tag:blogger.com,1999:blog-32053362.post7152883089099252978..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Trainees report back and train trainersPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-32053362.post-76074958285089199002008-02-09T12:46:00.000-05:002008-02-09T12:46:00.000-05:00Thanks for the feedback about prescriptions. HCA ...Thanks for the feedback about prescriptions. HCA does nearly all their prescriptions electronically now. It is a wonderful feature. Unfortunately there are still some situations that require old fashion mail...not all pharmacies are using the electronic systems, some scripts for legal reasons can't yet be sent electronically, mail order scripts will very soon be able to be sent via e-prescription but we aren't there quite yet and some folks need a hard copy if they are traveling...where we can we fax, or phone in the prescription but sometimes we just have to send by mail....Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-29821674756040754172008-02-09T08:22:00.000-05:002008-02-09T08:22:00.000-05:00Dear HCA,In case you didn't already know this, you...Dear HCA,<BR/>In case you didn't already know this, your prescriptions can be instantly transmitted electronically to your patient's "transmit" button in OMR instead of the "print" button (an even better "solution" to your problem than creating multiple meetings with managers from other departments, vendors, etc.) Save yourselves not only the stamps but also the ink, paper, and envelopes, not to mention the time it takes to print, fold, stuff and address the envelope (and take the calls from the patients wondering where their lost prescriptions are.)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-35033948502592867502008-02-08T19:49:00.000-05:002008-02-08T19:49:00.000-05:00This is a terrific process. Yesterday during trai...This is a terrific process. Yesterday during training we observed several activities in HCA. We observed Francine, a clinical nurse doing the prescription renewal processing, and she called out something that bothered her. She stated it would save a lot of time and help our patients if we had a stamping machine located in HCA for mailing prescriptions to patients. Her comment was "if we send the renewed prescriptions to the mail room it takes up to 2 weeks for our patients to get them" Francine then gave examples based on patient feedback. The team probed further to get to the root cause asking Francine for more details and included two HCA managers, Brigitte and Chris. Brigitte activated her "help-chain" and called the manager of the mail room, David. His response was immediate, he came directly to HCA, met with the team and explained the process. He also furthered the process of getting to the root cause by engaging the mailing vendor and faciliated a meeting between the vendor and HCA Managers next week! It was learned the mail actually doesn't take as long if certain steps are followed. The system and process for a quick turn around on mail was not however transparent to the HCA team until David explained it. It was also learned each letter we sent using a stamp versus sending through the mailroom cost an extra 20 cents to the practice...about $10 a day if not more. To ensure others learn of this Chris then requested this story and solution be placed on the agenda at an Ambulatory Operations managers and directors meeting.<BR/><BR/>All engaged in this process LOVED it. It was energizing, satisfying to learn how quickly a process can be addressed and corrected and rewarding to see a solution can be found rapidly. <BR/><BR/>I have heard call out and real time problem solving stories for many years as this system has been used successfully in the Navy nuclear program. My husband had a career in the nuclear program and regularly shared their stories, always with excitement. It was satisfying to him that changes could be made so quickly, respectfully, and effectively in such a huge organization. All Navy personnel in this program know they will be heard and if the process of finding the root cause indicates the need for change they know the changes will be made. <BR/> <BR/>I am confident the BIDMC SPIRIT program will be a huge success and I am excited and proud to be a part of it.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-61305511503805280992008-02-08T06:46:00.000-05:002008-02-08T06:46:00.000-05:00During our training session yesterday, I had the p...During our training session yesterday, I had the privilege of going to the Cath Lab with my clipboard to "observe" Eric, the nurse educator. My colleague and I gowned up, went into the procedure room with the patient's permission, and stood watching, taking in it all in. I realized that I quickly became distracted by the big picture of what was actually going on in there--a seemingly fluid and capable team at work. I tried to look for potential obstacles/problems to facilitate solving with my lay person's eyes. Didn't really see any. Well, just one--a blockage in the back part of the patient's heart. I decided to leave that one to the team. What a learning experience!Anonymousnoreply@blogger.com