each patient room except in the older not yet remodeled ICU rooms to

Each patient room except in the older not yet

This preview shows page 10 - 12 out of 35 pages.

each patient room (except in the older, not yet remodeled, ICU rooms) to accommodate a visitor sleeping. Families of patients may call for updates on their care when they like, with the exception of 7a-7p and 7p-7a, to accommodate shift change for the nursing staff. To prevent giving information out to an unauthorized person, each patient selects a “code word”. Each caller is required to know this code word in order to get any information about a patient. White boards in each patient room are set up with basic care information, including diet, activity, discharge planning and family contacts. regarding their plan of care and waiting for the hospitalist to round can be frustrating and discouraging. Care Patients and their families are encouraged to engage with the treating providers and nursing staff in their care, including collaborating together for goal setting. Pain control is a goal for every patient and on every admission. Pain consults can be ordered by the patient, a family member, nursing staff or any treating provider. Patients could and should be more included in treatment team meetings and the planning of inpatient treatment. This would give patients and their families the opportunity to ask questions of all of the treatment team members at one time, eliminating duplication of their questions. Posing the same question to all members of the treatment team would also give rise to the opportunity for anyone involved in the patient’s care to provide input and develop more rounded ideas. As we face a continuous upsurge in the population, the increase bleeds over into the hospital daily census and the workloads of the hospitalists. Without more support (i.e., multiple hospitalists working
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ORGANIZATIONAL LEADERSHIP 11 at the same time), it is unrealistic to expect one physician to effectively treat the higher volume of patients. Adding another treating provider (physician, PA or NP) would allow for more effective and patient-centered care, decreasing readmissions, increasing patient outcomes and satisfaction scores, all of which lead to higher HCAHPS scores and reimbursements for the facility. Area of Improvement The domain of Care is an area YRMC can improve upon to increase patient-centeredness in the organization. While quality care is delivered to each patient who comes through the doors at either of the hospitals within YRMC, the increase in the local population and hospital census demands an increase in the number of competent hospital providers. In the five years since the 2010 census, the population of Yavapai county has increased by more than 17,000 (U.S. Census Bureau, n.d.). That has led to an increase in patient visits to YRMC. The number of physicians working in the hospital to see inpatients must increase proportionally. Without an appropriate increase, each treating physician will become overworked and drained, both physically and emotionally. 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
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