technology

All In for Virtual Visits

Submitted by Laureen Lazarovici on Fri, 03/19/2021 - 15:10
Region
Topics
Hank
Request Number
ED-1854
Long Teaser

Working together helps this team get ahead of curve.

Communicator (reporters)
Jennifer Gladwell
Editor (if known, reporters)
Sherry Crosby
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THE 3 E'S TO VIRTUAL VISITS

To improve virtual visits, try these tips from team members of the Keizer Station Family Medicine/Nurse Treatment Center in Oregon:

  • Educate. Talk to team members about virtual visits so everyone understands the benefits. Create scripting to use with patients to easily explain the advantages and how to access care. 
  • Engage. Involve all team members, including medical assistants, nurses and physicians. Use huddles and UBT meetings to discuss ways to improve the experience for staff and patients. 
  • Enjoy. Patients are more satisfied when they can get the care they need when they need it. Consider virtual visits first and, if issues arise, work with your team to find solutions. 
     
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Working together helps team get ahead of curve
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After learning more than a year ago that patients were having trouble getting doctors’ appointments, members of the Keizer Station Family Medicine team in Oregon began exploring ways to improve service and access. Their solution? Offer more video visits.

“What we didn’t realize at the time is that this work would put us in a unique position to be ready for the pandemic, which wasn’t on anyone’s radar in fall 2019,” says Ruthie Berrell, medical office director and management co-lead for the Family Medicine/Nurse Treatment Center unit-based team. 

Collaboration by the team’s frontline workers, managers and physicians has served as a partnership model for UBTs in the Northwest Region. It’s also earned the department applause for improving service and access at a critical time in health care, as teams across the enterprise adapt to the rise of virtual care. 

“It wasn’t always easy,” says Molly Maddox, RN, the team’s labor co-lead and OFNHP member. “This took a lot of working out the kinks and working together.” 

Overcoming resistance to change 

One of the team’s earliest challenges involved staff resistance to virtual care. Worried that patients would perceive virtual visits as a “takeaway,” some staff members pushed back. 

“The culture of how we delivered care was in the medical office, and people had different levels of acceptance across the spectrum,” says Caroline King-Widdall, MD, team co-lead and physician in charge. 

So, team members educated their peers on the benefits of virtual care and developed scripting to help them feel at ease offering video appointments to patients.

“People are more comfortable now taking the lead and scheduling appointments,” Berrell says. Others feared that older patients were less tech savvy and would have difficulty accessing their virtual visits. In response, team members posted informational fliers in exam rooms and emailed instructions to patients before their appointments. 

Building team engagement

Key to the team’s success was engaging everyone, including physicians. Medical assistants and nurses partnered with providers to review physician schedules and flag appointments they could convert to virtual visits. 

Also, UBT members participated in weekly huddles “where we brainstormed new tests of change and talked about what worked and what didn’t work,” says Maddox. The team’s efforts paid off. 

Patient satisfaction scores for ease of scheduling appointments jumped from 53% to 85% between August 2019 and December 2020. And because members access video visits through kp.org, website registration among the department’s patients increased by nearly 10% during the past year. 

The hard work has not gone unnoticed. This past fall, the team received the region’s UBT Excellence Recognition Award for improving service and access. 

Maddox attributes the team’s success to strong relationships rooted in partnership. “We know that we would not have had this success if our team didn’t work together.” 

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Reduce Outsourcing and Bring Courier Jobs in House

Submitted by Jennifer Gladwell on Wed, 04/02/2014 - 16:31
Region
Topics
Request Number
pdsa_Colorado_Couriers_jg_tf
Long Teaser

The Colorado Couriers department is set to save $375,000 in a year after an objection prompts a close look at its use of outside contractors. From the Spring 2014 Hank.

Communicator (reporters)
Jennifer Gladwell
Editor (if known, reporters)
Tyra Ferlatte
Photos & Artwork (reporters)
Team co-leads Terry Wagner (left), Mail Services supervisor, and Anthony Lopez, a courier and SEIU Local 105 member
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Reduce Outsourcing and Bring Courier Jobs in House
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UBT saves big after objecting to outside contractors
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The Colorado Couriers team is busy with 41 Kaiser Permanente facilities, more than 400 non-KP locations, and about 180,000 pickups and deliveries a year.

When it comes to outside contractors, the SEIU Local 105 contract requires that Human Resources provide the union with specific information about outsourcing, including who is doing the work, the affected job classification, the number of hours involved and what facilities were impacted.

That information wasn’t being provided, so Dominic Jones, a courier driver and Local 105 steward, objected.

“I saw that we were contracting out regular courier service, and it didn’t make any sense,” Jones says. “I knew that it was costing the company more money.”

As a result, the unit-based team took a close look at the department’s processes.

Team members collaborated with couriers in Northern California, who had done similar work, and discovered they could hire another employee, improve routes, reduce use of outside contractors—and still save money.

First steps were to work with internal customers to assess their needs, then reconfigure and bring routes in-house that had been contracted out.

They hired an additional employee to reduce overtime and outside courier costs on the weekends, and purchased new technology for central dispatching that enabled better tracking of pickups and deliveries.

Drivers got smartphones to receive information in real time, which made it possible to monitor drivers’ locations using GPS and find the closest driver for an unscheduled pickup.

In addition to new technology, the team worked with the region’s labs to ensure pickup times met the lab workflow.

“I am very supportive of the work our unit-based team has accomplished,” says Jones, who feels his concerns were addressed by the changes. “We are still outsourcing stat work that we can’t get to, but we are in the process of hiring on-call drivers, which will ease that burden.”

The team exceeded its stretch goal and saved an average of $25,577 a month, a cost reduction of 48.2 percent. By the end of 2013, the team’s effort had resulted in a cost savings of $145,165, and projected a savings of more than $375,000 for the following year.

“We had many painful conversations about how to make this work,” says manager Terry Wagner. “But the team’s input was invaluable. Each individual has been a contributor at some point.”

For more about this team's work to share with your team and spark performance improvement ideas, download a poster.

 

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Meeting Logistics

Submitted by Vaughn.R.Zeitzwolfe on Tue, 08/02/2011 - 16:02
Tool Type
Format
Content Section

This worksheet covers the nuts and bolts of meeting logistics, such as reserving your room, checking for phone jacks and making sure you have flip charts and markers. 

Non-LMP
Tyra Ferlatte
For Team Process 1-4
Tool landing page copy (reporters)
Meeting Logistics

Format:
Word document

Size:
8.5" x 11"

Intended audience:
UBT co-leads

Best used:
Use this tool when scheduling and preparing for a meeting, to help you cover all the nuts and bolts. 

 

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