Premium Essay

Performance Improvement

In: Science

Submitted By irongut99
Words 929
Pages 4
Performance Improvement: Joint Care Center
Matthew Arless
State University of New York Plattsburgh

Blood loss in a total joint replacement surgery may subject the patient to allogeneic blood transfusion. This places a patient at risk for the potential of transfusion reactions, graft-versus-host disease, hyperkalemia, fluid overload, and infections.( Qintong 2014) Not to mention the fact that most patient’s satisfaction or even more significant avoidance of the surgery increases with the fear of receiving an allergenic blood transfusion. This in all sense and purposes is an organ transplant. Cost of an allogeneic blood transfusion and having a sufficient blood supply are also a factor. Reduction of blood transfusions post operatively is an area that presents an opportunity for improvement here at the Joint Care Center Champlain Valley Physician Hospital.

The procedure that was traditionally implemented by most of the orthopedic surgeons at Champlain Valley Physician Hospital to reduce blood loss was with the use of a tourniquet during surgery to slow the loss of blood and the implementation of an auto transfusion device. This auto transfusion device would collect blood draining from the surgical site into a device that the nurses would then have to attach a
PALL filter to for re-infusion back into the patient. This procedure would be treated under the transfusion protocol, using up valuable nursing time and with the added expense of the devices and restriction of the patients mobility due to this device.

The latest literature on blood conservation for patients under going a total joint arthroplasty was pointing all providers towards the use of tranexamic acid (TXA). TXA is a synthetic derivative of lysine that exerts its antifibrinolytic effect through the reversible blockade of lysine-binding sites on plasminogen molecules. TXA is inexpensive and widely

Similar Documents

Premium Essay

Performance Improvement Plan

...Performance Improvement Plan (PIP) Confidential TO: (insert employee’s name) FROM: (insert manager’s name) DATE: (insert date) RE: Performance Improvement Plan (PIP) The purpose of this Performance Improvement Plan (PIP) is to define serious areas of concern, gaps in your work performance, reiterate Composite Maison Inc. expectations, and allow you the opportunity to demonstrate improvement and commitment. Areas of Concern: Observations, Previous Discussions or Counseling: Step 1: Improvement Goals: These are the goals related to areas of concern to be improved and addressed: |1. | | |2. | | |3. | | . Step 2: Activity Goals: Listed below are activities that will help you reach each goal: |Goal # |Activity |How to Accomplish |Start Date |Projected | | | | | |Completion Date | | | ...

Words: 515 - Pages: 3

Premium Essay

Nursing Performance Improvement

...SEMO REGIONAL HOME CARE, LLC Performance Improvement Plan (PIP) Confidential The purpose of this Performance Improvement Plan (PIP) is to define serious areas of concern, gaps in work performance, reiterate SEMO REGIONAL HOME CARE, LLC’S expectations, and allow the opportunity to demonstrate improvement and commitment. Areas of Concern: Observations, Previous Discussions or Counseling: Step 1: Improvement Goals: These are the goals related to areas of concern to be improved and addressed: 1. 2. 3. . Step 2: Activity Goals: Listed below are activities that will help you reach each goal: Goal # Activity How to Accomplish Start Date Projected Completion Date Step 3: Resources: Listed below are resources available to complete Improvement activities (may include other people’s time or expertise, funds for training materials and activities, or time away from usual responsibilities.) 1. 2. 3. Management Support: Listed below are ways in which your manager will support your Improvement activities. 1. 2. 3. Step 4: Expectations: The following performance standards must be accomplished to demonstrate progress towards achievement of each Improvement goal: 1. 2. 3. 4. 5. Step 5 Progress Checkpoints: The following schedule will be used to evaluate your progress in meeting your Improvement activities. Goal # Activity Checkpoint Date Type...

Words: 284 - Pages: 2

Premium Essay

Performance Improvement

...The Performance Improvement Cycle The Performance Improvement Cycle is an important element to the overall improvement of quality healthcare. In my opinion the process within the cycle that I consider the most important is the process of analyzing and comparing internal/external data. An example of this was given in the book where the hospital continuously monitored the delinquent health record rate. After doing this research they reached a benchmark which can also be called a standard of performance that the hospitals works to maintain. The successes and failures that come from working toward these standards allows the healthcare facility or hospital to improve on all aspects of healthcare performance. During the process of the performance improvement cycle the part where the most errors occured, in my opinion, has to be between the design and redesign process/education and the implement process/education time of the cycle. Like in any part of business, education or a creative venture I think the design and redesign process is a long period of indecision, agreements and disagreements. The implementation process/education can come with a lot of mistakes because you don't know what is going to work until you start to put it into effect. Educating your staff can pose a lot of challenges as well because every thing is brand new and needs to mastered. I think these errors can be avoided by implementing the changes slowly as well as having staff training sessions on a consistent...

Words: 284 - Pages: 2

Premium Essay

Performance Improvement Director

...CURRICULUM VITAE Profile Goal directed, results-oriented, professional Healthcare Manager successfully managed in diverse areas including Nursing Leadership, Clinical Audit, Quality Management, Training and Education. Personnel Information Name: Fatme Khodor Elrifai Sex: Female Date & place of birth: 09-01-1978 Lebanon Address: Specialized Medical Center Hospital -Riyadh Phone work: 0114343800 x 3990 Mobile number: 0502855808 E-mail: f.alrifai@hotmail.com Languages Arabic Fluently written and spoken English Fluently written and spoken French Fluently written and spoken Education 2013- 2014: Ongoing Masters in Healthcare Administration/ Quality Management – Al Jinan University, North of Lebanon 2006 -2007: BS Degree in Nursing Sciences – Bridging Program 2000 – 2003: Three years in the TS-Nursing program, Technical Superior Degree 1997 – 2000: Three years in the Nursing program, Technical Baccalaureate Degree 1993 – 1995: High school education in Saint Joseph, North of Lebanon 1989 – 1993: Secondary school education in Saint Joseph, North of Lebanon - Nursing Leadership & Management (Deputy Director of Nursing at Kingdom Hospital Consulting Clinics, KSA/ Riyadh, 130 Beds, private, CBAHI and JCIA accredited primary healthcare institution. KHCC is providing various range of medical services including, but not limited to, Internal Medicine,...

Words: 1197 - Pages: 5

Free Essay

Chart Review

...Purpose. There are many reasons to conduct chart reviews such a required by a regulatory agency, justification of billing, and research. Another frequently used purpose of a chart review is to assist in measuring quality of care. This measurement is then used to help determine if a change in process is needed to improvement patient outcomes. There are several models used in process improvement including Juran’s Universal Sequence for Quality Improvement, the Seven-step problem-solving model, FOCUS-PDCA and Six-Sigma DMAIC (Langley, Moen, Nolan, Nolan, Norman & Provost, 2009). Chart reviews can be an integral step in all of these models in gleaning data to measure the depth of the problem or if it even exists. This paper will compare the advantages and disadvantages of reviewing charts, describe the basic considerations in performing chart reviews, and describe issues that can threaten the validity of data. Lastly, this paper will look closer at the Six-Sigma DMAIC process as this is the methodology used to guide process improvement in the facility for which this information is being obtained. Background. In 1966, Donabedian stated that the quality of health care is measured by structure, process, and outcome observation. Structure measurement includes resource quality, availability and accessibility (Donabedian, 1966). Process measurement looks at the health care services that clinicians and providers deliver (Donabedian, 1966). Outcome measurement is the end result...

Words: 1328 - Pages: 6

Premium Essay

Syfjcbjb

...attendant. • Ensure the safety of passengers aboard aircraft. • Notify the maintenance department regarding any and all discrepancies found in cabin equipment. • Maintain accurate inventory of all cabin property. In the event of an emergency, assist in the care and/or evacuation of passengers. 3. Key ratings for performance • 4 – Performance was always successful, consistent and respectable and at times clearly superior and exceeding standards. • 3.5 – Performance was at most times clearly superior and exceeding standards. • 3 – Performance was successful, consistent, and respectable in every regard with few exceptions. • 2.5 – Performance at times was inconsistent and did not meet standards. • 2 – Performance at most times was inconsistent and did not always meet standards. • 1 – Performance was overall unsuccessful and unacceptable with regard to expectations and the requirements of the position. 4. Job objectives List the objectives you set out for your staff to achieve in the past 12 months (or the period covered by this appraisal) with the measures or standards agreed – against each comment on achievement or otherwise, with reasons where appropriate. Score the performance against each objective (1-3 = poor, 4-6 = satisfactory, 7-9 = good, 10 = excellent): Then you create a table with columns: No – Objectives – Measure/standard - Score - Comment 5. Job competencies Using the 4 point scale below, fill up the following table: • 4 – Exceeds expectations • 3.5 – Somewhat Exceeds...

Words: 1698 - Pages: 7

Premium Essay

Hrm/531 Week 5 Reflection

...training and development programs to assist employees in reaching their ultimate level of performance; however monitoring of performance is necessary to ensure individual and organizational goals are met. The process of assessing an employee’s performance, managing employee opportunities and identifying areas of weakness is evaluated and handled in the performance improvement plan (PIP). The PIP spells out the areas of need, determines goals to improve these areas, and develops training and educational needs associated with successful performance enhancement development. The PIP addresses both the areas of behavioral and performance. In the reflection, Team “D” will address training and development and the PIP process in more detail to gain a better understand of the process. Assessing, implementing, and re-evaluating behaviors and goals will be addressed. Training and development of an employee are closely related but also very different. The goal is to achieve the tasks the organization requires and improve upon productivity and efficiency. The training process of a new employee is a requirement of his or her orientation. The employee will need to understand the roles and responsibilities of his or her job (Difference Between, 2011). According to Difference Between (2011), “Training makes an employee more productive for the organization and is thus concerned with his immediate improvement” (para. 1). The development of an employee is...

Words: 781 - Pages: 4

Premium Essay

Mpso

...Writing Assignment As commissioner of an agency responsible for child welfare, I am dedicated to ensuring that our caseworkers provide the children our agency protects with the highest level of support and aid. I believe that issues which affect the execution of our mission must be addressed promptly and attentively. I will use my influence in the agency to attend to concerns in a thoughtful manner. Internally, this includes managing cases well, improving caseworker training and skills, and increasing employee motivation through workshops and mentoring. Externally, I hope to keep our public image in check by properly attending to the case children and communicating with the media. Firstly, I will address the issue related to the two caseworkers reported to have not visited the families of a murdered eight year old and a twelve year old arrested for drug sales, in over three weeks. I will arrange for separate in person meetings at my office to discuss these situations in depth. This will provide the employees with an opportunity to express their perspectives and the potential causes for these tragedies. I plan to start the conversation by recognizing the good work they have done for the Agency in the past. Following this, I will transition into the fact that they have been noticeably absent as of late. The absenteeism will be addressed delicately--without prying into private life, instead by asking sincerely if there are issues at home in addition to asking...

Words: 915 - Pages: 4

Free Essay

How to Achieve Permanent, Measurable Improvements in Performance

...Permanent, Measurable Improvements In Performance Edit Article | Posted: May 11, 2007 The decades-long quest to transfer what is learned in the classroom to improved performance in the workplace has been a confounding one. For one thing, it isn't easy to change behavior patterns, because they've been ingrained over time. To correct performance issues, new behaviors have to be introduced and consistently reinforced over the long term. This means following up programs with enough continued learning, feedback, coaching and accountability to stimulate the growth of new neuronal connections that eventually take the place of old ones. Unaware of this reality, organizations have wasted billions of dollars annually investing in learning programs that fail to change behavior. The greater challenge of the quest for this "Holy Grail" is that the solution doesn't involve fixing just one thing. A myriad of variables within an organization influence whether learning is reinforced until new behavior patterns are established. A process I call Train-to-Ingrain was designed to achieve permanent, measurable improvements in performance by optimizing aspects of training and development that impact on learning transfer: - COMMITMENT - Support follow-up reinforcement - COACHING - Prepare direct managers for their development role - FOLLOW-UP - Integrate reinforcement programs with assessment and training programs - ACCOUNTABILITY - Measure performance improvement and calculate ROI ...

Words: 2204 - Pages: 9

Premium Essay

Strategic Analysis of Home Depot

...A Strategic Analysis of Home Depot GM599 A Strategic Analysis of Home Depot Introduction The Home Depot (NYSE: HD) is a home improvement, construction products and services retailer operating over 2,000 big-box stores in the United States and abroad. The Home Depot was founded in 1978 by Bernie Marcus and Arthur Blank with the vision of one-stop shopping for do-it-yourself (DIY) customers, installation services for do-it-for-me (DIFM) customers and competitive products for the professional market. Their DIFM installation programs include products such as carpeting, flooring, cabinets, countertops, and water heaters. In addition, the company provides installation of various professional products like generators and HVAC systems. The Home Depot developed strategic product alliances directly with industry-leading manufacturers to deliver the most exclusive assortments to customers. Through a combination of national brands and proprietary products The Home Depot exclusively carries several major brands, including: BEHR Paint, G.E., Martha Stewart Living and Thomasville, which sets the standard for the do-it-yourselfer and the professional contractor. The Home Depot revolutionized the home improvement industry by bringing the know-how and the tools to the consumer and by saving them money. According to the founders, the customer has a bill of rights at The Home Depot, and this entitles the customer to the right assortment, quantities and price, along with trained associates...

Words: 3580 - Pages: 15

Free Essay

Home Depot

...​Products and Services For most people, their home is the biggest financial and emotional investment they make. Through a variety of innovative merchandise and services, The Home Depot’s goal is to help consumers create the home of their dreams whether they want to do it themselves or have it done for them. In addition we offer specialized support and services for professional contractors and tradespeople to ensure they have the right tools and supplies for the job site. Products: Our store inventory consists of up to 40,000 different kinds of building materials, home improvement supplies, appliances and lawn and garden products for all of your project needs. Selections may vary from store to store because The Home Depot stores are always stocked with merchandise that is localized to match your area's specific market needs. We even offer a low price guarantee to beat anyone's advertised specials. And if for some reason you can't find it in the stores, we offer 250,000 other products that we can special order for you. Services Home Services Instead of doing it themselves, many customers choose to have qualified professionals complete home renovation projects for them. The Home Depot Home Services offers national installation services through pre-screened independent contractors for products ranging from floors to roofs, windows to water heaters, and kitchen cabinets to vinyl siding. Customers can call 1-800-HOMEDEPOT to schedule a free in-home consultation or learn more...

Words: 989 - Pages: 4

Free Essay

Lowe's

...Lowe’s By You April 21st, 2014 University of Phoenix ECO-365 Introduction In the United States there are two major players in the home improvement industry. The biggest in The Home Depot. The other, while smaller having 502 less stores, is still a giant of the industry (Cramer, 2013). Through the recession Lowe’s stood while well The Home Depot fumbled. Lowe’s faces competition from opponents other than just The Home Depot as it expands beyond America. As Lowe’s seeks to enter the Canadian and Australian markets it will encounter more diversity than it has experiences so far. The complexities of doing business abroad and opening stores afar will become even more apparent as their international tactics change. Despite the challenges Lowe’s should expand further to become an even bigger player both nationally and globally. Global Competition’s Impact on Lowes In 2009, Lowes had 1,710 stores found throughout Canada and United States, 16 of these found outside the United States, with three stores in Mexico that opened in 2010, allowing for their exposure to bring them to a new level of sales internationally. (“Lowes Companies”, 2012) After much research it is found five competitors could impact Lowes, the #2 home improvement dealer in the world (Racine, 2012), but on different levels. The first competition is the main competition of Lowes, Home Depot, #1 in the world since 2005, (“Lowes Companies”, 2012) is expanding its sales by bringing in more Hispanics...

Words: 3472 - Pages: 14

Premium Essay

Home Depot Fail in China

...Home Depot Failed in China Name: Chuanshi Liu ID: h701789460 Course: IB 207 Background Home Depot is the largest home improvement retailer in the world. It has about 2200 stores across the United States, Canada, and Mexican. It targets three main customer groups, which are D-I-Y customers, D-I-F-M customers and professional customers. Home depot is famous for its D-I-Y products and services. In 2006, after housing market turn down in the United States, Home Depot entered into the China home improvement market through a full M&A activity. It has twelve stores in Beijing, Shanghai, and other large cities in China. Home Depot served the similar services and products to Chinese customers, which also include the D-I-Y products. However, Home Depot did not succeed this time in China. From 2006 to 2012, the top managers in China area have been changed three times. Home Depot wanted to find out the solutions to this bad situation in local market. However, the situation was worsened when the building material market turned down in 2012, 12 main stores have been closed in local market. Top managers believe that the main reason for their failure is the cultural difference. The D-I-Y services and products do not fit the local culture. Changes and effects Business Environment There are changes in business environment for Home Depot. In United States, the biggest competitor for the Home Depot is Lowe's. They have very similar products and services. Both...

Words: 2932 - Pages: 12

Premium Essay

Marketing

...transferred?  What is the role of the multipliers? Brand: Home Depot Marketing Program Investment: This is the first stage in the brand value chain. Home Depot began promoting early this year because of the early spring, advertisements about getting the yard ready for the summer and starting home improvement projects. Although Home Depot has started early advertising this spring does not necessarily guarantee success. Program Quality Multiplier: The quality of the marketing campaign can be based off of four main factors clarity, relevance, distinctiveness and consistency. Home Depots marketing campaigns are geared toward seasonal changes. The commercials clearly portray what projects need to get done and they offer discounts and specials on those items to bring in business. A marketing campaign that touches on all four factors makes a definite ROI. Customer Mind-Set: The customer mind-set is anything that consists in the minds of the consumer with respect to a brand: thoughts, feelings, experiences, images, perceptions, beliefs, and attitudes. Home Depot has created an image of their store. Customers know that Home Depot is a place to go for all your home improvement needs. They offer competitive pricing, knowledgeable staff, friendly service, clean environment, variety of products and flexible store hours. Marketplace Conditions Multiplier: There are four major players here in the Midwest and those are Home Depot, Menards, True Value, and Lowes. All have heavily...

Words: 1036 - Pages: 5

Premium Essay

Home Depot vs. Lowe's

...Home Depot vs. Lowe’s Retail Home Improvement Financial Analysis Background Introduction The home improvement sector of the economy is large with two major players in the industry and with many smaller local and regional competitors. These two major competitors are Home Depot and Lowe’s. These two companies account for over $110 billion in total sales each year. Even though sales have gone down over the past few years due to the downturn in the economy they have not gone down nearly as much as home sales and this is due to more people deciding to do more home improvements to their own home then buying a new home. Both of these companies have been able to keep up sales and increase them year over year by improving current stores and at the same time expanding both here in the United States and overseas. Company introduction Home Depot The Home Depot also known as Home Depot is a retailer of home improvement and construction products and services. The Home Depot was founded in 1978. The Home Depot operates 2,242 stores across the United States in all 50 U.S. states, the District of Columbia, Puerto Rico, the Virgin Islands and Guam. Sales within the United States were over $77 billion in 2010. The Home Depot also operates internationally in Canada, Mexico and China. Lowe’s Lowe's Companies, Inc. is a retail home improvement and appliance stores and also does construction. Lowe’s was founded in 1946 in North Wilkesboro, North Carolina. Lowe’s operates 1,710 stores...

Words: 1162 - Pages: 5