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Change in the NICU The Physician’s Role

Change in the NICU The Physician’s Role. John Q. Buchheit MD Director of Neonatology Chief of Staff East Tennessee Children’s Hospital Knoxville, TN. DISCLOSURE I have no financial relationships to disclose. We will not be discussing off-label applications for devices or pharmaceuticals.

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Change in the NICU The Physician’s Role

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  1. Change in the NICUThe Physician’s Role John Q. Buchheit MD Director of Neonatology Chief of Staff East Tennessee Children’s Hospital Knoxville, TN

  2. DISCLOSUREI have no financial relationships to disclose.We will not be discussing off-label applications for devices or pharmaceuticals.

  3. Change • What does it look like in the NICU? • How does it happen in your unit?

  4. Leadership • Finding Leaders • Helping your leaders succeed

  5. Leadership • What do you do with the Naysayers? • What do you do with the people who work in the NICU just because that’s their job?

  6. Physician Resistance to Change • Factual • Emotional • Prejudicial

  7. Starting New Projects • What aspects are best handled by the physician? • What aspects are best handled by non-physicians? • Establishing Priorities • Getting Buy-in

  8. Evidenced-Based Decisions • It’s great if you have evidence and it’s clear cut. • What do you do if the evidence is conflicting? • What if there’s no evidence at all?

  9. Change in the NICU • Natural resistance to change. • Can’t happen without the right environment. • Creating the environment you need. • Physician ownership vs. Physician commitment

  10. Change in the NICU • What the right culture looks and feels like. • An ongoing, never-ending process (like any other good relationship).

  11. Safety • Individual vs. group dynamics • Having a team vs. true teamwork

  12. Physician Leadership • Suggested Reading list: • The 8th Habit by Stephen Covey • Practicing Excellence by Stephen Beeson • Good to Great by Jim Collins • Hardwiring Excellence by Quint Studer • Why Hospitals Should Fly by John Nance

  13. Team & Staff Engagement? Sheri Smith, RN & Carla Saunders, NNP East Tennessee Children’s Hospital

  14. Disclosures • I have no financial relationships to disclose. • We will not be discussing off label applications for devices or pharmaceuticals.

  15. Changing the Culture

  16. Focus It’s not just about Saving Lives…It’s about Improving Outcomes

  17. Passion • Engage your fire starters • Weekly multidisciplinary meetings • Listen and follow-through • White Board in unit tracking days between infections • FOCUS Groups with every infection • Humility in leadership • Staff involvement, engagement,and transparency • Champions

  18. Partnering

  19. QUESTIONS???

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