EMPOWERED by Data CONNECTED by Purpose
TEAMWORK INTERPROFESSIONAL DEVELOPMENT THAT CREATES IMPACT
The National Perinatal Information Center is dedicated to the improvement of perinatal health through comparative data analysis program evaluation health services research and professional continuing education
NURSE PLANNER
PurposeGoal(s) of this Education Activity The purposegoal(s) of this activity is to enable healthcare providers to have a better understanding of the approaches to interprofessional teamwork development
10 Contact Hour(s) This continuing nursing education activity was approved by the Northeast Multistate Division (NEMSD) an accredited approver by the American Nurses Credentialing Centerrsquos Commission on Accreditation Maine New Hampshire New York Rhode Island Vermont Nurses Associations are members of the Northeast Multistate Division of the American Nurses Association
10 AMA PRA Category 1 Credittrade Accreditation Women amp Infants Hospital is accredited by the Rhode Island Medical Society to sponsor intrastate continuing education for physicians Women amp Infants Hospital designates this online educational activity for a maximum of 10 AMA PRA Category 1 Credittrade Physicians should only claim credit commensurate with the extent of their participation in the activity
Carolyn L Wood PhD RN Clinical Nurse Consultant
DISCLOSURES AND SUCCESSFUL COMPLETION OF THIS ACTIVITY
No commercial support has been provided for this activity
No persons involved in planning or presenting this program has a conflict of interest
There will be no discussion of off-label usage of any products
In order to successfully complete this activity and receive 10 Contact Hour10 AMA PRA Category 1 Credittrade you must attendwatch the program and return the completed post-testevaluation to NPIC
Teamwork Interprofessional Development that Creates Impact
Kim Armour PhD NP-BC APRN RDMS NEA-BC
Director Womenrsquos Obstetric and Neonatal Services
Northwestern Medicine Prentice Womenrsquos Hospital
Chicago IL 60611
Karmournmorg
Thursday February 15 2018
Objectives
bull Explain two generational differences that drive employees
bull Describe current leadership models
bull Describe elements of quality regarding leadership
bull Discuss psychological safety
Concept Outline
1 Intergenerational differences in the workplace and how to lead and manage
bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN
2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team
3 Promoting team building and identifying characteristics of a healthy interprofessional team
bull Psychological Safety work
bull Amy Edmondson
Intergenerational amp Interdisciplinary Challenges in the Workplace
Managing the Intergenerational Team
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
NURSE PLANNER
PurposeGoal(s) of this Education Activity The purposegoal(s) of this activity is to enable healthcare providers to have a better understanding of the approaches to interprofessional teamwork development
10 Contact Hour(s) This continuing nursing education activity was approved by the Northeast Multistate Division (NEMSD) an accredited approver by the American Nurses Credentialing Centerrsquos Commission on Accreditation Maine New Hampshire New York Rhode Island Vermont Nurses Associations are members of the Northeast Multistate Division of the American Nurses Association
10 AMA PRA Category 1 Credittrade Accreditation Women amp Infants Hospital is accredited by the Rhode Island Medical Society to sponsor intrastate continuing education for physicians Women amp Infants Hospital designates this online educational activity for a maximum of 10 AMA PRA Category 1 Credittrade Physicians should only claim credit commensurate with the extent of their participation in the activity
Carolyn L Wood PhD RN Clinical Nurse Consultant
DISCLOSURES AND SUCCESSFUL COMPLETION OF THIS ACTIVITY
No commercial support has been provided for this activity
No persons involved in planning or presenting this program has a conflict of interest
There will be no discussion of off-label usage of any products
In order to successfully complete this activity and receive 10 Contact Hour10 AMA PRA Category 1 Credittrade you must attendwatch the program and return the completed post-testevaluation to NPIC
Teamwork Interprofessional Development that Creates Impact
Kim Armour PhD NP-BC APRN RDMS NEA-BC
Director Womenrsquos Obstetric and Neonatal Services
Northwestern Medicine Prentice Womenrsquos Hospital
Chicago IL 60611
Karmournmorg
Thursday February 15 2018
Objectives
bull Explain two generational differences that drive employees
bull Describe current leadership models
bull Describe elements of quality regarding leadership
bull Discuss psychological safety
Concept Outline
1 Intergenerational differences in the workplace and how to lead and manage
bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN
2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team
3 Promoting team building and identifying characteristics of a healthy interprofessional team
bull Psychological Safety work
bull Amy Edmondson
Intergenerational amp Interdisciplinary Challenges in the Workplace
Managing the Intergenerational Team
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
DISCLOSURES AND SUCCESSFUL COMPLETION OF THIS ACTIVITY
No commercial support has been provided for this activity
No persons involved in planning or presenting this program has a conflict of interest
There will be no discussion of off-label usage of any products
In order to successfully complete this activity and receive 10 Contact Hour10 AMA PRA Category 1 Credittrade you must attendwatch the program and return the completed post-testevaluation to NPIC
Teamwork Interprofessional Development that Creates Impact
Kim Armour PhD NP-BC APRN RDMS NEA-BC
Director Womenrsquos Obstetric and Neonatal Services
Northwestern Medicine Prentice Womenrsquos Hospital
Chicago IL 60611
Karmournmorg
Thursday February 15 2018
Objectives
bull Explain two generational differences that drive employees
bull Describe current leadership models
bull Describe elements of quality regarding leadership
bull Discuss psychological safety
Concept Outline
1 Intergenerational differences in the workplace and how to lead and manage
bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN
2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team
3 Promoting team building and identifying characteristics of a healthy interprofessional team
bull Psychological Safety work
bull Amy Edmondson
Intergenerational amp Interdisciplinary Challenges in the Workplace
Managing the Intergenerational Team
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Teamwork Interprofessional Development that Creates Impact
Kim Armour PhD NP-BC APRN RDMS NEA-BC
Director Womenrsquos Obstetric and Neonatal Services
Northwestern Medicine Prentice Womenrsquos Hospital
Chicago IL 60611
Karmournmorg
Thursday February 15 2018
Objectives
bull Explain two generational differences that drive employees
bull Describe current leadership models
bull Describe elements of quality regarding leadership
bull Discuss psychological safety
Concept Outline
1 Intergenerational differences in the workplace and how to lead and manage
bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN
2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team
3 Promoting team building and identifying characteristics of a healthy interprofessional team
bull Psychological Safety work
bull Amy Edmondson
Intergenerational amp Interdisciplinary Challenges in the Workplace
Managing the Intergenerational Team
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Objectives
bull Explain two generational differences that drive employees
bull Describe current leadership models
bull Describe elements of quality regarding leadership
bull Discuss psychological safety
Concept Outline
1 Intergenerational differences in the workplace and how to lead and manage
bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN
2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team
3 Promoting team building and identifying characteristics of a healthy interprofessional team
bull Psychological Safety work
bull Amy Edmondson
Intergenerational amp Interdisciplinary Challenges in the Workplace
Managing the Intergenerational Team
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Concept Outline
1 Intergenerational differences in the workplace and how to lead and manage
bull Managing the Intergenerational Nursing Team bull K Lynn Wieck PhD RN FAAN and Kimberly D Moss PhD RN
2 Identify effective communication techniques (texting memos newsletters staff meetings huddles) that are in practice and what may be most effective for your team
3 Promoting team building and identifying characteristics of a healthy interprofessional team
bull Psychological Safety work
bull Amy Edmondson
Intergenerational amp Interdisciplinary Challenges in the Workplace
Managing the Intergenerational Team
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Intergenerational amp Interdisciplinary Challenges in the Workplace
Managing the Intergenerational Team
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
2015 Wieck amp Moss
2015 Wieck amp Moss
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
2015 Wieck amp Moss
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
2015 Wieck amp Moss
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Leadership Models
bullTransactional
bullAdaptive
bullTransformational
bull Servant
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Culture of Safety
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Trust Respect
Collegiality Innovation Adaptation Pliability Members Leader Pride Team Fun
MUST HAVES
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Background
October 2003
ldquoThe emotions were overwhelming and chaotic I
now realize of course that the clinicians were also
crushed and devastated Nevertheless in that
moment they were not able to help me through the
experiencerdquo
September 2011
Proposal to implement
provider communication
training
Spring 2014
Over 300 NMH providers
receive training on difficult
conversations
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Patient Experience
Hidden Curriculum
Malpractice Concerns
Ethical Obligation
Why it Matters
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Patient and Provider Impact
ldquoPatients want their doctors to be
truthful caring and compassionate to
speak in simple termsrdquo
ldquo[patients] want to be given the
diagnosis and prognosis honestly and in
simple language but not too bluntlyrdquo
Patients Providers
bull Conversation delay avoidance
bull Patient-provider relationship
bull Providers as 2nd victims
ldquo[clinicians] may lack confidence and
describe themselves as ill prepared for
difficult interpersonal interactionsrdquo
ldquofear they will say too much too little
or the wrong thing altogetherrdquo
ldquoprovidersrsquo fear of being sued with
subsequent increases in malpractice
premiums or termination of
malpractice insurance coveragerdquo
bull Clinical adherence and understanding
bull Provider trust
bull Patient satisfaction
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
System-wide spread
Knowledge sharing
Measureable Impact
The Intervention
Goals Objectives
Disclosure Gap
Practical Guidance
Resources
Method
Lecture Case
studies Discussion Simulation Feedback Workshop
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Preliminary Results
33
56
88
29
36
78 82
93
62
50
64
76
89
54
45
0
10
20
30
40
50
60
70
80
90
100
Preparedness Communication skills Develop amp maintainrelationships
Confidence Level of anxiety
Pre Workshop
Post Workshop
90-Day Post
Chart highlights the top 2 positive survey responses for each question (level of anxiety is reverse coded)
Statistically significant
ldquoItrsquos important to remember that what is normal to providers is completely unusual and
unexpected for patientshellipitrsquos good to take a step back and remember thisrdquo
-Manager
ldquoThe most satisfying and
personally rewarding experience
Irsquove ever hadrdquo
-Actor
ldquoNurses and doctors are always fighting for the same
things but arenrsquot always on the same page ndash this
workshop helpedrdquo
-Nurse practitioner
Measurable Impact
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Psychological Safety
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Psychological Safety
Amy Edmondson
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Hum Resour Health 2013 11 19
Published online 2013 May 10 doi 1011861478-4491-11-19
PMCID PMC3662612
Ten principles of good interdisciplinary team work Susan A Nancarrow 1 Andrew Booth2 Steven Ariss2 Tony Smith3 Pam Enderby2 and Alison Roots4
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Interprofessional amp Intergenerational Team Development
NICU Mom Baby Labor amp Delivery
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
ILPQC Obstetric Hypertension Time to Treatment Within 60 Minutes
66
46
57
67 67 65 59
83 79
73 79 80
84 88
74 80
83 84 87
0
10
20
30
40
50
60
70
80
90
100
Jun-1
6
Jul-
16
Aug-1
6
Sep-1
6
Oct-
16
Nov-1
6
Dec-1
6
Jan-1
7
Feb-1
7
Mar-
17
Apr-
17
May-1
7
Jun-1
7
Jul-
17
Aug-1
7
Sep-1
7
Oct-
17
Nov-1
7
Dec-1
7
Perc
ent
of
Case
s Tre
ate
d W
ithin
60 M
inute
s
Time to Treatment Within 60 Minutes
NMH NMH Baseline (57) All Hospitals Level III Hospitals Goal (80)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Discharge Follow-Up
56 60
53 58
30
64
46
62 67
56
75
64 62 60 54
58
84 83
75
0
10
20
30
40
50
60
70
80
90
100
Perc
ent
of
Case
s Follow
-Up A
ppoin
tment
7-1
0 D
ays
Follow-Up Appointment Scheduled Within 3-10 Days
NMH NMH Baseline (45) All Hospitals Level III Hospitals Goal (70)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
FY17-18 Unintended Extubation Rate
1 0 2 3 2 6 1 1 2 3 2 4 3 2 5 0
2
0
109
240
194
373
133
179 198
411
143
400
195
143
575
000 0
1
2
3
4
5
6
7
0
1
2
3
4
5
6
7
Tota
l U
nin
tended E
xtu
bati
ons
Unin
tended E
xtu
bati
ons
per
100 V
enti
lato
r D
ays
Unintended Extubations Unintended Extubations per 100 Ventilator Days
Target (le 218) FY18 YTD Rate (220)
FY17 YTD Rate (209)
Northwestern Medicine Prentice Womenrsquos Hospital 2017-2018
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
References amp Resources
bull Generational diversity what nurse managers need to know Henricks Joyce M Cope Vicki C Journal of Advanced Nursing Mar2013
Vol 69 Issue 3 p717-725 9p
bull Med Educ Online 2011 16 103402meov16i06035
Published online 2011 Apr 8 doi 103402meov16i06035 PMCID PMC3081249 Interprofessional collaboration three best practice models of interprofessional education Diane R Bridges MSN RN CCM
1 Richard A Davidson MD MPH
2 Peggy Soule Odegard PharmD BCPS CDE FASCP
3 Ian V Maki
MPH3 and John Tomkowiak MD MOL
4rsquo
bull Ten Principles of Good Interdisciplinary Teamwork Hum Resour Health 2013 11 19 Published online 2013 May 10 doi 1011861478-4491-11-19
bull Registered Nurse Association of Ontario httprnaocabpgguidelinesinterprofessional-team-work-healthcare
bull httprnaocabpgguidelinesinterprofessional-team-work-healthcare
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
Thank you for your time and consideration
QUESTIONS
Karmournmorg
312-472-3813 office
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
QUESTIONS AND COMMENTS
Participants are encouraged to ask questions and share comments
Please use the chat box for questions or comments
Questions and comments are visible only to presenters
Questions will be answered in the order in which they are submitted
Should there not be enough time to address your question(s) please email educationnpicorg so we may follow-up with you
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days
THANK YOU FOR ATTENDING
ATTENTION
For 10 Contact Hour or
10 AMA PRA Category 1 Credittrade
DO NOT CLOSE YOUR BROWSER WINDOW
POST-TEST WILL AUTOMATICALLY APPEAR WHEN
THE WEBINAR HAS ENDED
Please complete the post-test within 24 hours
Certificates of Attendance amp Completion will be emailed within 14 business days