Re-Designing Collaborative Governance 2011-07-18آ  Re-Designing Collaborative Governance ... and generate

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  • CaringDecember 2, 2010Headlines Patient Care Services Executive Committee

    Collaborative Governance Committee Leaders

    Inter- Disciplinary

    Research InformaticsDiversity Ethics Patient

    Education Practice &

    Quality Staff Advisory Committees

    Tiger Teams

    Fall-Prevention

    Pain-Management

    Restraint Usage

    Policies, Products & Procedures

    Skin Care

    Re-Designing Collaborative Governance

    Re-Designing Collaborative Governance

    2011 will see changes to the collaborative

    governance committee

    structure

    See story on page 4

    The newsletter for Patient Care Services M a s s a c h u s e t t s G e n e r a l H o s p i t a l

    Patient Care Services

  • Page 2 — Caring Headlines — December 2, 2010

    Jeanette Ives Erickson

    continued on next page

    Jeanette Ives Erickson, RN, senior vice president for Patient Care and chief nurse

    s I think about the year ahead, many im- portant issues come to mind. In 2011, MGH will celebrate its 200th anniversary, a major milestone in our great history. Numerous events and activities are planned to mark this momentous occasion. As we take this time to celebrate our past, it’s also an oppor- tunity to think about the future. In the coming year, no issue will be more important than the Patient Affordability Act, more commonly known as national healthcare reform. Hand-in-hand with national health - care reform is the continuing evolution of our own state healthcare situation. Massachusetts has already achieved near-universal health-insurance coverage. Now we need to reduce costs while continuing to provide the exceptional care that is our hallmark. You may recall that Massachusetts recently adopted a package of healthcare cost reforms. We now know that more cost-control legislation is coming our way.

    Last January, recognizing the challenges that lay ahead, Partners president and CEO, Gary Gottlieb, MD, initiated a strategic planning process with the leaders of Partners institutions. As a result of that

    work, initiatives were developed to ensure we’re posi- tioned to meet those challenges. I would like to share with you the elements of the Partners-wide strategic plan and ask for your help.

    Phase one of the plan includes three areas of con- centration:

    • Care re-design This work will build on the clinical systems already

    in place throughout Partners institutions to design and deliver more integrated patient and family- centered care. Care re-design will include a focus on specifi c conditions and episodes, not just proce- dures, patient visits, and admissions. Multi-disci- plinary teams will focus on colon cancer, coronary disease (AMI and CABG), stroke, diabetes, and primary care. The goal is to achieve a seamless con- tinuum of care and lead the way in promoting pay- ment systems that support improved care delivery.

    AA Planning aheadPlanning ahead

    Partners 2011 strategic goals: positioning ourselves to meet the challenges

    of the future

    Partners 2011 strategic goals: positioning ourselves to meet the challenges

    of the future

    Massachusetts

    has already achieved

    near-universal

    health-insurance

    coverage. Now we

    need to reduce costs

    while continuing

    to provide the

    exceptional care

    that is our

    hallmark.

  • December 2, 2010 — Caring Headlines — Page 3

    Jeanette Ives Erickson (continued)

    In this Issue Re-Designing Collaborative Governance .............1

    Jeanette Ives Erickson ......................................................2 • 2011 Partners Strategic Goals Re-Designing Collaborative Governance .............4

    Clinical Narrative ...............................................................6 • Steven Mason, RT

    The AgeWISE Summit ....................................................8

    Patient & Family Advisory Councils Annual Networking Dinner ...............................10

    Announcements .............................................................11

    Fielding the Issues ..........................................................12 • Safe Patient Handling

    Many MGH nurses, physicians, and therapists will be part of these teams.

    • Affordability It will be imperative to preserve patient affordabil-

    ity while fulfi lling our mission to provide quality care. The strategy for preserving affordability is to improve process fl ow, re-design systems to make our work more effi cient, reduce overhead costs, im- prove patient fl ow, and explore other viable cost- management ideas. Improving timely access to care and enhancing patient-referral systems will be part of this work. Currently, teams are being developed to focus on three areas: the inpatient setting, the periop erative setting, and the Emergency Depart- ment. I will co-lead this initiative along with Michael Gustafsen, MD, from BWH. Many mem- bers of our clinical and administrative community will serve on these teams.

    • Reputation Partners has earned a reputation as a world-class

    healthcare system. The 2011 strategic plan calls for increased emphasis on Partners commitment to community programs and a greater concentration of quality-focused messages by way of a public edu- cation campaign.

    Several other projects will complement this strategic plan. A team that includes MGH senior vice president for Human Resources, Jeff Davis, will look at ways to

    re-design our employee health insurance. Across Partners institutions, we insure more than 90,000 em- ployees and their families. This team is charged with ensuring that the plans we offer are the most innova- tive and cost-effective possible.

    Another team is preparing proposals for two new federal healthcare pilots — the Medicare accountable care organization (ACO) pilot, and the Health Care Innovation Zone pilot. We want to be at the forefront of these opportunities to assess whether they can be of help in improving patient care and lowering costs.

    Phase two of the Partners strategic plan will in- clude a focus on research, improving community health, and continuing to build world-class training programs. That work will begin later in the year.

    The challenges associated with healthcare re- form — cutting costs while improving care — may seem daunting. But we employ the best clinicians in the world whose knowledge and expertise are unpar- alleled in health care today. You are our greatest asset as we face these challenges. Your thoughts, ideas, and suggestions will drive the way we re-design care. So let me hear from you. Together, we will meet and overcome these challenges.

    I will keep you updated on this important work. And I’ll soon be sharing Patient Care Service’s strate- gic goals for 2011, which are also being shaped by healthcare reform and the ongoing needs of our pa- tients and families.

    But we employ

    the best clinicians

    in the world

    whose knowledge

    and expertise

    are unparalleled

    in health care

    today. You are our

    greatest asset as

    we face these

    challenges. Your

    thoughts, ideas,

    and suggestions

    will drive the way

    we re-design care.

    So let me hear

    from you. Together,

    we will meet and

    overcome these

    challenges.

  • Page 4 — Caring Headlines — December 2, 2010

    • The Nursing Practice and Quality committees will merge to be- come the Practice & Quality Committee, which will have fi ve sub- committees:

    • Fall Prevention • Pain Management • Policies, Products & Procedures • Restraint Usage • Skin Care • A new Informatics Committee has been created • The Nursing Research committee will become an inter-disciplinary

    research committee

    Current members of the Nursing Practice and Quality committees are encouraged to apply for membership in one of the sub-committees or another committee. Excellence Every Day champions are encour- aged to apply for collaborative governance when their term as EED champions ends, Decem ber 31, 2010. For information on becoming a collaborative governance champion, speak to your supervisor or send e-mail to: pcscollaborativegovernance@partners.org.

    Collaborative Governance

    ollaborative governance has been a critical factor in the success of Patient Care Services. Collaborative governance places the decision- making authority, responsibility, and account- ability for patient care with the practicing clinician. Since launching the collaborative governance committee structure 13 years ago, much has changed in health care, technology, and the evolving needs of our patients and staff. If we are to continue to provide the best care and services to patients and families, our collaborative governance structure must continue to evolve to refl ect those changes.

    Recently, after a comprehensive review and much deliberation, the collaborative governance committee structure was re-designed to en- sure that their work is aligned with our current reality and with Patient Care Services’ strategic goals.

    The diagram on this page and the committee descriptions on the next page will give you an idea of what the new collaborative gover- nance structure will look like beginning in 2011. Enrollment has been extended to December 17, 2010. The major changes include:

    Collaborative Governance Re-Design