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Leadership Rounding

Leadership Rounding. Leadership rounds are scheduled, structured activities in which Leaders purposefully engage with patients and staff Leaders can include managers, assistant managers, senior leaders, or executive leaders. What is Leadership Rounding?.

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Leadership Rounding

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  1. Leadership Rounding

  2. Leadership rounds are scheduled, structured activities in which Leaders purposefully engage with patients and staff • Leaders can include managers, assistant managers, senior leaders, or executive leaders What is Leadership Rounding?

  3. Formal process built into the daily workflow of NMs and ANMs • Example: Unit Rounding Mother/Baby • ANM tracks the patient stay and prepares the daily rounding list of patients to be seen • Visits are scheduled early in the stay to allow for Service Recovery if problems are identified (example VD day 1, C/S day 2) • Findings are captured on the patient log How does it work?

  4. Rounding is intentional , with specific objectives and information gathering depending on the patient unit and current focus issues. • Sample Questions • Has your pain been controlled at an acceptable level? • Are we addressing your concerns and emotional needs? • Do you feel you have been involved in decision-making regarding your care? • What are your greatest concerns during your stay here? • What can I do for you to make your stay better? Rounding is not just “checking in”

  5. Recognition of EXCELLENCE • Exemplary staff are recognized as quickly as possible, face to face or with a written note • Timely SERVICE RECOVERY for care or environmental issues • Acknowledge the concern • Apologize for the experience • Fix it if possible • Give thanks Rounding Allows

  6. Senior / executive leaders perform the same rounding 2 to 3 times per month, taking the place of the Unit Leadership Rounding for that particular day. • Afterward, Senior leaders connect with the manager on duty to review findings and hand-off any follow-up corrective actions • Senior Leaders huddle with available staff, review findings as applicable, and listen to staff feedback regarding system issues Senior Leadership Rounding

  7. Connects leaders with the voice of the patient in a real-time, real-world way • Demonstrates commitment to patient and family centered care from the top • Increases understanding of leaders for what is happening at the service delivery level • Expedites process improvement when needed • Affords direct insight of challenges faced by staff Leadership Rounding Models Teamwork and Communication

  8. 465 M/B patients visited in March! • Promotes Accountability • Demonstrates extent to which Rounding is happening • Problems are tracked until resolved • Recurring problems become more visible Why all the documentation?

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