Nurse directors quantified reasons for variances. Unit huddles were conducted three times a day for 10 minutes to review which patients were going home and which could go home if barriers were overcome, such as nursing home transfer or organizing rides home.
Here are the results achieved during a two-year period starting in July 2008:
Proper Staff Support and System
The opportunity analysis set up targets and time frames relating to performance gaps in current processes. The seven-person Operations Support (OS) Department provided consulting, behavior audit, support, and coaching. Execution controls were established to allow managers to monitor and prioritize assignments for both clinical and non-clinical managers. Daily operational supports gave a balanced set of key performance indicators, comparing actual to planned performance.