Develop a Charter
Develop a project charter signed by CNO, CMO, Physician Group(s), and Departments of Pharmacy and Care Management
Standardize Bedside Handover
Standardize a nursing bedside handover process that systemizes nursing inputs to IBRs and verifies bedside compliance for 90% of nurses
Implement Unit Governance
Implement an interdisciplinary unit governance model, including a unit Medical Director with demonstrated passion for the unit and accountability for unit outcomes
Choose a Shared Model
Choose an evidence-based shared mental model for the structure of daily rounds, and use it to provide profession-specific job aids to all IBR participants, including daily prep sheets, advanced skills guides, and video examples
Train Participants
Train all IBR participants in advanced individual and team skills, and evaluate each against profession-specific, codified high-performance criteria
Optimize Rounds
Develop a process for planning, managing, and evaluating rounds each day to optimize and protect quality and efficiency, and to flow daily IBR data into performance dashboards
Launch on Alpha Unit
Launch IBRs on a qualified alpha unit, prioritizing essentials before focusing on advanced competencies; report IBR performance to unit staff
Certify Skills
Implement a profession-specific IBR skills certification program that provides real-lime coaching to all participants based on the codified high-performance criteria
Maintain Stability
Learn from and replicate successes from the alpha unit to the next qualified unit, elevating standards for participant skills, process quality, and dyad accountability
Replicate Success
Ensure long-term stability by responding appropriately and promptly to staff turnover and deviations in process fidelity, leveraging the IBR performance data and the unit’s leadership dyad
Achieve Excellence
Achieve high reliability clinical operations excellence across all participating units
