MORE PURPOSEFUL NURSE LEADER ROUNDING By Megha Patel

MORE PURPOSEFUL NURSE LEADER ROUNDING By : Megha Patel

WHAT ROUNDING MEANS? Proactive intervention or interaction to increase patient safety and quality of care Evidence based rounding has proven to increase patient satisfaction and reduce patient harm Rounding shows staffs engagement in the patients care Leadership rounding shows how leaders engagement with the organizations goals and are tuned with frontline work processes Staff satisfaction and efficiency increases Overall profitability for health care organization increases

TYPE OF ROUNDING Patient Rounding �Nursing performing hourly beside rounding �Nurse leader rounding on all patients �Executive leaders rounding to meet and greet patients �Multidisciplinary team rounding for collaborative plan of care with ancillary team members such as pharmacy, nursing, physical/occupational therapist, case management, nutritionist

TYPE OF ROUNDING Leadership Rounding �Rounding on patients �Staff recognition �Units metric review �Huddle board progress �Environmental rounds �White board audits �Demonstrate engagement of leaders in day to day processes

TYPE OF ROUNDING Nurse Leader (Manager, Directors) �Patient rounds to support nursing care �Nursing care assessment rounds �White board audits �Support front line staff �Environmental rounds

WHY IS ROUNDING BENEFICIAL Increase responsiveness Enhance team building Increased communication between the team and the patient and family members Increased patient satisfaction Decrease patient fall and pressure ulcer related incidence Increased nurses job satisfaction and productivity Enhanced nurses engagement Overall improved the quality of care provided by the organization

HOW OFTEN ROUNDING ARE PERFORMED Nurses – hourly bedside rounds Nurse Leaders – daily rounds Executive Leaders – weekly or monthly rounds

TECHNOLOGY AND ROUNDING Greatest barriers for rounding program it often makes the team feel like one more “to do list”. Rounding can be integrated into daily workflow to reduce steps, time and interruption to the care team by use of technology like the ipad’s or hand held devices

TECHNOLOGY AND ROUNDING Few of the benefits as listed by Vocera Communications by using technology in rounding are listed below: � Streamline and manage daily rounds � Flag patient for future executive follow ups � Review history of all prior rounds performed by nurses, leaders, or other care givers � Capture patients needs real time, providing opportunity for proactive service recovery � Automate patient service requests to other team members � Enable purposeful patients call back post discharge Reference: Vocera Communications, June 2014

TOOLS FOR ROUNDING Studer group provides multiple tools online for rounding � Logs used by nurses to perform daily rounds � Logs for nurse leader to use for rounding � https: //www. studergroup. com/resources/healthcaretools/must-haves/rounding-for-outcomes � https: //az 414866. vo. msecnd. net/cmsroot/studergroup/m edia/studergroup/pages/what-we-do/learning-lab/aligned -behavior/musthaves/rounding/lrp 5_daily_rounding_log. pdf? ext=. pdf Multiple resources/ tools are available online for the organization to use to increase or implement rounding

BENEFITS OF ROUNDING Centers of Medicare and Medicaid – Value Based Purchasing Reimbursement Patient and Caregiver experience is weighted - 25 % HCAHPS scores are the patient experience and perception towards their care they received during their hospitalization Courtesy CMS -VBP

PATIENT CENTER CARE DELIVERY MODEL Studer. Group has show evidence based study on how incorporating hourly rounding support nursing and patient care excellence Courtesy of Studer. Group

HCAHPS Leader rounding question align with the HCAHPS increasing overall hospitals patient and caregiver experience score towards VBP. CROSSWALK BETWEEN HCAHPS AND LEADER ROUNDING QUESTIONS HCAHPS Series Part 2: Does purposeful leader rounding make a difference? Winter, Melissa; Tjiong, Linda Nursing Management. 46(2): 26 -32, February 2015. doi: 10. 1097/01. NUMA. 0000460034. 25697. 06 Courtesy of Wolter Kluwer - Copyright © 2016 Nursing Management. Published by Lippincott Williams & Wilkins. 13

REFERENCE: https: //www. studergroup. com/resources/news-media/healthcare-tipsand-articles/accelerate-leader-rounding-combining-passion-with Shipley, E (2016). Accelerate Leader Rounding: Combining Passion with Technology. Pensacola: Fl, Studer. Group Vocera Communication (2014). Take rounding to the next level to improve patient satisfaction, outcomes and loyalty Winter, M & Tjiong, L (2015). HCAHPS Series Part 2 : Does purposeful leader rounding make a difference? Nursing Management 46 (2), 26 - 32. Wolter Kluwer: Lipincott Williams & Wilkins www. cms. gov

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