Domains | Challenges |
---|---|
Local Leadership | • Nursing and physician leaders often operate in silos. • Physician leadership at the unit level may not exist. • Formal training of unit leaders is often lacking. |
Focus on Needs of Staff | • Dispersion of physicians limits their connection to any particular unit. • Team members inconsistently given orientation to units/services. • Team member roles and expectations not defined. |
Emphasis on Needs of Patients | • Patients have poor comprehension of plan of care. • Limited opportunities exist for patients and families to partner in care. |
Attention to Performance | • Performance data often unavailable at the unit level. • Limited data to prompt changes during patients’ hospitalizations. |
Rich Information Environment | • Few opportunities for team members to share information and collaborate on better decisions. • Technology not leveraged to identify opportunities to improve care. |