Posted 3 months ago
By Kevin Horn
The Box Butte General Hospital (BBGH) Board of Trustees listened to several interesting presentations during the regular board meeting Monday evening, April 28, ranging from a report on a recent Health Professions Club (HPC) field trip to Lincoln to a new Team Strategy and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) Online Occurrence Reporting tool developed using TeamSTEPPS language and protocol.
Representing the 14 HPC members who went on the trip to Lincoln March 26-27 were Madison Reiber, Maggie Otto and Morgan Johnston. The young women took turns describing the various activities held during the two day trip, via PowerPoint presentations. Ms. Reiber and Ms. Otto described a tour of Husker Memorial Stadium, led by UNL Athletic Department Senior Writer and Director of Creative Services Randy York, a 1967 graduate of AHS. Ms. Johnston spoke about the main educational event at Bryan College of Health Sciences’ Discovery Day, where students gained hands on experience in health care professions ranging from cardiovascular ultrasounds on a volunteer’s heart to Biomedical Electronics’ role in laparoscopy surgeries. All three chimed in on the HPC visit to the Nebraska Heart Institute Hospital, where the members were provided the opportunity to briefly view a surgical stent procedure and an open heart surgery on actual patients. All three expressed their appreciation to the Trustees and hospital staff for covering the costs of the trip, saying it was very interesting and educational. They also mentioned their future plans in health care careers.
The Trustees heard Special Services Associate Summer Gonzalez present the results of a project she took on as part of her TeamSTEPPS Master Trainer preparation. Her project, the implementation of a new TeamSTEPPS Online Occurrence Reporting tool replacing the old hardcopy reporting system, went live in March and has already significantly improved the quality and number of incident reports. The system uses TeamSTEPPS language and protocols, with intuitive tools seamlessly leading the individual through the reporting process. It also has backend tools for responsible managers and administration staff that allows tracking, comments, Just Culture implementation and data gathering for trends. “This is exactly what we’ve been wanting,” commented Chief Quality Officer Mary Mockerman.
As part of the TeamSTEPPS presentation, the board was asked to sign a resolution proclaiming May as TeamSTEPPS month. Present for the signing of the proclamation were TeamSTEPPS Master Trainers Dede DeVeny, Ms. Mockerman, Brooke Shelmadine and Ms. Gonzalez (see photo).
The board also conducted the following business.
The Trustees recognized Environmental Services team member Mary Ann Hartgrave for being named the April Employee of the Month. Also recognized was Brittney Bauer, PA-C, for being named the 2014 1st Quarter Provider of Choice. Sue Martin, APRN-C, CWOCN, was congratulated on obtaining her Wound Care, Ostomy & Continence National Certification. Sara Hicks was also congratulated for recently obtaining her Activity Director Certification. The board was also introduced to new employee, Amber Schulze, RN, working in the Emergency Department and ICU.
Ms. Mockerman presented the monthly Quality Management and Safety report. She said the monthly Safety Matters report focused on an incident at a reporting Nebraska hospital involving a patient’s son picking up medication from a local pharmacy. The pharmacy, not having an adequate supply of medication to fill the complete prescription, presented an “IOU” for the prescribed medicine for later pickup. Due to communication errors, the patient did not receive the full five days worth of medication as prescribed, resulting in readmission to the local hospital. Ms. Mockerman also provided a chart of Online Occurrences Reporting from March 31 through April 24, with reporting ranging from medication occurrences to patient care.
Chief Nursing Officer Jane McConkey and Ms. Mockerman presented the Strategic Initiative – Promote Positive Outcomes Through Application of Best Practices. Categories discussed included past and future initiatives and tasks to introduce the Just Culture philosophy to BBGH staff. For background, as described by Health Leaders Media: “A Just Culture recognizes that individual practitioners should not be held accountable for system failings over which they have no control. A just culture also recognizes that many individual or active errors represent predictable interactions between human operators and the system in which they work. However, in contrast to a culture that touts no blame as its governing principle, a just culture does not tolerate conscious disregard of clear risks to patients or gross misconduct.” The presentation introduced the board to a number of tasks the Strategic Initiative has identified to accomplish the goals set forth in the initiative.
The Trustees then heard from Box Butte Health Foundation (BBHF) Director Brooke Shelmadine, who was present to seek the Trustees’ approval for appointing the following individuals to the BBHF Board of Directors. Appointment for a term ending January 31, 2015: John and Jane McGhehey, Chas and Ellen Lierk, Dave and Cindy Sautter. Appointment for a term ending January 31, 2016: David and Gina Briggs, Callan and Gina Ackerman, Rich and Aimee Otto. Appointment for a term ending January 31, 2017: Kristi Ellstrom. The Trustees unanimously approved appointing the individuals as the Foundation’s new board.
CEO Dan Griess updated the board on the new addition/renovation project, stating the wet, cold weather has resulted in cement work being behind schedule, with cement subcontractor Paul Reed Construction working diligently to meet construction timeline goals. The north wall of the basement has been poured and work on steel installation is scheduled to begin on May 12. He added input from the State Fire Marshall Office on construction plans is the only entity still being waited on for comments.
After approving all credentialing requests, the board set the next meeting date for Tuesday, May 27, at 7:00 pm due to the Memorial Day holiday. The meeting will be held in the BBGH Alliance Room. As always, the public is invited to attend. The meeting was adjourned at 8:50pm.