May 2020

Medical Staff COVID-19 Survey

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Please read the preamble for each area, then answer the few short questions below it. 

 

QUALITY-FORWARD: Exceptional Quality, Safety & Value

Goal: We deliver quality care that matters to the people we serve.

To adjust our strategic plan and determine what we want to focus on in year 2, PHC staff were asked “What are we doing differently now (as a result of COVID-19) that we want to continue doing?” & “What are opportunities that have not yet been implemented that you would like to see implemented?” Responses are below.

Ideas, so far. Let’s continue:

  1. Physical Distancing to maintain health and safety of staff, patients and visitors
  2. Additional education on proper PPE usage
  3. Strong hand hygiene practices (screening increased hand sanitizer stations)
  4. Cleaning and decluttering units
  5. Increased focus on Serious Illness and Goals of Care Conversations (We Can Quickly Implement Improvements to Patient   Care)
  6. More virtual care
  7. Reducing length of stay through improved collaboration
  8. Flexible access to CST Cerner raw data to support urgent PHC analytics or reporting request (CST & Quick Access to Data Improves Care)

Opportunity:

  • Design the new SPH to support better infection control and other operational changes arising from the pandemic. (The New St. Paul’s is Needed More Than Ever)

Responses received so far: 

What other ideas do you have?

  • Consider processes that were stopped during COVID that had no impact on quality of care.

What are your questions?

  • Which parts of ‘work’ can we stop doing even after COVID because these add no value to patient care?

PEOPLE-FORWARD: Inspiring People & Teams

Goal: We attract the best people and support them to flourish.

To adjust our strategic plan and determine what we want to focus on in year 2, PHC staff were asked “What are we doing differently now (as a result of COVID-19) that we want to continue doing?” & “What are opportunities that have not yet been implemented that you would like to see implemented?” Responses are below.

Ideas so far. Let’s continue:

  1. Offering staff wellness supports (Our Focus on Wellness & Supporting Our People is Making a Difference)
  2. Offering flexible work hours and scheduling for staff through remote access to balance childcare, personal, and work demands (Our People Appreciate the Enhanced Flexibility, Especially During Such a Challenging Time)
  3. Redeployment of Talented People Who Can Fill Gaps and Step Into Expanded Roles as Needed
  4. Strong Relationships Between Clinical Staff, Physicians and Corporate Staff

Responses received so far:

What ideas resonate with you the most?

  • Strong Relationships Among Clinical Staff, Physicians and Corporate Staff–ie better teamwork

What other ideas do you have?

  • Concrete teamwork training to enhance collaborations and work efficiency/effectiveness (e.g. TEAMSTEPPS) It is important to note that the major cause of distress in health care professionals is not a lack of individual wellness interventions–it is systemic organizational issues. Focus on those and not just individual wellness interventions.

What are your questions?

  • Do we measure teamwork in an explicit way? If not, I suggest that we do and act on the findings as indicated (There are validated surveys to measure teamwork, which can be administered to samples of the staff)

LEARNING-FORWARD: Discover, Learn & Innovate for Impact

Goal: We create a culture where every person can learn, grow, imagine, and bring forward new ideas.

To adjust our strategic plan and determine what we want to focus on in year 2, PHC staff were asked “What are we doing differently now (as a result of COVID-19) that we want to continue doing?” & “What are opportunities that have not yet been implemented that you would like to see implemented?” Responses are below.

Ideas so far. Let’s continue:

  1. Adapting learning events/training/education/standing events to virtual sessions, where appropriate.
  2. Rapidly pivoting in times of urgent need and improve capacity and scope for collaborative ventures and research.

Responses received so far:

What ideas resonate with you the most?

  • Rapidly pivoting in times of urgent need and improve capacity and scope for collaborative ventures and research.

What other ideas do you have?

  • There is a body of knowledge out there about ‘learning from catastrophes’ and how to plan for the next one (there will be a next one) so that we are not caught by surprise.

What are your questions?

  • Can we develop organization-wide educational opportunities about preparing for disasters?

 

PARTNERSHIPS-FORWARD: Partnerships

Goal: We embrace partnerships, digital health and technology to offer seamless care.

To adjust our strategic plan and determine what we want to focus on in year 2, PHC staff were asked “What are we doing differently now (as a result of COVID-19) that we want to continue doing?” & “What are opportunities that have not yet been implemented that you would like to see implemented?” Responses are below.

Ideas so far. Let’s continue:

  1. Expanding use of virtual health technology, where appropriate, for patient care supports and programming (Partnering with Experts in Digital & Virtual Platforms Enable Care & Connection)
  2. Improving collaboration between PHC departments and with regional and community partners (e.g. Health Authorities, FNHA, Universities etc.) (Collaborating Across Programs and With Provincial, Regional and Community Partners Improves Transitions in Care)

Responses received so far:

What ideas resonate with you the most?

  • Both ideas so far are excellent. No need to work in isolation.

What other ideas do you have?

  • Include as collaborators scientists from other centers/universities who can facilitate use of digital technologies (e.g. WelTel).

What are your questions?

  • What is the process for keeping our eyes on potential new partners, other than the ones listed?

ORGANIZATION WIDE THEMES

To adjust our strategic plan and determine what we want to focus on in year 2, PHC staff were asked “What are we doing differently now (as a result of COVID-19) that we want to continue doing?” & “What are opportunities that have not yet been implemented that you would like to see implemented?” Responses are below.

Ideas so far. Let’s continue:

  1. A robust, reliable, user friendly COVID-19 website (Keep Communicating Clearly, Quickly and Often)
  2. Interactive Townhalls with senior leadership presence
  3. High degree of collaboration and genuine, laser focus on the problem solving (Keep the Rapid-Decision Making as we Move Forward)
  4. Addressing clients’/patients’ needs through purposeful team meetings to plan, prioritize, and act. (Focus on a Common Goal, and Mobilize Resources to Support It)

Responses received so far:

What ideas resonate with you the most?

  • Addressing clients’/patients’ needs through purposeful team meetings to plan, prioritize, and act. (Focus on a Common Goal, and Mobilize Resources to Support It).

What other ideas do you have?

  • Learn from other sources/sites about how to have effective and efficient team meetings (including virtual), decision-making processes, and action plans with accountability.
What are your questions?
  • Are there regular ‘walk-arounds’ by hospital leaders to meet ‘front-line’ staff and learn about what is going well, and what can be improved? If not, I suggest that this process be built in to daily work for these leaders .