Visiting Hackensack University Medical Center

1
Visiting Hackensack University Medical Center

• Learning to Trust Healthcare Again

2
Hackensack University Medical Center Visit (cont.)

• Evidence of Success
• Doubled hospital in 10 years
• Magnet award hospital three times
• Pursuing Perfection Award hospital
• Various other awards
• Purchasers REQUIRE payers to include in panel

3
Hackensack University Medical Center Visit (cont.)

• What Do They Do Right?
• CEO made a decision that quality sells
• Product was patient care
• Invest in workforce
• Every staff person is valued
• Management has an open door policy
• Culture does not support any behavior that does
  not lead to collegiality

4
Hackensack University Medical Center Visit (cont.)

• What Do They Do Right?
• Never Use Nurse Floaters/Agencies
• Employ a complete cost accounting system
  transparent to all employees
• Physical plant like a 5 Star Hotel
• Sophisticated system of monitoring patient care
  and applying evidence based practices
• Well designed, participatory organizational
  structure involving councils

5
Hackensack University Medical Center Visit (cont.)

• How Can Addiction Treatment Learn From Their
  Example
• Changing Behaviors Requires a Multi-modal/Multi-di
  mensional Approach
• Visionary Leadership (lead and then get out of
  the way)
• Quality sells
• Dignity and Respect/Meaning to Work/Recognize
  Meaning

6
Hackensack University Medical Center Visit (cont.)

• How Can Addiction Treatment Learn From Their
  Example
• Ensure consistent communication
• Develop process by which knowledge is effectively
  transferred to practice
• Accept and manage consistent change
• Staff development essential

7
Hackensack University Medical Center Visit (cont.)

• How Can Addiction Treatment Learn From Their
  Example
• Keep salaries competitive
• Leadership sets the example
• Keep organization transparent
• Monitor quality
• Monitor costs
• Market success

8
Hackensack University Medical Center Visit (cont.)

• How Can Addiction Treatment Learn From Their
  Example
• Model for Effective Evidence Based Practice
  Transfer
• Three tier practice team
• Administrator (nurse manager)
• State-of-the-Art Practitioner (advanced practice
  nurse)
• Education Specialist (Education nurse)
• Multi-discipline team
• Conducted by lead counselor (nurse)

9
Hackensack University Medical Center Visit (cont.)

• How Can Addiction Treatment Learn from Their
  Example
• Model for Effective Evidence Based Practice
• Standardize treatment process
• Collect information to monitor performance
• Participate all staff in evaluating information
• Design pilots to improve performance
• Audit/Feedback/Change