Team working on improving scheduling processes

Transcription

1 Rehab Insider Summer 2015 Volume 1 Issue 1 Quality Improvement Projects Continue to Make Positive Impact Inside this Issue Quality Improvement....1 Visiting Scholars....2 Residency Program..3 Annual Awards...4 Unified Relay... 4 Stuff the Bus.4 Concert Series...5 Post-Race Care...5 Rehab Highlights 6 Team working on improving scheduling processes On the Inpatient Rehab Unit, a multidisciplinary team met on August to target falls reduction. Again using the A3 9 Box LEAN methodology, the team focused on finding solutions to addressing the root causes, and considered evidence based practices and feedback from several members of our Patient and Family Advisory Board in their solutions. The team redesigned our strategy for patients at high risk for falls, and plan to use symbols instead of words on the Care Boards in the patient rooms so patients and families will be able to determine a patient s level of assistance at a glance. The Rehab staff has been hard at work improving processes that affect our patients and the care they receive. During the week of July 20 th, a multidisciplinary group of therapy and ORCM (Office of Revenue Cycle Management) staff met to improve our scheduling processes in the outpatient clinics. Using the A3 9 Box LEAN methodology, the group drilled down some of the root causes leading to inefficiencies such as a higher than average No Show rate for appointments. The team then created Standard Work which uses both words and pictures/screen shots for 6 processes. The team is currently rolling out the new processes, and is tracking results using a MDI (Managing for Daily Improvement) Board. The collaboration on this team was outstanding! Our newly certified Purple Belt Team! Kevin Tice, Sean Macbain, Precila Sacman, Lia Kenyon, Becky Dodge (coach), Mariah Weber, Tim Brown A LEAF will be placed outside the rooms of high risk falls patients The new intervention is known as LEAF, and targets patients who meet one or more of the following criteria: Last fall was during the current hospitalization, Expresses needs (aphasia or non-verbal), Awareness of Safety (confused, forgetful, non-compliant or impulsive), Frequency of Bowel/Bladder or Urgency. Many thanks to our advisory board members whose contributions were invaluable!

2 II UNC Therapy Department Hosts Visiting Scholars from South Korea! From July 27-Aug 7, 2015, the Rehabilitation Therapies Department hosted 13 visiting scholars in the Occupational Therapy program from Dong Ju College in Busan, Korea. Students and professors travelled to North Carolina for a 2 week program highlighting the many areas of OT practice at UNC. More than 50 UNCHCS staff members from all disciplines participated in the planning and execution of this incredible training exchange program. The visiting scholars take time out of their busy schedule for a group photo with Sue Myers, OT and Shelley Sehorn, OT CCCE The scholars participated in multiple classroom sessions throughout their visit but a highlight of their training was the hands on practice labs led by UNC s highly credentialed staff. These included skills demonstrations on equipment use, driving simulation, wheelchair use and splinting, to name a few. Staff members Farrell Wiggins, OT, and Kevin Tice, Executive Assistant, accompany the exchange students on a night in downtown Chapel Hill. Left: Hands on demo of ventilator use. Right: Neck on demo of immobilization collar use. II

3 UNC Rehabilitation Therapies Elevating Clinical Practice III Advanced clinical education programs are in high demand across the Unites States and the Rehabilitation Therapies Department at UNC has actively promoted best practices with the creation of multiple Advanced Therapy Residency programs in Physical and Occupational Therapy. We currently support two orthopedic physical therapy residents, one pediatric physical therapy resident and the very first residency for occupational therapy in burn care. I chose to attend the UNC Physical Therapy Orthopedic Residency to refine my clinical Marc Bair - Orthopedic Resident skills and advance my clinical reasoning. By choosing the UNC PT Orthopedic Residency, I knew I would be surrounding myself with expert clinicians practicing at an advanced level and proficiency. This type of environment, has been vital to my professional growth and my ability to effectively and efficiently best treat my patients. I developed an interest in burn rehabilitation during a fieldwork experience in the Burn Center, and I was eager to continue developing my knowledge and skills in this area. I was drawn to the Burn Center s OT team and realized that there was much to be gained from working with all of them. I was also attracted to the opportunities for professional development outside of patient care, such as teaching and research. Overall, I saw the Burns Residency as a unique and challenging first year of employment in the field! Morgan Petty - Burns Resident Choosing the UNC Orthopedic residency was very easy for me. The opportunity to work in a university setting with excellent, well-published clinicians was a no-brainer. I knew that at such a well respected institution I would not only be able to obtain a top notch educational experience, have an opportunity to assist with teaching, but also have opportunities to provide service to the underserved community. I am blessed and proud to say that I am a UNC Orthopedic Physical Therapy Resident. Shemaiah Holness - Orthopedic Resident This residency program appealed to me because I am looking to improve my understanding of the spectrum of pediatric therapy related to both medical and therapeutic ranges to improve my goal development, technical skills, knowledge base, and ultimately my patient outcomes. While graduate programing is excellent to prepare one to be a general, licensed clinician; pediatric practice, especially, often results in more autonomous practice in several settings. I am seeking to experience the breadth of medical and pediatric need experiences from NICU/home/hospital/schools to group home/ community resources/ independent living, to support more realistic and effective focus of practice. Universities also tend to employ the best, most dedicated, and brightest in their fields, and I feel that UNC is an exceptional case of this concentration such that mentorship demonstrates what our profession and the specialty of pediatrics is truly capable of providing. Teri Travisano - Pediatric Resident III

4 Annual Therapy Service Line Awards SPORT of the Quarter: Stephanie Forrester, RT UNC Therapy Staff Carries Torch for Special Olympics IV Customer Service: Amy Kujawa, ST Teamwork: Heather Dodd, OT II Communication: LeeAnn Wilkie, Admin Specialist Arlene Marley, Admin Specialist Kathy Brice, Financial Assistant Patient and Employee Safety: Sean MacBain, PT II Ethics and Professionalism: Betsy Rambusch, ST Initiative and Adaptation: Keith Compson, PT II Stewardship: Laura Beth Thomas, RT SPORT of the Year: April Xayavong, PT Unsung Hero of the Year: Rose Gray, RT Friend of Rehab: Kim Haynes, Recruiting Consultant Career Achievement: Holly Holland, OT II Annual Inpatient Rehab Awards People Pillar Award: Bernadette Kimrey, RN Quality and Service Pillar Award: Angela Reid, NA and Melynda Wilcox, CST II Value Pillar Award: Belay Woldeyohanes, NA II Growth Pillar Award: Janel Green, RN Innovation Pillar Award: Ryan Erlenmeyer, CST II This past July, the Special Olympics held its flagship event, The World Summer Games in Los Angeles. To bring the nation together for awareness and understanding of the mission of the Special Olympics, over 10,000 people carried the Flame of Hope from coast to coast across the US. Staff members from UNC Therapy Services volunteered to do their part in spreading the message by participating in this year s Unified Relay Across America. Employee of the Year Award: Lia Kenyon, RN 2015 Stuff the Bus Huge Success! Thank you to everyone who donated to this year s Operation: Stuff the Bus! For the fifth consecutive year, organizations throughout the triangle collected school supplies to help children in need. Essential items, such as backpacks, pencils and notebooks, were dropped off at specific donation sites located around UNC Health Care. Due to the generosity shown by employees, UNC collected more than 5,000 items! IV

5 UNC Health Care Presents the Sweet Carolina Concert Series V As summer continued to present rising temperatures, the Sweet Carolina Concert Series looked to bring a change of pace to the heated monotony. Sponsored by UNC Health Care, the nine week lineup of outdoor beach music concerts was held at University Place in Chapel Hill. In an effort to give back to the community, each week s performance was open to all ages and was free of charge. Post-Race Care Provided By UNC Physical Therapists During the July 9th performance of Jim Quick and the Coastline, members of UNC s various outpatient PT clinics volunteered to staff an information booth. To attract visitors, a balance competition was held with new jump ropes given as prizes to the winners. Along with water and UNC branded band-aids and hand sanitizer, contact information for all of UNC s outpatient PT clinics was freely disseminated. People who stopped by the booth also had a chance to ask the highly qualified staff physical therapy related questions. We look forward to next year s event! On July 4 th, members of the UNC outpatient Physical Therapy team staffed a Runner Care tent at the Cardinal track Club s 4 on the 4 th Race at Carrboro s McDougal Middle School. Brian Trabulsi, Chuck Overman, Kristel Maes and Brendan Malay were on hand to provide post-race advice, stretching, and myofascial release guidance for the over 500 runners who came out for the race. UNC Therapy Services is the chief sponsor for the Cardinal Track Club s popular le Tour de Carrboro, a three-race series including the 4 on the 4 th, the Carrboro 10K, and the Gallop and Gorge. V

6 The primary goal of the Rehabilitation Service Line at UNC Hospitals is to provide quality rehabilitation and therapy services in an efficient, cost-effective manner consistent with the hospital s mission statement and strategic initiatives. The Rehabilitation Service Line consists of Occupational Therapy, Physical Therapy, Speech Pathology, Rehabilitation Nursing and Recreational Therapy and Child Life as well as the 30-bed inpatient rehabilitation unit. For more information, please contact: Barbara Adcock-Mohr, Administrative Director (984) Visit us online at: rehabilitation-therapies/ UNC Rehabilitation Center Highlights VI A total of 566 patients were discharged from the Center in FY 15. The primary diagnostic category for the patients was stroke, which accounted for 24% of all admissions. The other patient primary diagnoses were debility, major multiple trauma without brain or spinal cord injury, non-traumatic spinal cord injury and non-traumatic brain injury. The breakdown of diagnoses for patients is displayed below. The Rehabilitation Center follows up with patients and caregivers to obtain perceived outcome data at 90 days post discharge. The following patient satisfaction questions are asked during the survey: 1. Were you satisfied with your discharge planning services? 2. Did your rehab program improve your ability to care for yourself? 3. Were you and your caregiver, if appropriate, adequately trained during your rehab stay? 4. Did the rehab nursing staff respond to your call bell requests promptly? 5. Did the rehab nursing staff treat you with courtesy and respect by listening to you carefully and keeping you informed? 6. Did the rehab physicians treat you with courtesy and respect by listening to you carefully and keeping you informed? 7. Did the rehab therapists treat you with courtesy and respect by listening to you carefully and keeping you informed? 8. Were you satisfied with the meals during your rehab stay? 9. Were you satisfied with your room and bathroom cleanliness during your stay? 10. Would you recommend UNC Rehabilitation Center to your family and friends? The results for all 10 questions for FY 15 are represented in the graph on the left. UNC Rehab Insider is published by UNC Therapy Services, part of the University of North Carolina Healthcare Network. Please direct your comments or questions to: Kevin Tice (984) Kevin.Tice@unchealth.unc.edu UNC Healthcare 101 Manning Dr. Chapel Hill, NC (984) VI