Population
The patient population that will be focused on in this assessment is an adult surgical unit. This surgical unit has 30 beds. The surgical unit provides care to a wide variety of patients that include general surgical patients to trauma patients. Half of the unit is designated for general surgical patient care, and the other half is for surgical intermediate patient care. On the general surgical side, the nurse ratio is 5 patients to 1 nurse. On the surgical intermediate side of the unit, the nurse-to-patient ratio is 3 patients to 1 nurse. The surgical unit has an estimated 75 employees. Of those 75 employees, around 45 of those are registered nurses. A balanced scorecard will be created to help the unit improve the unit’s benchmark performance measures. The balanced scorecard will help to address areas the unit can improve in quality, performance, safety, and employee engagement. Outcome Measures
There are four measures discussed in this assessment which are performance, quality, safety, and employee engagement. This section will outline the measures for those four measures. The outcome for performance measure is to improve patient satisfaction on the adult surgical units. The patient satisfaction surveys and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey can be used to give an overall look at the performance of the unit. It can also help to show if the patients feel as if they received good care and can aide in identifying areas for improvement in patient satisfaction, and in return improve the unit’s performance and HCAHPS scores. For the quality measure, Situation Background Assessment Recommendation (SBAR) communication will be used. The use of SBAR communication will cut down on lack of communication with a more standardized approach to handoffs, reports, and interdisciplinary communication because each staff member will know what is expected in the communication. This will decrease near-misses related to poor communication. For example, if the post-operative nurse and adult surgical unit nurse use the same SBAR communication all areas necessary for a successful patient handoff will be addressed and the focus of the exchange will be on the needed information. Decreasing patient falls will be the outcome measure discussed for the safety measures. The use of a falls risk board will be utilized to inform the staff members of the patient’s current need for assistance. The adult surgical unit clerk will update the falls risk board every shift with the information if the patient requires 1 or 2 people to assist them out of bed and if they require a transfer device. The outcome measure for employee engagement measure will be the increase of education, training and unit turnover rate. On the surgical unit there will be incentives for the nurse to seek further training. For example, the facility provides Critical Care training, Electrocardiogram (EKG) training, clinical coach classes, etc. Necessary Processes This section will discuss the necessary process that drives the outcome measure. The process that drives the patient satisfaction performance measure is that decrease seen on the unit in their HCAHPS scores. This signals a need for improvement. If the patients are not satisfied, they will not return to the facility for care. Often, word-of-mouth is the main contributor in the success of a business. If patient satisfaction is low, the patient may not return to the facility for care, and may share their experience with others in the community who will also chose not to seek care from the facility. HCAHPS scores are a major driver on the focus of patient satisfaction as the performance measure. …show more content…
Though there are many advantages such as giving the units multiple measures to improve upon that are not only patient care focuses and the encouragement of staff engagement. For this section there of these advantages will be discussed. “A well-crafted strategy map tells the story of how the organization creates value for customers, business owners, employees, and other stakeholders and it adds a new level of clarity to conversations around performance and results” (The Benefits of Balanced Scorecard Strategic Planning and Managment, 2016). The first advantage identified is, it helps build a shared and individual accountability. The second advantages is the improved communication. The third advantage is the use of data-driven decisions and
The patient population that will be focused on in this assessment is an adult surgical unit. This surgical unit has 30 beds. The surgical unit provides care to a wide variety of patients that include general surgical patients to trauma patients. Half of the unit is designated for general surgical patient care, and the other half is for surgical intermediate patient care. On the general surgical side, the nurse ratio is 5 patients to 1 nurse. On the surgical intermediate side of the unit, the nurse-to-patient ratio is 3 patients to 1 nurse. The surgical unit has an estimated 75 employees. Of those 75 employees, around 45 of those are registered nurses. A balanced scorecard will be created to help the unit improve the unit’s benchmark performance measures. The balanced scorecard will help to address areas the unit can improve in quality, performance, safety, and employee engagement. Outcome Measures
There are four measures discussed in this assessment which are performance, quality, safety, and employee engagement. This section will outline the measures for those four measures. The outcome for performance measure is to improve patient satisfaction on the adult surgical units. The patient satisfaction surveys and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey can be used to give an overall look at the performance of the unit. It can also help to show if the patients feel as if they received good care and can aide in identifying areas for improvement in patient satisfaction, and in return improve the unit’s performance and HCAHPS scores. For the quality measure, Situation Background Assessment Recommendation (SBAR) communication will be used. The use of SBAR communication will cut down on lack of communication with a more standardized approach to handoffs, reports, and interdisciplinary communication because each staff member will know what is expected in the communication. This will decrease near-misses related to poor communication. For example, if the post-operative nurse and adult surgical unit nurse use the same SBAR communication all areas necessary for a successful patient handoff will be addressed and the focus of the exchange will be on the needed information. Decreasing patient falls will be the outcome measure discussed for the safety measures. The use of a falls risk board will be utilized to inform the staff members of the patient’s current need for assistance. The adult surgical unit clerk will update the falls risk board every shift with the information if the patient requires 1 or 2 people to assist them out of bed and if they require a transfer device. The outcome measure for employee engagement measure will be the increase of education, training and unit turnover rate. On the surgical unit there will be incentives for the nurse to seek further training. For example, the facility provides Critical Care training, Electrocardiogram (EKG) training, clinical coach classes, etc. Necessary Processes This section will discuss the necessary process that drives the outcome measure. The process that drives the patient satisfaction performance measure is that decrease seen on the unit in their HCAHPS scores. This signals a need for improvement. If the patients are not satisfied, they will not return to the facility for care. Often, word-of-mouth is the main contributor in the success of a business. If patient satisfaction is low, the patient may not return to the facility for care, and may share their experience with others in the community who will also chose not to seek care from the facility. HCAHPS scores are a major driver on the focus of patient satisfaction as the performance measure. …show more content…
Though there are many advantages such as giving the units multiple measures to improve upon that are not only patient care focuses and the encouragement of staff engagement. For this section there of these advantages will be discussed. “A well-crafted strategy map tells the story of how the organization creates value for customers, business owners, employees, and other stakeholders and it adds a new level of clarity to conversations around performance and results” (The Benefits of Balanced Scorecard Strategic Planning and Managment, 2016). The first advantage identified is, it helps build a shared and individual accountability. The second advantages is the improved communication. The third advantage is the use of data-driven decisions and