About SDH
SDH is a nonprofit, 48 bed acute-care hospital affiliated with Sutter Health of Northern California. SDH is the only acute-care facility in Davis, CA, a city of about 63000 residents. SDH anchors a medical campus and provides care to key patient segments: medical surgical and intensive care, birthing and obstetrical care, surgery and emergency care.
The hospital has 385 staff members, 394 physicians and about 100 volunteers. SDH was named one of the top 100 hospitals in the nation by Thomson Reuters now Truven Analytics, in 2007 and 2011-2013. Its clinical quality metrics, shown in Figure 1, consistently rank among the top for hospitals in the nation.
In 2013, it added another achievement to its list. Malcolm Baldrige National Quality Award recipient. SDH thus became the smallest hospital ever to receive a Baldrige award.
“It’s been a long and rich journey with a lot of learnings, “Wagner said. “Thinking so big for a hospital of our size is a remarkable thing, and I now think I have a team that feels very strongly that its capable of being the best in healthcare delivery today.”
SDH began using the Baldrige Healthcare Criteria for Performance Excellence seven years ago after it was introduced to its leaders by the Studer Group, a healthcare consulting firm providing coaching, teaching and evidence-based tools.
“We had a really strong foundation in plan-do-check-act and in studer’s behavior modification program. We were hardwiring behaviors, getting results and measuring results. But what we didn’t have was an overall systematic framework to take our entire organization to the next level,” Wagner said.
SDH applied to the state-level California Council for Excellence award five times and twice to the national program, and used feedback gained from examiner reports and site visits to continually improve its processes and system.
Culture of caring
The Baldrige framework helped SDH gain a clear picture of what the hospital does best. By applying examiner feedback from submitting award applications, the hospital refined its three core competencies down to what it coined the “Sutter Davis Difference” a culture of caring, shown in Figure 2. SDH’s culture embodies the mindset of healthcare professionals at the hospital and their commitment to consistently providing positive patient care experiences.
“It took us a couple of years to really refine our core competency and settle in on it, agree on it, own it and be committed to it, “ she said. “ That was when we really started to drive that whole idea about what we do best and get better at it.”
The culture of caring is a market differentiator. Wagner also said it’s unique in terms of how deeply hospital staff believe in it, and in terms of how leaders set te expectation that it be demonstrated.
SDH’s cultural expectations are introduced prior to employment for all new staff members, volunteers and managers with an applicant’s review of an agreement to SDH’s standards of behavior. The culture of caring is reinforced through peer interviewing, which allows existing workforce members to select employees who demonstrate a willingness and capacity to embrace the culture of caring. All new employees and volunteers learn about the culture of caring more formally through training.
“These are behaviors like making eye contact, greeting people and introducing themselves, never pointing and taking people to their destination, “ Wagner said. “ They’re behaviors some people would say are common sense, but you know what? It’s not common sense unless the leadership and the culture set a specific expectation that you will behave professionally at work and that you really are going to care.”
SDH nurtures its culture and deploys strategic goals by ensuring there are several touch points throughout the year between senior leaders and staff in the form of all-staff meetings, celebrations and one-on-one discourse.
At the annual winter celebration, Wagner rolls out the strategic plan and objectives for the year and explains to staff members how they individually will contribute. Every quarter, the administration team participates in patient rounding and talks to frontline staff on each shift about what’s working and what isn’t. At the summer picnic, leaders engage with staff and their families one-on-one.
While these events are opportunities to enjoy one another’s company, Wagner said they also are times to reinforce the culture and to focus on where the organization is headed. Staff members are more likely to heed these important messages if they get to have some fun at the same time, she said.
“I also think these events are the glue that holds people together. They’re the things people remember. Rituals are an important part of organizational culture,” Wagner said.
Creating patient experiences
SDH engaged its staff to go above and beyond simply satisfying patients to providing remarkable patient experiences. SDH benchmarked outside of its industry and took notes from organizations renowned for world-class customer experiences, such as the Walt Disney Co. and Ritz-Carlton.
We knew our key work system was patient care delivery but until we committed it to paper and started measuring things-the Inputs, throughputs and out-puts- we really weren’t making the progress we wanted to make.” Wagner said.
SDH addresses and considers each patient’s expectations and preferences through patient and family-centered care delivery, shown in Figure 3. Patients and their families participate in critical care rounds, ear the plan of care, and provide input to the physician, nurses and support staff.
Patients receive an admission packet upon their arrival that is updated throughout their stay. The packets include a letter from the unit’s nurse manager, information on how to voice concerns or how to reach the nurse manager and CEO, contacts for hospital departments, the anticipated length of stay and a care guide following discharge.
Clinicians use acknowledge, introduce, duration, explanation and thank you (AIDET) a communication tool for talking to patients that reduces patients anxiety and increases their confidence and trust in the hospital. Rounding is conducted by a department manager on all new admissions and patients with anticipated longer stays. Rounding provides an opportunity for shaping the patient’s experience and improves perception of care through timely identification of concerns.
5 Benefits of baldrige Buy- in
1. It promotes organizational culture transformation. The Baldrige framework focuses the workforce and all plans and objectives on the mission and vision of the organization. The Baldrige approach uncovers core values, strengths and weaknesses, and promotes learning and improvement organizationwide through self-assessment and external, independent examiner feedback. A holistic approach, the Baldrige model is divided into seven categories: workforce, customers, leadership, strategic planning, process management, measurement and results.
2. It complements approaches such as lean and six sigma. While other tools and approaches focus Organizations of any industry and size on a single aspect, such as eliminating waste or defects, the Baldrige criteria address all factors that affect the organization, its operations and its results, The Baldrige criteria also serve as tool to integrate and organize other quality approaches an organization uses. For instance, organizations could use the Baldrige framework to develop an overall picture of performance and determine areas that need improvement, and then use Six Sigma, lean or ISO 9001 to design operations or improve processes.
3. It sets the bar higher. In today’s competitive business climate, organizations must go beyond compliance and conformity-based systems. The Baldrige criteria places emphasis on competitiveness, benchmarking, understanding performance, results and maintaining a future focus.
4. It’s customizable. The Baldrige framework is a non prescriptive approach for organizational management and improvement. Organizations of any industry and size can benefit from the Baldrige journey. Organizations also are encouraged to develop creative and flexible approaches that meet their needs.
5. It pays. Professors from Dart-mouth College in Hanover, NH, and the University of North Carolina at Greensboro surveyed the 73 Malcolm Baldrige National Quality Award applicants since 2006 about the value of the Baldrige criteria on three levels =cost savings, customer satisfaction and financial gain (gains from increased value of sales). They estimated that the benefits of using Baldrige outweigh the overall cost of the Baldrige Performance Excellence Program by a ratio of 820-1. In their report documenting the study, the professors explained that the figure may be on the conservative side. “If the social costs were compared to the benefits for the economy as a whole, the benefit-to-cost ratio would be considerably higher, “they wrote.”
For individual organizational views on the return on investment of Baldrige, read award recipient profiles at http://patapsco.nist.gov/aword.. recipients/index.cfm.
Core strength
Wagner said another “a-ha moment” for her on the Baldrige journey was the emphasis the framework places on measurement and results. Although process improvement is important, she said you must not get mired in it. You must also focus on getting results and improving results.
“I think Baldrige helps people not to be defensive and to understand that you must continually improve. It’s OK to not have perfect results all the time if you know how to course correct, “she said.
Wagner said she recognizes the important role middle managers play in delivering results. Middle managers must be masters at process improvement, metrics and course correcting when they’re not getting the results they want, she said.
“Middle managers are the muscle of the organization,” she said. “If they’re not s
About SDHSDH is a nonprofit, 48 bed acute-care hospital affiliated with Sutter Health of Northern California. SDH is the only acute-care facility in Davis, CA, a city of about 63000 residents. SDH anchors a medical campus and provides care to key patient segments: medical surgical and intensive care, birthing and obstetrical care, surgery and emergency care.The hospital has 385 staff members, 394 physicians and about 100 volunteers. SDH was named one of the top 100 hospitals in the nation by Thomson Reuters now Truven Analytics, in 2007 and 2011-2013. Its clinical quality metrics, shown in Figure 1, consistently rank among the top for hospitals in the nation.In 2013, it added another achievement to its list. Malcolm Baldrige National Quality Award recipient. SDH thus became the smallest hospital ever to receive a Baldrige award.“It’s been a long and rich journey with a lot of learnings, “Wagner said. “Thinking so big for a hospital of our size is a remarkable thing, and I now think I have a team that feels very strongly that its capable of being the best in healthcare delivery today.”SDH began using the Baldrige Healthcare Criteria for Performance Excellence seven years ago after it was introduced to its leaders by the Studer Group, a healthcare consulting firm providing coaching, teaching and evidence-based tools."เราได้จริง ๆ พื้นฐาน ในแผนโดกาพระราชบัญญัติ และ ในโปรแกรมการปรับเปลี่ยนลักษณะการทำงานของ studer เราไม่ทำงาน hardwiring ได้รับผล และวัดผล แต่สิ่งที่เราไม่มี กรอบการรวมระบบนำองค์กรของเราทั้งหมดไปยังระดับถัดไป วากเนอร์กล่าวว่าSDH กับสภาระดับรัฐแคลิฟอร์เนียสำหรับรางวัลความเป็นเลิศครั้งที่ห้า และสองเพื่อชาติโปรแกรม การใช้ผลป้อนกลับจากผู้ตรวจสอบ รายงานและเว็บไซต์เข้าชมเพื่อปรับปรุงอย่างต่อเนื่องของกระบวนการและระบบวัฒนธรรมการดูแลกรอบ Baldrige ช่วย SDH ที่ได้ภาพที่ชัดเจนของสิ่งที่โรงพยาบาลดี โดยใช้ผลป้อนกลับของผู้ตรวจสอบจากส่งใบสมัครรางวัล โรงพยาบาลกลั่นเชที่สามลงไปว่ามันเป็น "ซัท Davis ต่าง" วัฒนธรรมของดูแล แสดงในรูปที่ 2 วัฒนธรรมของ SDH ผสานความคิดของผู้เชี่ยวชาญด้านสุขภาพที่โรงพยาบาล และความทุ่มเทอย่างต่อเนื่องให้ป่วยบวกประสบการณ์"มันเอาเราสองปีจริง ๆ กำหนดความสามารถหลักของเราชำระในการ ยอมรับมัน มันเป็นเจ้าของ และจะมุ่งมั่นที่จะ เธอกล่าว" ที่ได้เมื่อเราเริ่มขับความคิดทั้งหมดที่เกี่ยวกับอะไรเราดี และดีขึ้นได้"วัฒนธรรมของการดูแลคือ differentiator ตลาด วากเนอร์กล่าวเฉพาะในแง่ ของพนักงานโรงพยาบาลเชื่อว่าในวิธีลึก และในแง่ ของวิธีการที่ผู้นำตั้งติความว่า มันจะแสดงเป็นSDH’s cultural expectations are introduced prior to employment for all new staff members, volunteers and managers with an applicant’s review of an agreement to SDH’s standards of behavior. The culture of caring is reinforced through peer interviewing, which allows existing workforce members to select employees who demonstrate a willingness and capacity to embrace the culture of caring. All new employees and volunteers learn about the culture of caring more formally through training.“These are behaviors like making eye contact, greeting people and introducing themselves, never pointing and taking people to their destination, “ Wagner said. “ They’re behaviors some people would say are common sense, but you know what? It’s not common sense unless the leadership and the culture set a specific expectation that you will behave professionally at work and that you really are going to care.”SDH nurtures its culture and deploys strategic goals by ensuring there are several touch points throughout the year between senior leaders and staff in the form of all-staff meetings, celebrations and one-on-one discourse.At the annual winter celebration, Wagner rolls out the strategic plan and objectives for the year and explains to staff members how they individually will contribute. Every quarter, the administration team participates in patient rounding and talks to frontline staff on each shift about what’s working and what isn’t. At the summer picnic, leaders engage with staff and their families one-on-one.While these events are opportunities to enjoy one another’s company, Wagner said they also are times to reinforce the culture and to focus on where the organization is headed. Staff members are more likely to heed these important messages if they get to have some fun at the same time, she said.“I also think these events are the glue that holds people together. They’re the things people remember. Rituals are an important part of organizational culture,” Wagner said.Creating patient experiencesSDH engaged its staff to go above and beyond simply satisfying patients to providing remarkable patient experiences. SDH benchmarked outside of its industry and took notes from organizations renowned for world-class customer experiences, such as the Walt Disney Co. and Ritz-Carlton.We knew our key work system was patient care delivery but until we committed it to paper and started measuring things-the Inputs, throughputs and out-puts- we really weren’t making the progress we wanted to make.” Wagner said.SDH addresses and considers each patient’s expectations and preferences through patient and family-centered care delivery, shown in Figure 3. Patients and their families participate in critical care rounds, ear the plan of care, and provide input to the physician, nurses and support staff.Patients receive an admission packet upon their arrival that is updated throughout their stay. The packets include a letter from the unit’s nurse manager, information on how to voice concerns or how to reach the nurse manager and CEO, contacts for hospital departments, the anticipated length of stay and a care guide following discharge.Clinicians use acknowledge, introduce, duration, explanation and thank you (AIDET) a communication tool for talking to patients that reduces patients anxiety and increases their confidence and trust in the hospital. Rounding is conducted by a department manager on all new admissions and patients with anticipated longer stays. Rounding provides an opportunity for shaping the patient’s experience and improves perception of care through timely identification of concerns.5 Benefits of baldrige Buy- in1. It promotes organizational culture transformation. The Baldrige framework focuses the workforce and all plans and objectives on the mission and vision of the organization. The Baldrige approach uncovers core values, strengths and weaknesses, and promotes learning and improvement organizationwide through self-assessment and external, independent examiner feedback. A holistic approach, the Baldrige model is divided into seven categories: workforce, customers, leadership, strategic planning, process management, measurement and results.2. It complements approaches such as lean and six sigma. While other tools and approaches focus Organizations of any industry and size on a single aspect, such as eliminating waste or defects, the Baldrige criteria address all factors that affect the organization, its operations and its results, The Baldrige criteria also serve as tool to integrate and organize other quality approaches an organization uses. For instance, organizations could use the Baldrige framework to develop an overall picture of performance and determine areas that need improvement, and then use Six Sigma, lean or ISO 9001 to design operations or improve processes.3. It sets the bar higher. In today’s competitive business climate, organizations must go beyond compliance and conformity-based systems. The Baldrige criteria places emphasis on competitiveness, benchmarking, understanding performance, results and maintaining a future focus.4. It’s customizable. The Baldrige framework is a non prescriptive approach for organizational management and improvement. Organizations of any industry and size can benefit from the Baldrige journey. Organizations also are encouraged to develop creative and flexible approaches that meet their needs.5. It pays. Professors from Dart-mouth College in Hanover, NH, and the University of North Carolina at Greensboro surveyed the 73 Malcolm Baldrige National Quality Award applicants since 2006 about the value of the Baldrige criteria on three levels =cost savings, customer satisfaction and financial gain (gains from increased value of sales). They estimated that the benefits of using Baldrige outweigh the overall cost of the Baldrige Performance Excellence Program by a ratio of 820-1. In their report documenting the study, the professors explained that the figure may be on the conservative side. “If the social costs were compared to the benefits for the economy as a whole, the benefit-to-cost ratio would be considerably higher, “they wrote.” For individual organizational views on the return on investment of Baldrige, read award recipient profiles at http://patapsco.nist.gov/aword.. recipients/index.cfm.
Core strength
Wagner said another “a-ha moment” for her on the Baldrige journey was the emphasis the framework places on measurement and results. Although process improvement is important, she said you must not get mired in it. You must also focus on getting results and improving results.
“I think Baldrige helps people not to be defensive and to understand that you must continually improve. It’s OK to not have perfect results all the time if you know how to course correct, “she said.
Wagner said she recognizes the important role middle managers play in delivering results. Middle managers must be masters at process improvement, metrics and course correcting when they’re not getting the results they want, she said.
“Middle managers are the muscle of the organization,” she said. “If they’re not s
การแปล กรุณารอสักครู่..
