Implementing Teach-Back Throughout HCMC November 8, 2012 RARE Action Learning Day Jennifer Rudolph, HCMC

Structure Performance Excellence Department Manage Organizational Initiatives Advise on the Projects to Implement Facilitate & Manage the Project

Future Process Hospital Stay24 hours 48 hours 72 hours 96 hours 120 hours Medication education and discharge instruction using teach back

Every Project Has A Charter

Timeline Fall 2012 Continued Organizational Training (Ambulatory, Pharmacy, etc.) By December 2012 Training for New Employees Implemented August 2012 Started Provider Education & Plan June 2012 Approved for all of HCMC July 2012 Teach-back at ReNEW May day workgroup to develop training - initial focus inpatient March 2012 Teachback chosen as a project April 2012 Teach-back project started, planning phase

Defined Training Objectives Define teach-back Know the benefits of using teach-back State expectations of using teach-back at HCMC Demonstrate use of teach-back

Training Plan Training slides available Video Handouts Competency Check-Off Staff Training Patient Rounding Competency Check-Off Teach-back is for ALL disciplines for ALL education Hold Staff Accountable Coach staff on open ended vs. yes/no questions Praise them when you observe teach-back Be the example Help Hardwire

Benefits Organization: Standard Teaching Method Operational leaders: Dedicated Project Management Patient care units: Team Environment Patients: Increased Understanding and Compliance C-Suite: Fewer Avoidable Readmissions

Sustainment Hardwiring New Employee Education Integrated into other education & programs Becoming the culture at HCMC