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Genesis Cup
Recognizing Innovation in the ED
Hospital Statistics

•   7000 Annual volume
•   6 Bed ED
•   Single Physician Coverage
•   2 Nurses per 12 hour shift
The Challenge
“Flip the C-2-C Ratio”
          By
  Decreasing Complaints
  Increasing Compliments
           to
  Improve HCAHPS Scores
Communication Schema
                                    Hospital
                               Collects Documents
                     (Complaints, Surveys, Compliments)




                                  Feedback :
                                  - Prompt
                                  -Transparent
                                  - Complete
                                  - Fair
                                                    EDNM & SMD Review
Staff EP Receives Feedback &
                                                          And Investigate
   Takes Corrective Action
AIDET C-2-C Flip
Methods
                    (October 2010)

AIDET Training for Physicians & Staff
 Phase I - Training Period
• Staff In-service on Studer tactics
• Physician conference call on AIDET
• AIDET “quick start” material distributed
• Links to AIDET webinars on EmCare website
• Integrate Prompts into Workflow
Methods
              (October 2010)

Phase II – Performance Feedback
     Feedback regularly given to Staff
            (This was the key to success!!!!)
Giving effective FEEDBACK….
           Prompt
             Fair
         Transparent
            Secure
   Sounds Simple but what
    about PHI and HIPAA?
“Low and Hi Tech” Approach


“Old School”
• Bulletin Boards in
   secure break areas
• Secure mailboxes
Audience Email Survey

How many of you routinely:
• Send encrypted PHI to your Docs?
• Unencrypted PHI to Docs?
• Do not routinely send PHI?
Email, PHI and HIPAA

•   Know definition of PHI www.HIPAA.com
•   Check Hospital policy on email and PHI
•   Prefer Hospital to send encrypted docs
“Best Practice” Principles:

•   Disclaimer signature claiming QA privilege
•   No PHI in subject line or body of email
•   Encrypt PHI containing attachments
•   Send passwords in separate emails
•   Do not use email for crucial or sensitive
    communication
AIDET C-2-C Flip
www.MyFax.com


• Personal Fax Number
• Automatically coverts fax to PDF doc
• Automatically securely sends PDF to email
• Cannot encrypt sent docs
www.Winzip.com


1.   Download files to desk top
2.   Select file to Zip, then right click
3.   From menu select “Winzip” then “Add to Zip file”
4.   From Winzip menu choose “Encrypt”….done
Communication Schema
                               Hospital
                                Faxes
                              Documents




Feedback Loop
Prompt, Transparent                                Fax
and Complete

                                 Zip

      Staff EP Receives PDF                  SMD Reviews
            via Email –                    PDF – Forwards via
     (Admin/Med Staff CC’d)               Email (Encrypt if PHI)
AIDET C-2-C Flip
Great Success!!!!

                            14


                Training
     Baseline   Feedback

       8



 4
                                 3



Jul-Sep         Oct-Dec    Jan-Mar
 2010            2010        2011
Flipping the C2C ratio will send your
    CEO to their “happy place”…
                             What will
                             they think
                             of next???




            Questions????
        Email: wingateh@bellsouth.net

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AIDET C-2-C Flip

  • 2. Hospital Statistics • 7000 Annual volume • 6 Bed ED • Single Physician Coverage • 2 Nurses per 12 hour shift
  • 3. The Challenge “Flip the C-2-C Ratio” By Decreasing Complaints Increasing Compliments to Improve HCAHPS Scores
  • 4. Communication Schema Hospital Collects Documents (Complaints, Surveys, Compliments) Feedback : - Prompt -Transparent - Complete - Fair EDNM & SMD Review Staff EP Receives Feedback & And Investigate Takes Corrective Action
  • 6. Methods (October 2010) AIDET Training for Physicians & Staff Phase I - Training Period • Staff In-service on Studer tactics • Physician conference call on AIDET • AIDET “quick start” material distributed • Links to AIDET webinars on EmCare website • Integrate Prompts into Workflow
  • 7. Methods (October 2010) Phase II – Performance Feedback Feedback regularly given to Staff (This was the key to success!!!!)
  • 8. Giving effective FEEDBACK…. Prompt Fair Transparent Secure Sounds Simple but what about PHI and HIPAA?
  • 9. “Low and Hi Tech” Approach “Old School” • Bulletin Boards in secure break areas • Secure mailboxes
  • 10. Audience Email Survey How many of you routinely: • Send encrypted PHI to your Docs? • Unencrypted PHI to Docs? • Do not routinely send PHI?
  • 11. Email, PHI and HIPAA • Know definition of PHI www.HIPAA.com • Check Hospital policy on email and PHI • Prefer Hospital to send encrypted docs
  • 12. “Best Practice” Principles: • Disclaimer signature claiming QA privilege • No PHI in subject line or body of email • Encrypt PHI containing attachments • Send passwords in separate emails • Do not use email for crucial or sensitive communication
  • 14. www.MyFax.com • Personal Fax Number • Automatically coverts fax to PDF doc • Automatically securely sends PDF to email • Cannot encrypt sent docs
  • 15. www.Winzip.com 1. Download files to desk top 2. Select file to Zip, then right click 3. From menu select “Winzip” then “Add to Zip file” 4. From Winzip menu choose “Encrypt”….done
  • 16. Communication Schema Hospital Faxes Documents Feedback Loop Prompt, Transparent Fax and Complete Zip Staff EP Receives PDF SMD Reviews via Email – PDF – Forwards via (Admin/Med Staff CC’d) Email (Encrypt if PHI)
  • 18. Great Success!!!! 14 Training Baseline Feedback 8 4 3 Jul-Sep Oct-Dec Jan-Mar 2010 2010 2011
  • 19. Flipping the C2C ratio will send your CEO to their “happy place”… What will they think of next??? Questions???? Email: wingateh@bellsouth.net