WEBVTT 00:00:00.176 --> 00:00:03.366 A:middle >> My name is Jonathan Green, I'm the director of critical care 00:00:03.366 --> 00:00:05.756 A:middle for Good Samaritan Hospital in Suffern, New York. 00:00:06.276 --> 00:00:09.496 A:middle So I am a part of the nursing department and I oversee operations 00:00:09.496 --> 00:00:13.296 A:middle for the critical unit emergency department dialysis and wound care services. 00:00:13.956 --> 00:00:17.026 A:middle We have a critical care unit which is a 16 bed intensive care unit. 00:00:17.246 --> 00:00:20.676 A:middle And then the emergency department, we see about 43,000 visits a year. 00:00:20.676 --> 00:00:28.136 A:middle And I oversee the operations, the personnel in the nursing division, the budgets, the supplies 00:00:28.136 --> 00:00:32.196 A:middle and ordering logistics for those units, I oversee policies procedures. 00:00:32.796 --> 00:00:37.856 A:middle I oversee scheduling, I have a team that I work with to do scheduling, just personnel issues 00:00:37.856 --> 00:00:41.076 A:middle and training and coaching and orientation and education. 00:00:41.076 --> 00:00:46.016 A:middle In addition to the just overseeing compliance with policies 00:00:46.016 --> 00:00:48.716 A:middle and procedures and clinically competencies. 00:00:49.256 --> 00:00:53.216 A:middle Yeah, we always have very performance improvement initiatives going on, 00:00:53.216 --> 00:00:56.936 A:middle looking at clinical quality, looking at operational efficiency, 00:00:57.276 --> 00:01:02.296 A:middle looking at just staff satisfaction and how to rework what we do to do it better, 00:01:02.576 --> 00:01:05.936 A:middle whether it's better for the patients' outcomes, it's better for the staff, 00:01:05.936 --> 00:01:09.046 A:middle in terms of making their flow more efficient. 00:01:09.776 --> 00:01:11.726 A:middle And meeting regulatory requirements. 00:01:12.496 --> 00:01:14.326 A:middle So we look at a variety of things. 00:01:14.326 --> 00:01:18.366 A:middle There's actual clinical outcomes such as hospital required infections, 00:01:18.876 --> 00:01:23.476 A:middle catheter associated urinary tract infections, central line infections, pressure ulcers, 00:01:23.736 --> 00:01:28.566 A:middle and those are all metrics that are measured nationally in hospitals across the country 00:01:28.566 --> 00:01:32.476 A:middle so we can compare our performance to the rest of the healthcare system. 00:01:32.856 --> 00:01:37.846 A:middle We look internally at metrics like the time it takes from when an order is placed 00:01:37.846 --> 00:01:40.486 A:middle until a patient is moved or from when an order is placed 00:01:40.486 --> 00:01:42.706 A:middle to when the patient receives the appropriate medication. 00:01:43.376 --> 00:01:50.336 A:middle We look at fundamentals like hand washing, whether staff are introducing themselves 00:01:50.336 --> 00:01:56.746 A:middle to patients, those things that influence both patient safety and the patient's experience.