1Leadership Rounding

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What is 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

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How does it work? 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

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Rounding is not just “checking in” Rounding is intentional , with specific objectives and information

gathering depending on the patient unit and current focus issues.

Sample QuestionsHas 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?

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Rounding Allows

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

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Senior Leadership Rounding

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

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Leadership Rounding Models Teamwork and Communication

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

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Why all the documentation?

Promotes Accountability Demonstrates extent to which Rounding is happening Problems are tracked until resolved Recurring problems become more visible

465 M/B patients visited in March!

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