Implementing a Program to Improve your HCAHPS and ED ... · “Implementing a Program to Improve...
Transcript of Implementing a Program to Improve your HCAHPS and ED ... · “Implementing a Program to Improve...
“Implementing a Program to Improve
your HCAHPS and ED Patient
Satisfaction Scores”
Doug Finefrock, DO
Kelly Briggs, RN, MBA, NE-BC
5thAnnual Patient Experience
Empathy and Innovation Summit
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Kelly Briggs, MBA, RN, NE-BC
Administrative Director of
Service Excellence and
Patient Experience
Doug Finefrock, DO
Vice-Chair, ED
Residency Program Director
National Pt. Sat. Speaker
ACEP
ACHE
ASHRM
The Beryl Institute
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\36 EM Residents, 1 of 3 last
year)
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What is happening at your hospital right now?
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Objectives
Appreciate the economic drive to improve HCAHPS
and the patient experience
Understand why providers are often frustrated by
HCAHPS improvement initiatives
Learn how to implement a scalable patient experience
improvement program
Objective #1: Appreciate the economic drive to
improve HCAHPS and the patient experience
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VBP: Winners and Losers
FY 2013 Value Based Purchasing
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Value-Based Purchasing Payments
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1,877 CEOs compensation at 2,681 private, nonprofit
US hospitals
Results: CEO pay only associated with Technology
and Patient Satisfaction
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Transparency
Objective #2: Understand why providers are often
frustrated by HCAHPS improvement initiatives
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Provider Frustrations
Performance is assessed
in an area they were never
trained
No objective feedback
Job satisfaction correlates
to patient satisfaction
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Performance Evaluation
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Lifetime Malpractice Risk
CAREER RISK of malpractice claims
High-risk specialties: 99%
Low-risk specialties: 75%
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Lawsuit Prevention
“The most common cause of malpractice
suits is failed communication with patients
and their families.”
Objective #3: Learn how to implement a scalable
patient experience improvement program
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Complaints About Current Programs
• Top down approach
• Not to front-line providers
• Ineffective acronyms
• Not designed by clinicians
• Not producing desired outcomes
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Chair, National CORD Task Force
“Patient Satisfaction
Education & Evaluation”
Chair, National CORD Task Force
“Satisfaction Every Time”
PatientSETTM Program
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ED Press Ganey Scores
2
1
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Anatomy of a Successful Program
Systematic evidence-based
Scalable, reproducible
RN & Physician led Video-based Education
Ongoing performance assessment
Objective action plan
Outcome-based evaluation
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PatientSET™ Multimedia Program
PatientSET™ List
PatientSET™ Education
PatientSET™ Assessment
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ED Analysis:
Low Performers vs. High Performers
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PatientSET™ Education- Online Video CME
Script Scenes:
Edits, multiple-provider feedback
Casting Call- 250 NYC professional actors
Videographer
Filmed in
3 different settings
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PatientSET™- Nursing Video CE
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CE and CME Certificate
• After completing the
primer course, each
learner earns CME/CE
• Each learner can print
out their own CME/CE
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PatientSET™- Physicians & Midlevel
Providers Video CME
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PatientSET™- Other Employees
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PatientSET™ Observations
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Administrative Dashboard of RN Units
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RN Individual Performance
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RN Individual Performance
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RN Individual Performance
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Physician Individual Variance
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Physician Variance
(N=281 bedside observations)
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ED Analysis:
Low Performers vs. High Performers
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ED Low Performers IMPROVEMENT
(N= 281 bedside observations)
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ED Press Ganey Scores
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Team Approach: “Satisfaction Every Time”
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Thank You!
Videos on Website: DrFinefrock.com
Twitter: @DrFinefrock