219 - The Power of the STP: Breaking Perioperative Silos & Improving Patient Care as a Team
Description: Purpose (What):The purpose is to enable the learner to understand the elements of an innovative staff engagement initiative, and how it inspires change by developing a culture of frontline problem-solving.Relevance/Significance (Why):Frontline staff often have the best ideas for process improvement.Typically, there is no productive way for these ideas to easily be implemented in healthcare, especially within the OR environment. The STP program, standing for Situation-Target-Proposal, solves this challenge while transforming staff into problem-solving, empowered leaders who are able to optimize organizational performance together.Strategy and Implementation (How):The STP program combines problem-solving with transformational leadership to motivate change and shift toward a culture of operational excellence within healthcare. It provides an avenue to empower the most valuable staff, the frontline, to voice ideas through a simple problem-solving framework: to define the problem (situation), identify what should happen (target), and describe how it should be done (proposal). Using this innovative program, individuals within any discipline (nurses, techs, physicians, etc.) take their idea and are able to make it reality, transforming leaders and the patient care at the same time. Visual progress boards, small working groups, coaching and collaboration take place for all to see and more importantly “feel.” The STP program allows for supported problem-solving while breaking down silos and uniting all disciplines, creating a culture to optimize organizational performance and patient care practices.Evaluation/Outcomes (So what):In 2016 we set a goal to implement 500 STPs throughout our department, representing each of the 500 members of the team. In 2017 the goal was to implement 250 STPs focused on safety. These goals were lofty, but nevertheless we worked together to meet them both and are still going! In nearly three years, our perioperative department has implemented 1666 of 2363 ideas.Implications for Practice (And now):Ultimately, the STP program leads to a collaborative patient-centered culture, improved fiscal responsibility, and successful outcomes for patients, families, and staff. This can be shared and replicated, spreading empowerment and excellence to other perioperative areas worldwide.