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Develop a project charter signed by CNO, CMO, Physician Group(s), and Departments of Pharmacy and Care Management
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Implement an interdisciplinary unit governance model, including a unit Medical Director with demonstrated passion for the unit and accountability for unit outcomes
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Train all IBR participants in advanced individual and team skills, and evaluate each against profession-specific, codified high-performance criteria
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Launch IBRs on a qualified alpha unit, prioritizing essentials before focusing on advanced competencies; report IBR performance to unit staff
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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
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Standardize a nursing bedside handover process that systemizes nursing inputs to IBRs and verifies bedside compliance for 90% of nurses
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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
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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
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Implement a profession-specific IBR skills certification program that provides real-lime coaching to all participants based on the codified high-performance criteria
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Learn from and replicate successes from the alpha unit to the next qualified unit, elevating standards for participant skills, process quality, and dyad accountability