Golden Rules - Safety Net Institute

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Early results….Percent RN time spent in clinical duties100%90%80%70%60%50%40%30%20%10%0%12 08 1 09 2 09 3 09dates35“RN Perfect World…”RN’s consistently described missingpieces:• Patient education• Chronic disease managementFax Jockey phenomenon….© Tantau & Associates3618
Literature Search• Building Teams in Primary Care; 15Case Studies (Bodenheimer)• La Clinica (no RN’s)• Palo Alto Medical Group (3 or 4:1)• South Central Foundation (1:1)• Care South (no RN’s)• Others…37The Big Buckets…1. Emergent Triage……………………..5%2. Chronic Disease management…40%3. Patient education…………………..40%4. Selected procedures………………..5%5. Team Communication…………….10%© Tantau & Associates3819
Page 1 and 2: Optimizing your Care TeamCalifornia
Page 3 and 4: Care Teams“I didn’t do anything
Page 5 and 6: Optimal Care Teams• Golden Rule N
Page 7 and 8: Department Profile examples…Ortho
Page 9 and 10: 17Optimizing the Role of the RNin t
Page 11 and 12: The Golden Rules ofStaff Optimizati
Page 13 and 14: One Group’s Story• Neighborcare
Page 15 and 16: As the RN Design Team wasforming…
Page 17: RN Work Analysis Tool• Percent RN
Page 21 and 22: Revisiting the Buckets• Where to
Page 23 and 24: 100%90%80%70%60%50%40%30%20%10%0%12
Page 25 and 26: GreetingsfromThe NCHDesignTeam !!!4
Page 27 and 28: Qualitative re-analysis of Care Mod
Page 29 and 30: Work AnalysisTeam:Task Who does it

Golden Rules - Safety Net Institute

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