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St. Joseph's Hospital Health Center

Advancing Excellence

Jan 20 2013
Values and Accountability
1

It was an interesting week in the media.  The focus of TV  and news was on the "revelations" of an athlete who confessed to using illegal drugs to enhance his performance. He did what he wanted to do, regardless of the impact on his sport, his family, his health, his career. How did he get there? Likely, he did not have a clear sense of his personal ethics and values. Rather, it was win at any cost.

 

For those of us in health care, we are being challenged to redefine how we interpret our values. It's not enough to say we care about patients, if we deliver care that results in a hospital acquired condition. It's not enough to say we care, if the cost of care makes it hard for families to access. It's not enough to say we care, if we fail to take a time out and an error occurs.

 

It's individual and team accountability for finding the right approaches and the right transparency for holding ourselves responsible for delivering the right care every patient, every encounter, every time.

 

This week I  am including an article from Becker's Hospital Review that offers one framework. In future weeks  I will be including others that help us see a broader perspective on where health reform is taking us.

 

Then, as the St. Joseph's team, we must ask ourselves how we will take accountability to the next level.  To return to the dialogue this week, the athlete was roundly criticized by former team members, and others. Data even suggested he was using drugs, but it was ignored.

 

Do we listen to complaints, review outcomes, and scan the environment routinely to correct problems?

 

We can learn a lot from this week's debate, in particular, keep our values front and center: compassion, reverence , integrity, excellence, and stewardship.

 

Have a great week!


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Mary Jo Vona January 21, 2013 at 07:18 am

I read Becker's Hospital Review. How very interesting. Particularly the piece about Epic. Of course we all hope we (St. Joseph's) are doing the right thing with this huge EMR endeavor. It seems to makes sense for the patient. Quicker sharing of critical information than paper. Epic should certainly help ED clinicians provide better care because they will be able to access the whole picture very quickly. The key will be to teach clinicians the skills required to access and learn the "whole patient picture" in a short enough period of time so as to maintain the patient/procedure volume we need to stay solvent while providing the safest and highest level of quality care. I reflected a bit on Kim Murray's comment about the patient letter and how it doesn't reflect his clinical care, but rather solely his customer care. Although I agree with her, I feel his letter is very telling of the patient expectations of today. Patient expect quality care. They expect hospitals to do the right thing. For them to leave as they arrived. To be protected while they are in our care. They now want us to supercede those "basics." They now expect and want more. The more affluent and educated our populations become, the more desensitized they will become to luxury. We all have computers today and cell phones. Most of us fly overseas at least once in our life time. We all go out to eat weekly. No more is dining out for special occasions. Therefore, these are all now our norms. Therefore, it is important to take head to this patient's letter because he is speaking from the heart about what in health care delights him. And this of course, is important to listen to.



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