since 2000. Listed below are the records that they currently hold in the RPS REVOLUTION Federation.  On May 30th we all took first in our weight and age class.

Rx Games!
Here are the results from last week.  Congratulations CCH for an amazing amount of participation.  Let’s continue to strive for 100% participation at any level.
Campus Dollars Raised Participants
Cape Coral Hospital $28,154.00 229
Gulf Coast Medical Center $10,981.00 77
HealthPark Medical Center $41,402.00 223
Lee Memorial Hospital $35,000.70 223
Lee Physicians Group $7,011.00 48
Outpatient Services $2,626.00 24
Total $125,174.70 824

CCH Fun Committee
Casting Call is NOW!
We are looking for fresh, new talent for the 2015 CCH Talent Show!  The theme for this years’ talent show is: Cape Coral Bandstand.  For consideration, please email your portfolio which should include: Your biography, talent, where you work, and about yourself to:  This email address is being protected from spambots. You need JavaScript enabled to view it..  Deadline is June 19th.  Talent Show Date is NOW August 26th from 5pm-7pm.

I want to hear from you…
1st phase of our Pathway to Discovery is complete and ready for use.  It includes exercise stations and clinically integrates with therapy.  This was all possible through the generous donations of our community and many of you.  Please let me know what you like about it or what you want changed?

Scott

This email address is being protected from spambots. You need JavaScript enabled to view it.
Blog: www.thehealthcareexperience.org

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CAPE PRIDE - June 17, 2015

                                                                               

Good morning Cape Coral Employees, Physicians, Volunteers, Auxilians…

2015 Get With The Guidelines Stroke Achievement Award:  GOLD PLUS TARGET STROKE HONOR ROLL ELITE

Cape Coral Hospital is Nationally Recognized as one of the 5% Top Performing Primary Stroke Center in the nation!!  This award recognizes the team’s performance and provision of evidence based best practice of care during the patient admission/discharge and early identification/treatment of eligible candidates for tPA within the crucial time frames. 
 
Congratulations to the entire team!

Rx Games!
Here are the results from last week.  Let’s strive for 100% participation this year and let me know if you want “Kip & Kandy,” our CCH Cheerleaders to make an appearance in your department.

Campus Dollars Raised % of Overall Raised 
Participants
Cape Coral Hospital $                    24,663.00  21.96% 214
Gulf Coast Medical Center $                      9,568.00  8.52% 66
HealthPark Medical Center $                    35,485.00  31.60% 202
Lee Memorial Hospital $                    33,379.70  29.73% 202
Lee Physicians Group $                      6,726.00  5.99% 45
Outpatient Services $                      2,470.00  2.20% 22
Total $                 112,291.70  100.00% 751

This Thursday will be the last game.  Please make sure to come see us at Santa Barbara from 9:00am – 11:00am and by the CCH Cafeteria from 12noon – 2pm.  Let’s do it!!!

CCH Fun Committee
Casting Call is NOW!
We are looking for fresh, new talent for the 2015 CCH Talent Show!  The theme for this years’ talent show is: Cape Coral Bandstand.  For consideration, please email your portfolio which should include: Your biography, talent, where you work, and about yourself to:  This email address is being protected from spambots. You need JavaScript enabled to view it..  Deadline is June 19th.  Talent Show Date is NOW August 26th from 5pm-7pm.

LIMITED SPOTS AVAILABLE; GREAT GRAND PRIZE!!!

I want to hear from you…
Patient Experience for June 2015 – 75.2% exceeds our goal of 71.3%.  Keep up the great work and stay focused.  What are the things your focused on in your department for patient experience?

Scott

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Blog: www.thehealthcareexperience.org

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CAPE PRIDE - June 10, 2015

                                                                               

Good morning Cape Coral Employees, Physicians, Volunteers, Auxilians…

Cape Coral Hospital Receives 2015 Sterling Award
Check out this great video reflective of some of our many great efforts…https://vimeo.com/129060123

Rx Games!
The 2015 Rx Games has officially started. 

Cape Coral Hospital and our campus partners continue to focus on serving as our community’s center for health, wellness and well-being by providing an optimal healing environment (known as OHE).  The money you donate stays in Cape Coral and is utilized for various programs, training, education and equipment.

Here are the results from last week.  Let’s strive for 100% participation this year and let me know if you want “Kip & Kandy,” our CCH Cheerleaders to make an appearance in your department.
Campus Dollars Raised % of Overall Raised Participants
Cape Coral Hospital $                    16,148.00  26.82% 102
Gulf Coast Medical Center $                      5,052.00  8.39% 41
HealthPark Medical Center $                    20,350.00  33.80% 112
Lee Memorial Hospital $                    13,179.00  21.89% 84
Lee Physicians Group $                      3,952.00  6.56% 30
Outpatient Services $                      1,534.00  2.55% 14
Total $                    60,215.00  100.00% 383

Everyone who donates will be eligible to win great drawing prizes and take part in the fun activities planned.  Game On!

CCH Fun Committee
Casting Call is NOW!
We are looking for fresh, new talent for the 2015 CCH Talent Show!  For consideration, please email your portfolio which should include: Your biography, talent, where you work, and about yourself to:  This email address is being protected from spambots. You need JavaScript enabled to view it..  Deadline is June 19th.  Talent Show Date is NOW August 26th from 5pm-7pm.

LIMITED SPOTS AVAILABLE; GREAT GRAND PRIZE!!!

I want to hear from you…
Nancy Travis had a great idea to share some of your fun facts on FB and Cape Pride.  Could you write a short blurb (no more than 4 sentences) about something very cool in your department?  A fun fact, something you and your colleagues do every day, something unique?

-How many heart beats does telemetry monitor on daily basis?
-How many square feet of hospital feet does housekeeping clean in a day?
-How many feet does a transporter walk in a day?
-How many calls come in to the PBX each day?
-How many books are in the Medical Library?
-How many classes are at the Wellness Center
-How many meals are served each day in the Cafeteria?

Scott

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Blog: www.thehealthcareexperience.org

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CAPE PRIDE - May 20, 2015

                                                                               


Good morning Cape Coral Employees, Physicians, Volunteers, Auxilians…

Cape Coral Hospital Receives 2015 Sterling Award
Cape Coral Hospital is proud to be the first community hospital in the state of Florida to receive the Governor’s Sterling Award.  For 23 years, the Sterling Award has recognized organizations and businesses in Florida that have successfully achieved performance excellence within their management and operations.

“It is an incredible honor to announce that Cape Coral Hospital has received the Governor’s Sterling Award for 2015 and has been identified among the best of Florida’s organizations and institutions,” says Scott Kashman, CAO of Cape Coral Hospital.  “It is through the dedication of our entire team that we are able to achieve the level of excellence required to receive this award. Most importantly, through the application process we learned so much about ourselves, how we operate as an organization and how we can continue to improve and deliver even better care in the future.”

Sterling matches the Malcolm Baldrige-based assessment.  Our management system is assessed against research-
based best practices in seven categories:
• Leadership
• Strategic Planning
• Customer Focus
• Measurement, Analysis, Knowledge Management
• Workforce Focus
• Operations Focus
• Results

We are working on celebrations and will share as we have more information.  This was truly a system-wide supported effort.

Kudos
• Stroke Awareness Month - In recognition of May being Stroke Awareness Month I would like to remind every staff member that YOU play a key role in recognizing the Signs and Symptoms of Stroke. 

Remember the word “FAST”
o Face Dropping, or appears unequal
o Arm Weakness
o Speech Difficulty with words or answering questions
o Time Call 911 -  Don’t Wait

Your ability to recognize someone having a Stroke and responding quickly is critical to preventing long term disabilities.   Stroke is the 5th leading cause of death in the US.

I would like to thank the Cape TEAM: all the ED Physicians, the ED staff, Radiology, Pharmacy, Lab, ICU, Medical-Telemetry, NPCU, Dietary, Speech, OT, PT, Care Management, Clinical Educator, Clinical Regulatory Analyst, Spiritual Services, Wellness Center and the Rehab Hospital for their ongoing daily dedication, compassion and care they provide by working together for each patient, their family members and the ongoing support and dedication to educating our community about our Stroke Program.

• Happy EMS Week!


I want to hear from you…
Please note we are proudly displaying our Recipient Award (top left corner).  What does this recognition mean to you and your department?

Scott

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Blog: www.thehealthcareexperience.org

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CAPE PRIDE - May 6, 2015

 
Good afternoon Cape Coral Employees, Physicians, Volunteers, Auxilians

Annual Culture of Safety Survey
The 2015 Culture of Safety Survey period runs May 1-30. You will receive an email with a link to the survey, which should take 10-15 minutes to complete. For those without email access, paper copies of the survey will be available through your unit-based Safety Coach or department leader.

It is important to answer as honestly as possible so we can identify areas of strength, as well as opportunities for improvement. Please note that your individual survey responses are confidential and will remain anonymous. Everything we do at Lee Memorial Health System must focus on keeping our patients safe and helping them heal; and our goal is to assure no patient is ever harmed. Remember, patient safety begins with you and me and ends in zero!

We appreciate you taking the time to participate in this important survey. If you have any questions, please contact your immediate supervisor or Erica Reist in Planning & Strategy at 561-5089. Thank you for your commitment to patient safety, and for all you do every day and night on behalf of those we serve. You are truly caring people, caring for people.

KUDOS

Nurses Week 2015 – thank you for continuing to grow strong bonds rooted in compassionate care.  Please join us for lunch.

Cape Coral Hospital – New Café

Day Shift
Tuesday, May 12, 2015
 11:00 a.m. – 2:00 p.m.

Night Shift
  Wednesday, May 13, 2015
1:00 a.m. – 3:00 a.m.

• Thank you, Child Development Center Staff and Teachers!  Teacher/Provider Appreciation Day is a special day to recognize child care workers and is celebrated every year on the Friday before Mother’s Day.  Our child care professionals are the world’s unsung heroes.  Research shows that early childhood is the most critical development period in a child’s life.  Thank you to all of the Child Development Staff for teaching and nurturing our young children while other Lee Memorial Health System staff is taking care of our patients. 

• Congratulations to 3 West for contributing to the stroke program by discharging patients with stroke information, calling “Stroke Alert” if a patient was having a possible stroke during their admission.  75+ pewter “brain” pins were also contributed staff who achieved NIH Stroke Certification.

• May is Better Hearing and Speech Month

Caring People, Caring for People
I just wanted to write each of you a note to tell you of an experience I just had personally here at Cape Coral Hospital. I was recently admitted to this hospital with chest pain. I just want you to know, that I could personally see that our hospital has done remarkable things to improve on patient satisfaction.  From the moment I walked into the ER, my Dr had called ahead to say she was sending me here for treatment it was truly the best experience I could ask for as a patient. I am obviously an employee here and really not fond of being a patient myself lol, who is I guess but I could not have asked for a better experience.  Starting with the first ER technician, my amazing ER physician, and the awesome nurse I had as well. I was transferred to 2W in a timely manner, which I was very surprised because I know we have been so very busy. I work in medical records so I know how busy we have been. Once I got to my room I was greeted by a nurse who was very attentive and genuinely concerned for my well-being. I could seriously go on and on.  To my awesome Dr. from the hospitalist group, to my cardiologist and my surgeon, just EVERYTHING was so amazing.  Thank goodness after a six day stay in the hospital I ended up need gallbladder surgery. I am feeling good and back to work after being out for about two weeks I didn’t want to wait for a survey, and I felt that as an employee here I should let you both know of my experience.  I would recommend our fine hospital to anyone I know.  Thanks for everything you have done yourselves in making such positive changes to our amazing hospital.  I can’t forget to mention transport and the dietary department s well; EVERYTHING and EVERYONE were just wonderful!  Thank you for sharing your story with us CM.

I want to hear from you…
Share a story of the most improved outcomes in your area.  Top 3 stories win lunch or dinner for your team.

Scott

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Blog: www.thehealthcareexperience.org

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CAPE PRIDE - April 22, 2015 Page 1 of 2

 

Good afternoon Cape Coral Employees, Physicians, Volunteers & Auxilians…

We have been feeling growth throughout the season and the past few years (up 26% in 2 years)!  Our average daily census was:
• 170 in 2013
• 183 in 2014
• 215 in 2015

Leadership Huddle Report Out
Here are a few items we review in our bi-weekly Leadership Huddle based on our organizational goals.

Clinical Integration        Financial Viability
- Avg. Length of Stay (ALOS) = 4.29 vs. Budget of 4.12  - Operating Margin % = 27.7% vs. 24.5% Budget
- Chest Pain LOS = 20 hours length of stay vs. 15 hour Goal  - Productive Hours per Adjusted Admit = 87 vs.    
- 30-day Readmission Rate = 11.55% compared to 12.4% Goal                              88.6 prior yr. (Lower is more productive)
- Surgical Volume Growth = 610 cases compared to 639 Goal  - Expense per Patient = $4,959 vs. $5,044 prior year
- Stroke Volume: 2013 = 294 compared to 480 in 2014.      

KUDOS
• Lee Pharmacy at Cape Coral Hospital is open!
Lee Pharmacy at Cape Coral Hospital is a new, full-service prescription pharmacy that adds a welcome convenience for patients by allowing them to leave the hospital with prescriptions in hand.  The new pharmacy is located in the main hallway of Cape Coral Hospital near the cafeteria.  Lee Pharmacy at Cape Coral Hospital hours are 9 a.m. to 7 p.m. Monday through Saturday. 
 

• Happy National Laboratory Week: April 19 – April 25, 2015!
• Kudos to the OB Team.  They will be presenting a poster at the Florida Perinatal Quality Collaborative Conference in Tampa the end of April.  (See page 2 of Cape Pride)
• Happy Administrative Professionals Day!

I want to hear from you…

What priorities are you and your department working on specific to the Leadership Huddle Report Out?

Scott

This email address is being protected from spambots. You need JavaScript enabled to view it.
Blog: www.thehealthcareexperience.org

The Board info link:
http://www.leememorial.org/boardofdirectors/board_packets.asp

The Quarterly Leadership link: (for our Intranet only)
http://intranet1/oe/leadershipupdate2015.asp

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CAPE PRIDE - April 15, 2015

 Good morning Cape Coral Employees, Physicians, Volunteers & Auxilians…

Welcome to our DNV Survey Team.  Today is Day 2.  Please showcase your great work when you meet our surveyors.

KUDOS
• National Volunteer Week – National Volunteer Week, a program established by Points of Light in 1974, is about inspiring, recognizing and encouraging people to seek out imaginative ways to engage in their communities. It’s about demonstrating to the nation that by working together, we have the fortitude to meet our challenges and accomplish our goals.  We would like to take a moment to say thank you to all our volunteers and to tell them how deeply grateful we are to have you for your commitment and talent as a volunteer.  Happy Volunteer Week!

• Please join us today between 10:30am – 2pm in the Courtyard or 4:30pm – 7:30pm in the Cafeteria for the Employee Appreciation BBQ. 

This question came from one of our team members:
LMHS employees are only allowed to access patient records -- including their own -- when there is a legitimate business reason. Legally, all patient records are the property of LMHS and specific guidelines must be followed before information from those records can be released. If you need to access your own protected health information (or that of a family member) for personal reasons, you must go through the Medical Records department.


I want to hear from you…

What questions do you have that you think your colleagues would like to know?

Scott

This email address is being protected from spambots. You need JavaScript enabled to view it.
Blog: www.thehealthcareexperience.org


The Board info link:
http://www.leememorial.org/boardofdirectors/board_packets.asp

The Quarterly Leadership link: (for our Intranet only)
http://intranet1/oe/leadershipupdate2015.asp

 

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Fun at the Workplace...

Fun at Work...
I've heard the comments..."there should be no fun in the workplace" and "they call it job for a reason." However, since many of us spend 30%+ of our time at work and another 20-30% of our time sleeping, it is good to find those fun times at work...What's going on in your workplace to make it more enjoyable for you and your colleagues?

I was speaking to one of our Surgeons and we started to discuss the excitement and challenges in healthcare. He enjoys surgery, good dialogue, his colleagues and having fun while at work. He let me know he would not want to work in a place that was not enjoyable day in and day out. That would be a "dreaded place to be." This doesn't mean goofing off all day long. It does mean enjoying the time you spend in the workplace and helping to make it enjoyable for you and others. That creates a place for all of us to thrive.  And the other beneficiaries of this kind of place..our patients.

Forbes had an article reflecting on the benefits of fun in the workplace.

Also check out  these 8 tips from Tres Coaching:

1. Put fun first on your list of priorities, and the rest will fall into place.
2. Laugh more. Laughter can be a great medicine for what ails you and your workplace.
3. Be spontaneous with recognition, praise and a simple “thank you”.
4. Schedule fun-based activities with employees, customers and suppliers.
5. Find your inner child. Let others see the humorous side of your personality.
6. Live with the 3E’s – Energy, Enthusiasm and Empathy.
7. Take mental health breaks and/or extended lunches to refresh and re-energize.
8. Keep things in perspective. Your work is a means to an end, not the end!

Regardless of where you are in your career, if you’re not having fun – what’s the point? Life is too short to not enjoy what you are doing, so find a way to put fun back into your work or do something else. The continuing negative trends in business as a result of downsizing, restructuring and the financial markets meltdown have taken a huge toll on the workplace, and the workforce tasked with doing more with less. We need to find ways to reduce stress, improve productivity, and keep our morale and energy levels up.

There are unlimited challenges and exciting times ahead in healthcare. Why not make the best of it and ensure we have some fun while constantly improving the healthcare experience.
 
What do you do to infuse fun into your work environment?

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CAPE PRIDE - April 8, 2015

 

Good afternoon Cape Coral Employees, Physicians, Volunteers & Auxilians…

OHE – Healing Relationships
• A story shared with us by Debby Donner…This past Monday, a customer was shopping and paying for her items.  Just after completing her sale with Shirley Sterz, Volunteer Cashier at the Thrift Shop, the customer fell to the floor.  Shirley came back to get me and I along with Naomi Sauer, Volunteer went out to assist.  I told Shirley to call 911 while I stayed with the customer who fell and Naomi talked to her and told her that she will be taken care of.  I made sure she wasn’t moved and she was breathing while Shirley talked with the 911 operator.  Then I took over with 911 operate while Shirley took care of the other customers.  I stayed with the customer until EMTs got here, probably ten minutes.  This was a team effort, not just one person.  It is good to hear that the customer is still alive as she was in her 90’s and in the store shopping by herself. 

Great job to Debby and the other volunteers who assisted in identifying the symptoms and calling for assistance.

KUDOS
• National Patient Access Week – April 5-11, 2015.  Recognize and celebrate Patient Access Services staff for their continued accomplishments of service in the healthcare access continuum.

• April is National Occupational Therapy month.  As an occupational therapist or occupational therapy assistant, you are part of a vitally important profession that helps people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities. The holistic and customized approach to evaluations, interventions, and outcomes help a child with disabilities participate in school and in social situations, assist a person recovering from injuries to regain skills, aid an older adult to stay as independent as possible, and offer the specialized support and services to people of all ages and in all circumstances that only occupational therapy can provide.

LMHS Opens New Rehab and Wellness Center
Formerly known as Lee Center for Rehabilitation & Wellness and located at 2070 Carrell Road, it recently relocated to City Center 41 Plaza, 3114 Cleveland Avenue, just south of Lee Memorial Hospital and now is the home of Outpatient Rehabilitation, The Children’s Rehabilitation Center and the Wellness Center – Fort Myers. There will be an open house held on April 23 from 4pm to 6pm with tours of the new facility, raffle prizes and light refreshments.  For more information, call the Fort Myers location at 343-4980, the Cape Coral location at 424-3220, or visit www.leememorial.org/wellness/index.asp.

LifeLink -
 April is Donate Life Month and to celebrate, Cape Coral Hospital is participating in a campaign to increase organ, tissue and eye donation.  To learn more about donation or register your wishes to become a donor, sign up on Florida’s donor registry at www.DonateLifeFlorida.org.  Don’t forget to indicate your affiliation with Cape Coral Hospital so we can track how many people are inspired by our efforts.

What’s going on around the system?
At times, we are asked to provide general leadership and board updates or questions asking how the newspapers or our neighbors know system information before us.  As a public entity, the Board agenda and packet is always posted in advance of the Board meeting. In addition, our system leadership meets quarterly.  In addition to sharing and discussing at your staff meetings and/or communications boards, I have included links below so you could review on a real time basis.

The Board info link:
http://www.leememorial.org/boardofdirectors/board_packets.asp

The Quarterly Leadership link: (for our Intranet only)
http://intranet1/oe/leadershipupdate2015.asp

I want to hear from you…
We’ve added Board and Leadership information to Cape Pride.  What information would you like to read about in Cape Pride?

Scott

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CAPE PRIDE - April 1, 2015

 

Good morning Cape Coral Employees, Physicians, Volunteers & Auxilians…

What’s going on around the system?
At times, we are asked to provide general leadership and board updates or questions asking how the newspapers or our neighbors know system information before us.  As a public entity, the Board agenda and packet is always posted in advance of the Board meeting. In addition, our system leadership meets quarterly.  In addition to sharing and discussing at your staff meetings and/or communications boards, I have included links below so you could review on a real time basis.

The Board info link:
http://www.leememorial.org/boardofdirectors/board_packets.asp

The Quarterly Leadership link: (for our Intranet only)
http://intranet1/oe/leadershipupdate2015.asp

Please let me know if there is other information you would like to see.

OHE – Healing Relationships
• Wonderful Care: After spending nine days in Cape Coral Hospital, five days in ICU, I want to give all employees, surgeons, nurses and aides on the second floor, thanks for such wonderful care.  Nurses really do give TLC.  News-press 3/19/15.  Thank you Jon from North Fort Myers.

• I would like to send this message out to the nurses who helped deliver my son on 7/11/2014. My name is Monika, and I would like to send out my sincerest and deepest thank you to the wonderful and kind nurses who helped me achieve my natural medication free birth!! I have never felt so much love and comfort coming from women that I had barely even known. The nurse that held my hand the entire time and the nurses who rubbed my back and kept encouraging me and cheering me on! I cannot even express how thankful I am and I just want to let you all know that you are in my thoughts every day when I look at my beautiful healthy son. Having a natural medication free birth was so empowering and special to me and I don't think I could have done it without the nurses. I am hoping to find out their names because I would like to send them a special gift. As a 21 year old pregnant woman, I had gotten many discouraging and negative comments about having a medication free birth. I had even gotten a few smirks and laughs here and there. The moment I entered the hospital and the moment I told the nurses I would like a natural birth process I felt full support and understanding. I felt so much love and genuine care about the safety of myself and my son. I just want you all to know that the work you do every day is really appreciated and you help make the world a better place. I thank God for you all daily!

KUDOS
• National Doctor’s Day – March 30, 2015 – Thank you to all of our medical staff for your professional commitment and continued compassion for those we serve.


OHE – Practicing Healthy Lifestyles: Our New Patient Menu
Our original goal was to create a meal program that provides the patient with age appropriate meal selections that were both flavorful and met their therapeutic requirements.  We purposely designed the menu to lead patients to make wholesome choices with a focus on plant based nutrition through an artistic design, and layout that focused on farm fresh, plant based selections.  The menu design focuses on the Flavor Harvest look depicting brightly colored fruits and vegetables.  Many thoughtful hours went into finding mixes of products that allowed patients to select options that met their personal needs, while providing them with flavorful choices.   While many patients may allow us to choose a meal for them, any patient can also pick from a wide array of products anytime from 7 am to 7 pm, build a meal in any manner they like as long as they were compliant with the diet their physician selected for them and have them delivered to them on demand.  Thank you Larry, Diane and our Food & Nutrition Leadership Team.

I want to hear from you…
Let us know what feedback you are hearing about our new patient menu and food selection.

Scott

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Blog: www.thehealthcareexperience.org

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Why Healthcare Leaders Should Stay Humble

My kids help me stay humble and make me realize how simple life lessons could stay with you a lifetime.

One of the lessons includes feedback. Very few people accept feedback; fewer intentionally make changes once they receive the feedback (that includes not getting defensive); and very few actually solicit feedback.

To read more, go to:

http://www.hospitalimpact.org/index.php/2015/03/11/why_healthcare_leaders_should_stay_humbl

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CAPE PRIDE - March 25, 2015

Good morning Cape Coral Employees, Physicians, Volunteers & Auxilians…

Board Follow-up
The delivery of healthcare itself is changing like never before. As we always have, we must invest and respond to change in ways that best meet the needs of our patients. We are reviewing our facility needs and capacity capabilities throughout the health system so we can plan for services into the future.  Since last week’s Board meeting I've received several questions regarding CCH capacity and expansion similar to our other system hospitals. Here’s the great news…

Cape Coral hospital has an additional 14 inpatient beds available and will be staffed next season. This year we opened an additional 42 beds and still exceeded historical high census days.  In addition, we plan on staffing to the full 291 beds through next season and just slightly lower in the late spring/summer months.  Beyond our current capacity, CCH has additional areas to add 22 beds in our existing facility and a 78 bed tower if future volumes warrant. As a system we will continue to review these needs.

We will continue to build on our clinical programs to best serve our community needs. Our leadership is committed to ensuring a safe environment for our patients and staff.

KUDOS
Please join our leadership team in congratulating Ray Cyr on his promotion to System Director of Rehabilitation Services effective immediately. Ray has provided outstanding leadership to the Rehabilitation Services team and LMHS as a whole and we look forward to his continued leadership creating a future vision and strategy to elevate the LMHS Rehabilitation Services team to new heights.

OHE – Healing Relationships and the Gift of Life:
The gift of life was celebrated today and made possible by organ donation.
The ICU staff, Life Link Representatives, the donor patient’s family, the chaplain and many other hospital employees came out to celebrate life at CCH. Through the kind gift of organ donation other lives have been saved. We celebrated by presenting our first Donate Life Flag Raising Ceremony. The event occurred on Monday March 23rd, 2015 at noon. The flag will fly for 3 days until it is lowered and presented to the donor’s family as a keepsake and remembrance of their great sacrifice. 
 

The Wellness Center – Fort Myers
Come by and see our great new location on 41.  “New location (3114 Cleveland Avenue, just south of LMH), new number (239-343-4980), new facility, but same great service.  Help us spread the word! 

Commemorative Brick
Want to make a lasting impression at CCH? Now is the perfect opportunity to make your mark in our history by carving it in stone!  Purchase a paver from the CCH Auxiliary to be placed in the Optimal Healing Garden outside the Women’s Care Birth Suites.  You can honor or memorialize a loved one, announce a birth, put your family name in stone, celebrate your department.  Pavers are $75 for 6 x 6 and $125 for 6 x 9.  If you have any questions or need more information, please contact the Auxiliary office at 424-3824.  Pavers are going fast, order yours today!

I want to hear from you…
This past week we hosted a meeting focused on engaging physicians on key initiatives and process improvements.

What can be done differently to increase physician engagement at CCH?
 
Scott
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Blog: www.thehealthcareexperience.org

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CAPE PRIDE - March 18, 2015

 

 

Good morning Cape Coral Employees, Physicians, Volunteers & Auxilians…

Kudos
• Congratulations to OP Endoscopy on achieving high scores in the CCH Stoplight Report.
o Would you recommend this outpatient surgical facility to your friends and family?
o How often did nurses listen carefully to you?
o Did you get information in writing about what symptoms or health problems to look out for after you left?
 

Judy Carbone shares that the most important key to achieving these high scores is everyone on the team enjoys what they do.  “The staff likes the GI/Endoscopy field of nursing and it shows.  They also like each other and work well together, pitching in whenever and wherever needed to get the job done.  We keep the “main thing” the patient and try to never lose focus of why we are here – the patient!  It is an honor and a pleasure to work with this endoscopy team.”

• Congratulations to Sally Jackson for helping CCH, GCMC and HPMC achieve the prestigious national Baby-Friendly Hospital Designation.  Each location will receive $10,000.  Great work Sally!

• Congratulations to the Lee Pharmacy at CCH as they have successfully passed the Florida Board of Pharmacy Inspection.  The new Pharmacy will open later in April.  Thank you to Anson Phetteplace for your leadership.  Great job!

The Wellness Center – Fort Myers
Come by and see our great new location on 41.  “New location (3114 Cleveland Avenue, just south of LMH), new number (239-343-4980), new facility, but same great service.  Help us spread the word! 


Commemorative Brick
Want to make a lasting impression at CCH? Now is the perfect opportunity to make your mark in our history by carving it in stone!  Purchase a paver from the CCH Auxiliary to be placed in the Optimal Healing Garden outside the Women’s Care Birth Suites.  You can honor or memorialize a loved one, announce a birth, put your family name in stone, celebrate your department.  Pavers are $75 for 6 x 6 and $125 for 6 x 9.  If you have any questions or need more information, please contact the Auxiliary office at 424-3824.  Pavers are going fast, order yours today!

Compassionate Shawls:
Because we care, the Spiritual Services office of Cape Coral Hospital gives the gift of a compassionate shawl to some of patients. Compassionate shawls are crocheted or knitted and are given to patients with special needs or concerns. The patient can be terminally ill, experiencing challenges during his or her illness, or experiencing difficulty in life. The shawls are made by our volunteers and the yarn is purchased from funds provided by the RX Games, which means all our staff members contribute to these wonderful gifts. We also receive funding from our supportive and wonderful Auxiliary. Often when these shawls are given to patient’s they are overwhelmed by the gift, they often embracing me and shed tears both for the beauty and the kindness of the gift. We offer this creative gift simply because we care.

I want to hear from you…
We are working on improving our system bed capacity and throughput.  What ideas do you think would help in the short term?

Scott
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Blog: www.thehealthcareexperience.org

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CAPE PRIDE - March 11, 2015

Good morning Cape Coral Employees, Physicians, Volunteers & Auxilians…

Caring People, Caring for People
Bill is a stroke survivor.   He was a tugboat driver and is currently unable to work.  He is eager to look for new hobbies that he can do within his abilities.  As part of his Occupational Therapy treatment Monday, he navigated the Pathway to Discovery garden and picked a few vegetables with his involved arm with the help of electrical stimulation and facilitation of his excellent therapist, Sarah Simon.

  

Connectivity!
3 North was also recognized from this family.

 

Kudos
Celebrating Registered Dietician Nutritionist Day!

Stay Tuned…
Save the date!  We will celebrate Season & Sterling with a BBQ on April 15th in our Courtyard!

CPR Class for the Community
 I just wanted to thank you for hosting the CPR class for the community recently.  I for one benefited greatly!  It had been a long time since I had taken a class.  To add icing to the already good day, I won one of the Family & Friends CPR Anytime Kits…It is so nice, and I will definitely use it for practicing so I can be more comfortable should the time come to save a life.  Having a spouse with some health issues plus 3 grandchildren who visit, I am very grateful to have this kit to practice with.  Just wanted you to know your efforts that day were appreciated.  Thank you Peggy for sharing!

I want to hear from you…
What ideas do you have for the next “Around the Cape in 90 seconds?” Click here https://vimeo.com/120157859 to see the last version.

Scott

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Blog: www.thehealthcareexperience.org

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