MID COAST HOSPITAL

For a lifetime of caring

Highlights 2017on NursingANNUAL REPORT

Patient &

Family

Community

LEADERSHIP

RESOURCES TEAMWORK

WELLNESS OUTCOMES

CARE DELIVERY

PROFESSIONAL PRACTICE

LEAN Performance Improvement Model

Relationship-Based Care (Modified)Caring & Healing Environmen

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Nurses Continue ‘Lean’ ActivitiesLean methodology continues to drive performance improvement activity aimed at patient flow.

“Lean” tools (Kaizen events, Process maps, creating and defining standard work) help staff focus on ways to reduce bottlenecks, delays, wasted work and inefficiencies. Many times, tasks are redesigned and new ways of working are created.

Here are highlights for the Nursing Department in 2017:

• An interdisciplinary team from diagnostic imaging and inpatient nursing units created a shared transport model to improve how patients moved between the departments. New communication strategies were created and Cortext (a HIPAA compliant, bi-directional texting product) was expanded to all Diagnostic Imaging and direct care staff on Med Surg and ICU.

• Cortext was also expanded to pharmacy, lab and several provider groups. In spite of its known delay issues, Cortext is now in the hands of over 350 users. Over 25,000 text messages flow between the clinical staff each month.

• Med Surg created a new staffing grid to welcome the restart of the Total Joint Program. The program is now seeing 5-8 total joint cases per week and fit-ting these patients into the admission queue.

• Nurses also teamed up with ED registration staff and redesigned how patients are processed at the front end of the ED. Nurses implemented “pull to full” strategy and now place patients directly into patient stretchers if they are open. New thinking was adopted as “Triage is a process not a place.”

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ED Tech Standard Work Team

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The sooner patients see the provider, the sooner their care can begin. All registration activities now take place at the bedside. Patients see the providers an average of 20 minutes sooner than before the change. Registration accuracy also improved from 84% to 99%.

• Bed Control has now been in place for 18 months. In August, all nursing units participated in creating a strategy to help manage increase demand for Med Surg beds. By analyzing occupancy, the nurses created an alternate placement plan to help level load census and created capacity for admissions. The goals were to reduce nurse floating and census time and to reduce patient boarding in the ED, a known safety risk for patients. There is still work to do on managing staffing strategies. The team will continue to work on these needs.

• Several departments worked on writing standard work for resource nurses, and the ED Techs met to write standard work for their role.

• Two new teams formed in 2017 to analyze the work for financial side of the business (The Revenue Stream) and for hospitalist work flow. In February 2018, work will begin on analyzing the flow of patients through the medical offices.

Applying lean methodology will continue into 2018. The goals are to meet patient demand for our services in the safest, most efficient way we can while delivering the highest quality care. It’s hard work, but worth it.

Working on Acute Inpatient Medicine Value Stream- October 2017

Erin Hart, Melissa Pelkey, and Karen Murphy

Discuss Capacity Management

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Clinical Ladder AdvancementsRNsNicole Gowen, RN III, Operating RoomDanielle Tetu, RN III, Medical/SurgicalOlivia Tetu, RN III, EmergencyPatrick Wolfe, RN III, EmergencyChuck Speer, RN III, Operating RoomMichael Martin, RN IV, Intensive CareDanielle Zimmerman, RN III, EmergencyMamie Chapman, RN III, Operating RoomKaylen Randall, RN III, Medical/SurgicalNina Planson, RN III, Emergency

CNAsSusan Davis, CNA II, Medical/SurgicalAngela Ross, CNA II, Medical/SurgicalDonna Palmer, CNA II, Medical/SurgicalSarah Murphy, CNA II, MaternitySandra Dunning, CNA II, Ambulatory CareHelen Bradford, CNA II, Medical/SurgicalMelanie Hampton, CNA II, Medical/SurgicalHeather Toothaker, CNA II, Medical/SurgicalEvelyn Graffam, CNA II, Ambulatory Care

Nurse ResidentsRachel Clement, Medical/SurgicalNikkole Gardner, MaternityBrittany Good, Medical/SurgicalLiana Tarling, Medical/SurgicalAlyssa Amato, MaternityKelsey Boilard, Ambulatory CareLauren Carlton, Medical/SurgicalNicole Cyr, Ambulatory CareMarissa Eltzroth, Medical/SurgicalKristie Freeman, Ambulatory CareJonathan Grant, Intensive CareTyler Jasud, Medical/SurgicalKaitlyn Joyce, EmergencyEliana Malis, Ambulatory CareKaitlyn Moreau, Intensive CareElizabeth Pons, Medical/SurgicalAlexandra Scott, Medical/SurgicalChloe White, Medical/Surgical

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MID COAST HOSPITAL Nurse LeadersKristin Anthony, MSN, RN, NEA-BC Vice President, Nursing & Patient CareSusan Campbell, MSN, RN Director, Mid Coast Medical Group–Hematology/Oncology Ellen Golding, MSN, RN Nurse Director, MaternityAnne Grandchamp, BSN, RN, CEN Nurse Manager, Emergency DepartmentChristina Harris, MSN, RN-BC Nurse Director, Nursing Practice and EducationErin Hart, BSN, RN Nurse Manager, Medical/Surgical/PediatricsMatt Hincks, BSN, RN, CEN Nurse Director, Emergency Department and Behavioral HealthKim Hunter, BSN, RN, CNOR Nurse Manager, Operating Room/Sterile ProcessingJack Kane, BSN, RN Nurse Manager, Behavioral HealthKerry Lepage, BSN, RN, MBA, CNOR Nurse Director, Surgical ServicesMorgan MacMahan, BSN, RN, CCRN Nurse Director, Intensive Care Unit/CardiopulmonaryBarbara McCue, BSN, RN Senior Director, Quality and Patient SafetyCate Parker, MS, RN, CES Director, Community Health and WellnessMelissa Pelkey, BSN, RN, CNOR Nurse Director, Medical/Surgical/PediatricsHeidi Pomerleau, BSN, RN Nurse Manager, Ambulatory Care Unit/Out-Patient

MID COAST HOSPITAL

123 Medical Center Drive Brunswick, Maine 04011

www.midcoasthealth.com