1. Resident Survey Results

2. Case Management Standardization of SW rounds
Some residents are unclear of how much information they need
SW/Nurse CM role clarification
OPAT process outline
Better communication between ED SW and floor SW
Not always having full team present at SW rounds
Multidisciplinary rounds with PT, OT, etc
Dedicated cell phone for SW
Improved weekend coverage

3. Educational conferences
Enforce attendings taking pagers during morning report
Residents forwarding personal pages to attendings
Potential time change for morning reports
Suggested times – 8:30 to 9:30, 1-2, 3-4
All of the above times have potential benefits, as well as potential drawbacks
More faculty participation at morning report
In particular, the residents liked hearing thought processes of working through a problem or a differential

4. Ward structure
Many residents felt like Morning Report broke up the morning
(See previous slide)
Pagers
Expectation for how pagers are answered during rounds
Concerns over missing presentations
Overlap for OCD

5. Ward redesign ideas Competing ideas
Some residents felt that they wanted to admit more of their own patients
Some felt that we were getting too many patients at one time
Some felt that there were no/less easy/noncall days
True drip system was proposed with day call team providing triage
MICU drip system
Incorporation of FM teams into our call schedule
Additional teams/2 intern teams/more subIs
UNM night float as intern
Night accept to cap at number of new admits

6. Teaching on rounds
Less call days to provide more time for teaching on rounds
Scheduling teaching

7. Documentation Enforcement of interim summary policy for MICU transfers
DC paperwork population of basic information
IT vs MAs/other
Inefficiency of dynamic documentation

8. MA responsibilities Faxing discharge summaries to outside PCPs
Getting records from outside facilities
Starting DC instructions
Getting outside PCP appts for followups
Nursing phone number lists in the workroom
Could round on teams

9. Misc Text paging to better triage pages during rounds
Nurse numbers for patient list into workroom
Electronic version
Two intern teams
Paged to nurses phone instead of HUC station
Difficulties with talking to ED nurses
Inability to call Vocera