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Learning Objective 1: The learner will be able to create a baseline metrics using a dashboard to ensure measureable outcomes are achieved.
Learning Objective 2: The learner will be able to streamline team communication using SBAR (situation, background, assessment, recommendations) as an effective communication tool.
The goals of the QuEST initiative originated by streamlining team communication, delivering geriatric-sensitive care, improving patient, physician and staff satisfaction, impacting length of stay (LOS), and enhancing transition planning. Areas for improvement included: daily rounds, care plans, communication with physicians, and post-discharge follow-up. A partnership with a physician group to cluster their admissions on one Unit and scripted, daily rounds led by the physician were implemented. A shared vision was inspired by eliciting feedback from nursing, social work and case management, pharmacy and nutrition personnel. Nurses began using SBAR (situation, background, assessment, recommendations), as a highly functional template for communication. A comprehensive care plan was devised to keep patients informed and encourage questions. Two elements of transition planning were introduced: post-discharge appointment scheduling and discharge phone calls.
Baseline metrics were established on a dashboard and is reviewed monthly. Measurements include Press Ganey / HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores, LOS and nurse/ physician satisfaction.
Leadership skills developed through the GNLA include: building confidence, stewarding change, team building and the use of effective communication. Confidence has been achieved by leading inter-professional teams, instituting and stewarding change on the unit and proudly and effectively presenting at a national conference.
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