Tribal EM focuses on three key areas when working with new facilities. We’ve found that by developing high-functioning collaborative teams, managing and implementing quantitative metrics and processes and focusing on provider retention we can reshape a hospitals culture. By focusing on these three key areas, our team is able to quickly and efficiently provide the leadership to work with your existing teams to make meaningful and lasting change.
Developing high-functioning, collaborative teams
Simply put, our key to success is our team. Providing high-quality care goes hand in hand with hiring and retaining qualified providers and healthcare professionals.
The Tribal EM recruitment team is familiar with the unique challenges rural and tribal facilities often face when it comes to attracting, recruiting and retaining health care professionals.
We understand the importance of finding the “right fit” which extends beyond meeting minimum qualifications and focus on hiring providers who are committed to serving and improving the quality of care to the community. Our recruitment team focuses on finding health care professionals that are uniquely suited for the rural setting, and seek to recruit for retention.
To that end, we emphasize Continuous Quality Improvement programs that help prevent medical errors, reduce risk, increase quality care and ensure patient safety in the ED.
To accomplish this, Tribal EM addresses:
- Leadership: What gets measured, gets managed and Tribal EM ED leadership teams measure multiple different aspects of patient care experience.
- Recruiting, Retention and Education: Tribal EM has a stable, consistent group of highly engaged providers and health care professionals who provide the best possible care. To that end, we are highly selective in our hiring criteria and provide ongoing professional education.
- Patient Experience: Managing patient experience leads to increased patient volume, higher satisfaction scores, and lower medical malpractice claims and grievances.
- Quality and Risk Management: By improving ED patient throughput and communication across the entire team, Tribal EM is able to reduce the risk profile and improve the quality of episodic care.
- Compliance: Our providers undergo extensive training in documentation, coding, and compliance.
Tribal EM has a proven record of reducing the barriers in workflow that results in team member’s ability to function optimally within their roles. This improves staff satisfaction, increases access to care for patients and results in a higher level of patient-centered care.
Tribal EM coordinates with hospital administration to develop the strategic plan and assists with implementation.
After successful implementation, TEM utilizes a variety of metrics and monitoring options to assure longstanding growth, development, and results ensuring the organization’s ability to capitalize and qualify for a variety of payer incentives.
Tribal EM recognizes that Tribal and rural settings have a higher incidence of burnout amongst healthcare professionals resulting in increased turnover.
Tribal EM’s retention tactics are designed to reduce turnover, increase continuity of care and improve patient satisfaction and outcomes by directly addressing some of the challenges specific to Indian Health and rural health care facilities.
It is proven that patients and staff benefit from continuity of care with clinical providers. Consistent, stable and engaged team members yield the best result.
Our experienced team has helped our tribal partners stop the revolving door of medical providers working in their emergency department.
Metrics and Process
Tribal EM constantly strives to improve core metrics and quality indicators such as door to doctor time, door to decision time, left without being seen rates and ED-CAHPS.
For example, at San Carlos Apache Health Care (SCAHC), Tribal EM has been instrumental in the improvement of patient and provider satisfaction as well as dramatically decreasing ED throughput times, specifically: door to door, door to triage, door to provider times and door to decision times.
Also, the number of transfers out of the facility has been cut in half through the use of clinical pathways and by increasing the acumen of the providers.
Projects led by the Tribal EM Leadership team include:
- Improving professional relations within the pre-hospital community.
- Achieving Base Station Status.
- Daily huddles with hospitalist group to lower risk of patient safety issues during admission “handoffs.”
- Adding Scribes to the ED.
- Lowered patient waiting times including: Door to Decision; Door to Doctor, Provider to Discharge and Provider to Triage.
- Promoting the use of clinical pathways in the ED.
- Redesigning the patient flow to a split flow system based on acuity.
- Seamless conversion to T-System charting (downtime charting) and Exit Care.
- Leading a number of hospital-wide quality initiatives.
- Developing RPMS templates and order sets for emergency medicine.