Welcome to University of Minnesota Amplatz Children's Hospital ...

Welcome to University of Minnesota Amplatz Children’s Hospital
where together, we transform the health of children
Caring for children has a
long history at the University
of Minnesota Medical
Center.
1905, Mrs. A. Elliot bequeathed
money in her will
toward building a university
hospital in memory of her
husband, Dr. A. Elliot. Four
years later, a temporary
university hospital featuring
24 beds opened and was
used until the 108-bed Elliot
Memorial Hospital, providing
health care for adults and
children, was completed in
1911.
During the mid 1930s, much
was happening in cardiology
and cardiac surgery at the
University of Minnesota and
Dr. Dwan established the
first pediatric cardiology
unit. In 1944, the Variety
Club initiated a fund drive
for Dr. Morse Shapiro’s rheumatic
fever treatment and
research program. By 1951,
the Variety Club Heart Hospital
was completed and
provided services for both
adults and children, including
a 40-bed pediatric unit with
a playroom, classroom and
an auditorium.
Hospital care for children at
the University of Minnesota
continued to be provided in
the Variety Club Heart Hospital,
Children’s Rehabilitation
Center and the Mayo
Hospital until 1986 when
major hospital services were
consolidated to a new, stateof-the-art
building. The new
hospital featured three general
pediatric units, a neonatal
intensive care unit (NICU),
a pediatric intensive care
unit (PICU), a child and adolescent
psychiatric unit, a
pediatric bone marrow
transplant unit and a full
array of affiliated specialty
clinics. The name of the combined
clinical areas for children
at this time was University-Variety
Hospital for
Children.
Across the Mississippi River,
Fairview was also providing
Relocating to One Campus on the West Bank
Demand for our care was
exceeding our capacity in
our current facilities. University
of Minnesota Amplatz
Children’s Hospital will open
a new innovative facility for
mothers and children in
spring, 2011. This new facility
will provide patient- and
family-centered care in more
than 50 pediatric and maternal
services in one location.
quality pediatric care and
opened a dedicated pediatric
unit in 1955. Two years
later, Fairview became the
first general hospital in Minneapolis
to offer special
mental health and rehabilitation
facilities for these services
and today has become
a leader in mental and behavioral
health care for children
and adolescents. In
1962, the hospital introduced
a new adolescent/
young adult unit, the first of
its kind in the Upper Midwest.
In 1997, the University of
Minnesota Hospital and Clinics
merged with Fairview to
become Fairview-University
Medical Center and Fairview-University
Children’s
Hospital. In 2005, the hospitals
were renamed: Fairview-
University Children’s Hospital
became University of Minnesota
Children’s Hospital,
Fairview.
Inside this issue:
DR. KURT AMPLATZ 2
AMPLATZ CULTURE 3-4
PATIENT AND FAMILY CEN-
TERED CARE
STANDARDIZED COMMUNICA-
TION
ON-STAGE AND OFF-STAGE
PRACTICE
February, 2011
5
6
7-8
PASSPORT TO DISCOVERY 9-11
AMPLATZ SECURITY 12

Our physicians,
nurses and
researchers not
only deliver the
latest
innovations,
they create
them.
Dr. Kurt Amplatz was a former
University of Minnesota professor
and medical device
pioneer.
Caring for Mothers and Children on One Campus
University of Minnesota
Amplatz Children’s Hospital
is more than a building …
it’s about caring for mothers
and children. By consolidating
on a single campus
we can greatly enhance the
patient-and-familycentered
experience.
The Riverside campus will
house:
Consolidating services on
one campus has given us the
Dr. Kurt Amplatz, a professor of Radiology
for 40 years, joined the University of
Minnesota in 1957 and retired in 1999.
A pioneer in the use of noninvasive techniques,
he holds more than 30 patents.
The most famous of the many lifesaving
medical devices and procedures he developed
is a tiny device used to repair a
congenital heart defect in children and
adults. It replaced open-heart surgery as
the treatment of choice for many thou-
The Birthplace
Neonatal Intensive Care
Pediatric Intensive Care
Behavioral Child and
Adolescent Services
Inpatient Units
Pediatric Specialty Clinics
Pediatric Kidney Center
Pediatric Sedation/
Observation Unit
The Pediatric Emergency
Department
World-Class Academic Medicine
The University of Minnesota
Amplatz Children’s Hospital is
Minnesota’s only children’s
hospital that is part of an
Academic Health Center. It is
home to one of the nation’s
top 20 pediatric research
programs. The University of
Minnesota is known for innovative
approaches and numerous
medical firsts in medical
science. The partnership
of Fairview and the University
of Minnesota Department
of Pediatrics brings research
discoveries into direct care of
patients at Fairview hospitals
and clinics. Together, we
have contributed to medical
breakthroughs and successful
patient outcomes. Our physicians,
nurses and researchers
not only deliver the latest
innovations, they create them.
Dr. Kurt Amplatz, Medical Device Pioneer
Page 2
opportunity to thoughtfully
recreate how we want to be
and act.
sands of patients.
Caroline Amplatz, J.D., gave a gift of $50
million in honor of her father. In recognition
of the gift, the new facility is named the University
of Minnesota Amplatz Children’s Hospital.
She has recently donated $11.2 million
to renovate the Behavioral Child and Adolescent
inpatient unit.

Children’s Hospital Culture is based on Fairview’s Vision and Core Values
Fairview Mission
Our mission is to improve the
health of the communities we
serve. We commit our skills
and resources to the benefit
of the whole person by providing
the finest in health
care, while addressing the
physical, emotional and spiritual
needs of individuals and
their families. We further
pledge to support the research
and education efforts
of our partner, the University
of Minnesota, and its tradition
of excellence.
Our Beliefs
• The child comes first.
Fairview Vision
Our vision is to be the best
health care delivery system
for America, in partnership
with the University of Minnesota.
Fairview’s Values
Our core values are Dignity,
Integrity, Service and Compassion.
• The child and family are the drivers of decision making.
University of Minnesota
Amplatz Children’s Hospital
Vision
Together, we transform the
health of children.
University of Minnesota
Amplatz Children’s Hospital
Purpose
To bring hope and healing to
the children and families we
serve by caring for one child
at a time, while advancing
education, research, and care
on behalf of all children.
• Families are the child’s primary strength and support and are key partners in the
interdisciplinary health care team.
• Education and research are critical to the care we provide. We continually drive
to discover new knowledge that directly and positively impacts the care we provide.
• All care is developmentally and culturally appropriate.
Our Guiding Principles
We deliver an exceptional and seamless patient and family centered experience.
We value, champion and live team-based care. We are ONE interdisciplinary health care team.
We embrace the spirit of children.
We research to discover and deliver leading-edge treatments and cures for every child we serve.
We educate the current and next generation of pediatric medical professionals.
By working as one health
care team centered on our
patients, University of Minnesota
Amplatz Children’s
Hospital along with the entire
Fairview system will
create exceptional care
experiences for children and
their families in Minnesota
and around the world.
We are an academic pediatric health care system. We are known for highly specialized pediatric care locally, nationally,
and internationally.
We serve our local communities as their community hospital.
We embrace a culture of quality and performance excellence and use measurement and meaningful data to drive improvement.
We use our resources effectively to improve quality and patient experience while reducing the overall cost of care to our
patients and their families.
Page 3

What Can You Do to Make the Amplatz Culture Tapestry Come Alive?
Thrive on Excellence
Support efforts aimed at research, education, service,
and child advocacy.
Be accountable to improve and to provide the highest
level of care.
Personalized
Care
One Healthcare Team
Personalized Care
Value the uniqueness of each child.
Recognize the whole child through “My Story” - they
are not just a diagnosis.
Healing and Sustainable Environment
Greet each person you meet.
Monitor conversations with each other (on-stage/offstage);
use the phrase “let’s take this off-stage” to
preserve the healing environment.
Keep the environment quiet and clean.
Respect and Promote each member of the team and collaborate to provide care and service.
Say “thank you” to acknowledge your fellow team members.
Work together to provide seamless transitions and handoffs between team members.
Thrive on Excellence
ONE Health Care Team
Patient and Family Centered Care
Embrace the Spirit of Children
Healing & Sustainable Environment
Patient and Family Centered Care
Provide care based on the core principles of patient and family centered care, and the developmental
stages of the child.
Build thoughtful, meaningful initial interactions with patients and families (“First Contact”).
Embrace the Spirit of Children
Involve children in their care and healing.
Encourage play, fun, creativity with patients and team
members.
Page 4

Patient and Family Centered Care
What matters in health care?
It is always people and how
they communicate and show
respect for one another.
Providing care that is based
on how our patients and
families want to be treated
and involved is the center of
our care philosophy at University
of Minnesota Amplatz
Children’s Hospital.
What is Patient-and-Family-
Centered care? An approach
to the planning, delivery,
and evaluation of health
care that is grounded in mutually
beneficial partnerships
among health care providers,
patients and families. Patient-and-Family-Centered
care involves working WITH
patients and families, rather
than doing things TO or FOR
them.
Guiding Principles
Our beliefs around Patient-
and-Family-Centered Care
are the basis of these four
core principles. Dignity and
Developmental Stages: Understanding Children
Get Well Network
Keeping human development
knowledge in mind will help
you deliver excellent care.
“Kids need more than medicine
to get well” and we can
nurture children, by better
understanding their world
and childhood milestones.
When working with children
you should keep in mind:
children absorb the world
through their senses - touch,
The Get Well Network is an interactive system
that supports Patient and Family Centered
Care that will be implemented in the
South Building. This new and exciting technology
uses the television in the patient room to
bring entertainment, education and engagement
to the bedside. Not all features will be
available initially and will gradually be
phased in.
Respect, Information Sharing,
Participation, and Collaboration.
We will be implementing all
of these core principles in
Amplatz. Research has
shown that this will: improve
patient safety, reduce errors,
decrease rates of morbidity
and mortality, lower risks of
malpractice lawsuits and enhance
patient satisfaction
with their care.
sight, sound, smell and feel.
All children learn by observing
and have highly developed
non-verbal skills. Children
experience stress and
pain and fear the unknown
and being separated from
loved ones. . How children
manage these fears is
shaped by their personality
and temperament, age, and
life experiences.
Page 5
Play is an important part of
a child’s world - it is their
work. Play supports their
learning and validates what
they understand and allows
for imaginative exploration.
Children live in the now - in
the present moment. Each
child has a unique personality
and will want to be known as
who they are. Children want
and need respect and courtesy.

Standardized Communication
To support our focus on Patient
and Family Centered
Care, Fairview has implemented
a number of communication
strategies to enhance
the collaboration of the
“inter-professional” team in
order to improve the patient
experience. Using these communication
tools will build
collaborative relationships
and trust between the patient
and their healthcare team. It
will help patients understand
what is happening and what
they can expect, and will
lead to more effective patient
handoffs and better
patient outcomes. It also
strengthens the collaboration
between disciplines.
Situation
SBAR
What is going on with the
patient?
Background
What is the clinical background
or context.
Assessment
What do I think the problem is?
Recommendation
What do I recommend?
Page 6
SBAR
We use SBAR for all patient
handoffs to communicate
critical information and critical
events.
AIDET
AIDET is a powerful tool used
to create effective communication
between patients and
their healthcare team member(s).
We use AIDET to introduce
ourselves and our
team members, and help give
patients information on what
the plan is and what they can
expect.
AIDET
Five Steps to Effective Patient Communication
A = Acknowledge the patient
I = Introduce yourself
D = Duration
E = Explanation
T = Thank you
LEAD
Service Recovery
L = Listen
E = Empathize
A = Apologize
D = Do (act)
LEAD
Sometimes despite our best
efforts we do not meet patient
expectations. All staff
should feel comfortable using
LEAD as a service recovery
effort.
ROUNDING
Rounding is checking in with
patients at regular intervals
to make sure their needs are
being met. There are different
levels of rounding conducted
by different health
care team members focusing
on patient needs, satisfaction
with care, and communication
with patients and families for
what the plan of the day and
goals for discharge are.

Our New Hospital
The new hospital was designed
using principles that
emphasized achieving a safe,
efficient, and high quality
environment. Input from children
and families and teams
of doctors, nurses and other
clinicians helped us build a
hospital that incorporated
Lean principles, evidencebased
practice, and safety
focus into the design.
Our new hospital has decentralized
team stations; 96
private same-handed patient
rooms with designated zones
(caregiver, patient and family);
standardization whenever
possible; visibility of
patients; and daylighting to
create a facility that supports
safety for both patients and
staff. We also have a sedation/observation
unit, Kidney
Center, a new pediatric
emergency department, an
expansion of both our radiology
department and surgical
suite, as well as a family resource
center, gift shop and
underground patient/visitor
parking.
An engaging and interactive
interior design, called
“Passport to Discovery,” celebrates
the international and
cultural diversity of the population
we serve. Animals
serve as “story tellers” to
enlighten patients and visitors
about geography, ecosystems,
sustainability, and mile-
On-Stage and Off-Stage Practice
The “on-stage” and “offstage”
principles are based
on Fairview’s goal of an exceptional
patient experience
and the Disney model of offering
excellent customer
service. “On-stage” and
“Off-stage” principles are to
be used by all employees,
staff, physicians and volunteers
at the University of Minnesota
Amplatz Children’s
Hospital.
What is on-stage/off-stage?
On-stage: is any place that
you can be seen or heard by
patients/families/guests and
any public space.
Off-stage: is space designed
for staff/employees/
volunteers job functions, flow
and self-care.
There are public spaces and
external corridors (on-stage)
that are designated spaces
for our patients, families and
guests. The staff corridors
and work rooms will be the
off-stage place where meetings,
breaks, moving equipment
and supplies will occur.
Patients will discouraged
from entering the off-stage
areas.
On-stage Behaviors
Greet People
• Be aware of your surroundings.
Notice if someone
needs assistance.
• Make eye contact as appropriate.
• Use your on-stage voice,
professional, clear, quiet
and friendly. Ask, “How
may I help you?”
• Guide people to their destination.
stones in scientific discovery.
The new South building was
designed using LEED principles
(Leadership in Energy
and Environmental Design).
The design, construction and
planned maintenance of the
hospital make it a truly
“green” hospital.
Our new hospital design allows
us to build into our practice
the “on-stage/off-stage”
concept. This concept enables
us to separate the “onstage”
public areas and the
“off-stage” service areas.
• Be present. Be professional.
Follow the policies for
dress, appearance, and use
of name tags.
Conversations
• Monitor conversations.
Speak as if you were being
recorded. No confidential
or business conversation in
public on-stage areas.
• Remember/know professional
boundaries. No personal
information given
where it can be overhead
by others.
• Employees speak English in
public areas. Be inclusive.
Do not have conversations
with others in another language
that could be exclusive
of others.
Page 7
• Keep the patient in conversation
when appropriate. No
talking over the patient.
• Remind each other by saying,
“Let’s take this conversation
off-stage.”
Computers/Phones/Personal
Electronic Devices
• Computers in the on-stage
patient areas are for patient
care and are not to be used
for personal business or pleasure.
• Cell phone/Personal Electronic
Devices may be used as
a business/work tool as directed
by your area.
• No ear buds or iPods for
staff in on-stage areas.
(continued on page 8)

“ The central core
will be used by all
patient care, medical
staff, students and
support services for
accessing the units.”
On-Stage and Off-Stage Practice (continued)
Food & Drink
• Staff are welcome to purchase
items in the coffee
shop and enjoy them in offstage
areas.
• Food will be kept and consumed
in off-stage areas.
The cafeteria, automat or
vending areas, staff lounges
and break rooms, meeting
rooms and private offices
are designated areas for
food.
• Food will not be permitted
Central Core Principles
What is the central core? The
central core is used as a thoroughfare
for the movement
of staff and supplies. Its use
will create a healing environment
and minimize patient
and family disruption. The
central core is a safe offstage
area and will be off
limits for patients and families.
Except for designated
equipment alcoves and storage
areas, the central core is
not a storage area.
The Environmental Design
sub-group of the Amplatz
culture committee has worked
to develop guidelines to
maintain a healing environment
that is patient-andfamily-centered,
pleasant,
appealing, uncluttered and
quiet. These guidelines also
address our work areas with
the goal of creating an environment
that is healthy for
at the lobby information
desk or in any reception
areas dealing directly with
the public.
• Staff will always use the
staff elevators, not the public
elevators, when carrying
food or to access units.
• Beverages must be transported
in a proper container
with a closable lid.
• All staff are responsible for
keeping the environment
free of clutter and litter.
Expectations for Central
Core Usage
The central core will be used
by all patient care, medical
staff, students and support
services for accessing the
units. All staff with equipment
should minimize time
spent in patient corridors.
Equipment should only in the
patient corridor when it is
actively being used. It should
also be quiet (no noisy
Amplatz Environmental Design and Maintenance
Page 8
staff as well.
To support our environment
make sure equipment is
stored in designated areas,
and keep your personal belongings
stored neatly in a
locker, closet or drawer.
Have food in designated
areas only. Bring to the attention
of facilities any furnishings
that are in need of
repair, and practice noise
Each employee, physician,
staff and volunteer at University
of Minnesota Amplatz
Children’s Hospital must take
a personal responsibility to
be present for patients, act in
a professional manner and
support the on-stage behaviors
when in patient and family
areas.
wheels) and kid-friendly,
clean and pleasant in appearance.
We embrace these guiding
principles for how to best use
the central core of the Amplatz
facility in support of our
exceptional patient and family
experience.
control. Staff conversations
that could negatively affect
the patient care environment
are to be controlled. Keep
staff-to-staff conversations in
the staff corridor as much as
possible.
For more information about
the environmental design
maintenance guidelines
please talk to your supervisor.

Page 9

Page 10

Page 11

Visitor Badge Colors
Children’s Security
University of Minnesota Amplatz
Children’s Hospital environment
is designed to protect
our most vulnerable patients,
and promote a safe
and secure environment for
our patients, staff and visitors.
Security measures have
been created to provide a
high level of security while
still taking into consideration
our commitment to patientand-family-centered
care.
Staff Access
Your badge is your key to
access areas in the South
building. Staff with primary
responsibility in the South
building will be issued a children’s
hospital badge. Staff
will be given access to all
locations in the South building,
with the exception of
restricted areas. There are
numerous card readers and
access points in the South
Children under 6 years of age will receive a purple sticker.
building which will allow us to
maintain a secure environment.
If your badge is not
activated properly for your
job position, contact your
manager for assistance.
When traveling in the South
building staff should always
use the “staff designated”
elevators. These elevators
are restricted from the public.
Visitor Access
All visitors will be given a
photo identification sticker in
the South lobby, ED or Birthplace.
Visitors entering
through the South lobby will
be required to check-in and
show a photo ID. For visitors
without a photo ID, they will
be manually entered into the
system and a photo ID will be
issued. Visitor identification
stickers will be color-coded
for the area they are visiting.
Page 12
A security officer will be located
by the public elevators
to ensure everyone has been
issued an ID sticker.
Out-patients going to the 9th
or12th floor of the East
building and coming into the
South building lobby from the
Amplatz garage will not be
issued an identification
badge.
Parent/Guardian Process
When a child is admitted to
the hospital parents and
guardians will be issued a
photo identification sticker.
They will also be given an
access badge to the unit
where their child is admitted.
Parents and guardians of
long-term patients will be
issued a photo ID and access
badge from the parking office.
Protecting our
most vulnerable
patients.

Pediatric Codes
Recognizing emergency response creates
stress for our patients, families and guests we
are implementing a new process. All pediatric
Code Blues will be silent in the children’s
hospital. The Pediatric Code Blue Team will
respond to all pediatric codes in the South
building, specialty clinics and pediatric behavioral
units.
The University of Minnesota Physicians Response
team will respond to non-life threatening
situations in the specialty clinic locations.
The Pediatric Rapid Response Team (RRT) will
respond to all other non-life threatening
situations in the South, East and West build-
Simple Rules to Live By
ings.
• Communicate the vision to patients, families and team members.
Dial 888 for Emergencies
To initiate an Adult Code Blue response
Dial 888. Inform the operator of the
location and situation. The Adult Code
Blue will be announced overhead.
• Greet each person you meet and make eye contact, as appropriate.
• Refer to the patients by name, not diagnosis.
• At the end of each patient and family interaction, ask: “Is there anything else I can do
for you?”
• Hold team members accountable by saying “let’s take this off-stage” to preserve the
healing environment.
• Keep the environment quiet and clean.
• Constantly think of ways to improve our care and service to patients and families -
bring your ideas forward.
• Acknowledge all team members equally and respectfully.
• Remember that kids want to have fun.
Page 13

FAIRVIEW
2450 Riverside Avenue South
Minneapolis, Minnesota 55454
Phone: 888 - KIDS - UMN
(888-543-7866)
Partners in Care
At University of Minnesota
Amplatz Children’s Hospital
and our affiliated clinics, our
passion for children and their
health transforms pediatric
medical research breakthroughs
into cures and care
for children worldwide.
Everyday, we hear from patients
and families who are
grateful for their experience
with our physicians, nurses,
residents, and staff. Often
these families are searching
for ways to say thank you
and to help ensure that other
children will benefit from the
same exceptional care.
Making a philanthropic gift
often offers donors an op-
We are on the web
www.uofmchildrenshospital.org/
portunity to heal or provides
a sense of hope and empowerment
that a disease has
sometimes taken away from
them or their family. Philanthropy
supports healthcare,
medical research, and medical
education while improving
the quality of care received
by all patients. One gift can
touch thousands of lives.
Now, through our Partners in
Care program, families have
easy access to opportunities
to share their gratitude.
Caregivers at Amplatz Children’s
Hospital and our affiliated
clinics can refer interested
patient families to the
Minnesota Medical Founda-
tion to learn more about philanthropic
opportunities.
Partners in Care is a collaboration
of the Minnesota Medical
Foundation, University of
Minnesota Physicians, Fairview
Health Services, and Fairview
Foundation.