Strategic Initiatives and Clinical Practices for all Providers
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Improving patient experience
All providers have a important role in assuring an excellent patient experience by communicating well with patients and their families. Banner conducts patient satisfaction surveys both for inpatients and Emergency Department patients, which includes questions on communication with physicians/providers.
- Example: During this hospital stay, how often did doctors treat you with courtesy and respect? how often did doctors listen carefully to you? how often did doctors explain things in a way you could understand?
- Provider role in patient satisfaction and experience (loaded 07/13)
Emergency response standing orders policy - adult
A set of medical staff approved standing orders that a bedside nurse may initiate to address urgent/emergent clinical conditions in adult patients (>18 years old) with rapidly deteriorating conditions. These orders to be instituted only in the absence of a patient specific order that address the patient’s emergency condition. The authorization order is included in the general adult admission order sets.
- Emergency response standing orders policy - adult #10508 (loaded 07/12)
Rapid response team standing orders policy
A set of medical staff approved standing orders that a formal member of a Rapid Response Team may initiate to address urgent/emergent clinical conditions in patients of all ages (except Newborns) with rapidly deteriorating conditions. These orders include additional/higher level orders than the emergency response standing order sets to provide an additional level of safety. These orders to be instituted only in the absence of a patient specific order that address the patient’s emergency condition. The authorization order is included in the general admission order sets.
- Rapid response team standing orders policy #13220 (loaded 07/12)
Radiation safety module
General overview of radiation safety and radiation dosage by imaging type including explanation of Radiation safety alert that fires when a provider starts the ordering process for the 4th CT scan of any type in 90 days for a particular patient (reminds provider of the radiation exposure).
- Radiation risk and safety module (loaded 10/11)
Clinical policy: Pain management
The management of pain is a priority for Banner Health. This policy outlines a systematic approach for assessment and reassessment of patients’ pain to be performed including recommended pain rating scales and guidelines for bedside nurses to contact applicable providers to obtain orders for interventions and treatment options. This policy applies to patients of all ages in a variety of clinical settings.
- Clinical Policy: Pain Management #9171.3 (loaded 11/13)
No flu for you - influenza vaccinations for health care providers
Banner established a mandatory influenza vaccination policy for health care workers. The policy was developed in response to the recommendation from the CDC to vaccinate all health care workers to protect our patients and our colleagues. All Banner employees, physicians, volunteers and students are required to receive a flu vaccination by Dec. 15. Those unable to receive the vaccination due to medical or religious reasons must apply for an exemption to meet the Dec.15 deadline. Thank you for your commitment in protecting our patients and staff.
Just Culture concept
Banner utilizes a “Just Culture” approach when addressing errors through out the system as well as in peer review processes at some of the Banner facilities. Just Culture focuses on the behavior instead of the outcomes of potential errors and recommends responses that address the behavior type including system failure, human error, at-risk behavior, and reckless behavior.
- Just culture synopsis (loaded 10/11)
Provider clinical resource access on Banner’s intranet
There is a Banner intranet web site called the Physician Portal dedicated to providers for reference and educational materials such as Up-to-Date, medical journals, access to applications. Below is the link to the tipsheet on how to access this intranet page.
- Provider accessing the computer websites tip sheet (loaded 10/11)
Clinical care and patient safety leadership structure
The Care Management department provides leadership for excellence in clinical quality and patient safety across the system with multiple system level groups that concentrate on a variety of clinical areas. All system wide clinical practices, clinical policies, and clinical protocols are approved by the Care Management Council prior to implementation across the system after multidisplinary input from across the system.
- Care management overview (loaded 10/11)