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Dr Samir Sawli
ssawli@sidra.org
• Process
•1.Resources

                 Staff          Communication
              Management           Is Key




                                Staff Satisfaction
             Prevent Errors
                                  Management
             Contuity of care
                                   Efficiency


• Outcomes                                           • Achieve
                                                       the Balance
1. Resources

                        Automated non Bias
                             Schedule
Satisfaction            Ability to swap and
                         request time off



                            Workaholic
Overwork                  contribute to
                        sentimental events




  Under work            Unfair distribution
                           of Overtime
   Provides automated 4-6 weeks schedule
    applying organizational policies
   Provides electronic tracking of staff trends
   Enforces organizational policies example no
    day shift after night shift
   Provides the tools to offer fair distribution of
    overtime and rotation of shifts
   Provides seamless tools to enhance staff
    satisfaction upon requesting time off, swap
    or floating
•Resources                                         • 2. Process


                Staff         Communication
             Management          Is Key




             Prevent Errors   Staff Satisfaction
             Contuitey of       Management
                care             Efficiency


• Outcomes                                         • Achieve
                                                     the Balance
2.Process                  Communication
                               gap



     Most sentimental                   Break In
     errors are due to               Communication



      Failure to deliver
                                       Ineffective
     the right message
                                       routing of
      to the right care
                                       messages
           provider



       Break in care                  Poor tracking
                                      of staff
        consistency
•Route the
                 Prevent
                          message to the
                  Errors
                          right person

                                      • Staff to Staff
Scheduling and           Enhance        Communication
Communication         Communication
                                      • Patient to Staff
Tools
                                        Communication


                     Track      • Message sending
                   Commun         and receiving
                    ication     • Accountability
   An infra structure to interface communication
    and messaging tools like Vocera/Conexall
   Routing of alarms and patient call to the
    assigned staff avoiding overhead paging and
    noise
   Routing of staff to staff communication like text
    paging
   Call upon resources in case of emergency or code
   Call upon messengers to collect samples or bring
    cross matched blood units
   Email and dashboard staff announcements and
    alerts
   Overtime signup for nursing staff
•Resources                                          • Process


                  Staff         Communication
               Management          Is Key




               Prevent Errors   Staff Satisfaction
               Contuitey of       Management
                  care             Efficiency


• 3.Outcomes                                         • Achieve
                                                       the Balance
. 3. Outcomes        Prevent
                         Errors


     Are we
                       Tracking of
  Maintaining
continuity of care        staff


                          Work
 Who is working
 more than safe
                        Schedule
                         Trends


   Manage
                      Staff time
under/overstaffi
      ng
                     management
Tracking   •   Who is on-duty



                                  •Route the
Scheduling
System+             Routing        staff/patient
Time and
Attendance                         call/requests



                               •Enforce Policies
                 Trends        •Track trends
                                across units
   Continuity of care through assigning the
    same nurse to the same patient when
    applicable
   Management of staff check-in and out in real
    time alerts
   Monitor adequacy of unit coverage
    highlighting under/over staffing
   Routing staff and patient messaging to
    enhance communication
              Patient    Assigned     Fulfill
                call      Nurse      request
• 1. Check staff Attendance
 Call Unit    • 2. Identify no show


              • 3. Start calling possible replacement
    Find
Replacement
              • 4. Check overtime rules (sickness, long hours)


              • 5. Create shift
  Adjust
 Schedule
              • 6. Assign staff code
System
                                Confirm
Receive alert     suggests
                              replacement
                replacement
• Process
•Resources

                Staff         Communication
             Management          Is Key




             Prevent Errors   Staff Satisfaction
             Contuitey of       Management
                care             Efficiency


• Outcomes                                         • Achieve
                                                     the
                                                     Balance
. Achieve the Balance




          To satisfy accreditation standards
          • Report on adequate/inadequate
                       coverage

      Use patient acuity module to avoid under/over
                           staff
           • Adequate Staffing based on Acuity


        Avoid overtime to keep management happy
                • Track Demand and Supply
   Paperless
   Automated schedule
   Flexible swap and rescheduling option for staff
   Driven by patient acuity and workload
   Has Time and Attendance component
   Interface able with Clinical Information System
    and Enterprise Resource Management ERP system
    and LMS
   Can be linked to messaging systems such as
    Vocera, conexall, email and sms
   Supports handheld devices
Define your requirements
 (Research, consultant, workflows)
 Scan the market
 KLAS RESEARCH REPORT
 Issue RFI
 See on-line demo
 Refine requirements
 Issue RFP
 Conduct demonstration
 Ensure technical operability and adequate local
  support and training
   Gather empowered implementation team
   Consult experienced experts
   Work with the vendor
   Plan deliverables and tie to contract
   Track milestones
   Automate current processes after improving them
   Test, unit, volume, integration, load
   Share outcomes and issues with stakeholders
   Provide training 3 months prior to go live
   Ensure at the point of care support and not behind
    command centers
   Log issues, communicate resolution

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Staffing and scheduling in health care

  • 2.
  • 3. • Process •1.Resources Staff Communication Management Is Key Staff Satisfaction Prevent Errors Management Contuity of care Efficiency • Outcomes • Achieve the Balance
  • 4. 1. Resources Automated non Bias Schedule Satisfaction Ability to swap and request time off Workaholic Overwork contribute to sentimental events Under work Unfair distribution of Overtime
  • 5. Provides automated 4-6 weeks schedule applying organizational policies  Provides electronic tracking of staff trends  Enforces organizational policies example no day shift after night shift  Provides the tools to offer fair distribution of overtime and rotation of shifts  Provides seamless tools to enhance staff satisfaction upon requesting time off, swap or floating
  • 6. •Resources • 2. Process Staff Communication Management Is Key Prevent Errors Staff Satisfaction Contuitey of Management care Efficiency • Outcomes • Achieve the Balance
  • 7. 2.Process Communication gap Most sentimental Break In errors are due to Communication Failure to deliver Ineffective the right message routing of to the right care messages provider Break in care Poor tracking of staff consistency
  • 8. •Route the Prevent message to the Errors right person • Staff to Staff Scheduling and Enhance Communication Communication Communication • Patient to Staff Tools Communication Track • Message sending Commun and receiving ication • Accountability
  • 9. An infra structure to interface communication and messaging tools like Vocera/Conexall  Routing of alarms and patient call to the assigned staff avoiding overhead paging and noise  Routing of staff to staff communication like text paging  Call upon resources in case of emergency or code  Call upon messengers to collect samples or bring cross matched blood units  Email and dashboard staff announcements and alerts  Overtime signup for nursing staff
  • 10. •Resources • Process Staff Communication Management Is Key Prevent Errors Staff Satisfaction Contuitey of Management care Efficiency • 3.Outcomes • Achieve the Balance
  • 11. . 3. Outcomes Prevent Errors Are we Tracking of Maintaining continuity of care staff Work Who is working more than safe Schedule Trends Manage Staff time under/overstaffi ng management
  • 12. Tracking • Who is on-duty •Route the Scheduling System+ Routing staff/patient Time and Attendance call/requests •Enforce Policies Trends •Track trends across units
  • 13. Continuity of care through assigning the same nurse to the same patient when applicable  Management of staff check-in and out in real time alerts  Monitor adequacy of unit coverage highlighting under/over staffing  Routing staff and patient messaging to enhance communication Patient Assigned Fulfill call Nurse request
  • 14. • 1. Check staff Attendance Call Unit • 2. Identify no show • 3. Start calling possible replacement Find Replacement • 4. Check overtime rules (sickness, long hours) • 5. Create shift Adjust Schedule • 6. Assign staff code
  • 15. System Confirm Receive alert suggests replacement replacement
  • 16. • Process •Resources Staff Communication Management Is Key Prevent Errors Staff Satisfaction Contuitey of Management care Efficiency • Outcomes • Achieve the Balance
  • 17. . Achieve the Balance To satisfy accreditation standards • Report on adequate/inadequate coverage Use patient acuity module to avoid under/over staff • Adequate Staffing based on Acuity Avoid overtime to keep management happy • Track Demand and Supply
  • 18. Paperless  Automated schedule  Flexible swap and rescheduling option for staff  Driven by patient acuity and workload  Has Time and Attendance component  Interface able with Clinical Information System and Enterprise Resource Management ERP system and LMS  Can be linked to messaging systems such as Vocera, conexall, email and sms  Supports handheld devices
  • 19. Define your requirements  (Research, consultant, workflows)  Scan the market  KLAS RESEARCH REPORT  Issue RFI  See on-line demo  Refine requirements  Issue RFP  Conduct demonstration  Ensure technical operability and adequate local support and training
  • 20. Gather empowered implementation team  Consult experienced experts  Work with the vendor  Plan deliverables and tie to contract  Track milestones  Automate current processes after improving them  Test, unit, volume, integration, load  Share outcomes and issues with stakeholders  Provide training 3 months prior to go live  Ensure at the point of care support and not behind command centers  Log issues, communicate resolution

Notes de l'éditeur

  1. Reviewing the literature and research it was noted that patient safety is achieved if there is alignment among three factorsWork Resources (Staff, Equipment, building)Work Process ( Communication, Workflow, and Tracking)Outcome ( Error free Care, Positive patient outcomes)Achieving the balance between managerial efficiency and workload demands
  2. Reviewing the literature and research it was noted that patient safety is achieved if there is alignment among three factorsWork Resources (Staff, Equipment, building)Work Process ( Communication, Workflow, and Tracking)Outcome ( Error free Care, Positive patient outcomes)Achieving the balance between managerial efficiency and workload demands
  3. Reviewing the literature and research it was noted that patient safety is achieved if there is alignment among three factorsWork Resources (Staff, Equipment, building)Work Process ( Communication, Workflow, and Tracking)Outcome ( Error free Care, Positive patient outcomes)Achieving the balance between managerial efficiency and workload demands
  4. Reviewing the literature and research it was noted that patient safety is achieved if there is alignment among three factorsWork Resources (Staff, Equipment, building)Work Process ( Communication, Workflow, and Tracking)Outcome ( Error free Care, Positive patient outcomes)Achieving the balance between managerial efficiency and workload demands