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Continuous Improvement and Employee Engagement, Part 2: Design, Implementation, and Outcomes of a Daily Management
Marsha Maurer1, Pamela Browall, Cynthia Phelan
1Authors Affiliations: Senior Vice President for Patient Care Services and Chief Nursing Officer (Ms Maurer), Nursing Director (Ms Browall and Ms Sanchez), Associate Chief Nurse (Ms Phelan and Ms Sulmonte), and Program Director (Ms Wandel), Patient Care Services, and Management Engineer (Ms Wang), Office of Improvement and Innovation, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
A daily management system (DMS) empowers staff to drive continuous quality improvement and enhance engagement by addressing daily workflow issues. This part 2 of a series details the DMS program
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Organizational Psychology
Background:
- Daily Management Systems (DMS) offer a framework for continuous quality improvement.
- Employee engagement is crucial for effective healthcare delivery and workflow optimization.
- Previous work established the development of a DMS.
Purpose of the Study:
- To describe the implementation of a Daily Management System (DMS) in a healthcare setting.
- To evaluate the outcomes of the implemented DMS program.
- To demonstrate how a DMS can foster daily problem-solving and engagement.
Main Methods:
- Implementation of a structured Daily Management System (DMS) involving staff at all levels.
- Utilizing the DMS to identify and address daily operational and quality-related issues.
- Data collection on key performance indicators related to quality, workflow, and employee engagement.
Main Results:
- The DMS facilitated a culture where staff actively identified and resolved daily challenges.
- Improvements were observed in workflow efficiency and quality metrics.
- Employee engagement levels showed a positive trend following DMS implementation.
Conclusions:
- A Daily Management System (DMS) is an effective tool for embedding continuous quality improvement into daily operations.
- Empowering staff through a DMS enhances their engagement and problem-solving capabilities.
- The DMS approach integrates quality and engagement, making improvement a collective, daily effort.
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