 The content of this presentation represents the views of the author and presenters. GE, the GE Monogram, Centricity and Imagination at Work are trademarks of General Electric Company.

 Orthopaedic Practice founded in 1962  12 locations throughout Northeast Indiana  26 Physicians  6 Anesthesiologists  25 Mid-Levels  Part ownership of an orthopaedic hospital and a surgery center.

 3 Pillars of Success › Technical Skills › Work Ethic › CITIZENSHIP  Incorporate citizenship as focus of your culture

 Counsel up or counsel out  No means “not yet”  Magic Wand  Parking lot  Help staff “do the right thing”

Diagnosis Examination Treatment

 Identify areas in your organization where quality and performance improvements can be made

Our Growth Through Change

 Encourage staff input and ownership  Include staff when laying the groundwork  Allow resources for implementation  Recognize both good and bad

Own Your Ideas

 Optimize patient care  Increase staff productivity  Eliminate time wasters  Increase morale  Improve office efficiency  Reduce overhead

 Establish goals  Wave the magic wand  Be realistic  See the big picture  Keep the end in sight  Obtain baseline measurements

 Learn how to use collaborative thinking and analyze your data to establish goals for your organization.

 Examine current workflows  Notice your obstacles  Brainstorm with key contributors  Establish goals  Start simple

 Help staff understand the “why”  Gain staff trust  Recruit staff cheerleaders  Request feedback – positive/negative  Engage staff to propose alternatives

 Recognize potential stumbling blocks  Recognize your enemies  Be in tune to negativity  Have your own cheerleader

 Learn how to make implementation go as seamless as possible for physicians, staff and managers.

 Choose Physician Champions  Prep staff with possible outcomes  Ensure management stays involved in “go live”  Know your limitations

 Analyze your trial  Discuss outcomes with staff  Retrial with more automated features  Continue to tweak the process  Expand the trial until it becomes part of your culture  Measure outcome

 Dummy proof workflows  Make it easy for staff to succeed and hard for them to fail  Create decision trees for staff  Use EMR to your advantage  Use electronic cheat sheets

 Change isn’t always painful  Culture is important  Set expectations of flexibility when hiring new staff

Melissa Renninger, Radiology Supervisor Krista Bennett, Clinical Supervisor