Professional Documents
Culture Documents
Improvement Project
1
Overview of Patient Care Delivery System
Banner Hospital
CardiacICU Department
Focus: How Banner health professionals communicate
and collaborate together to deliver safe patient care
2
Microsystem Model:
Leadership
The art of communication is the language of
leadership.
Democratic leadership
Distributive power
RN holds most of autonomy in decision making
Marquis, B.L., & Huston, C.J. (2015b). Leadership roles and management functions in nursing theory and application (8th
ed., pp. 40-41). Philadelphia, PA:Wolters Kluwer health/ Lippincott Williams & Wilkins.
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Microsystem Model:
Organizational Culture and Support
6
Microsystem Model:
Use of Information and Healthcare Technology
Patients have access to standard information that is
available to all patients- weve started to think about how to
improve the information they are given to better meet their
needs
Technology facilitates a smooth linkage between
information and patient care by providing timely, effective
access to a rich information environment-the information
environment has been designed to support the work of the
clinical unit.
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
Marquis, B.L., & Huston, C.J. (2015d). Leadership roles and management functions in nursing theory and application (8th ed., pp. 452-456). Philadelphia, PA: Wolters
Kluwer health/ Lippincott Williams & Wilkins.
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Microsystem Model:
Process for Healthcare Delivery Improvement
Outcome Audits: outcomes reflect the end result of care
or how the patients health status changed as a result of
an intervention.
There are ample resources to support continual
improvement work. Studying, measuring and improving
care in a scientific way are essential parts of our daily
work
Banner has organizational-wide quality improvement
committees which nurses are encouraged to be a part of
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
Marquis, B.L., & Huston, C.J. (2015). Leadership roles and management functions in nursing theory and application (8th ed., pp. 524). Philadelphia, PA:
Wolters Kluwer health/Lippincott Williams & Wilkins.
8
Microsystem Model:
Staff Performance Patterns
Outcomes (clinical, satisfaction, financial, technical,
safety) are routinely measured, we feed data back to
staff, and we make changes based on data.
Banner has created evidence based protocols and care
bundle checklists to increase quality control
Nursing staff has a culture of teamwork, however, this
does not always carry through with interprofessional
relationships
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
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Specific Aspect Targeted for Improvement
Institute for Healthcare Improvement.(2015a). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
Institute for Healthcare Improvement. (2015b). How-to Guide: Multidisciplinary rounds. Retrieved from
IHIHowtoGuideMultidisciplinaryRounds.pdf
Marquis, B.L., & Huston, C.J. (2015). Leadership roles and management functions in nursing theory and
application (8th ed., pp. 8, pp. 40-41, p. 120, p. 446, pp. 452-456, p. 524). Philadelphia, PA: Wolters Kluwer
Nancarrow, S. A., Booth, A., Ariss, S., Smith, T., Enderby, P., & Roots, A. (2013). Ten principles of good
interdisciplinary team work. Human Resources for Health, 11, 19. doi: 10.1186/1478-491-11-9
References
Zweig, M. (2015). Hear from Banner Health leaders on achieving system-wide clinical standardization.
Retrieved from
https://www.advisory.com/research/physician-executive-council/prescription-for-change/2015/02/bann
er-videos.
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