2.  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.

4.  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.

5.  3 Pillars of Success › Technical Skills › Work Ethic › CITIZENSHIP  Incorporate citizenship as focus of your culture

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

7. Diagnosis Examination Treatment

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

9. Our Growth Through Change

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

11. Own Your Ideas

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

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

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

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

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

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

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

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

23.  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

24.  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

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

28. Melissa Renninger, Radiology Supervisor mrenninger@orthone.com Krista Bennett, Clinical Supervisor kbennett@orthone.com