Innovation
Quality
of
Care
Efficiency
Complementing Quality of Care with Innovation and Efficiency
Budgie Amparo, RN, MSN
May 31st, 2012
Potential Threats to Quality of Care
Leadership
Healthcare Reform
Quality of Care
Advance technology
& social networking
Evolving work-force:
generations at work
Leadership/Management and
Quality of Care
Are you a LEADER or a MANAGER?
Leadership Self Test
I think more about immediate results than I do
about mentoring others?
1
2
3
I spend more of my time and attention on my
weak performers that I do on my top performers?
I like to surround myself with people who are better
at what they do than I am?
Leadership Self Test
I think more about immediate results than I do about mentoring others?
•
Managers focus on the process and immediate efficiency more than leaders do.
•
Leaders think about how they invest their time to develop the strongest talent
so that those people can grow and do more and more over time.
“True” – Manager
“False”- Leader
Leadership Self Test
I spend more of my time and attention on my weaker performers than I do with
my top performers, who basically take care of themselves.
•
Leaders use their time as a reward, and seek to invest their attention where it can
have the most upside impact.
•
Generally speaking, people have the most opportunity to grow and become truly
great where they already demonstrate strong performance, and so leaders tend
to avoid remedial projects or the constant oversight of weaker performers.
Instead, they spend more of their attention on the people who are the best at
what they do, since those are the people who will bring invent the greatest
process & performance improvements in the future.
•
Managers tend to focus more on problems to solve than they do on opportunities
to boost people toward previously unachieved “level of excellence”.
“True” - Manager
“False”- Leader
Leadership Self Test
It’s better not to know anything about the personal lives
and interests of the people who report to me
•
Leaders try to learn what makes a person tick, so that means
knowing getting to understand them in a more personal way,
without being invasive or inappropriate.
•
Managers tend to be more cut-and dried in the work relations.
“True” - Manager
“False” - Leader
Leaders vs. Managers
Leader
Manager
Risk Taker
Minimizes Risk
Effectiveness
Efficiency
Proactive
Reactive: Facilitates data collection
and analysis
Coping & promoting change
Coping with complexity
Builds a culture of quality
Facilitates ongoing quality
improvement
Leadership vs. Management
Leadership
Management
Position
Selected or allowed by a group of followers
Appointed by someone higher in the
organizational hierarchy
Power Base
Comes from knowledge, credibility, and
ability to motivate followers
Arises from one’s position of authority
Risk Level
High risk, creativity, innovation
Low risk, balance, maintaining status quo
Focus
People
Systems and structure
Health Care Reform Implications to
Quality of Care
Patient Protection and
Affordability Act
Rethinking Our
Relationships Across
the Continuum
Health Care Reform
Resident Admission
Algorithm Sample
Innovative System
Sample
“Stop, Watch & Go”
Health Care Reform: Patient
Protection and Affordability Act
Section 3025
Section 399KK
Section 3016
Readmissions
Reduction Programs
Quality Improvement
Program
Community-Based Care
Transitions Program
• Starting October 2012
hospitals will face penalties
for 30-day all-cause
readmissions for three
conditions (AMI, HF &
Pneumonia)
• Establishment of a quality
improvement program for
hospitals with high
readmission rates within two
years of bill passage.
• In 2011, program had received
mandatory appropriations of
$500 million over 5 years
• Possible expansion to COPD,
CABG, PTCA, other vascular
conditions
• Hospitals will work with the
patient safety organization to
reduce readmissions.
• Funding for entities that
provide care transition
services for high risk Medicare
beneficiaries
The Healthcare Reform
Rethinking our relationship across the continuum.
Hospitals must work with previously siloed stakeholders.
Continuum of Care
Stakeholders
Involved
•
Care coordination
imperatives
•
•
Pre Acute
Inpatient Active
Post-Acute
PCP, Patient
Specialists, Hospitalists,
Nurses, Case Manager,
Patient Allied Health
Home Health, SNF
Medical Home, PCP,
Patient, Specialists
Adequate
preventive care
Disease prevention
•
•
•
LOS management
Inpatient utilization
management
Reduce
readmissions
•
•
•
Partnership with
post-acute
providers
Standardize care
sites
Reduce
readmissions
Resident Admission Algorithm Sample
Early Detection Signs- “Stop, Watch & Go!”
Advance Technology Implications to
Quality of Care
Brand Quality
(Ethics First)
On Shift (software)
Advance Technology
GPS Smart Shoe
OmnivewDr (technology)
Brand Quality
Brand quality or product can be analyzed based on
perspective related to objective quality and perceived
quality.
Objective quality refers to the technical, measurable,
and verifiable nature of products/services and quality
control. Subjective or perceived quality refers to the
consumers’ value judgments or perceptions of quality.
Brand Quality
Web-Based Labor Management
Software for Healthcare
Complementing Quality of Care
with Innovation and Efficiency
The GPS Smart Shoe ™
Always on, Always with you.
Passive to the wearer –
No on/off switches –
Locate on demand –
Easy for the caregiver –
Complete end to end solution -
Connectivity through
GSM operators worldwide
Complementing Quality of Care
with Innovation and Efficiency
Features
The shoe is embedded with a two way GSM/GPRS
GPS module with strategically placed antennas for
optimal performance, continuously updating the location
and movement of its wearer.
Easy
access to
the mini
USB
Expected
battery
life 3-5
days
20
The Evolving Technology
Hi-Tech in Healthcare
Leadership Role
• E-MAR
• Embrace it
• E-charting
• Learn it
• Software system
• Apply/Try/Explore it
• Simulation exercises
• Collaborate it
• Webinar/online distance learning
• Teach it
 Retiring or quitting your job is NOT the solution to run away from evolving technology
 Technology has reduced time and space while enhancing communication, thereby
opening the possibilities of exploring new boundaries in the area of interdisciplinary
 Be legally, morally & ethically cautious using other basic technology i.e. e mail, text
messages etc.
 Nothing could replace the human aspect of nursing care – holistic approach/factor
Gen X
Traditional
Boomer
Millennial
Evolving Work-force:
Generations at Work
Evolving Generations at Work
Traditional
Before 1946
Boomer
1946-1964
Gen X
1965 -1981
Millennial
1982 - 2000
Job Changing
Carries stigma
Stays for life
Puts you behind
Stay if moving up
Is necessary
Follow your heart
Multi-taskers,
Motivators
Job well done
Money, title, recognition,
promotion
Freedom, fun
Personal fulfillment
Workplace
Flexibility
Who will do the work?
The nerve of those Xers!
I’ll go where I can find it
Should suit my needs
Working long hours
Required, prudent
Will go ahead, $
bonus
Get a life! Decide when,
where & how
But not all at work
Productivity
Input and output matters
Input matters most
Output is all that matters
Churns lots of topsoil in
many areas
Give me more
Essentials
Money
Time
Affirmation
Performance
Reviews
If one is yelling good
Once a year; documented
Sorry to interrupt how am I
doing?
What do you mean, I’m
not outstanding
Work-family
Work matters most, stay at
home wife
Work matters most; divorced
or dual career
Family matters as much,
dual career
Too soon to tell
Career paths
Slow & steady;
stability
Ladder; upward mobility
Lattice; plateaus are fine
Checkerboard
Career place
Prove yourself with loyalty,
pay your dues
Prove yourself with long hours;
pay your dues
I want to know all of my
options now
May switch frequently
and fast
Questions? Comments?