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Clinical Hot Topics: ABC Principle of Change

Posted on Wed, Oct 01, 2014
Clinical Hot Topics: ABC Principle of Change

Hosted by Al Sacchetti, MD, FACEP as moderator, Don’t Blink or You Will Miss It - Clinical Hot Topics can feel much like the “speed dating” of training presentations. The 12 hyper-paced presentations covered a wealth of information for the 2014 EmCare Leadership Conference attendees.  Each week, we’ll publish highlights from select clinical hot topics presented at the conference.

By Maureen Leckie, MSN, RN, Associate Vice President of Clinical Operations and April  Novotny, MSN, RN, CEN, Director of Emergency Services at Lakeland Regional Medical Center

Lakeland Regional Medical Center has experienced a transformation in efficiency, attitude and culture that is worthy of imitation. Change starts with a vision. “If you see it, you can find a way to get there!” It is propelled with communication that explains the need for change, expectations, and goals. It is nurtured with support and guidance.

The team summed it up in the “ABC principle of change” that requires: Accountability; Benchmarking Data; and Communication and Collaboration.

Want to get started?

Start by asking those on the front line to describe each process “in a perfect world.” This will help you understand the challenges and barriers to the change you are requesting. Then, monitor and provide frequent positive feedback regarding their compliance with new expectations until they become routine

For Lakeland Regional Medical Center, the changed culture resulted in a 2014 Gallup Great Workplace Award and a waiting list for ED RN applicants. The average turnaround time is now two hours 10 minutes. The number of patients who have Left Without Being Seen is less than two percent. And all this while the hospital that has seen exponential growth and an all-time high volume of 668 patients in one day.

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