We have been working on a cultural and organizational transformation. Our strategy at global and regional level is to move from product & transaction based engagement to solutions & long term partnership based engagement with our clients. This requires a […]
Culture
PA/NP Engagement
Culture Change Needed.
Anonymous observations by team members in order to improve compliance to safety procedures.
Anonymous observations by team members might improve compliance to specific safety procedures, but they can undermine trust within teams, which on itself is a safety risk. In this light the question is whether they can be used.
Teamwork a cross teams
Team structure and function in a department
How to Transition a large organization from a anniversary performance review/merit cycle to a focal (all at one time a year) merit cycle
How do you convert from an anniversary to a calendar appraisal cycle and not spur union activity?
How to Build a Better Physical Therapy Referral-Management Process.
To see or not to see. Physical Therapy referrals, creating the right referral process.
No Show Rate
Our no show rate is high in primary care and mental health (17-22%) relative to other healthcare systems within VHA. We are not allowed to charge the patient for not showing up to their appointments and are required to re-schedule their appointments within 30 days.
How do we improve the trust gap between private practices and a health system to create a team of teams approach to prioritize the care of all of our patients?
Problem to be solved: There is a significant trust gap between our private medical practices and our health system. This historic tension has interfered with the tremendous potential to develop a strong, team-based approach to improve care for our patients […]
Delivering chronic care to patients while assuming 24/7 emergency care: the culture and structure challenges of mixing chronic and acute care missions
A division of primary care in the largest and only public university hospital of a State in Switzerland must assume two missions: delivering chronic care to their patients and offereing emergency care 24/7 to the population. Organisation and recuperation of the staff delivering night and WE shift has a direct impact of the organization of delivering chronic care; it is desorganizing the agenda of healthcare professional taking care of chronic patients leading to discontinuity of the physician-patient relationship because of recuperation. Also the culture of chronic vs acute care is not the same and lead to a misalignment between healthcare professionals principles and their missions. How these two missions can be reconciled culturally and structurally ?
Developing a spine care IPU with different private practice groups
How can we engage different providers in private practice to participate in a spine care IPU.