Colorado

Flying the Talk

Submitted by Shawn Masten on Thu, 05/10/2012 - 05:53
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sty_Colorado_RNs_inflight_aid
Long Teaser

This story ftells of two Colorado RNs who, on a flight home from the Mid-Atlantic States, end up aiding a sick passenger, an experience that strengthens their faith in the power of partnership.

Communicator (reporters)
Non-LMP
Editor (if known, reporters)
Tyra Ferlatte
Photos & Artwork (reporters)
Colorado's Becky Sassaman left,
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Flying the talk
Deck
The power of partnership in the air
Story body part 1

The patient at the center of the Value Compass isn’t always a KP member, as two Colorado RNs proved on a flight home from the Mid-Atlantic States region last fall—and the experience they shared in the air also brought a fresh appreciation of their shared values and commitment to partnership.

Debbie Zuege, Colorado’s senior director of Nursing and Women’s Health, and Becky Sassaman, a nurse at the Arapahoe After-Hours clinic in Denver, work together as co-leads for the Nursing Partnership Council but had never teamed up clinically. That changed on their return flight from the Mid-Atlantic States, where they had talked about partnership with a group of union stewards.

Shortly after takeoff, Zuege was settling in and starting to read a magazine when something caught her eye.

“A flight attendant came down the aisle, holding an oxygen tank,” Zuege said. She alerted Sassaman, and they joined the flight attendant, who was tending to a woman lying down in the aisle. The woman was pale, sweating excessively and seemed confused. She’d been sick to her stomach. Two physicians on the flight joined in to help move her to the back of the plane.

The hastily formed team concluded the woman was dehydrated. Her pulse was weak. They elevated her feet and gave her liquids to drink; Sassaman placed an IV into her hand to administer fluids they found in the onboard medical kit, and Zuege administered oxygen. The woman responded well, with her pulse and color returning to normal. The doctors and nurses decided she’d be fine for the duration of the flight, and the attendant rearranged passengers so Sassaman could sit with her. The team kept the IV in place, suspending the fluids from a hanger hooked to the overhead bin, and gave her medicine for her nausea. Zuege and the two physicians checked in throughout the flight.

“The lady was so incredibly sweet and grateful,” says Sassaman, who helped her get clean, found her jacket and even lent her a pair of workout pants. “She kept saying ‘Thank you’ and ‘How can you do this?...I made a scene.’ I told her we are nurses, and it is what we do.”

 

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Poster: Reduce Patient No-Show Rates Shawn Masten Sat, 03/03/2012 - 00:11
poster
PDF
bulletin board packet
not migrated
Workforce Development
Poster: Reduce Patient No-Show Rates
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Format
Topics
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Format:
PDF (color and black and white)

Size:
8.5” x 11”

Intended audience:
UBT members, co-leads and consultants

Best used:
Post on bulletin boards, in break rooms and other staff areas to demonstrate
 how reminder calls can reduce patient no-shows.

 

bb_CO_no_show

This poster provides tips on how to cut no-show rates.

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PowerPoint: Errors Drop With Pre-Op Double up

Submitted by Kellie Applen on Tue, 02/07/2012 - 15:21
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ppt_co_errors_drop_preop_doubleup

This PowerPoint slide highlights a team that reduced missed antibiotic orders by having two nurses check antibiotic orders.

Non-LMP
Tool landing page copy (reporters)
PowerPoint: Errors drop with pre-op double up

Format:
PPT

Size:
1 slide

Intended audience:
LMP staff, UBT consultants, improvement advisers

Best used:
This PowerPoint slide highlights a team that reduced missed antibiotic orders by having two nurses check antibiotic orders. Use in presentations to show some of the methods used and the measurable results being achieved by unit-based teams across Kaiser Permanente.

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PowerPoint: Sleep Clinic Finds Cause of Repeat Studies

Submitted by Kellie Applen on Tue, 02/07/2012 - 11:23
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ppt_sleep_apnea_Colorado

This slide spotlights a team that cut wait times in half by nipping the need for repeat studies.

Non-LMP
Tool landing page copy (reporters)
PowerPoint: Sleep clinic finds cause of repeat studies

Format:
PPT

Size:
1 Slide

Intended audience:
LMP staff, UBT consultants, improvement advisers

Best used:
This slide spotlights a team that cut wait times in half by nipping the need for repeat studies. Use in presentations to show some of the methods used and the measurable results being achieved by unit-based teams across Kaiser Permanente.

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Poster: Sleep Clinic Uncovers Cause of Repeat Studies

Submitted by Kellie Applen on Fri, 01/27/2012 - 15:56
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bb_sleep_apnea_Colorado

This poster spotlights a team that cut wait times in half by nipping the need for repeat studies.

Non-LMP
Tool landing page copy (reporters)
Poster: Sleep Clinic Uncovers Cause of Repeat Studies

Format:
PDF (color and black and white)

Size:
8.5" x 11"

Intended audience:
Frontline employees, managers and physicians

Best used:
This poster, for use on bulletin boards, in break rooms and other staff areas, spotlights a team that cut wait times in half by nipping the need for repeat studies.

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Poster: Errors Drop With Pre-Op Double up

Submitted by Kellie Applen on Fri, 01/06/2012 - 16:43
Region
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bb_co_errors_drop_preop_doubleup

This poster highlights a team that reduced missed antibiotic orders by having two nurses check antibiotic orders.

Non-LMP
Tool landing page copy (reporters)
Poster: Errors drop with pre-op double up

Format:
PDF (color and black and white)

Size:
8.5" x 11"

Intended audience:
Frontline employees, managers and physicians

Best used:
This poster, highlighting a team that reduced errors by having two nurses check antibiotic orders, can be placed on bulletin boards, in break rooms and in other staff areas.

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Huddle Power

Region
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video_Huddles
Long Teaser

See how huddles have helped Kaiser Permanente teams improve communication, morale and best of all—patient care.

Communicator (reporters)
Non-LMP
Editor (if known, reporters)
Tyra Ferlatte
Video Media (reporters)
Download File URL
VID-62_HuddlePower/VID-62_huddle_power_720e.zip
Running Time
4:45
Status
Released
Tracking (editors)
Date of publication

Successful unit-based teams, those that continuously improve performance and lead change, use huddles to share information and stay on top of team business. This video highlights two KP teams that regularly huddle to tackle day-to-day issues, advance performance improvement projects and give "snaps" to colleagues who go the extra mile. See how huddles and snapping have helped these teams improve communication, morale and best of all—patient care.

 

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Colorado UBT Reduces Wait Times

Submitted by Shawn Masten on Mon, 08/08/2011 - 12:35
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ppts_reducing_wait_times_CO

One-page slide showing how Colorado internal medicine team reduced wait times by shifting duties

Non-LMP
Tyra Ferlatte
Tool landing page copy (reporters)
Colorado UBT Reduces Wait Times

Format:
PowerPoint slide

Size:
8.5" x 11"

Intended audience:
Frontline teams

Best used:
Include this one-page slide in UBT meetings presentations and huddles as an example of how to reduce patient wait times.

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Poster: Slashing Patient Wait Times

Submitted by Kellie Applen on Thu, 06/02/2011 - 11:16
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bb_shifting_division_labor

This poster highlights a team that reduced patient wait times by having medical assistants take patient vitals—a job that LPNs used to handle exclusively.

Non-LMP
Tool landing page copy (reporters)
Poster: Slashing Patient Wait Times

Format:
PDF (color and black and white)

Size:
8.5" x 11"

Intended audience:
Frontline employees, managers and physicians

Best used:
Share this poster highlighting a team that reduced patient wait times by having medical assistants take patient vitals on bulletin boards, in break rooms and other staff areas.

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Cracking the Case of the Missing Lab Orders Jennifer Gladwell Mon, 10/18/2010 - 12:38
Region
Colorado
Vehicle/venue
lmpartnership.org
Headline (for informational purposes only)
Cracking the Case of Missing Lab Orders
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Deck
Enforcing the law of the lab improves workflow
Region
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Patients and specimen samples showing up without orders was a common occurrence at the East Denver Medical Office lab.

In some cases, orders weren’t in the system because there was confusion between the provider and the nurse about who ordered the test. Other times, patients were directed to the lab without verification of a lab order; and orders simply expired.

This lack of follow-through was inconvenient for the patient, who would have to go back to his or her doctor, or wait for a lab employee to contact the department. In some cases, the patient would have to make a second trip.

So, the East Denver team decided to crack down and got a little creative.

They developed an “enforcement” theme and dressed up in police uniforms to issue citations to “violators” as they tracked patients with no orders.

Departments with the most improvement were honored with coffee and donuts. Those that met the criteria for sustained success were recognized with lunch.

OB/GYN went from 42 “violations” in a seven-week period to 34 in a 10-week period. Pediatrics went from 16 occurrences to a single one in similar time frames.

“At first, we didn’t give them (other departments) the specific data,” lab clinical manager Lucy Tyler says. “Then OB asked for it so we started giving it to everyone.”

The team found by tracking the data, they discovered who needed help, and they worked with that team to solve the problem. By showing each department when they were sending patients and specimens to the lab without orders, they could see they were part of the problem.

In some cases it was a surprise.

“This work supports X-ray and pharmacy, too,” phlebotomist Alma Lahti says. “It’s improving orders in other departments.”

Caption information for photo/artwork (reporters)
East Denver Medical Office Lab co-leads: Alma Lahti, Scott Moede and Lucy Tyler.
Request Number
pdsa_lab no orders_east denver medical office
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Long Teaser

Lab UBT in Colorado worked on a fun and innovative way to eliminate the problem of patients showing up at the lab but the orders weren't in the system.

Communicator (reporters)
Jennifer Gladwell
Notes (as needed)
checking quotes, last names etc. Should be ready to submit by 10/29. jg
sent another request to co-leads to review asked for feedback by 11/5. jg
Working with Tyra on edits,checking photo.11/19 jg
Status
Released
Date of publication
Management co-lead(s)
Union co-lead(s)