quadruple aim for better administrative workflow

The workflow workgroup analyzed the workflows of each unit role. The group presented the chosen option to the rest of the staff for a majority vote, resulting in the decision to begin self-scheduling. The scheduling workgroup analyzed several scheduling options. They provide employees with the chance to make decisions and develop plans that directly affect their work environment. The quarterly surveys allow staff to feel heard, and action plans show concrete evidence of nurse leaders’ transparent actions.Īt our hospital, several workgroups have been established in response to survey results. Even though the issue remained, the employee felt validated that the concern was acknowledged and addressed. This issue is a hospital-wide policy, so senior administration explained that it couldn’t be changed. For every written concern, the nurse managers communicate what action will be taken or why it can’t be resolved at the current time.įor example, in one survey, a staff member requested that weekend shift differential be changed from Saturday/Sunday to Friday/Saturday. With transparency in mind, the managers’ action plan describes current levels of satisfaction for each item and lists every comment added to the survey. Make a planĪfter results from each quarterly survey are received, nurse managers develop an action plan. Quarterly employee satisfaction surveys provide a consistent method for staff to share positive feedback and concerns. While these less-frequent surveys provide valuable information, they don’t allow nurse leaders to keep a close watch on issues and concerns that may arise in the interim. This quarterly approach differs from most organizations that administer employee satisfaction surveys annually or biannually. Administered electronically, all responses are anonymous. Open-ended questions ask for ideas on additional needed resources, suggestions for increased staff involvement, preferences for receipt of information, and requests for improvements. Quantitative content in the survey includes access to resources, satisfaction with shared decision-making, satisfaction with information from management, perception of being valued, and overall job satisfaction. Nurse managers on our unit developed an employee satisfaction survey with Likert-scale responses (Strongly Agree to Strongly Disagree as well as Very Satisfied to Not Satisfied) and open-ended questions. Since the implementation of this program, employees see that their opinions make a difference and that the leadership team takes action in response.ĭeveloped by the Institute for Healthcare Improvement, the goals of the Triple Aim are:ġ improved individual patient experience. Our goal was to improve employee engagement, increase resource accessibility, and enhance leadership communication.

To address these issues, our pediatric inpatient psychiatric unit developed a program of quarterly employee satisfaction surveys through which nurse managers can develop timely action plans. These factors can trigger burnout, poor workforce engagement, and compromised patient safety. In medical and behavioral healthcare settings, challenges in the work environment include increased job responsibilities, decreased staffing levels, under-resourcing, perceived stress, and lack of a nurse leader presence. The addition of a fourth aim emphasizes the importance of improving the experiences of those in the workforce who provide health care. (See Triple Aim goals.) To meet these goals, healthcare organizations must function at high levels of efficiency, efficacy, and safety, which requires an engaged workforce who understands the organization’s mission and purpose.

In 2008, the Institute for Healthcare Improvement developed the Triple Aim as a framework to guide healthcare delivery in the United States. Staff involvement in unit decisions through workgroups improves employee engagement.Quarterly employee engagement surveys with accompanying action plans can improve patient and employee satisfaction.Novel approaches can improve the experiences of those who deliver care.

Quadruple aim for better administrative workflow