1. Evidence Based Practice
1.1. Research
1.1.1. Ensure you have a team who can stay current and will regularly research evidence based practice
1.1.1.1. Encourage your team to set time aside in their day or week to conduct research on EBP
1.2. Foundation
1.2.1. Should always be a starting point or where you stay
1.3. Policies
1.3.1. Policies can adjust due to evidence based practice
1.3.1.1. Adjust policies as soon as you find a better practice
1.4. Communicate
1.4.1. Communicate changes in evidence based practice with the employee on your team that handles policies and share your research with staff
1.4.1.1. Communicate changes multiple times vie email, newsletters and meetings
1.4.1.2. Update policies and have all team members involved sign the policy or be re-competencied to ensure they are meeting best practices and that they know of the change
1.5. Service
1.5.1. Best way to serve patients
1.5.1.1. EBP is good for our patients!
2. Finance
2.1. Comparisons
2.1.1. Charts and Graphs
2.1.1.1. Stay in communication on results and outcomes
2.2. Documentation
2.2.1. Proof of cost savings by comparing previous numbers
2.3. Include
2.3.1. Important to include with clinical to come up with ideas and see where they may be seeing issues
2.4. First Priority
2.4.1. Even behind the scenes, the patient is your priority
3. Policy
3.1. Communication
3.1.1. Ensure everyone is on the same page - In the medical field, this could be a policy change for how to administer a drug or perform procedure - very high importance.
3.1.1.1. Communicate change multiple times via email and newsletters
3.2. Accountability
3.2.1. Hold employees accountable by having them sign policy
3.2.1.1. Have staff physically sign policy or utilize an electronic program to let them electronically sign off policy
3.3. Uniformity
3.3.1. Policies in a medical facility are especially important as you want to make sure everyone is on the same page
3.3.1.1. Keep members in each department in the look and be sure not to miss anyone
3.4. Documentation
3.4.1. Document the changes if any and store all employee signatures in a program such as Policy Manager or in a binder locked up.
3.4.1.1. Save all signatures and keep them readily available in case you need to show proof that it was signed
4. Technology
4.1. Patient Education
4.1.1. Utilize videos for patient education
4.1.1.1. Have a program such as Lincor in both in and outpatient rooms to provide on the spot education
4.1.1.2. Send video link to patients via email
4.2. Save Time
4.2.1. Switch to electronic health records to save the patients time
4.2.1.1. Research different systems and choose one that works best for your practice
4.2.1.2. Communicate all benefits with staff and patients
4.2.2. Send an e script to save the patient time
4.3. Save Money
4.3.1. Save on paper publications by making them electronic
4.3.1.1. Spin as a benefit rather than a cut back
4.3.2. Go electronic with time clocks to save money
4.3.3. Use videos rather than staff for patient education
5. Innovation Process
5.1. Discover challenge
5.1.1. Example - Missing Patient Identifier
5.1.2. Set up a program where those who see challenges can report them
5.1.3. Round with teams and observe to see what challenges you can see as an outsider
5.2. Brainstorm ideas
5.2.1. Example - New patient wrist band system?
5.2.2. Set meeting with those it involves and get their feedback on what they feel might work
5.3. Test Ideas
5.3.1. Test ideas that are possible even if it may not seem like it will work as sometimes it may surprise you
5.3.2. Share results
5.4. Implement Ideas
5.4.1. Example - Implement New Wrist Band Policy
5.4.2. Develop a policy on new process
5.4.2.1. Communicate the new policy to all those involved
5.4.2.1.1. Have all of those involved sign the policy to show they know they new process and to keep them accountable
5.5. Lean Six Sigma Course I Completed
5.5.1. Offer a course similar to Lean Six to encourage staff to look for areas that can be improved
6. Leadership Structure
6.1. Connect with your team
6.1.1. Keep communication open
6.1.1.1. Small teams
6.1.1.1.1. Have a weekly one on one meeting with each member
6.1.1.1.2. Have a monthly team meeting
6.1.1.2. Large teams
6.1.1.2.1. Have a bi weekly or monthly one on one meeting with each memeber
6.1.1.2.2. Have a monthly team meeting
6.2. Engage your team
6.2.1. Keep your team invested
6.2.1.1. Encourage your team to share ideas
6.3. Build trust with your team
6.3.1. Build trust to make your team feel comfortable coming to you with ideas
6.3.1.1. Follow up with your team on their ideas so they know they are being heard
6.3.1.1.1. Be honest about the outcomes of their ideas
6.4. Include leaders from both clinical and non clinical areas
6.4.1. Stay open minded as in health care there are two sides - clinical and non clinical
6.4.1.1. If you have a mixed department invite both sides to the meeting
7. Outcomes
7.1. Documentation
7.1.1. Continue to document to ensure your outcome is positive
7.1.1.1. Create spreadsheets that your team or those involved are able to access or share the spreadsheet with them as you update it with results
7.2. Share outcomes
7.2.1. Encourage others to share ideas by sharing outcomes
7.2.1.1. Share both good and bad outcomes
7.3. Patient focused
7.3.1. Ensure your outcome will not effect patient care in a negative way
7.3.1.1. Think through all scenarios to ensure it will not effect patient care
7.4. Practice
7.4.1. Practice an idea before putting it into place
7.4.1.1. Find a safe environment or use a test patient before officially putting idea into place
8. Communication
8.1. Share Ideas
8.1.1. Brainstorm and share all ideas, big and small
8.1.1.1. Set meeting up with team as brainstorming sessions
8.2. Share Progress
8.2.1. Keep everyone involved including your team up to date on your progress, it is exciting to see progress!
8.2.1.1. Set progress meeting up with your team to gain more ideas and share progress with them all
8.3. Share Results
8.3.1. The outcome is important for all to know
8.3.1.1. Share successes with other leaders and teams
8.3.1.2. Share failures with other leaders and teams
8.4. Ask for Feedback
8.4.1. Ask how you did or how you can better communicate
8.4.1.1. Formulate a survey that can be sent to your team or fellow leaders on your communication skills and how you can improve
8.4.1.2. Ask team members during one on one meetings how they prefer to be communicated with and how you can improve