SUCCESSFUL ROUNDING IMPLEMENTATION
Agenda
1. Establish the Why2. Gain Executive Buy-in3. Build the Right Project Team4. Craft the Right Rounds5. Roll Out to Organization Plan
Presenters
Steve BachtelCCO
Katie AnthonyMarketing Coordinator (Host)
Kristin SalvatoraCustomer Experience Manager
Cassie von MindenCustomer Experience Lead
SUCCESSFUL ROUNDING IMPLEMENTATION = CULTURE SHIFT
1.Establish the Why
Establish the Why
Not everyone’s Why is the same• We need to increase ROI• We need to compete on HCAHPS• We need to fix culture• We need to improve patient care• We need to decrease HAIs• We need to increase patient volume• We want to get an accreditation or award
No Why?
• Lack of engagement• Confusion• False starts• Disorganization• Lack of accountability
2.Gain Executive Buy-in
Gain Executive Buy-in
• Goal: Champion, push initiative out to organization
• Expected. Required. Mandatory.• How to we help a reluctant
executive sponsor? • Give them a script• Give them the tools they need
26%
Expected
69%
Required
98%
Mandatory
3.Build the RightProject Team
Build the Right Project Team
Elements of the right team•Engaged•Tied to outcome•Good leader
•Good communicator
•Good listener
•Track record of success•Enthusiastic•Social skills•Powerful• Influential
4.Craft the Right Rounds
Craft the Right Rounds
Refer to our recent guides: • Rounding Implementation Kit
(with sample templates)• How to Build an Effective Round• Nurse Leader Rounding Best Practices
Guide & Infographic
• myrounding.com/resource-library
I heard you say that you’re being kept up at night due to squeaky cart wheels in the hall. Did I get that right?
1.
3.
5.
7.
2.
4.
6.
NURSE LEADER PATIENT ROUNDING
THIS IS HOW WE DO IT“Coach In,” Prep
Acknowledge
Introduction, Duration
Thank
Explain
“Coach Out”
• Make eye contact• Introduce self using first and last name and title• Ask permission to sit down and take ten minutes
to ask questions
• Ask if there’s anything needed before leaving• Thank the patient and family for their time• Demonstrate hand hygiene when leaving
• Knock, wait for response• Demonstrate hand hygiene • Greet patient and family by name
• Explain the purpose of your round• Demonstrate confidence, empathy, and humility• Check room, make sure everything is within reach• Explain white board, date, staff, plan of care, discharge date• Manage up! Your team is the best!
• Identify patients to round on• Consult with primary nurse• Determine patient’s issues,
diagnosis, plan of care
• Finalize/log round• Follow up with primary nurse• Report any important feedback
or issues
Capture, Confirm• Confirm what you’ve heard• Show understanding• Document recognition, track issues
myrounding.com [email protected] 877-503-9226 370 17th Street | Suite #2100 | Denver, CO 80202
Did you answer “yes” to any of these filter questions? If so, reevaluate your round question!
BUILDING AN EFFECTIVE ROUNDING TEMPLATE
QUESTIONS ARE KEY
HOW MANY QUESTIONS?
NO MORE THAN 5Limit your round to No More Than 5
questions (plus observations).
WHY?
6+ QUESTIONS:
Adds Time
Adds Complexity
Reduces Adoption
Burdens Roundee
5 QUESTIONS:
Increases Adoption
Simplifies Results
Leaves Space
For Conversation
WHICH QUESTIONS?
REMEMBER! 2–2–1
2 ROUNDEE LEVEL QUESTIONS
2 DEPARTMENT LEVEL QUESTIONS
1 ORGANIZATION LEVEL QUESTION
Tip: Swap out a question
once a goal is achieved
APPROPRIATE QUESTIONS?
MYROUNDING QUESTION FILTERGOOD ROUNDING STARTS WITH ASKING THE RIGHT QUESTIONS
OBSERVABLE? Can we answer the question without asking the roundee?
QUALIF IED? Is the question too technical? Is it unreasonable for the roundee to answer?
TATTLE? Are we asking the roundee to manage the team?
KNOW? Will the roundee feel foolish if they don’t know the answer?
GOAL? Is this question outside of our current goal scope?
APPROPRIATE
ROUNDING
QUESTION
5.Roll Out to Organization Plan
Roll Out to Organization Plan
Front line buy-in• What’s in it for me?• Lead with recognition • Goals
Training & on-going coaching• Project team & front line• Integrate into recurring meetings
ISSUES RECOGNITION DEPARTMENT PERFORMANCE
ROUNDING VOLUME
Recap
1. Establish the Why2. Gain Executive Buy-in3. Build the Right Project Team4. Craft the Right Rounds5. Roll Out to Organization Plan
Thank you.
• Additional questions? Email us at [email protected]• Want to watch the recording? Find it after the presentation at:
myrounding.com/blog
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