Nurses Overcome Workplace Hierarchies to Improve Patient Experience, health and medicine homework help

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Provide a brief synopsis of the meaning (not a description) of
each Chapter and articles you read, in your own words that will apply to the
case study presented.

2. Your Critique (50%)

Case Studies

Nurses Overcome Workplace Hierarchies to Improve Patient Experience Scores in
Phoenix ER 

and nurses have worked together for centuries, saving and prolonging countless
lives in healthcare facilities around the world. And as in so many other
professions featuring rich and deep-rooted histories, hierarchies
created long ago have been assumed by modern-day caregivers.

it was no surprise when emergency medicine leaders in Phoenix, AZ, initially
struggled in trying to improve their medical facility’s patient experience
scores. But by focusing on the heart of the matter, and successfully selling
a culture of quality to staff, they helped employees overcome social norms
to achieve success for the organization and, most importantly, the patient

Health, a nonprofit healthcare provider, encompasses 24 acute-care hospitals
and healthcare facilities in seven states (Alaska, Arizona, California,
Colorado, Nebraska, Nevada, and Wyoming) while employing more than 36,000
individuals. Located in Phoenix, Banner Good Samaritan Medical Center is a
Level One trauma hospital that provides services to more than 60,000 patients

Emergency Physician Insurance Program (EPIP) is a partnership between Banner
Health, Emergency Professional Services, North Valley Emergency Services, and
Progressive Medical Associates. EPIP, established in 2003, addresses challenges
involving malpractice coverage, while reducing the cost of malpractice coverage
and overall risk found in five Banner Health emergency departments.

the importance of positive patient experiences, EPIP created staff leadership
groups, or vision teams, that sought to achieve better patient interactions, communications,
and outcomes while also decreasing risk of malpractice. A vision team
composed of Banner Health physicians in Arizona was tasked with studying how
staff could improve patient experience scores and reduce litigation risks.

Moneesh Bhow, medical director at Banner Good Samaritan Emergency Department,
and the rest of the Patient Experience Vision Team, began a near two-year
process of digging into the patient survey data. But Bhow quickly
recognized an integral piece to the puzzle was missing from the physician-only
vision team: nurses. At Good Samaritan, like many medical facilities, Bhow said
a culture exists that creates a sort of separation between doctors and

Dallman, a nurse manager within the emergency department, agreed that
motivating the two sides to work together and create positive experiences was a
cultural change that was not going to be easy or happen overnight.

the define, measure, analyze, improve, and control (DMAIC) approach and Pareto
analysis of patient experience data, team leaders learned:  

of the problem was the lag time from when the patient left the facility to when
staff received feedback through mailed surveys.

unhappy patients, regardless of the care they received, felt there was a lack
of communication between doctors and nurses.

address these issues, the patient experience team implemented the following
process improvements:

a realtime, point-of-service survey program to improve the reaction
capabilities for the staff to make meaningful strides in helping unhappy or
distressed patients.

doctor-nurse conversations to the bedside.

“story time” within preshift meetings, during which staff members
shared tales of patient care victories, large and small.

the data collection and analysis, the patient experience team also focused on
the emotional side of the equation, specifically as relates to staff. A major
focal point of the improvement project was centered on engaging the clinician.
A culture change had to take place, Dallman said, so the vision team turned its
scope away from the patients and onto themselves.

a result of process improvements, patients are now 89 percent less likely to
file a complaint when a physician or nurse addresses any concerns prior to
discharge, which ultimately helps curb the risk of litigation.


should be asked to read the case and discuss all procedures done and suggest a
solution program.

3. Conclusion (15%)

Briefly summarize your thoughts &
conclusion to your critique of the case study and provide a possible outcome
for the patient positive experience.  How
did these articles and Chapters influence your opinions about check-in
procedures and Office visit?

will be based on how clearly you respond to the above, in particular:

a) The
clarity with which you critique the case study;

b) The
depth, scope, and organization of your paper; and,

c) Your
conclusions, including a description of the impact of these Case study on any
Health Care Setting and the marketing projects.

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