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each patient room (except in theolder, not yet remodeled, ICUrooms) to accommodate a visitorsleeping.Families of patients may call forupdates on their care when theylike, with the exception of 7a-7pand 7p-7a, to accommodate shiftchange for the nursing staff. Toprevent giving information out toan unauthorized person, eachpatient selects a “code word”. Eachcaller is required to know this codeword in order to get anyinformation about a patient.White boards in each patient roomare set up with basic careinformation,includingdiet,activity, discharge planning andfamily contacts.regarding their plan of careand waiting for the hospitalistto round can be frustratingand discouraging.CarePatients and their families areencouraged to engage with thetreating providers and nursing staffintheircare,includingcollaborating together for goalsetting.Pain control is a goal for everypatient and on every admission.Pain consults can be ordered by thepatient, a family member, nursingstaff or any treating provider. Patients could and should bemore included in treatmentteam meetings and theplanningofinpatienttreatment. This would givepatients and their families theopportunity to ask questionsof all of the treatment teammembers at one time,eliminating duplication oftheir questions. Posing thesame question to all membersof the treatment team wouldalso give rise to theopportunityforanyoneinvolved in the patient’s careto provide input and developmore rounded ideas.As we face a continuousupsurge in the population, theincrease bleeds over into thehospital daily census and theworkloads of the hospitalists.Without more support (i.e.,multiple hospitalists working
ORGANIZATIONAL LEADERSHIP11at the same time), it isunrealistic to expect onephysician to effectively treatthe higher volume of patients.Addinganothertreatingprovider (physician, PA orNP) would allow for moreeffective and patient-centeredcare, decreasing readmissions,increasing patient outcomesand satisfaction scores, all ofwhichleadtohigherHCAHPSscoresandreimbursementsforthefacility.Area of ImprovementThe domain of Care is an area YRMC can improve upon to increase patient-centerednessin the organization. While quality care is delivered to each patient who comes through the doorsat either of the hospitals within YRMC, the increase in the local population and hospital censusdemands an increase in the number of competent hospital providers. In the five years since the2010 census, the population of Yavapai county has increased by more than 17,000 (U.S. CensusBureau, n.d.). That has led to an increase in patient visits to YRMC. The number of physiciansworking in the hospital to see inpatients must increase proportionally. Without an appropriateincrease, each treating physician will become overworked and drained, both physically andemotionally. This kind of increased stress subsequently increases the chance for medical errors,poor patient outcomes, lower HCAHPS scores and patient satisfaction rates (Rettner, 2013;HospitalHCAHPS, 2017). Increasing the number of physicians in the hospital to treat inpatients