Survey staff to see who is interested in assisting in

Survey staff to see who
is interested in
assisting in the
creation of the new
protocol committee
that includes RN’s
from the peri-
anesthesia areas,
anesthesia providers
and surgeons.
 Create an information
event for those
interested in working
For the initial event once the
protocol is complete:
 Provide training on the
electronic health
record order set to all
affected members of
the hospital through
educational events on
their respective
departments.
 Include the new order
set in yearly
educational fairs
 Include order set

HEALTHCARE BUSINESS AND FINANCIAL MANAGEMENT 9
on the protocol.
 Add the completed
protocol to the
electronic health
record as an order set
for all pre-operative
patients.
At 2 years 75 percent of pre-
operative patients will have a
prophylactic antibiotic order
in their chart.
 Provide quarterly
informational events to
share the statistics and
HCAHPS results.
 Based upon results I
would utilize the most
successful staff as
change leaders to train
and share their tips
with other staff
Year three, 100% of pre-
operative patients will have a
training to all newly
hired RN’s
At 2 years 75 percent of pre-
operative patients will have a
prophylactic antibiotic order
in their chart.
 Educational sessions
quarterly in each
department with
presentation of data
related to SSI and
reimbursement.
 Continued education in
staff meetings that
includes surgeons as
guest speakers to
discuss SSI.
Year three educational training
would include:
 Yearly presentation on
HCAHPS scores and
SSI rates.
 Additional events

HEALTHCARE BUSINESS AND FINANCIAL MANAGEMENT
10
prophylactic antibiotic order
in their chart or
documentation as to why they
are not to receive one.
 At this point I would
be sharing HCAHPS
scores and patient
satisfaction survey
scores with each
department director as
well as financial and
reimbursement data.
around any changes
and updates to the
protocol or order sets.
 Ongoing education to
all new staff in
onboarding
 Updated trainings as
needed in specific
departments that have
demonstrated failure to
follow the order set.
B3. Quality outcomes in patient care and reimbursement
Quality Outcomes Maximize Reimbursement
 Decrease incidence of surgical site
infections for better patient outcomes
 Allows increased patient satisfaction
with the care they received.
 Increases collaboration of care amongst
mutli-disciplnary departments
 Decreased readmission rates
 Improved patient satisfaction in
HCAHPS scores
 Improved trust in community which
will increase census
 Decreased post – operative length of

HEALTHCARE BUSINESS AND FINANCIAL MANAGEMENT
11
regarding antibiotic order, preparation
and administration.