2016 Employee Engagement Survey Results Overview for All Employees Hospitalist Service 2016 Employee Engagement Survey Results Overview for All Employees

APP/CCC Comment Breakdown Method Removed all positive comments from breakdown (i.e. Individual & group recognition / Why do you stay at UAB?) Categorize comments into sub-categories Review categories and sort by completed items, items to work on and items that are unable to be addressed Nursing, Leadership, and Infrastructure make up 69% of the overall breakdown

Completed Items Space: Dedicated APP workspace in UED Infrastructure/Additional Staff: Recently approved for an additional 7 APP positions- 5 Evening & 2 Nights Support Services: Implementation of Comprehensive Vascular Access Team (CVAT)

In Progress Support Services: Cindy Green working with Access Center for better outpatient scheduling CEU Opportunities: Reviewing options Nursing Relationship: Ginger & Courtney added to Quarterly Nurse Manager/Medical Director meetings Technology Needs: Order IT hardware, i.e. phones, computers

Unable to Complete Geographic Assignments for APPs Nursing Consistency Nursing Competency

Opportunities - Nursing Respect and Culture: There is an opportunity to work on how we treat each other to ensure we maintain a level of professionalism, respect and trust so we can do what is best for our patients as a team. Joint MD/RN Hospitalist Leadership meetings to ensure routine communication and collaboration Develop plan for improving relationships between the Hospitalist Service and the RNs on Hospitalist units Develop plan for routine communication with RN groups on non-Hospitalist units Clinical Skill: There is an opportunity to improve the clinical, technical, and overall competencies that nurses need to care appropriately for the patient.   Develop list from Hospitalist Service on opportunities for improvement across Hospitalist units Discuss list and develop protocols at recurring Joint MD/RN Hospitalist Leadership meetings Standard Operational Protocols: There is an opportunity to develop standard operating procedures regarding, but not limited to, MET calls, when a patient expires, and overall communication protocols. Develop list from Hospitalist Team on inconsistencies across Hospitalist units    Clarity of Roles and Responsibilities: There is an opportunity to clearly define the roles and responsibilities of the RNs, and to create better definition of the roles that the unit Medical Directors in ensuring collaborative relationships Develop list from Hospitalist Team on confusion around what nurses can/can’t do across Hospitalist units Discuss list and develop protocols at Joint MD/RN Hospitalist Leadership meetings   Workload: The lack of adequate staffing leads to dissatisfaction and the feeling of being overworked. Share nursing productivity grid to demonstrate appropriate staffing. Perhaps perceptions of understaffing are due to above-mentioned issues.

Next Steps… Present Findings at Team Hall-APP/CCC Breakout Engage APPs & CCCs to drive solutions Monthly Meeting/Newsletter Areas of Focus: Communication Professionalism Accountability Nursing Relationships