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MONDAY, DECEMBER 15, 2008
Department: Cleveland Heights Internal Medicine
Problem: Low Patient Satisfaction Scores (PSS); wait times and patient access were identified as primary culprits
Value compass: Best service, best place to work
Metric: PSS scores
First small test: Increased communication with patients, and instituted measures to diminish the perception of long wait times when they are inevitable. Those measures include having nurses, who use a script for consistency, let patients know if a physician is running late and keep them updated. They also have stocked more magazines in the waiting and exam rooms. Medical assistants or LPNs also let patients remain in the main waiting area as long as possible, to minimize the time they sit alone in the exam room.
Result: PSS scores rose from 62.6% to 71.2% from Q2 of 2007 to Q1 of 2008
Next step: Institute some 21st Century Care Innovation Project initiatives, such as phone visits, to help improve patient access
Labor co-leads: Cherie Merritt, RN, ONA, and Deloris Jacksonbey, LPN, OPEIU Local 17
Management co-lead: Traci Sopata, RN, department manager and team lead
Physician co-lead: Delilah Armstrong, MD
Biggest challenge
Building a cohesive team out of two adjacent internal medicine departments. “I think the biggest barrier for us was change itself. As the organization was transforming we were tasked to transform ourselves,” Merritt said.
Advice to other teams: Focus on what is within your power of influence, said Jacksonbey. Sopata added: “It takes a whole team. Without everyone in agreement that change is needed, you can’t change. It’s important to develop cohesion and get the staff behind it.”
Side benefits:
“We all had the same goal, we just had to come together,” Jacksonbey said.