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Thursday, July 24, 2014

BVRMC - Working on a National Stage for the Safety of Patients

Tuesday, March 10, 2009

People often make the mistake of believing that 'bigger is better' or that something or someone in their community couldn't possibly bring them the type of expertise as someone from 100 miles away. Even though statistics will show those beliefs are flawed, it often continues to permeate the mindset regarding many professions, including healthcare.

So it comes as a surprise to many that the caregivers at Buena Vista Regional Medical Center are bringing some of the latest and most innovative, professional information and care to the patients in the region, other healthcare professionals through the state of Iowa, across the country and several international locations.

Buena Vista Regional Medical Center serves as a mentor hospital for the Institute for Healthcare Improvement (IHI) related to the prevention of adverse drug events through medication reconciliation. This effort focuses on the process of ensuring that patients' medication records are accurate when they are admitted, transferred, and discharged. The results of BVRMC's actions were highlighted in the IHI Annual Report. The IHI works to accelerate improvement by building the will for change, cultivating promising concepts for improving patient care, and helping health care systems put those ideas into actions.

The efforts and advancement of safety initiatives have not gone unnoticed at the state and national level and recently resulted in a prestigious honor.

Transforming Care at the Bedside (TCAB), is a national program of the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI). They agreed to work together to create, test, and implement changes that will dramatically improve care on medical/surgical units, and improve staff satisfaction as well. TCAB engages front line staff and managers to develop innovations and patient care models on med surg units to improve outcomes for patients and staff alike.

The TCAB effort created a framework for change on medical/surgical units built around improvements in four main categories:

* Safe and Reliable Care

* Vitality and Teamwork

* Patient-Centered Care

* Value-Added Care Processes

These categories form an integrated framework, designed to create positive change in patient care.

"Improved processes that help to keep nurses and caregivers at the bedside doing the important work of keeping patients safe and outcomes positive, has always been the focus of decisions regarding the care of patients. Eliminating wasteful actions and things that do not contribute to positive patient outcomes is another result of the process." notes Michele Kelly, Director of Quality at BVRMC.

Ms. Kelly's work on behalf of patient safety has created the opportunity to assist other healthcare facilities in their attempts to achieve success similar to that experienced by BVRMC. Kelly is continually contacted by providers from all over the United States, Canada, Saudi Arabia, and Australia by email on a weekly basis, seeking advice and information.

Buena Vista Regional Medical Center is one of only 20 hospitals across the country invited to participate in the IHI/RWJH initiative. Dawn Bach, Chief Clinical Officer at BVRMC and a member of the national board of the American Organization of Nurse Executives (AONE) commented, "It is a prestigious honor to be invited to participate in this potentially transforming effort with national implications."

Barb Jorgensen, Nurse Manager of the Medical/Surgical inpatient unit at BVRMC noted that many of the initiatives being undertaken as new by several of the other participating hospitals are practices that have been in place at BVRMC for some time. "We knew we were invited to participate on the merits of our track record and history of success. Hearing others who are just beginning the journey that we started some time ago, confirms our belief that as an organization, we continue to successfully lead the way in bringing quality and safety improvements to our patients."

Buena Vista Regional Medical Center is leading the way in positively impacting the care of patients; making it the best place for patients to receive care, the best place for physicians to practice and the best place for employees to work.



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