Medical Staff Swedish/Edmonds VitalSigns this issue P.1 Swedish/Edmonds Launches Project OSO P.2 Remembering Our Professional Commitments New Vascular Diagnostic Imaging Lab P.3 Emergency Department Retreat CDIP Report P.4 Patient Satisfaction Survey Comments What Are Patients Saying? P.5 Hospital Expansion Update Save the Date: Medical Staff Meeting Doctors’ Day Celebration Create Your Swedish Web Profile P.6 Join March for Babies Swedish CME Events P.7 Project OSO and ED Retreat Continued P.8 Welcome New Physicians 65 March 2014 Swedish/Edmonds Launches Project OSO Health-care reform and new consumer priorities have changed the competitive landscape for hospitals across the U.S. On Tuesday, March 25, Swedish/Edmonds will launch Project Operational Stewardship Optimization (OSO). The Project OSO initiative is an effort to improve clinical operations to better support our caregivers and physicians, so they can stay focused on delivering the best possible care and service to our patients. The goal of Project OSO is to redesign workflows, processes and systems to transform our operations and ensure Swedish/Edmonds is running as smoothly and efficiently as possible. How does Project OSO work? Project OSO is a data-driven approach that harnesses the knowledge and creativity of individuals who work in a cross-section of departments and functions. The initiative, which will be led by a steering committee made up of hospital’s executive management team, will take a phased approach to transformation. The first phase, which starts March 25, will focus on generating and validating hypotheses, or ideas, for improving workflows. The second phase will focus on feasibility testing and implementation planning; and the third phase will focus on implementing change. What is in scope? All acute care operations and hospital-based ambulatory services are part of this effort. The process has been divided into five teams led by a core group of Swedish/ Edmonds directors: Nursing/Emergency – Jan Flom Ancillary Programs – Mike LeVeque Procedure-Based Care – Allan Lee Ambulatory – Cyndy Clegg Non-Clinical Support – Julie Norman Swedish/Edmonds is one of three hospitals in the Providence system to lead a Project OSO initiative. We were selected for Project Tim Cordery and Chrissy Miller, charge RNs, tackle the rope course during a team building exercise at the second annual Swedish/Edmonds Emergency Department (ED) retreat. Read more about the retreat and the ED team’s 2014 goals inside this issue of Vital Signs on page 3. Please See Project OSO on page 7
Transcript
Medical Staff
Swedish/Edmonds VitalSigns
this issue P.1
Swedish/Edmonds
Launches Project OSO
P.2
Remembering Our
Professional Commitments
New Vascular Diagnostic
Imaging Lab
P.3
Emergency Department
Retreat
CDIP Report
P.4
Patient Satisfaction Survey
Comments
What Are Patients Saying?
P.5
Hospital Expansion Update
Save the Date: Medical
Staff Meeting
Doctors’ Day Celebration
Create Your Swedish Web
Profile
P.6
Join March for Babies
Swedish CME Events
P.7
Project OSO and ED
Retreat Continued
P.8
Welcome New Physicians
65 March 2014
Swedish/Edmonds Launches Project OSO Health-care reform and new consumer
priorities have changed the competitive
landscape for hospitals across the U.S. On
Tuesday, March 25, Swedish/Edmonds will
launch Project Operational Stewardship
Optimization (OSO). The Project OSO
initiative is an effort to improve clinical
operations to better support our caregivers
and physicians, so they can stay focused on
delivering the best possible care and service
to our patients. The goal of Project OSO is to
redesign workflows, processes and systems
to transform our operations and ensure
Swedish/Edmonds is running as smoothly
and efficiently as possible.
How does Project OSO work?
Project OSO is a data-driven approach that
harnesses the knowledge and creativity of
individuals who work in a cross-section of
departments and functions. The initiative,
which will be led by a steering committee
made up of hospital’s executive
management team, will take a phased
approach to transformation. The first phase,
which starts March 25, will focus on
generating and validating hypotheses, or
ideas, for improving workflows. The second
phase will focus on feasibility testing and
implementation planning; and the third
phase will focus on implementing change.
What is in scope?
All acute care operations and hospital-based
ambulatory services are part of this effort.
The process has been divided into five
teams led by a core group of Swedish/
Edmonds directors:
Nursing/Emergency – Jan Flom
Ancillary Programs – Mike LeVeque
Procedure-Based Care – Allan Lee
Ambulatory – Cyndy Clegg
Non-Clinical Support – Julie Norman
Swedish/Edmonds is one of three hospitals
in the Providence system to lead a Project
OSO initiative. We were selected for Project
Tim Cordery and Chrissy Miller, charge RNs, tackle
the rope course during a team building exercise at
the second annual Swedish/Edmonds Emergency
Department (ED) retreat. Read more about the
retreat and the ED team’s 2014 goals inside this
issue of Vital Signs on page 3.
Please See Project OSO on
page 7
2
In this second year serving as your
president, I’ve observed several
elements that stand out as vital parts
of our success as members of the
Swedish/Edmonds medical staff.
Our Edmonds membership is now
703 including 65 allied health and 81
honorary staff members. There were
2,149 credentialing actions
completed in 2013 for medical staff
spanning across all campuses at
Swedish. In that application and
reappointment process, we each
agreed to follow Swedish’s Bylaws,
Rules and Regulations, Policies and
Standards. The chiefs of staff for
First Hill/Ballard, Cherry Hill,
Issaquah and I agree some of our
key professional commitments as a
member of this medical staff are to:
Learn and practice the Culture
of Safety principles in order to
provide safe patient care
Regularly and promptly
complete Epic documentation
to assure clear team
communications
Maintain confidentiality and
HIPAA compliance by using
@swedish.org email for all
patient related correspondence
Participate in my department /
services quality improvement
activities
Speak up when I see a near
miss or opportunity for
improvement
Think carefully when ordering
tests, medications, etc. about
the benefits vs. the costs vs. old
habits
Stay current on evidence-
based practices
Support each other in our
practice and community as we
give time and talents to patients
and coworkers
Take time to explain when
something doesn’t go as
expected and practice
disclosure and apology skills
Be a good citizen of this
organization and the health-care
profession, always treating
people with respect and
courtesy.
Thank you for choosing Swedish/
Edmonds and for your ongoing
commitment to professional
excellence.
Babu Rajendran, M.D., Swedish/Edmonds medical staff president
Remembering Our Professional Commitments By: Babu Rajendran, M.D., Swedish/Edmonds medical staff president
Swedish Heart & Vascular Institute
at Edmonds Medical Pavilion is
pleased to announce the opening of
a new vascular diagnostic imaging
laboratory.
The new lab, which opened in
February, is the first Swedish
Medical Group diagnostic vascular
lab in the north region providing a
convenient, state-of-the-art patient
testing option with same day access
and preliminary reporting, and a
detailed report available within 48
hours. Referrals are welcome for all
types of vascular imaging including
carotid, peripheral arterial and
venous, abdominal/mesenteric, and
renal vascular imaging, including
ankle brachial index measurement.
The vascular addition completes the
entire spectrum of available Swedish
cardiovascular services in Edmonds,
including endovascular diagnostic
imaging, consultation and treatment.
To schedule a referral, or if you have
a question about the new
laboratory’s services, please call
425-744-1777 or fax a request to
425-744-1790. Epic vascular order
entry is available by selecting
“Pavilion” in the “Preferred Location”
section.
New Vascular Diagnostic Imaging Lab Opens at
Swedish Heart & Vascular at Edmonds
4
3
The Swedish/Edmonds Emergency
Department (ED) staff held its
second annual retreat in February.
The two-day indoor/outdoor retreat
held at Cedar Springs Camp in Lake
Stevens was an opportunity to work
on team strength, trust and
communication among ED
physicians, nurses, techs and
physician assistants. It was also a
chance to identify 2014 team
initiatives. The two major initiatives
identified by staff are enhancing the
patient experience and decreasing
throughput times in the ED.
One of the ways the team will work
to enhance patient experiences and
improve patient satisfaction scores
is by reinvigorating the department’s
nurse-leader rounding program.
Charge nurses in the ED will
continue to touch base
with a percentage of
patients on a personal
level to ask patients
how they’re doing and
how their ED
experience has gone.
Nurse-leader rounding
is an important
initiative across
Swedish and patients
who experience this
type of rounding tend
to score hospitals
much higher.
“Patients really
appreciate it,” says Gregg Miller,
M.D., medical director of the
Swedish/Edmonds ED. “They feel
like their concerns are important,
they’re being paid attention to and
they know that we’re listening to
what they have to say.”
The team is also addressing the
loudness of the ED by installing a
Yacker Tracker (a decibel monitor)
at the nurse’s station. The monitor is
hooked up to a stoplight that lets
staff know when the noise level of
the ED is too loud.
“The Yacker Tracker flashes yellow
and then red when there’s too much
noise,” says Dr. Miller. “This gives
staff the opportunity to recognize
when patients nearby might be
bothered by the noise, as patients
really appreciate a more quiet
environment.”
Thank you to the medical and surgical staff for taking the time to respond to these queries. Please contact Melanie
Westerinen, Documentation Integrity Liaison, at 425-640-4378 with any questions.
Emergency Department Retreat Identifies 2014 Goals:
Patient Experience, Decreasing Throughput Times
Total Reviews: 322
Total Clarifications: 50
Response Rate: 88%
Physician Agree Rate: 62%
January’s Top 5 Clarifications:
1. Congestive heart failure
2. Acute blood loss anemia
3. Hyponatremia
4. Acute respiratory failure
5. Catheter associated urinary
tract infection
Total Case Mix Index for Medicare and Managed Medicare: 1.662
Matt Miller, R.N., Mike Leveque, director of Nursing Services, Ryan David, M.D., Jay Bierman, unit secretary, Theresa Crowell, R.N. and Chrissy Miller, charge R.N., take part in a team building exercise at the second annual Swedish/Edmonds Emergency Department retreat.
Clinical Documentation Integrity Program (CDIP) Report: January
Please See ED Retreat on
page 7
4
Alexander Chung, M.D.
Hospitalist
Aric Christal, M.D.
Edmonds Orthopedic Center
Brian Tagaki, M.D.
Opthalmology
Bryan Chow, M.D.
Emergency Services
Donald Tesch, M.D.
Edmonds Family Medicine
James Mercer, M.D.
Emergency Services
Jeffrey Ward, M.D.
Swedish Cancer Institute Medical
Oncology
Jeremy Hammel, M.D.
Emergency Services
Neil Siecke, M.D.
Swedish Heart & Vascular
Ralph Althouse, M.D.
Swedish Heart & Vascular
Wren McCallister, M.D.
Edmonds Orthopedic Center
Congratulations… These physicians were mentioned by name in the December Press Ganey
Patient Satisfaction Surveys and complimented for their great work.
Endoscopy
“Dr. Guo and the nurses were great
and explained everything.”
Emergency Services
Patient said she really appreciated
how quickly she was taken back to a
room and followed up with after her
procedure was completed by charge
R.N., John Marz.
"I really like Dr. Rutherford. He sat
down and really talked to me, not
just that in and out sort of thing. He
really did not make me feel rushed."
5-West
“Can't compliment enough on how
good the treatment by your nursing
was. You have a winning team of
nurses!”
8-West
“Janis was a great nurse. Nurses
aides that I had were also great.”
Progressive Care
“Nurse Gloria was fantastic.”
CT
“Everyone I've ever dealt with in the
radiology department, from support
staff to techs, has been fabulous.
Always made me comfortable and
well at ease. Bravo!”
Inpatient
Patient said that he thought that
everyone he encountered on the
staff on 8-West, ICU, PCU and 5-
West was outstanding. He
recognized three people that were
particularly outstanding – R.N., My-
Linh, R.N., Debby Jackson, and Dr.
Yi. He said My-Linh just made him
feel special, like he was her only
patient. Debby was caring for him
when he was experiencing some
tough emotional issues in his
journey and she was outstanding.
He thanked Dr. Yi for taking the time
to talk to him and also give him
ideas on how he could improve his
health and life going forward. He
also appreciated the visit from a
nurse leader.
What are Patients Saying? Below are a few positive comments from recent Press Ganey Satisfaction Surveys
and discharge calls at Swedish/Edmonds. Congratulations to physicians and
hospital staff mentioned.
4
5
The Swedish/Edmonds expansion
project is progressing nicely. The first
floor slab of the new parking
structure has gone in and work has
begun on pouring elevator pit walls.
User groups for the ambulatory care
center have completed the design
development phase and are currently
working with the design team on
construction document details. The
contractor for the project is
evaluating subcontractor bids and
will be extending contracts to chosen
electrical, mechanical and plumbing
companies. For updates about the
project, visit www.swedish.org/
EdmondsExpansion.
Hospital Expansion Project Update
Create Your Swedish Web Profile
All active Swedish/Edmonds physicians are eligible to create a physician web profile at www.swedish.org. Follow the steps below to create your profile today and attract new patients.
Go to www.swedish.org/CMSDesk and enter your user name and temporary password:
User name: Same as your username on the Swedish network, e.g., Tom G. Smith would be SmitTg1
Password: Lastname (case sensitive)
Physicians are asked to maintain their own office information on profiles such as office hours, address/phone changes, etc. It’s recommended that you change your default password (last name) to your ‘strong’ password used on the Swedish network, so your Swedish logins are consistent and easier to remember. If You Need Help Please visit www.swedish.org/physician.
Construction of the new Swedish/Edmonds parking structure is progressing as
shown in this photo from March 7. The view from above shows the walls and first
levels of the garage starting to take shape.
National Doctors’ Day was officially
designated as a national day of
recognition in 1990 to honor
physicians. In recognition of the
talented medical staff at Swedish/
Edmonds, we invite physicians to
attend this year’s Doctors’ Day
celebration at Swedish/Edmonds.
On Friday, April 4, a special buffet
lunch will be served in the hospital’s
physicians lounge located on the third
floor from 11 a.m. to 1:30 p.m. In
addition to lunch, stars with messages
of appreciation from hospital staff to
physicians will decorate the lounge.
Swedish/Edmonds physicians
consistently apply their skills and
talents in a way that makes life-
changing and often life-sustaining
differences in the health of patients
and their families. Thank you for your
uncompromising commitment and
dedication to the health and well-being
of patients and to the community
served by Swedish/Edmonds.
Doctors’ Day Celebration
6
More than 8,700 of Washington’s
babies will be born prematurely this
year. The mission of the March of
Dimes and March for Babies is to
improve the health of babies by
preventing birth defects, premature
birth and infant mortality.
Join Swedish/Edmonds chief
executive, David Jaffe, chair of the
2014 Snohomish County March for
Babies walk on Saturday, April 26 at
City Park in Edmonds. Raise $200
and get a March of Dimes T-shirt.
Raise $350 and get a $15 Macy’s or
Kmart gift card and T-shirt. Buy a
Swedish/Edmonds athletic
gray long-sleeve shirt with
white lettering for $20 by
March 31 and count $20
toward your fundraising
goal.
To sign up for the Swedish/Edmonds
team go to:
www.marchforbabies.org/team/
t2042911.
Join Team Swedish/Edmonds at March for Babies
Swedish CME Events Below are upcoming Swedish CME activities. Please visit www.swedish.org/cme for locations, times and the most up-to-
date information about upcoming CME activities. To join our email list, go to www.swedish.org/cmeprofile.
Swedish Pituitary Symposium: Updates in Pituitary Management
Friday, April 4
4th Annual Pacific Northwest Head and Neck Cancer Symposium: Update on Oral Cancer in the Era of HPV
Co-sponsored by Seattle Cancer Care Alliance, University of Washington Medicine and Swedish
Friday, April 11
Transradial Approach: A Case-Based and Hands-On Training Course
Friday, April 11
Palliative Care: Becoming a Compassionate and Caring Presence
Friday, April 18
Clinical Research Investigator Training
Friday, April 25
Annual Oncology Symposium: Thoracic Malignancies
Friday, May 2
Eighth Annual Cerebrovascular Symposium: Controversies in Stroke and Cerebrovascular Disease
Friday, May 15
7th Annual Iris and Ted Wagner Endowed Lectureship
Friday, May 21
Update in the Care of the Acutely Ill Neurological Patient
Friday, June 6
Neurophysiologic Intraoperative Monitoring and Clinical Neurophysiology
Friday, June 13
Cardiology Update for Primary Care
Friday, July 11
Medical Ethics Conference Series for Health-Care Providers
4th Wednesdays at Swedish/Edmonds
7
ED Retreat (continued from page 3)
To decrease throughput times, or
make sure patients get where they
need to be quicker, the ED team is
focusing on two areas of
improvement; creating a process for
Team Assessment and building a
culture focused on throughput.
Team Assessment is the second
phase of Team Care. The first phase
of Team Care was Team Discharge
which was an ED process
implemented last year and involves
an ED nurse and physician going
into a patient’s exam room at the
same time to discharge the patient.
This year the ED team is working to
implement Team Assessment where
a nurse and physician will go into a
patient’s room at the same time to
assess the patient.
“We’re working now to come up with
a way to signal to everyone on a
care team that there’s a new patient
who’s arrived in the ED and the
entire care team needs to go into
that patient’s room at the same time
for the initial patient assessment,” Dr.
Miller explains. “Using Team
Assessment, we will avoid repetitive
questioning and ensure that
information is conveyed accurately to
caregivers and the patient.”
Dr. Miller says several committee
meetings are being planned to
determine the best way to implement
Team Assessment. Meanwhile, the
ED Shared Leadership Committee
will be examining ways to create a
culture in the ED that better values
throughput and efficiency.
“We’re going to create a culture
which really focuses on efficient
patient care, with caregivers stepping
up to help each other out,” Dr. Miller
says. “The quicker patients are seen
and the sooner testing and treatment
are done, the better the patient care.”
In the last few years, the ED team
improved so much that the time to
discharge patients has decreased by
30 minutes, but Dr. Miller says more
efficiency is still needed. Quicker
times reflect good communication
and efficient processes which mean
patients are receiving better patient
care.” “We respect the patient’s time
and we want to make sure we’re
delivering excellent care,” he adds.
Dr. Miller says this year’s retreat not
only helped to identify important
initiatives, it also allowed the ED
team to get to know one another on
a different level and feel more
engaged in the ED environment. The
team looks forward to next year’s
retreat and more team building.
A Yacker Tracker, similar to this one, was recently installed in the Swedish/Edmonds Emergency Department (ED) to help monitor and decrease noise levels in the ED, and enhance patient satisfaction.
OSO, in part, because the hospital
has a 50-year history of serving the
community, stepping up and
adapting to change. The hypotheses
generated by Swedish/Edmonds and
the two other Providence hospitals
will be aggregated and evaluated for
common themes, and then will be
implemented system-wide. Our
organization is being entrusted to
take the lead and help shape the
future for the rest of the health
system. Becoming a highly efficient
operation will also help us reduce
costs and make our services more
affordable for the community. Taking
these proactive steps now will
strengthen our future for the long
term and ensure that we can
continue to serve our communities
even as the health-care landscape
changes.
For more information about Project
OSO, please go to the Swedish/
Edmonds campus page at Swedish
Online where you may download an
introduction to OSO and FAQs.
Project OSO (continued from page 1)
21601 - 76th Avenue West, Edmonds, WA 98026
Vital Signs Issue 65 March 2014
Newsletter Access Vital Signs is available on
our website. Visit the
Medical Staff section swedish.org\EdmondsMedicalStaff
