introduction problem descriptions table pareto diagram of problems “top four” problems ›...
TRANSCRIPT
Introduction Problem Descriptions Table Pareto Diagram of Problems “Top Four” Problems
› Patient Priority› Lack of Technology› Communication› Time Management
Conclusion/RecommendationsMercer University IDM 355 Fall 2010 Piedmont Staff Survey
Analysis 2Presented Dec. 2, 2010
IDM 355 class evaluated 242 responses for Staff Survey question 6 “Please describe challenges that make it difficult to deliver patient care within the Piedmont system. Please be specific. What is it about the challenge that makes it difficult to deliver care?”
As a class we created 19 Problem Categories and classified each response to one or more categories
We developed a Pareto Diagram for the Categories
The Report presents the “Top Four” Categories
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 3Presented Dec. 2, 2010
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 4
Problem Category DescriptionBehavior Issues Overall negative attitudes and actions of employees and patients towards one another.
Communication Issues Verbal or written exchanges between patients, staff, departments, families, etc.
Lack of Resources Need for supplies throughout the facility.
Lack of Teamwork Need for cooperation between employees.
Lack of Technology Need for equipment, computers, etc.Other All issues that are not categorized into the other 18 categories.
Money Inefficiency Not using finances for more important issues.
No Company Policies Need for general policies in a certain department.Organization Disorganization of the workplace.
Overwhelming Workload Too many tasks assigned to an individual employee or department.Paperwork Issues Redundancies and errors in documentation.
Patient Priority Inability and difficulty to provide quality patient care.Technical Issues Maintenance of technology.
Time Management Challenges that were time consuming, repetitive, and/or the staff was constantly waiting on someone or something vital to patient care.
Under-Staffed Lack of employees in a given department.
Universal System Unnecessary duplication of effort and lack of standardization.
Use of Resources Inefficient use of resources.Worker Error Result of processes and procedures not being followed.
Working Conditions Issues with the overall working environment.
Presented Dec. 2, 2010
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 5Presented Dec. 2, 2010
Description: Inability and difficulty to provide quality patient care
Most frequent category, 44 respondents out of 242
Since category was very broad, we split it up into three subcategories:
› Documentation
› Short-Staff of Nurses
› Availability of Beds and WaitingMercer University IDM 355 Fall 2010 Piedmont Staff Survey
Analysis 6Presented Dec. 2, 2010
Documentation is often repetitive and creates a low morale among employees, hindering overall patient care.
Reducing the amount and redundancies of documentation would increase morale, therefore increasing the quality of patient care.
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 7Presented Dec. 2, 2010
In our opinion, this is the greatest issue and should be dealt with first.
Short-staffing creates a sense of being rushed from one patient to another, and leaves employees feeling unable to spend enough time with the patients. Correcting this issue gives nurses the needed time with patients to give adequate care.
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 8Presented Dec. 2, 2010
Decreased bed availability creates increased waiting for patients. This can cause their original condition to worsen due to not being treated soon enough.
Increasing the number of beds in a given facility would increase chances of getting to a patient and treating their condition before it gets worse, thereby improving patient care.
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 9Presented Dec. 2, 2010
Lack of needed equipment Outdated equipment Cumbersome equipment
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 10Presented Dec. 2, 2010
A lot of complaints revolved around computers.
The need for electronic filing ability. Devices that help develop a more
efficient patient care system.
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 11Presented Dec. 2, 2010
Equipment that are outdated and less efficient then newer versions.
Old equipment that is broken and lost it’s usefulness.
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 12Presented Dec. 2, 2010
Equipment that causes problems when used› Complications in working the equipment.› Lack of knowledge on equipment.› Internal problems.
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 13Presented Dec. 2, 2010
Problems› Locating nursing staff› Accomplishing tasks› Reading the doctor’s handwriting
Questionable results Language Barriers
Resp557:“Communication is probably the
biggest challenge for staff and other departments working with the patient. Patients may get confused and lost in the day to day works.”
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 14Presented Dec. 2, 2010
Between:› Staff and patients
Leaves patients frustrated with healthcare systems› Other departments
Lack of knowledge of subject at hand Technology is outdated
Partial quote from Resp54“I think if we get the epic system that
would help in all area with communication…Many of us have wondered why we so many programs...they do not talk to oneanother.” (sic)
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 15Presented Dec. 2, 2010
Solutions Suggested by the Respondents to the Survey:
Computerized Orders› Resp118 (partial)
“Orders should be computerized for patient safety especially.”
Training in Teamwork› Resp617
“To my knowledge there is no one to come out and assure that all facilities have the latest training and/or yearly inservices to allow us to continue to provide quality care to our patients.”
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 16Presented Dec. 2, 2010
Challenges that were time consuming, repetitive, and/or the staff was constantly waiting on someone or something vital to patient care.
Accounted for 35 responses from 242 respondents.
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 17Presented Dec. 2, 2010
Complaints› Tedious &
Cumbersome› Decentralized
computer system› Not User-Friendly
Responses› Resp 108: “Continually
having to repeat charting…”
› Resp 405: “Quest nursing documentation is tedious, time-consuming and nearly impossible to read back time or event-related situations. Read some nurse's notes... terribly redundant.”
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 18Presented Dec. 2, 2010
Waiting› For doctors and
other staff› Information from
other facilities› Medications from
the Pharmacy
Responses› Resp 770(partial):
“1)Pharmacy not delivering meds to nurse servers in a timely manner. 2)Housekeeping very slow to clean discharge rooms and so room turnover is slow - patient delays ”
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 19Presented Dec. 2, 2010
Computer documentation› Look for way to change existing system
into a simpler one that links departments Waiting
› Forum with various employees to discuss suggestions for process improvement
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 20Presented Dec. 2, 2010
All four problem categories can be addressed at the same time because they are interconnected. Addressing these problems can improve the company’s overall performance.
We recommend that Piedmont look further into these problems and apply lean techniques to streamline some of these processes so that patient care will be improved, and the hospital efficiency will also improve.
Employees are the best source for solutions due to the fact that they know the inner working of the hospital and what events occur on a daily basis.
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 21Presented Dec. 2, 2010
Please refer to our written report for more detailed analysis and quotations from respondents.
Team members› Amber› Alex› Kevin› Kristen
Faculty› Dr. Joan Burtner – [email protected]
Mercer University IDM 355 Fall 2010 Piedmont Staff Survey Analysis 22Presented Dec. 2, 2010