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Disruptive behavior is a growing focus among organizations. However, if not handled properly, disciplinary actions can result in allegations of malice and violation of rights involving the peer review process, as a Minnesota hospital recently discovered.
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Newport (RI) Hospital is currently considering ISO certification in addition to its accreditation from The Joint Commission, says Jeanne M. Ehmann, RN, MS, CPHQ, director of performance evaluation and improvement.
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Staff at Newport (RI) Hospital were ready when surveyors from The Joint Commission walked in the door, with binders containing current data and all the required documents for the anticipated hot topics: restraints, pain assessment and reassessment, medication reconciliation, and approved locations for moderate sedation.
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With the 2009 National Patient Safety Goals (NPSGs) just announced, it's an ideal time to perform a self-assessment for all of the existing goals, including the requirements for improving recognition and response to changes in a patient's condition and improving safety of anticoagulation medications, which are being phased in right now, says Paula Swain, MSN, CPHQ, FNAHQ, director of clinical and regulatory review at Presbyterian Healthcare in Charlotte, NC.
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"As physicians, we respond to data. That is a very powerful way to convey performance against expectations," says David A. Snyder, MD, vice president of patient care quality and safety at MCG Health in Augusta, GA.
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Organizations are taking a close look at their policies for addressing disruptive physicians, in order to comply with new Joint Commission standards for 2009 that will require accredited health care organizations to create a code of conduct and formal process for managing unacceptable behavior.
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ISO certification is process-, customer-, and improvement-focused, says Jerilyn Yama, RN, BS, CPHQ, president of Audi-Qual, an Ohio-based firm specializing in quality auditing and consulting.
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Exercise can improve a worker's health and productivity. That's a no-brainer, right? The vast majority of employees and managers at your workplace probably take that statement as a given. But new data show that lack of exercise can actually cause chronic, costly, and debilitating diseases.
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"You could put in a very expensive fitness facility, but if you don't get to the heart of what motivates the employee, you'll get a 12-week use of it followed by a major attrition," says Nicolette Shriver, health coach supervisor for Eden Prairie, MN-based Cigna.
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Digital cameras, blenders, food processors, waffle makers, espresso machines, jewelry, luggage, gas grills, fishing rods, and telescopes. These are some of the items that workers at Wika Instrument Corp., a Lawrenceville, GA-based manufacturer of pressure and temperature instrumentation, can receive for improving their own safety.
