10. Doctor Communication: explain things in a way you
could understand
95
90
85
Axis Title
80
75
70
65
60
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
11. responsiveness: how fast you got help as fast as you
wanted
90
80
70
Axis Title
60
50
40
30
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
12. responsiveness: how fast you got help to go to
bathroom
100
90
80
Axis Title
70
60
50
40
30
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
13. Pain Management: how well your pain was managed
90
85
80
75
Axis Title
70
65
60
55
50
45
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
14. Pain Management: how often they did everything to
control your pain
95
90
85
80
75
Axis Title
70
65
60
55
50
45
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
15. Communication about medication: explain what the
new medication is for
100
95
90
85
Axis Title
80
75
70
65
60
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
16. Communication about medication: explain possible side
effect of new medication
80
70
60
Axis Title
50
40
30
20
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
17. Discharge: did the staff talk with you about whether you would have the
help you needed when you left the hospital
85
80
75
Axis Title
70
65
60
55
50
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
18. Discharge: did you get discharge information in writing
100
98
96
94
Axis Title
92
90
88
86
84
82
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
19. cleanliness: how often were your room and
bathroom kept clean
90
85
80
75
70
Axis Title
65
60
55
50
45
40
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
20. Quietness: how often was the area around your
room quiet at night
80
70
60
Axis Title
50
40
30
20
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
21. Concentrate on Medication communation
Our goal is to increase our HCAHPS score
pertaining to communication about
medication from 66% to 75% by 12/12
and to 85% by 6/13
This will place us in top 100 percentile in
6 months.
What now?
23. Every provider (MDs, Nurses, Lactation
Consultants) that become in contact with
patient is aware of this goal
Provider education about every
medication that is dispensed to the
patient.
Patient education becomes a priority
Education
24. Disseminate the goals to staff through
every mean
MD’s (OBGYN, Anesthesia and Pediatrics),
Midlevel providers (OBGYN, Anesthesia
and Pediatrics) will be notified via Email
announcements, and department meeting
announcements of this goal.
Nursing Staff will be notified through UBT
meetings, News Letter, and Daily Huddle
Education – PI goal
25. Nursing staff and Lactation consultants – education about
the purpose of the any medication administered to the
patient and possible side effects to the fetus, or the new
born
Devote 1 minute of the daily Huddles to a new drug that is
common to the MAR of the patients who are in the unit.
Staff will be provided with concise written information
about the medication on rounds.
Will request a member of each discipline to produce such
flash cards.
Will educate the Providers about the medication on their
department meeting.
On average there are about 15 medication on a low risk
Obstetrical patient intra-partum and post-partum
Education – Provider Knowledge base
26. Provide the patient with information about
the medication, possible side effects, and
safety during lactation
Provide the patient with printed
information upon request
Document on care board the number of
medications that were discussed with the
patient on daily basis
Leadership rounders will track such
documentation on care board
Education - patient
27. Process measure
◦ Daily huddle documentation
◦ Daily and hourly round documentation on Care
board
◦ Brief survey of patients prior to implementing
the change regarding medication education
from 5/23/2012 – 6/08/2012 (roughtly 100
patients) and compile the information weekly
◦ Update the staff about improvement In the
measure
How do measure change?
28. Outcome Measure
HCAHPS score usually delayed by 90
days.
update the staff regularly of the
improvement of the measure.
How do we measure change?