10 TIPS TO IMPROVE HCC PERFORMANCE
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1 C&A Webinar Series 12/07/16 Thank You For Joining Us THE WEBINAR WILL BEGIN SHORTLY You will not be able to hear sound through your computer. Dial in through your phone to listen to webinar audio: Conference Number: +1 (415) Access Code: If you wish to ask a question, use the Questions feature in the GoToWebinar control panel. We will create a queue and answer as many as possible following the presentation. For Technical Assistance please contact Janlia Riley at Janlia@constantassociates.com or TIPS TO IMPROVE HCC PERFORMANCE Chris Mitchell Founder & CEO Onward Innovation chris.mitchell@go-onward.com 7 December 2016 Framing the discussion 1. All agencies in HCCs understand and accept the need for preparedness 2. However, in many, preparedness is secondary to everyday needs 3. Funding is tough, regulatory demands are high Evaluate & Improve Exercise Organize & Equip Train 3 1
2 It s a matter of perspective A food prepared by mixing chocolate liquor or cocoa powder with milk ingredients and sometimes a sweetener, such as sugar. 4 Tip #1: Engage the right stakeholders Involve agencies with questions that drive buy-in: Risk and corporate social responsibility-ceo Patient care and treatment-cno & Clinical Directors Supply shortages and sharing-vp/directors Surge of worried well-security Directors Disruption of care-physician Practices Traffic disruption and unrest-leo Family reunification-pios & EMs Resource triage-all Decision Makers 5 Tip #2: Operationalize conversations Talk about events types and their ramifications: September 11 th : 387 patients (49% of total) treated for inhalation injuries, majority were not rescue personnel 1 Hurricane Katrina: 2 nd largest mechanism of injury (640 patients) was skin/wound injuries, 1 st was Unintentional Injury 2 Joplin Tornado: 159 fatalities, St. John s Regional Medical Center destroyed, 13 patients with novel fungal infection 3 6 2
3 Tip #3: Avoid writing plans while planning Focus on how plans fuse into a common, combined, operating vision: Government: THIRA, EOP, SNS plans, etc. Healthcare: HVAs, EOPs, COOP, etc. EMS/Fire: Event/response protocols, etc. Other: Physician practice business interruption plans Whole picture approach 7 Tip #4: Focus on universal motivations Center conversations on patient care and outcomes 8 Organize and Equip Tip #5: Create a common operating picture Process map interactions, then explore considerations: 9 3
4 Organize and Equip Tip #6: Find easy wins to encourage group thinking Create universal ordering standards: Common names Lowest/most logical unit of measure Generic brand (DME conversations) Encourage partners to think about non-normal activities 10 Tip #7: Train like you fight every day Train and Exercise HCC agencies manage these processes every day: Patients move between clinicians and between departments and between organizations NOW 11 Tip #8: Pool resources Train and Exercise Splitting the bill encourages engagement: Expired hospital supplies = training aids Grant funding and govt. training programs = buy-in Access to SMEs between agencies = improved integration 12 4
5 Evaluate/Improve Tip #9: Leverage unique regulatory burdens Use healthcare and government regulatory requirements to meet multiple deliverables at a time: 5 year improvement cycle Joint Commission (TJC) EM and QI/PI requirements Ø TJC 96-hour requirement 13 Evaluate/Improve Tip #10: Have fun with it 14 Summary 1. Engage shareholders with the right questions 2. Operationalize conversations 3. Avoid just writing plans 4. Focus on universal motivations 5. Create a common operating picture 6. Find easy wins to foster thinking 7. Use everyday activities 8. Pool resources 9. Leverage regulatory burdens 10. Have fun with it 15 5
6 C&A Webinar Series 12/07/16 THANK YOU Speaker Contact Information: Chris Mitchell: , References: Rapid Assessment of Injuries Among Survivors of the Terrorist Attack on the World Trade Center -- New York City, September (2002). MMWR: Morbidity and Mortality Weekly Report, (1). 1. Retrieved from: MMWR 9/11 Chief Complaints. Williams. W., Guarisco, J., Guillot, K., Wales, J., Revels,C., Barre,G., & Sosa, L. (2005). Surveillance for Illness and Injury After Hurricane Katrina -- New Orleans, Louisiana, September 8-25, MMWR: Morbidity and Mortality Weekly Report,54(40), Retrieved from: MMWR Hurricane Katrina Chief Complaints. Fatal Fungal Soft-Tissue Infections After a Tornado--Joplin, Missouri, 2011; MMWR: Morbidity and Mortality Weekly Report, (29).992. Retrieved from: MMWR Joplin Chief Complaints. Register to receive information and updates on upcoming C&A Captivate Webinars 6
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