Huddle, Multidisciplinary Rounds.

Finally I was able to successfully roll out Huddle or multidisciplinary rounds at all three hospitals.

So far I have heard great things the way we are conducting these rounds. 

We have a huddle for 20 minutes every day, less than a minute per patient at a specific location in each hospital.

Out team members include everyone who are stakeholders in patient care.

1- Dedicated case manager. (I would appreciate if you can assign a dedicated case manager for all our patients)

2- House nursing supervisor.

3- Floor supervisors (optional).

4- Physical therapy and occupational therapy.

5- Dietary.

6. Core measure/ quality measure person for real time corrective measures for CHF, Pneumonia, AMI etc.

7- Hospital DRG coder. (Again this would take care of any def. in documentation).

8- Mr. Computer, so we can take care of orders during rounds.

9. Pharmacist (if they can).

Our team has so far improved,

1- Potential early discharges and transfers. 

2- Plan of care for the day.

3- Identify needs for patients.

4. Improve work flow and delegation of tasks.

5. Improve core measure compliance and power plans. 

6. Improve documentation. 

7- Contain cost per case.

And the best part is.... it is a lot of fun.