Tan Tock Seng Hospital’s Post

Are you the best CCT team in the country? What does it mean to be the best, and how do you objectively determine the quality of the care and operations you provide? Allen Wolfe discussed this this morning at #CCTMC2024, here were some highlights of his presentation: -There are many important factors that influence performance: speed, quality, efficiency, and cost. -If you build an overall quality score, you need to have balance to the metrics. When one metric is weighted too heavily, the score will not effectively move. -The IHI recommends a Whole System Measures to look at your overall clinical quality. -Quality provides effective education. If you don’t know where your performance gaps are, you can’t effectively tailor your education. -When establishing new benchmarks for your quality metrics, don’t aim for the stars. Establish realistic and achievable goals and then adjust your goal annually based on the prior year’s results. -An overall clinical quality score allows you to objectively compare bases and overall performance over time. -You need to define a trend in your clinical performance. IHI defines a trend as a >5% points or more decline over a set period of time or a >6 point shift from median. Don’t do this monthly because there are too many variables in CCT; at a minimum this should be observed over a quarterly basis. -You must share your Quality management dashboards and clinical performance scores with your education team. Its not enough to tell them where gaps occur, they must share ownership in monitoring and trending over time! Air Medical Physician Association Air & Surface Transport Nurses Association (ASTNA) International College of Advanced Practice Paramedics

Let's talk about the colonoscopy workflow.

Beyond Bandages:Communicate Trust It is important to note that nursing excellence goes beyond technical skills. It's about forging genuine connections with patients, understanding their needs, and building trust. Become a Master Listener, Not a Chatty Cathy: Imagine this: your patient is unloading a wave of anxieties and concerns. Don't be the nurse who jumps in with solutions before they've finished. Put down your clipboard, make eye contact that conveys genuine interest, and truly listen. Actively engage by asking clarifying questions and summarizing what you've heard to ensure understanding. Remember, sometimes the best medicine is a listening ear that validates their feelings without judgment. Speak the Language of Humanity, Not Hieroglyphics: Medical jargon can sound like a foreign language to patients, leaving them feeling confused and frustrated. Ditch the big words and explain things in a way that resonates with them. Think of it like explaining a complex concept to your favorite aunt – keep it clear, concise, and even add a relatable analogy if it fits (just make sure it's appropriate!). Respect is the Foundation of Trust: Treat every patient with the dignity and respect you'd expect for yourself or your loved ones. Consider their cultural background, values, and how their condition might be affecting them emotionally. Instead of coldly stating "diabetic foot ulcer," try "Are you concerned about the wound on your foot related to your diabetes?" It's a small shift in wording, but it demonstrates that you care about them as a whole person, not just a medical diagnosis. Remember, #communication is a two-way street paved with active listening, clear explanations, and genuine empathy. By mastering these skills, you'll not only excel in your #nursing career but also build meaningful connections with your #patients, fostering trust and a more positive healthcare experience for everyone. #Henriettaayinor #nursecommunity #nclex #buildingtrust #communicationskills #communication

CME Credit Management - A Modern Concept Physicians, nurse practitioners, and physician assistants must participate in continuing medical education (CME) to renew licenses and maintain certifications. Each licensing or certifying body specifies minimum total credit hours and may include content-specific requirements, e.g., physicians in CA must acquire 50 total hours, including 8 hours of CME in opioid replacement therapy, In every renewal cycle. It’s safe to say that acquired CME credit hours are an essential asset for clinicians once acquired. We take the position that the management of these should match and align with modern patterns and practices of asset management. Hence, we propose CME Credit Management as a specific concept for engagement and support. What We Offer. CME-Global exists solely to solve the critical gaps prevalent in Continuing Medical Education (CME) credits for physicians, APPs, and their affiliated organizations. We understand clinicians' difficulties in meeting these obligations and the absence of industry resources that meaningfully address these issues. We have solved the last mile in this process, placing the clinician at the center of our design and reducing the barriers to functional management of their CME credits. With our design, we also provide a unique opportunity for organization-level support of your clinicians around this process. With CME-Global, Never Lose A CME Credit Again! #physicianassistant #cmecredits #cme #nursepractitioner #clinicians #physician #medicaldoctor #chiefmedicalofficer #medicalstaff #medicalstaffofficer #chiefclinicalofficer #vpmedicalstaff #continuingeducation #continuingmedicaleducation #cmio #chiefmedicalinformaticsofficer #healthcareit #medicalinformatics

TIDBIT TUESDAY! Goals of Life Care Plan and Report Writing Shelene Giles, CEO FIG Education, Inc. What do they have? This question is answered by the medical diagnoses identified when reviewing the medical records. During the life care plan or nurse life care plan assessment step, valuable information regarding the client’s case is detailed. From the review of records, we gain insight into the client’s medical diagnosis, medical treatment, and outcomes or response to that medical treatment. A common definition of diagnosis is the identification of the nature of an illness or other problem by examination of the symptoms, or an act of identifying a disease from its signs and symptoms. According to the International Association of Rehabilitation Professional’s Life Care Planning Standards of Practice, the diagnosis is deferred to qualified professionals. According to the American Association of Nurse Life Care Planners Standards of Practice, the diagnosis is the actual or potential risks to an individual's health, safety, and barriers to health. This is including but not limited to interpersonal, systematic, and environmental circumstances. Without a medical diagnosis, the Life Care Plan does not exist. The medical diagnosis is the cornerstone of the Life Care Plan. The medical diagnosis can be divided into two categories – primary and secondary. A primary diagnosis is a condition established after the initial study which is chiefly responsible for the presenting medical condition. A secondary diagnosis describes the medical condition that co-exists during the initial medical condition. This may subsequently present following the initial medical condition. Oftentimes in the life care plan and nurse life care plan process, we are focused on the secondary diagnosis in the chronic, long term setting. #nurses #ot #pt #crc #doctors #casemanagement #legalnurseconsultant

TIDBIT TUESDAY! Goals of Life Care Plan and Report Writing Shelene Giles, CEO FIG Education, Inc. What do they have? This question is answered by the medical diagnoses identified when reviewing the medical records. During the life care plan or nurse life care plan assessment step, valuable information regarding the client’s case is detailed. From the review of records, we gain insight into the client’s medical diagnosis, medical treatment, and outcomes or response to that medical treatment. A common definition of diagnosis is the identification of the nature of an illness or other problem by examination of the symptoms, or an act of identifying a disease from its signs and symptoms. According to the International Association of Rehabilitation Professional’s Life Care Planning Standards of Practice, the diagnosis is deferred to qualified professionals. According to the American Association of Nurse Life Care Planners Standards of Practice, the diagnosis is the actual or potential risks to an individual's health, safety, and barriers to health. This is including but not limited to interpersonal, systematic, and environmental circumstances. Without a medical diagnosis, the Life Care Plan does not exist. The medical diagnosis is the cornerstone of the Life Care Plan. The medical diagnosis can be divided into two categories – primary and secondary. A primary diagnosis is a condition established after the initial study which is chiefly responsible for the presenting medical condition. A secondary diagnosis describes the medical condition that co-exists during the initial medical condition. This may subsequently present following the initial medical condition. Oftentimes in the life care plan and nurse life care plan process, we are focused on the secondary diagnosis in the chronic, long term setting. #nurses #ot #pt #crc #doctors #casemanagement #legalnurseconsultant

There is one thing I used to see all the time as a hospital OT that I don’t really see in the private sector. It was one of those things that seemed like a painful chore or just ticking a box, but I didn’t really appreciate the value until I realised what happens when they’re not used. I’ll end the suspense. I’m talking about monitoring clinical competencies through “competency checklists.” Hospital OTs will probably know all about competency checklists. If you’re a private sector OT, you may not know what I’m talking about. Basically, it’s a list of clinical skills that are relevant to your caseload, and you’d look back at the list with your supervisor and tick off skills once you demonstrated a certain level of competence. The list could include things like “Setup a ROHO cushion” or “Provide education on hip precautions” or “Conduct a MoCA.” Checklists could be a simple not-competent/competent approach. Or it could be that you mark off different levels of competency. Maybe you could do the skill with distant supervision, then you could do it without any supervision, and then eventually you could do it well enough that you could teach others that skill. At the time they felt like you were just ticking a box, and I know many OTs questioned their value. But having chatted with many new grad OTs in the private sector, it’s apparent that these are rarely used. But they really should be. Mixed NDIS caseloads are challenging and overwhelming for many early career clinicians. You feel like everything is new every day. That you’re always asking your supervisor for help. And that you’re just a really crap OT because you don’t feel like you’re getting better at anything. But imagine if your supervisor sat down with you every month or two and went through a competency checklist with you. Imagine if you could see physical ticks on a page or screen that proved to you that you were building skills and becoming more independent, even if it didn’t feel like it. And imagine if as an OT supervisor that list gave you some direction about where your supervisee needed the most support. The competency checklists can take a bit of time to setup so that they are reflective of the new grad’s actual caseload. But, if it means that your new grad gains confidence and competence more quickly, then I think they are worth investing that time. What do you think? Are you using competency checklists for your OTs? P.S. If I’ve convinced you that a competency checklist is worth exploring, but you have no idea how to set one up, send me a DM and I can give you some tips. #OccupationalTherapy #NDIS #YourOTTutor

TIDBIT TUESDAY! Goals of Life Care Plan and Report Writing Shelene Giles, CEO FIG Education, Inc. What do they have? This question is answered by the medical diagnoses identified when reviewing the medical records. During the life care plan or nurse life care plan assessment step, valuable information regarding the client’s case is detailed. From the review of records, we gain insight into the client’s medical diagnosis, medical treatment, and outcomes or response to that medical treatment. A common definition of diagnosis is the identification of the nature of an illness or other problem by examination of the symptoms, or an act of identifying a disease from its signs and symptoms. According to the International Association of Rehabilitation Professional’s Life Care Planning Standards of Practice, the diagnosis is deferred to qualified professionals. According to the American Association of Nurse Life Care Planners Standards of Practice, the diagnosis is the actual or potential risks to an individual's health, safety, and barriers to health. This is including but not limited to interpersonal, systematic, and environmental circumstances. Without a medical diagnosis, the Life Care Plan does not exist. The medical diagnosis is the cornerstone of the Life Care Plan. The medical diagnosis can be divided into two categories – primary and secondary. A primary diagnosis is a condition established after the initial study which is chiefly responsible for the presenting medical condition. A secondary diagnosis describes the medical condition that co-exists during the initial medical condition. This may subsequently present following the initial medical condition. Oftentimes in the life care plan and nurse life care plan process, we are focused on the secondary diagnosis in the chronic, long term setting. #nurses #ot #pt #crc #doctors #casemanagement #legalnurseconsultant

How does ElmTree Medical Centre meet public expectations? Last week, I wrote a post outlining the main public expectations from their NHS care. As a proud partner of an NHS service provider, I do my level best to ensure my patients’ expectations are being met. So how does my practice do it? 1️⃣ We stick to our core values - all our staff buys into it, and sticks into it. 2️⃣ We have a mission and a vision for Elmtree medical centre with our staff and patients at the heart of it 3️⃣ We have clarity between partners of where we need to head, our direction is clear, our vision is unquestionable. 4️⃣ We don't argue about workload and we just get on with it. 5️⃣ We support one another - We have an open door policy, a literal one. When our staff need advice from any of the partners, they do not need to knock at all. 6️⃣ Safe care - all our trainees and nurse practitioners have a FULL debrief with all patients being reviewed at the end of clinics. This has helped them gain knowledge, and given us the opportunity for us to teach them, feel reassured, and ensure the best care for patients and provides confidence. In fact, the last 2 clinicians joining our practice joined because of this clinical reassurance and supervision provided. 7️⃣ Care and support for med students and trainees - we have one of the highest rating amongst trainees at our local GP training programme. All our clinical partners are GP trainers and one of us is a TPD. We have increased our trainees from initially 2 to now 5. We are all grateful for our medical education, and are thoroughly dedicated to contributing and giving back. These are some of the things that we do, and some things which can help your practice. Did you like the things that we do at Elmtree? Any particulars that you think will work the best at our own practice? Let me know in the comments below! As an experienced GP partner and healthcare leader, I am committed to providing innovative and savvy healthcare based solutions to other healthcare providers. If you would like a chat, book a call with me today! #GP #GPsurgery #teamwork

This is an excellent article written by Dr. Golbin on the role of a CMO and improving patient experience. I think many HCOs miss a lot of opportunity for cultural change when they do the 'Video Module Belly Flop." VMBF. Employees do not engage 'Educational Modules.' In fact, I would say 99% of them find them a horrid waste of passive time. Meanwhile, the HCO gets to 'Check the Box' the training was done. No. No. No. That is not how this works. Meaningful cultural change and education requires in person, engaging content, discussions, and role playing in order to make the training meaningful and stick. Dr. Golbin implemented engaging training. "Simultaneously, we built a four-hour training curriculum that every employee and most of the clinical staff were mandated to attend. The curriculum was educational yet engaging and focused on a few topics. The training curriculum commenced with background education — why we are looking at patient experience, what is the HCAHPS survey — and then some published data linking patient experience to quality and safety." #cmo #patientexperience #hcahps