Customer Story: Driving Adoption and Improving Early Detection of Infections by a Factor of Two

Opportunity

A regional hospital had gathered a large group of stakeholders to develop processes and staff training to meet reporting requirements in sepsis infection, and to reduce mortality through early detection. Initially early reporting rates were in the 40% range and with a reporting deadline approaching, the stakeholders and leaders were experiencing little traction in identifying clear hospital practice, and as a result, anxiety was growing. A clinical coordinator had been hired to partner with the outcomes team to interpret the government regulations and translate those requirements to a hospital-wide process, adopted by physicians and nurses. Communication and process alignment across the levels of clinical practitioners needed targeted attention. The client was curious to see if a change management program could help improve adoption and asked Loft9 to help.

Approach

The Loft9 associate interviewed 25 stakeholders and identified key areas where objectives had not been met and the desires for achieving success. The associate then sub-divided the large stakeholder group into two accountability groups – a governance committee and a working group tasked with creating a project plan.  Using traditional Project Management methodology, the associate directed the project planning group to identify and achieve stated outcomes. The associate also led the governance committee to decisions on the most clinically appropriate process to achieve government requirements and hospital-wide strategic goals. Frequent co-sponsor meetings kept the leadership informed, gained early buy-in, and supported the executive leaders in taking a more visible role in the program. Regular conversations with all stakeholders moved leaders and their teams from an overabundance of information sharing, to methods which moved staff through understanding, owning and championing the established process for identifying and treating septic infection.

The associate led the governance committee to decisions on the most clinically appropriate process to achieve government requirements and hospital-wide strategic goals.

        

Success

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Increase Over Initial Detection Rate

%

Successful Early Detection of Infections

Leveraging proven change management techniques, the Loft9 associate built support and overcame initial resistance to the change approach by providing tangible, useful tools and facilitating productive conversations toward results. Stakeholders moved from heavily siloed processes to consistent action focused on a common purpose, which supported faster results, broader championing across the organization and a more hopeful outlook on achieving results. By adopting the approved process, the hospital achieved rates of early detection at twice the initial rate of detection resulting in an 80% early detection rate, reducing length of stay and mortality.