tag:blogger.com,1999:blog-45766659980926149072024-03-04T23:51:43.944-08:00DOING COMMON THINGS UNCOMMONLY WELLOFFERING A VIEW FROM INSIDE AMERICA'S HEALTH CARE SAFETY NETAnna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.comBlogger340125tag:blogger.com,1999:blog-4576665998092614907.post-46530749663096923672016-06-18T20:53:00.000-07:002016-06-18T20:53:42.747-07:00Father's DayI have been asked to share the story I told of the last Father's Day my dad and I shared and the precious gift a nurse gave us. It's posted below.
Anyone who’s heard me speak about the CCRMC System Redesign has heard me speak of my father. In my blog entry on his birthday, I disclosed how disorienting the experience of being a ‘daughter at the bedside’ was for me.
“I tried to keep up as Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0tag:blogger.com,1999:blog-4576665998092614907.post-14305699090039847622015-01-01T14:15:00.000-08:002015-08-13T18:27:17.728-07:00Welcoming the New Year: Building on a solid foundation in 2015Every January 1, I look forward to sending a New Year message to all of you who make up our team here at CCRMC, Health Centers and Detention Health. It’s an exciting time as we welcome a new year and all that it will bring. I want to give special thanks to those among us who serve our community on holidays, after hours and on weekends – those whose commitment to our mission has them assisting Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-4533567555800884622014-09-24T21:47:00.001-07:002014-09-24T21:47:41.900-07:00Suffering In Silence: Why We Should Talk About SuicideI can remember it so clearly. It was just a few hours before the clock struck twelve and it would be my husband’s birthday. He loves presents, but always makes it difficult for me to get the right thing. He acts as if his birthday doesn’t matter to him, but I do think he likes a bit of a fuss.
The message on my phone wasn't very clear. There was a great deal of background noise. I could hardly Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0tag:blogger.com,1999:blog-4576665998092614907.post-25673303091714720702014-09-17T15:56:00.002-07:002014-09-17T16:03:14.548-07:00CCRMC and HC Rapid Improvement in the Health Homes: Kaizen Report OutGreetings: Over the last year we have been actively redesigning our ambulatory health system, pushing ourselves to build a stronger patient-centered, team-based system of care. Last week a multidisciplinary team came together to work on optimizing the roles of each member of our health home teams. The improvement team set out to better define the connections Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-24346630107044790252014-07-02T20:18:00.000-07:002014-07-03T16:17:29.713-07:00We Are Indeed Better Together
I am once again humbled and in awe of what we as “public hospitals” do.
Contra Costa Regional Medical Center (CCRMC) is a county hospital, and we hear repeatedly from those we serve that they are surprised by the excellent and compassionate care they receive here.
This myth that public hospitals are places of last resort has once again been debunked, this time by the Better Together Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com1Suisun Valley, California 94534, USA38.2688028 -122.1096906000000212.746768300000003 -163.41828460000002 63.790837300000007 -80.801096600000022tag:blogger.com,1999:blog-4576665998092614907.post-18630297617976082282014-06-25T19:11:00.000-07:002014-06-25T19:13:41.583-07:00CCRMC Safety System Kaizen 3I wanted to share a quick update that went out via CCRMC postcard from the Kaizen team.
Contra Costa Regional Medical Center Kaizen Safety Stream June 17-20, 2014
This was the third of five scheduled events dedicated to addressing our safety system as it relates to the Root Cause Analysis process. When a serious safety event occurs at the medical center or health centers, our organization usesAnna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0tag:blogger.com,1999:blog-4576665998092614907.post-47570251689670278722014-05-28T09:37:00.001-07:002014-05-28T10:31:21.045-07:004612 Welcome moments - Zero complaints -- Contra Costa Regional Medical Center Welcome 24/7---Update
Nine months ago, Contra Costa Regional Medical Center made it a priority to respect family members/care partners as a valuable part of the patient’s care team by transforming our then "Visitor Policy" to what is now know as our Welcoming Policy. We recognized the great benefits a patient receives while having loved-ones by their side during care transitions, moments of decision-making, and to Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-77406713027775965472014-01-10T14:07:00.000-08:002014-01-10T14:07:03.582-08:00The Latest News From CCRMC and Health Centers
Greetings,
I wanted to share with you the latest issue of our newsletter, The Update. In it, we highlight some of
our achievements from 2013 such as the expansion of our award-winning Telephone Consultation Clinic, the introduction of our CCRMC Welcoming Policy, and the
opening of our innovative Concord Health Center 2 (CHC2), which integrates
behavioral and physical health care. Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-66204757388889979532014-01-01T00:02:00.000-08:002014-01-01T00:31:25.107-08:00Change is here. All that is possible lies before us.Change is here. All that is possible lies before us.
Greetings friends and
colleagues,
Today is not only the start of the
new year, but also the dawn in a long-awaited era of affordable health coverage
and care for families across America.
Today, amidst hard economic times when there are many around us who are
struggling to make ends meet, at long last, much needed help is on the way. Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Big Sur, CA 93920, USA36.2704212 -121.80797636.2448172 -121.8483165 36.2960252 -121.7676355tag:blogger.com,1999:blog-4576665998092614907.post-9186690702229211042013-12-06T05:47:00.000-08:002013-12-06T05:47:18.277-08:00CCRMC and HC Strategic Planning Update
Moving Forward
The summer was a busy one with our ongoing strategic planning as we gear up for full implementation of Health Care Reform.
This process has brought together leadership, staff, labor, patients and partners, and we are making progress. We held our second strategic planning session at the end of August to hear back from the four design teams created following our May Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0tag:blogger.com,1999:blog-4576665998092614907.post-88346260525976519322013-11-19T11:03:00.000-08:002013-11-19T11:03:00.030-08:00Update: Delivery System Reform at CCRMC and HCs Annual Report
Greeting Contra Costa Community:
I am excited to share with you our annual progress report for the Delivery System Reform Incentive Payments (DSRIP) program: http://cchealth.org/medicalcenter/culture/pdf/DSRIP-Annual-Report-2013.pdf . We recently submitted this brief overview, which provides a year-end summary of our DSRIP activities through which we are redesigning our system to expand accessAnna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-21023363660976960702013-09-22T09:49:00.001-07:002013-09-22T09:57:43.013-07:00Contra Costa Regional Medical Center Welcomes You. Update on new Welcoming Policy- initial results and improvementsI wanted to
provide a quick update on our CCRMC Welcoming efforts. This update covers Tuesday-
Friday at noon.
We started on
September 17, 2013 at 8:30pm. Our first night we welcomed 13 family
members/care partners (and a pizza delivery person who brought pizza to a
hungry family member). The second night we welcomed 18 family members/care
partners and the third night we welcomed 15.
Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Napa, CA, USA38.2975381 -122.2868650000000338.098120099999996 -122.60958850000003 38.4969561 -121.96414150000004tag:blogger.com,1999:blog-4576665998092614907.post-50662799148339243682013-09-16T09:34:00.002-07:002013-09-18T10:44:40.074-07:00No such thing as a visitor – Contra Costa Regional Medical Center and Health Centers Welcome You 24/7 I’m excited to tell
our staff and Contra Costa County residents that Contra Costa Regional Medical
Center (CCRMC) is eliminating the concept of visitors in our medical center and health delivery system. On
September 17th, 2013, CCRMC will remain accessible 24 hours a day to
family and loved-ones of those receiving care in the medical center.
Recognizing that
family and loved-one presence Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com1Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-90930427391825595132013-09-13T13:33:00.002-07:002013-09-13T13:33:40.306-07:00Making Great Strides in Fighting Sepsis
CCRMC Making Great Strides in Fighting Sepsis
Every year,
there are many sepsis deaths as heart attacks. In fact, sepsis kills more
people than breast, colon, pancreatic and prostate cancer combined. Much
attention and effort has been focused on reducing sepsis in the hospital
setting, and in observance of World Sepsis Day, I want to congratulate the
staff at our Contra Costa Regional Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com1Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-43997172730554773602013-07-24T19:23:00.000-07:002013-07-24T19:44:35.562-07:005S, Just in Time (JIT), Action Period, PDSA...See what's happening in Ambulatory CareRedesign Teams from the Health Centers left our Ambulatory Care Redesign Learning Session One (ACR:LS1) with the IHI ready for continued improvement. The Martinez Health Center Team began their action period (this is a time of testing using PDSA cycles) with a round of 5S in the storage and exams rooms of the Primary Care clinic. We have spread 5SAnna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com1Green Valley, CA, USA38.2529705 -122.162191738.153233 -122.32355319999999 38.352708000000007 -122.0008302tag:blogger.com,1999:blog-4576665998092614907.post-47672004914578941312013-07-11T14:46:00.001-07:002013-07-11T14:52:42.985-07:00Ambulatory Care Redesign Learning Session One
I have spent the last two days with frontline staff engaged in our Ambulatory Care Redesign project and I am energized and inspired by their efforts.
The Ambulatory Care Redesign will improve how we deliver outpatient care by combining best practices with optimal care experiences for the best patient outcomes. Planning for this year-long effort began in early May Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-86791894945068290022013-05-29T15:32:00.001-07:002013-05-29T15:43:48.126-07:00Ambulatory Care Redesign Rapid Improvment Event (Kaizen): Referrals
Last week a team of four Care Coordinators, a Clinic Coordinator, a Provider, and one of our patient partners, Amanda, came together to work on our external referral process. This process starts when a provider initiates a referral for a clinical need outside of our eight health centers and ends when results have been received from the organization where the patient was seen. Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-45852679338051255702013-05-23T17:47:00.000-07:002013-05-23T17:47:34.772-07:00Toward Health Reform: Contra Costa Health Plan selected to participate in state insurance exchange
California took an historic step toward realizing Health Care Reform today with the announcement of the 13 health plans that will participate in the state’s health benefit exchange. I am very pleased our Contra Costa Health Plan is among the plans that will be offered through Covered California.
As part of our integrated health system, Contra Costa Health Services, CCHP has a long Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-82172741082017777612013-05-23T15:06:00.001-07:002013-05-23T15:06:44.645-07:00CCRMC and HCs Rapid Improvement Event (Kaizen) Report-Outs tomorrowAnna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-38310280064408382013-05-23T12:36:00.002-07:002013-05-23T12:54:40.343-07:00The Update: Getting the Word Out - CCRMC and HCs Monthly News Getting the Word Out As someone who oversees a dynamic health organization, I’m always looking for ways to better communicate with people about what we’re doing. That’s why I’m so excited about the new Contra Costa Regional Medical Center (CCRMC) and Health Centers' newsletter, The Update. Find the most recent issue of The Update here. My goal is that this newsletter will serve as a vehicle Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA38.006546 -122.1331200000000238.003418 -122.13816250000002 38.009674 -122.12807750000002tag:blogger.com,1999:blog-4576665998092614907.post-69980973328563032282013-05-03T06:09:00.000-07:002013-05-03T06:10:24.031-07:00Where Does Change Begin? Why we (you and I) must not settle.It was only a few years ago that there were no red lines on the wall behind the beds in CCU –anyone providing patient care could only guess at what 30 degrees looked like. What was a Bundle? We couldn’t go for months without a Ventilator Associated Pneumonia (VAP). When I reflect on it now, it almost seems we planned care knowing that assisted breathing was inevitably, or at least understandably,Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com2Napa, CA, USA38.2975381 -122.2868650000000338.098122599999996 -122.60958850000003 38.4969536 -121.96414150000004tag:blogger.com,1999:blog-4576665998092614907.post-52139711264378113152013-04-25T07:05:00.000-07:002013-04-25T07:46:54.655-07:00Improving the Medication Refill Process through Standard Work: CCRMC Rapid Improvement Event (Kaizen) Report Outs Tomorrow This week's Rapid Improvement Event (Kaizen) is working to streamline the process of refilling medications.
The improvement team is testing the most effective combination of manpower, materials and machinery in the process to develop "Standard Work" to improve the medication refill process in our system. I am often asked how we can have Standard Work and Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com0tag:blogger.com,1999:blog-4576665998092614907.post-18695214606016128732013-03-29T21:08:00.002-07:002013-03-29T21:08:41.306-07:00CCRMC Improving Primary Care: Welcome to your Health Home
The Kaizen this week was held at Concord Health Center (CHC). The team focused on improving the clinic visit "intake" process.
The team tested and developed standard work/practice to improve the intake process. Some of the improvements this week include: shifting tasks from the clinician to the intake MA/nurse, improved communication between clinician and nursing staff, a revised ccLink Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com1tag:blogger.com,1999:blog-4576665998092614907.post-56190957442143719212013-03-02T06:03:00.000-08:002013-03-02T09:34:38.431-08:00Mapping the Way Forward: Concord Health Center Primary Care VSM Report OutIf you can't see the slideshow click here.
It was a great Report-Out this Friday. The VSM team which was made up of employees from clinics across our system and a patient Healthcare Partner came together to review the flow and experience of care in the Concord Health Center. The team uses direct observation to see and time our processes and then, from the patients perspective, value or Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com1Green Valley, CA, USA38.2529705 -122.162191738.153233 -122.32355319999999 38.352708000000007 -122.0008302tag:blogger.com,1999:blog-4576665998092614907.post-20330177923258331172013-02-27T06:38:00.000-08:002013-02-27T07:01:01.971-08:00A Mother KnowsI was honored to join the Chair of our Behavioral Healthcare Partnership, Teresa Pasquini, on a webinar with the National Association of Public Hospitals yesterday to discuss the importance of patients and family members as equal partners in our system. Paul Levy, former CEO of Beth Israel Deaconess Medical Center, author of "Goal Play! Leadership Lessons from the Soccer Field" and advocate Anna Rothhttp://www.blogger.com/profile/16094247734675876475noreply@blogger.com1Green Valley, CA, USA38.2529705 -122.162191738.153233 -122.32355319999999 38.352708000000007 -122.0008302