A couple of posts ago, I mentioned that LPNT sponsored a speaker in town last week who spoke on personal accountability (the tagline on the author's site - "Helping Organizations Make Personal Accountability a Core Value"). So, today, in the absence of any news from the Citizens Commission, updates on Joint Commission accreditation, or info on the next allotment of the $200 million from the foundation, I was looking for a little something that was thought-provoking to post on the blog. I thought you might enjoy reading this little intro from the QBQ.com website:
"Ever heard questions like these?
- Why do we have to go through all this change?
- When is someone going to train me?
- Who dropped the ball?
- Why can’t they communicate better?
- When is that department going to do its job right?
- Who’s going to solve the problem?
- When am I going to find good people?
- Why don’t they share the vision?
- Who’s going to clarify my job?
If so, QBQ! is for you. In every organization — corporations, nonprofit, schools, churches, even families — there is blame, complaining, and procrastination. QBQ, Inc. provides practical tools that help people eliminate these dangerous traps and improve their lives."
I don't know about you, but I am actually inspired to start asking the "questions behind the questions" (trademark - QBQ Inc. www.qbq.com).
Okay, back to work now.
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19 comments:
QBQ Inc.-sounds like a candidate to be a subsidiary of Insight Advantage ?
Stupid is as stupid does ?
Insight Advantage? Is that the consulting firm that caused chaos at the hospital?
There's a great letter in today's Chatham Star-Tribune on the DRMC connection with Duke Heart Center....Can someone figure out how to post it here?
Here it is, Sentinel Event can move it to the front page. Steve
Public deserves straight answers about hospital
Wednesday, April 11, 2007 1:45 PM EDT
It seems a lifetime ago, but can you recall the pride and joy we all felt when our Danville Regional Hospital became officially associated with the prestigious heart center at Duke University Medical Center?
It was an affirmation of the quality of skill and care at DRMC.
It also was the culmination of many years of hard work by devoted cardiac-care nurses and doctors and surgeons who wanted to give our community the very best.
Area newspapers were plastered with stories and full-page ads trumpeting this achievement.
Without a word to the public, the DRMC affiliation with the Duke Heart Center has apparently vanished - gone with the winds of negative changes brought to us by LifePoint Hospitals.
I only learned this when making inquiries about cardiac care. Apparently, the hospital still shares the services of a cardiovascular surgeon with Duke, but that's it.
Clearly, this is an extremely negative development in terms of our community's health care.
Like others, I have been horrified over what LifePoint has done to our hospital in terms of personnel and services, but it seems to me that the heart center development stands alone as an indicator of how bad things are.
Rumors have it that Duke pulled out because of LifePoint's severe cuts in nursing staff. Other rumors have it that LifePoint canceled the affiliation because it did not want to spend money meeting Duke's standards. Is it too much to ask that we be told the truth?
From the beginning of our nightmare when the hospital was sold in secret, a major destructive element has been the fear and confusion arising from secrecy and, in the case of LifePoint, apparently some outright lies.
For example, while they claimed to be fixing everything, we were actually losing our accreditation.
Rumors can be destructive, but they always arise from the sort of deception and secrecy that have been hallmarks of this catastrophe that threatens to wreck our community.
Isn't it time for some truth and light? Could we start by having some straight answers about what happened to DRMC's Duke-affiliated heart center?
Kelly Thomas
Pelham, N.C.
Let's see now....DRMC no longer affiliated with Duke cardiology program, Preliminary denial of accreditation, massive administrative turnover, citizens committee and Attorney General scrutiny, public commentary from administration that leads people to believe there is something to hide, and an overall air of distrust from within. Sounds like DRMC is ripe for another sale. I will start the bidding at $25. Next bid?
Funny thing that affiliation and all the rumors.....rumors, rumors, rumors. I have yet to hear of DUKE refusing any cases referred to them from community physicians. Open heart cases continue to be done, taken care of as they always have been and so forth.
By the way, rumor has it the sky is falling or was it a large meteor is headed toward earth landing directly in large field of rumor that exists in Danville !
Okay, so the Duke Heart Center is alive and well at DRMC. I assume this info comes from Lifepoint. That's what is great about this site--putting rumors to rest. Also, as a citizen, I'm relieved we still have the Duke program. You have to admit the Duke program is one of the best things about DRMC, and you have to give Lifepoint credit for keeping it. Any one of us could need it at any time.
--Dry Fork
Affiliation?? We have a CV surgeon who consults with Duke regarding appropriateness of cases to do in Danville. Duke also provides coverage for the Danville surgeon to take vacations. Otherwise, there is ZERO affiliation.
Conditions HAVE changed in the manner of care given to the cardiac patients. Ask the nurses taking care of them if you want the truth!!
There is no Duke affiliation , the sign has been taken down in CVICU.
I've seen this.
The only thing left is the one surgeon and only because his contractual obligation is not completed.
TO repeat THERE IS NO DUKE affiliation. Just wanted that to be clear.
Oh, and Heart patients ARE being doubled on the nurses.
When I had my CABG at Baptist Hospital my nurse had two patients also.
Think you better check again Baptist actually takes care of their patients,and by the way NON PROFIT teaching facility.
They do not double fresh CABG patients.
Aaah, there are many excellent hospitals where fresh CABG patients are doubled after 4-6 hrs.
If you are a "heart nurse", do your homework!!
I Think YOU should check. I HAVE done my homework. The absolute minimum being used is 12 hours and the national standard is 12-24hours. ALSO , the hospitals with the lower times have residents and PA's on site 24-7.WE do not .
Try again !!!!!!
You have been misinformed. We have traveled all over the country and have taken care of many post-op CABG patients doubled after 4 hours.
Maybe you feel overwhelmed due to your lack of experience. As the volume of patients increases, your comfort level will too and you will be able to handle a double.
I would advise however, to never take the responsibility of a triple...some hospitals are headed in that direction.
Good luck!
If you take fresh CABG's after 4 hours you are a fool, the risk is too high, in court that would be seen as negligence I've contacted many hospitals. No one doubles after 4 hours it is negligent and my experience and education I'm sure far outweighs the majority.
You must not value your license,
and if you're of the "quality" of most of the travelers that we have had , well that explains a lot...
Oh and if you're familiar with the orders after a CABG then you couldn't possibly take quality care of your patients when doubled...
I agree, doubled CABG's after 4 or even 8 hours is EXTREMELY negligent.
I find this entire conversation sooooo entertaining...quote your research... both sides just keep making statements. Show the references folks.
"Both sides" obviously have read some of the same research, so are you too ignorant or just to lazy to research the tens of thousands of articles on your own ?Too few nurses = more deaths......
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