Methodist Employee Forums

Smart Growth

December 2015 December 2014 Results

Admissions 37,338 33,089 13%

Patient Days 123,833 111,265 11%

Births 5,412 4,460 21%

Surgery Cases 31,800 27,713 15%

ED Visits 38,543 33,644 15%

2015 Year End Statistical Trends

Smart Growth

Nebraska Methodist Hospital EP: 2014 – 608 procedures; 2015 – 938 procedures (54% increase) Hearts: 2014 – 243 hearts; 2015 – 319 hearts (31% increase) SANE/SART: 2014 – 195 cases; 2015 – 314 cases (61% increase) Imaging: 2014 – 139,505 procedures; 2015 – 151,854 procedures (9% increase) Methodist Women’s Hospital Record Breaking Year:

– Census: 157 (May 29) – Deliveries in a day: matched our record of 26 babies in a 24 hr timeframe (March 12) – Deliveries in 48 hours: 42 babies in 48 hours (Jan 20/21) – May was the first month to hit 500 births (510) – Record breaking year 5,412 births

Perinatology: – Hastings – Council Bluffs

Smart Growth

Lung/Thoracic Oncology Clinic 1,000th lung cancer screening patient with low-dose CT 10th year in a national study 10th in the nation 38 cases of lung cancer found Lung cancer mortality rates improved by at least 20% CMS coverage now in place resulting in more than 300 additional patients Collaborative effort – physicians, clinic, radiology, business office, and Foundation

Smart Growth

Nebraska Methodist College

2015 Accomplishments: Received Trio Student Support Grant

- Provides $750,000 to the institution for the ongoing academic support of low-income students, first-generation students, and students with documented physical or learning disabilities.

Expanded Presence in the Omaha Metro Area

- Mobile Diabetes Center

Received Military Friendly School Designation - 3rd year in a row from G.I. jobs

Smart Growth MWH NICU Project - Groundbreaking Ceremony

CONSTRUCTION PROJECTS MWH NICU Project

Smart Growth

Smart Growth

Major Capital Purchases Photo ID/Access System Upgrade

Video Endoscopy System Stryker Beds (ICU)

Noninvasive Cardiac Monitors SPD Sterilizing Equipment

Omnicell Automated Dispensing Cabinets Philips Monitor System

Immunohistochemical Stainer EUS Scope

Cisco Phone Network Switches Spies Camera

ICD-10 Upgrades MWH 4th Floor Mother/Baby Room

Trophon Disinfecting System Boiler Replacement

OR Project

TOTAL SPENT IN 2015 = $51,696,110

Partnerships & Collaborations

Methodist Hospital & Women’s Hospital Online Gift Shops

http://methodist-hospital-giftshop.myshopify.com/cart

http://methodist-hospital-giftshop.myshopify.com/cart


American Cancer Society Hope Lodge


80% Participation (last year 79%, more than double national average)

Doubled the number of physicians who made an annual gift

225 More Gifts

57% of Departments hit 100%

$400,000

Thank you to all of you that gave again this year!!

Partnerships & Collaborations Meaning of Care Award Recipients

Alireza Mirmiran, M.D. - Rad Onc

Terene Dawkins Short Stay

Kelly Rush Oncology

NMH 9 North (Cardiac Unit)

Ashley Sewall OT

Community Benefits

Quality & Safety

A Culture of Safety – What does it mean? • Mindful • Viewed as a Priority • Informed • Creating an Open, Fair, and Just Culture • Creating a Learning Culture • Create Safe Systems

90%

76%80% 82% 84%

91%

77%82% 83% 84%

93%

77%

83%86% 86%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

1. Encouraged toreport unsafe

conditions

2. Learn from oneanother's mistakes

3. Senior leaders careabout safety

4. Would feel safebeing a patient at

NMH, WH, or MPC

5. Coworkers followrules & regulations for

my dept

Methodist Hospital 2012 Methodist Hospital 2013 Methodist Hospital 2015 *Due to timing, there is no 2014 report

2015 Annual Organization Cultural of Safety Results Response Agree Strongly

Quality & Safety Nebraska Methodist Hospital

94%

80%

86%89% 89%

95%

79%

85%90% 90%

95%

77%

85%

92% 90%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

1. Encouraged toreport unsafe

conditions

2. Learn from oneanother's mistakes

3. Senior leaderscare about safety

4. Would feel safebeing a patient at

NMH, WH, or MPC

5. Coworkers followrules & regulations

for my dept

Women's Hospital 2012 Women's Hospital 2013 Women's Hospital 2015*Due to timing, there is no

2014 report

2015 Annual Organization Cultural of Safety Agree Strongly Results

Quality & Safety Methodist Women’s Hospital

Quality & Safety

1% to 4% increase on each category since 2012 82% to 86% responded feel safe to be a patient 76% to 77% responded learn from one another’s

mistakes (lowest scoring question) What’s next? • Agency for Healthcare Research & Quality (AHRQ) Survey – coming soon

Summary

Safety from the Patient’s Perspective… • Don’t Harm Me • Heal Me • Care. Be Compassionate

Quality & Safety

Patient Safety is only for Clinicians, right? Virginia Mason Medical Center – Seattle Mary McClinton died on November 23, 2004 at Virginia Mason Hospital, almost three weeks after a non-surgical procedure to treat a brain aneurysm. In what the hospital itself called an "avoidable mistake," staff at Virginia Mason injected McClinton with a toxic cleaning solution instead of either saline or the radiological dye routinely administered at the conclusion of the procedure. The containers were unmarked.

In November and December of 2004, the elevator hydraulic fluid was used as detergent in one step of a multi-step cleaning and sterilization process of surgical tools. Contract elevator maintenance employees had drained the fluid from elevators into containers that had held surgical detergent. The containers were not properly re-labeled or securely stored. The containers were restocked and shipped as detergent back to Durham Regional Hospital and Duke Health Raleigh Hospital. Both technicians in central sterile supply and the Operating Room teams noticed that something was “different” or “not quite right.” No one followed-up on their concern.

Quality & Safety

Mary McClinton

See Something – Say Something – DO SOMETHING

• Safety is fundamental to our mission. • Harm happens on our watch, in our hospital. • Serious harm events are preventable and a continuous journey

towards ZERO is the only acceptable goal. • We improve reality and safety by the right mix of process, people

and system design. • It will take Everyone: Board, Leadership, Staff, and Physicians

Quality & Safety

Quality & Safety

Joint Commission Jeopardy

Are you able to respond to the following Joint Commission questions?

Survey October 2016

Regulations Patient Safety Quality Wild Card Environment of

Care

100 100 100 100 100

200 200 200 200 200

300 300 300 300 300

400 400 400 400 400

500 500 500 500 500

Quality & Safety


Environment of Care for 100

Pull Aim

Squeeze Sweep

Quality & Safety


How do you use and activate a fire extinguisher?

Quality & Safety


Environment of Care for 200

The standard information source on hazardous chemicals.

Quality & Safety


What are safety data sheets?

Quality & Safety


Regulations for 100

HIPAA

Quality & Safety


What is the federal regulation governing privacy?

Quality & Safety


Patient Safety for 300

Hand Hygiene

Quality & Safety


What is the number one means for stopping the chain of infection?

Quality & Safety

#safe hands

I can change the world

With my own two hands …

I'm gonna make it a brighter place …

I'm gonna make it a

safer place …

And I can reach out to you


I’m gonna make it

a kinder place…

I'm gonna help the

human race …

And I can clean up the earth


I'm gonna make it a better place …

Oh- with my own two hands

With my own

Oh- with my own two hands

And I can comfort you


I can make peace on earth


But you got to use ~ Use your own two hands …

Quality & Safety

• Stroke Reaccreditation • Methodist Women's Hospital Earns Prestigious Perinatal Certification from Joint

Commission, 11th in Country Honored. Methodist Women’s Hospital is the first in Nebraska and just the second in the Midwest to be recognized for its commitment to integrated, coordinated and patient-centered care for mothers and newborns for the duration of their pregnancy and birth experiences.

• NMHS Pharmacy receives MSS/Novation 2015 Quality Award for Pharmacy for its

participation in Pharmacy initiatives. • MHS receives Occupational Safety and Health Honor Gold Award from the National

Safety Council Nebraska Chapter. • NMH awarded the Blue Distinction Center through BCBS for expertise and cost

efficiency in delivering specialty care for Cardiac and Maternity Care.

Accreditations & Certifications

Financial Viability & System Efficiency

Lean Program 2015

Projects – Submitted: 18 – Initiated: 20 – Completed: 14

Total cost savings – Hard savings: $309,500 – Soft savings: $107,950

Working toward a goal of engaging every employee in continuous improvement every day, the Lean Team began introducing the concept of Daily Visual Management to a small group of pilot units in 2015.

What is Daily Visual Management? Daily Visual Management is a standardized communication tool that engages front line staff and enables teams to identify and deliver performance improvement every day. It consists of:

• A short 5-10 minute meeting each day or shift • A visual display board to promote communication and foster proper management of improvement ideas • Timely measurement and monitoring of performance metrics important to that unit • Overall, 215 improvement ideas where identified and 139 implemented!


Daily Visual Management Update


VAT SAVINGS PROGRAM

VAT TEAMSavings Implemented

2015Cardio/Imaging $849,823FIN/IT/MKT/HR $1,268,807Integrated Services $425,442Laboratory $533,623Patient Care $742,167Peri-Op $1,655,680Pharmacy $748,259TOTAL $6,223,801

2016 VAT SAVINGS GOAL - $6.5 million

People, Culture, & Service Excellence

Methodist Hospital Employee of the Month Recipients

Ashton Nicola October 2015

Physical Med & Rehab

Sandi Brennan November 2015 Clinical Coding

Jess Rohwer December 2015

Respiratory Therapy

Cathy Townsend January 2016

Physical Therapy

Becky Stenger February 2016

Radiation Oncology

Dee Moen March 2016

Acute Care for Elders


Methodist Women’s Hospital Employee of the Quarter Recipients

Connie Goss Fourth Quarter 2015

Environmental Services

Gillian Sorensen First Quarter 2016

Administrative Coordinator


Our People Making a Difference!

National Geographic “Crossing Over: How Science is Redefining Life and Death” April 2016


https://www.youtube.com/watch?feature=player_embedded&v=GPHFbgm4bLU

Celebrating 125 Years of the Meaning of Care!

https://www.youtube.com/watch?feature=player_embedded&v=GPHFbgm4bLU

QUESTIONS?

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