Strategic Plan & Codes
What is NCH's Mission?
Nationwide Children’s Hospital is committed to best outcomes and health equity for all children, ensuring every child has access to the best care regardless of their ability to pay
Everyone Makes a Personal Commitment to Safety “We do the right thing” by: (HINT 3 ways)
1) Name Game
2) ARCC
3) STAR
ARCC is:
Ask a question
Request a change
Concern – voice a concern
Chain of command
What do you do if you suspect abuse?
All employees are required to report suspected abuse. Our Child Abuse Team and Social Services Staff assist staff in proper reporting. Protective Services and/or the police department are contacted as needed.
As a hospital, NCH is accredited by The Joint Chiefs of Staff
FALSE: NCH is accredited by The Joint Commission (TJC)
NCH Values are:
As one team where Everyone Matters we:
1) Do the Right Thing, 2) Prioritize Quality and Safety, 3)Promote Health and Wellbeing ,4) Are Agile and Innovative, 5) Get Results
Everyone is Accountable for Clear and Complete Communication “We are One Team” by: (HINT 3 ways)
1) SBAR
2) Three way communication
3) Standardized Handoff
QVV is:
Qualify the source (do I trust this source)
Validate the content (does it make sense to me)
Verify your action (check it with an expert)
How are ethical issues addressed?
Any employee, family member, or physician can access the Ethics Committee if the issue cannot be resolved at the point of service. The Ethics Committee may be contacted at 722-5962.
If approached by a surveyor, be honest! It is ok to say "I do not know"
FALSE: If you cannot answer a question, offer to look it up or direct them to someone who can. “I don’t know” is never an acceptable answer
What is NCH's promise to all patients and families?
When your child needs a hospital, everything matters.
Everyone Supports a Questioning Attitude “We Get Results” by: (HINT 2 ways)
1) QVV
2) Stop and Resolve
STAR is:
Stop: Pause for a moment
Think: Focus on the act
Act: Perform the act
Review: Check for desired results
How are patient complaints resolved?
Each employee tries to resolve the complaint to meet the patient/family needs whenever possible. If you cannot resolve the issue, notify your supervisor. If the issue is still unresolved, contact Patient Relations or Administrator On-Call for assistance. All patient complaints that cannot be resolved the same day need to be entered into the online customer feedback reporting system.
If approached by a surveyor, stay in public areas and corridors.
TRUE: Keep to public corridors when leading surveyors, avoid stairs and do not use shortcuts
What are the 4 components of IHI methodology?
Plan, Do, Study, Act
We use the IHI Model for Improvement as our Quality Improvement methodology
1 or 2 clarifying questions. A clarifying question can be numeric (15; one-five), phonetic (alpha, beta), or simply a follow up question or two.
SBAR is:
Situation: What is the problem, patient, or project? Background: What is important to know? Assessment: What is your evaluation? Recommendation: What action needs to take place?
Nationwide Children’s policy states Name and Medical Record Number are the ONLY acceptable patient identifiers
FALSE: Patient care comes first. Politely ask surveyors to wait and do a handoff for your patients prior to meeting with surveyors.
Name the alert codes:
CODE RED: Fire in the hospital, CODE BLUE: Respiratory and/or cardiac arrest, CODE ADAM: Missing patient or abduction, CODE BLACK: Bomb/bomb threat, CODE YELLOW: Disaster, CODE GREY: Severe weather alert for Franklin County, CODE VIOLET: Unmanageable/combative patient, visitor, or staff member that is perceived as a threat to safety, CODE SILVER: Person with a weapon or hostage situation.
What are the four categories in a serious safety event:
A serious safety event is further categorized into a severe temporary, moderate permanent, severe permanent category, or death
5Ps:
Patient/Project
Problems Pertinent
Past History
Plan/Procedure
Precautions/Potential Pitfalls
What is the Guest Code and how is it used?
The guest code is a way to identify visitors that have been granted visitation privileges. The parent/legal guardian selects a code word at time of admission and communicates it to desired visitors. No visitor is allowed on inpatient units or outpatient surgery units without providing the guest code to the information services desk.
Helpful Tips for Survey Success can be found on the QIS department Anchor Accreditation page
TRUE