1. VPSO Sponsored Webinar The Situation Room: Daily Leadership Huddle
Rebecca Hill, MA, MHA, CPPS
September 26, 2017

2. Housekeeping Slides were sent this morning Webinar is being recorded
Please use the “telephone” option
Audio pin prompt
All participants are muted
Raise your hand
Ask a question
Warm up
I would just like to review some general house keeping items before we get started… just in case you are new to this webinar platform.
Slides were sent out this morning to those that were registered. If you registered late, you can also access the handouts in the handouts section of the go to webinar platform.
This webinar is being recorded so it can be shared with others who are unable to attend live.
We do ask that you please dial in using the telephone option if you are able. You will be prompted to enter your audio pin, and this will allow us to have a discussion at the conclusion of the webinar.
At this time, all participants are muted, and all panelists are unmuted.
If you do have a question, we ask that you hold that question until the end of the webinar. BUT you may do so in 2 different ways:
1, you may raise your hand by using the palm with the arrow on it in the Go to Webinar platform. Hopefully you can locate that now and I ask that you practice using that so we can be sure you can ask your questions later. It is located on the left hand side of the grab tab. Please do this if you are dialed in with the telephone only.
2, If you dialed in using your computer’s audio or the telephone, you may ask a questions by accessing the “questions” platform which is also located on the tab menu..
We anticipate some good discussions on this topic and I want to leave as much time as possible to ensure you can ask your questions to Tom.

3. The Situation Room: Daily Leadership Huddle Rebecca Hill, MA, MHA, CPPS

4. 7600 FTEs
700 residents and fellows
900 full time faculty
900 volunteers
Nationally recognized cancer and heart centers and primary and specialty clinics throughout Central Virginia.
Academic Medical Center, Level 1 Trauma Center, located in Charlottesville, VA
600 licensed beds
24,000 inpatient admissions
63,000 ED admissions
920,000 outpatient visits
25,000 main OR cases

5. Be Safe The UVA Health System will be the safest place
for patients to receive care:
•Deliver care with no harm
•Ensure that patients are healthier than when they arrived
The UVA Health System will be the safest place for team members to work:
•Physically – work in injury-free environment
•Emotionally – express concerns with confidence
•Professionally – supported to do what you do best everyday

6. What happened yesterday, and what did we learn?
Mortality
Falls with Injury
Team Member Injury
CLABSI
CAUTI
Pressure Ulcers
“7am, starting next Monday…”

7. Prior to 7am:
Unit review
Help Chain review
Report out:
What was learned?
What needs to be addressed?

8. Round 1
Learnings:
Problematic Timing
Led to…
10 am

9. Round 2 Learnings: Common Themes
Acknowledgment that improvement work cannot be done in the absence of stability
Led to…
Introduction of Stability Check: MESS
Methods (what is interrupting our ability to follow our methods?)
Equipment (do we have the equipment needed?)
Supplies (do we have the supplies needed?)
Staffing (do we have the staffing needed?)
Situational Awareness

10. Round 3 Learnings: Leaders need to go to where the work is done
Led to…
Gemba walks to hear about events where they occurred
Leaders met, got list of event locations, went to sites, returned to share learning and observations

11. Many learnings, tweaks, ideas, attempts, and a few fainting spells…
Rounds 4, 5, 6, 7…present
Many learnings, tweaks, ideas, attempts, and a few fainting spells…

12. Current State: Room to Breathe

13. Current State Stability Check Yesterday’s Events Follow-ups
Monday-Friday: 10-11
10-10:30:
Stability Check
Yesterday’s Events
Follow-ups
10:30-11
Gemba walks

14. Current State: Stability Check

15. Current State: Yesterday’s Events

16. Current State: Gemba Walks

17. Senior Leader Engagement
Executive Vice President of Health Affairs
CEO
Chief Operations Officer
Chief Quality Officer
Chief Nursing Officer
Chief Medical Officer
Chief Anc. Care Services
Chief Technology Officer
Chief Environment of Care
Chief Pt Experience Officer
Service Line Medical Director and/or Administrator:
Heart & Vascular
Oncology
Transplant
Women’s & Children’s
Neurosciences & Behavioral Health
Musculoskeletal
Digestive Health
Surgical Services & Ophthalmology
Primary Care
Medical Subspecialties
Peri-operative Services
Pathology & Medical Labs
Pharmacy
Therapies
Radiology
Patient Progression

18. Rebecca Hill RN2D@hscmail.mcc.virginia.edu