One of the things I like most about my office location in the new Jennie Sealy Hospital is that I have the opportunity to interact with our patients and employees more than ever before. I appreciate when people approach me and let me know about items that need attention or areas in which we can improve. I also enjoy the chance to hear firsthand about the good experiences people have had while receiving care at UTMB Health.
Today, for example, an employee approached me to tell me about a very positive experience their family member had while at UTMB. In fact, the experience was so positive that the patient will be switching all of their care over to UTMB. Isn’t that wonderful? I don’t know where the family member previously received their care, but it indicates to me that we are doing something right; it also proves that every interaction we have with our patients is meaningful and represents a chance to make a positive impression.
Many of us can say from personal experience that it is not lost on a patient when the care and treatment they receive is better than they have received elsewhere. It is important to remember that the impression they have of those care experiences is created by more than just the interactions they had with physicians and nurses.
Time and time again, when I hear raving reviews from patients, they describe their encounters with everyone they interacted with along the way. They remember the person by whom they were first greeted or the person who thanked them for choosing UTMB, the person with whom they spoke with on the phone, the person who gave them directions, and the person who transported them to their destination.
Often, they describe a technician who calmed their fears or someone who stayed to hold their hand during a procedure. They mention the person who delivered their meal, who cleaned their room or the person who helped them find the resources the needed. Their experience is also impacted by the teams who maintain the clinical equipment and facility infrastructure. Every single one of you makes a difference in the quality of patient care at UTMB Health.
In the months to come, you will hear a lot from me about a new initiative at UTMB we are calling “Best Care”. Some of you may wonder why I am so focused on improving the quality of our care we deliver at UTMB. After all, we receive many positive comments from our patients about their care, and our inpatient satisfaction scores have improved to the point where we are now in the top 20 among academic medical center peers. We are doing really well in terms of inpatient service and patient satisfaction.
However, the Best Care requires more than patient satisfaction, and it is more than being patient-centered. It means patients healed well and stayed well; it means they did not acquire a preventable infection or injury; it means that their care was safe, timely and effective. The Best Care means we consistently deliver care that meets these criteria, every single time and for every single patient.
Unfortunately, there are some very important areas for Best Care in which UTMB does not rank among the elite list of top 20 academic medical centers. In fact, we are solidly stuck in the middle in areas such as efficiency, mortality, readmissions, hospital-acquired conditions and patient safety events. Because we want to deliver only the very Best Care at UTMB, we will need to make significant progress in these areas over the course of the coming year. At the same time, we must also sustain our patient satisfaction scores in order to move into the top tier of academic medical centers. That is my goal. In fact, it will be my singular focus from now on.
The distance we must make up to achieve this top tier ranking is considerable, and we are working toward this at a time when all other academic medical centers are also focused on improving. Some of you who have already learned about our Best Care initiative have asked me whether or not I think we should allow ourselves more time to reach our goal. Others have told me that they do not think it is possible to achieve this much improvement in a mere fourteen months. While I know that this is an aggressive target and it will take our intense focus throughout the year to achieve this goal, I ask you, “Is it all right to deliver ‘okay’ care?”
Think about it. Imagine you have a patient sitting in front of you right now—would you feel good about telling them that they will receive “okay” care while they are in one of our UTMB Health hospitals or clinics? Or, would you rather tell the patient and family that they will receive the Best Care when they are at UTMB Health? Shouldn’t Best Care always be our goal? It certainly is mine!
Some of you may be thinking, “I can’t make an impact on Best Care, because I don’t take care of patients.” Although you may not touch a patient, we all impact the patient’s care, their experience, their overall impression of UTMB Health, and in some cases, even their safety. Whether we work in Information Services, Business Operations & Facilities, Revenue Cycle, Human Resources, Materials Management, Clinical Departments, we are part of the patient experience.
Starting today, I want everyone to commit to the Best Care: Every Patient, Every Time! Whether you work in support of patient care in in one of our five hospitals—Jennie Sealy, John Sealy, Angleton Danbury, League City or Hospital Galveston, or in one of our correctional managed care, regional maternal child health, adult or pediatric primary and specialty care clinics, commit today to delivering the Best Care!
This is a big commitment for everyone, but it is one that we must make. From today forward, this will be the focus of my meetings, the focus of my rounds, the focus of our Friday Flash reports, and the emphasis of Friday Focus Newsletter. I look forward to the progress we will make as an organization and to the role YOU will play in assuring that we deliver the Best Care to Every Patient, Every Time!
- Efficiency: Decrease length of stay and direct cost as compared to our peers
- Mortality: Eliminate all preventable deaths (i.e., early sepsis detection, clinical documentation improvement and coding, systems improvements, etc.)
- Effectiveness: Accelerate reduction in 30-day readmissions and Emergency Department throughput
- Safety: Eliminate all preventable patient safety events (i.e., postoperative sepsis; perioperative hemorrhage / hematoma; pressure ulcers; and central line-associated blood stream infections, etc.)
- Maintain performance in patient-centeredness and equity
Do right. Do your best. Treat others as you want to be treated.