SUCCESSFUL ROUNDING IMPLEMENTATION

Agenda

1. Establish the Why2. Gain Executive Buy-in3. Build the Right Project Team4. Craft the Right Rounds5. Roll Out to Organization Plan

Presenters

Steve BachtelCCO

Katie AnthonyMarketing Coordinator (Host)

Kristin SalvatoraCustomer Experience Manager

Cassie von MindenCustomer Experience Lead

SUCCESSFUL ROUNDING IMPLEMENTATION = CULTURE SHIFT

1.Establish the Why

Establish the Why

Not everyone’s Why is the same• We need to increase ROI• We need to compete on HCAHPS• We need to fix culture• We need to improve patient care• We need to decrease HAIs• We need to increase patient volume• We want to get an accreditation or award

No Why?

• Lack of engagement• Confusion• False starts• Disorganization• Lack of accountability

2.Gain Executive Buy-in

Gain Executive Buy-in

• Goal: Champion, push initiative out to organization

• Expected. Required. Mandatory.• How to we help a reluctant

executive sponsor? • Give them a script• Give them the tools they need

26%

Expected

69%

Required

98%

Mandatory

3.Build the RightProject Team

Build the Right Project Team

Elements of the right team•Engaged•Tied to outcome•Good leader

•Good communicator

•Good listener

•Track record of success•Enthusiastic•Social skills•Powerful• Influential

4.Craft the Right Rounds

Craft the Right Rounds

Refer to our recent guides: • Rounding Implementation Kit

(with sample templates)• How to Build an Effective Round• Nurse Leader Rounding Best Practices

Guide & Infographic

• myrounding.com/resource-library

I heard you say that you’re being kept up at night due to squeaky cart wheels in the hall. Did I get that right?

1.

3.

5.

7.

2.

4.

6.

NURSE LEADER PATIENT ROUNDING

THIS IS HOW WE DO IT“Coach In,” Prep

Acknowledge

Introduction, Duration

Thank

Explain

“Coach Out”

• Make eye contact• Introduce self using first and last name and title• Ask permission to sit down and take ten minutes

to ask questions

• Ask if there’s anything needed before leaving• Thank the patient and family for their time• Demonstrate hand hygiene when leaving

• Knock, wait for response• Demonstrate hand hygiene • Greet patient and family by name

• Explain the purpose of your round• Demonstrate confidence, empathy, and humility• Check room, make sure everything is within reach• Explain white board, date, staff, plan of care, discharge date• Manage up! Your team is the best!

• Identify patients to round on• Consult with primary nurse• Determine patient’s issues,

diagnosis, plan of care

• Finalize/log round• Follow up with primary nurse• Report any important feedback

or issues

Capture, Confirm• Confirm what you’ve heard• Show understanding• Document recognition, track issues

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Did you answer “yes” to any of these filter questions? If so, reevaluate your round question!

BUILDING AN EFFECTIVE ROUNDING TEMPLATE

QUESTIONS ARE KEY

HOW MANY QUESTIONS?

NO MORE THAN 5Limit your round to No More Than 5

questions (plus observations).

WHY?

6+ QUESTIONS:

Adds Time

Adds Complexity

Reduces Adoption

Burdens Roundee

5 QUESTIONS:

Increases Adoption

Simplifies Results

Leaves Space

For Conversation

WHICH QUESTIONS?

REMEMBER! 2–2–1

2 ROUNDEE LEVEL QUESTIONS

2 DEPARTMENT LEVEL QUESTIONS

1 ORGANIZATION LEVEL QUESTION

Tip: Swap out a question

once a goal is achieved

APPROPRIATE QUESTIONS?

MYROUNDING QUESTION FILTERGOOD ROUNDING STARTS WITH ASKING THE RIGHT QUESTIONS

OBSERVABLE? Can we answer the question without asking the roundee?

QUALIF IED? Is the question too technical? Is it unreasonable for the roundee to answer?

TATTLE? Are we asking the roundee to manage the team?

KNOW? Will the roundee feel foolish if they don’t know the answer?

GOAL? Is this question outside of our current goal scope?

APPROPRIATE

ROUNDING

QUESTION

5.Roll Out to Organization Plan

Roll Out to Organization Plan

Front line buy-in• What’s in it for me?• Lead with recognition • Goals

Training & on-going coaching• Project team & front line• Integrate into recurring meetings

ISSUES RECOGNITION DEPARTMENT PERFORMANCE

ROUNDING VOLUME

Recap

1. Establish the Why2. Gain Executive Buy-in3. Build the Right Project Team4. Craft the Right Rounds5. Roll Out to Organization Plan

Thank you.

• Additional questions? Email us at info@myrounding.com• Want to watch the recording? Find it after the presentation at:

myrounding.com/blog