Novant Health Forsyth Medical Center

Parent Engagement and Integrated Care

Making healthcare remarkable

PQCNC Newborn Hypoglycemia Prevention and Care

This Parent Involvement Preso Due Monday Linwood…

§ Show up on time
§ Make them think you’re smart
§ Pretend they are in their underwear
§ Always use an odd number of bullet points
§ Remember to delete this slide

Slide 1 of 264
I’m a Parent - We Can Help You Help Us

§ Introduction
§ Parental feedback improves every QI initiative
– The trick is…how do you get something useful

§ Overview of how Novant has integrated parents into care

– Give you our secret sauce
– Show you new techniques on how to fish

§ Promise to close with how this relates to hypoglycemia

Integrating Parents Into Care at Novant

§ At Novant, parent involvement began in the NICU

– Longer term stays
– Full range of medical issues
– Relationships and trust developed
– Healthy, full term babies more transactional
– Begin with focusing on parent input in NICU care

§ Extend it to Quality Improvement initiatives

– VON, antibiotic usage and critical transitions
– PQCNC
Who are These Parent People?

§ What is a NICU parent?

– Someone who hasn’t bought a crib yet is cliché
– Complex backgrounds, large variety of issues
– They chat it up off campus… think zipper club

§ Look at the Davises

– High school should have been more fun
– Situation bigger than myself
– Just one of a thousand situations

§ How do you engage parents?

– If your answer was “Communication”…BARF!
– You invest in them
– It is a top down thing
Novant Went Entrepreneurial

§ Created a simple mission

– Improve patient experience and outcomes through parental input

§ Think big
– Bring in a bunch of subject matter experts (SMEs…aka Parents)
– Give them free reign
– Challenged their own biases

§ Support parents with investment

– Match parent commitment with their own
– Put the good ideas into action
Novant and Parents – Making it Happen
§ Parent Advisory Board (PAB)
– Parent from 12 NICU families
– Meets monthly (2 hours)
– All volunteer
– Approved bylaws, formal interview process, terms, checking account

§ PAB demographics

§ Board member responsibilities

– Generate and implement ideas
– Always lead in on new ideas with “What will the nurses think?”
– Understand we live in a multi-variable world

§ Novant responsibilities
– Top execs and administrators attend meetings
– Transparency and honesty as much as possible

§ Primary objectives
– Reduce friction in the system
– Reduce the “temperature” and stress
Novant PAB Notable Accomplishments
§ Crib Cam
§ Journals for Parents
§ Voice Recorders for Parents
§ Parental Counseling
§ Daily Update Sheet
§ Environmental Improvements
§ Welcome Bag Project
§ Graduation Ceremony
§ Bereavement Bags
§ Staff Photo Display Board
§ BRA – Lactation Support
§ Nurses Appreciation
§ Parent Bonding (SQUIRT)
§ Men’s Grill
§ NICU Reunion
§ NICU Mother & Father’s Day
§ Ride for Preemies
§ Christmas Celebration
§ Munch Madness
§ Friends of PAB
Novant Parents go to VONgas and Beyond
§ Parents involved in the antibiotic usage initiative
– What antibiotics means to the general public
§ Ongoing critical transitions
– Develop scripts for physicians
– Most of the benchmarks already achieved through PAB

§ Steal ideas from other institutions

§ PAB a springboard
– PQCNC
– Social Services
– Bereavement
– Ronald McDonald
– PR activities
– And more
How Does This Relate to Hypoglycemia?
§ Novant wanted parents' input on hypoglycemia, all they had to do was:
– Call
– Text
– Email
– Bring it up to at regularly scheduled meeting

§ Because they have invested in a relationship with parents that is:

– Useful
– Dependable
– Growing in value
– Free

§ I hope this helps you catch more fish

A Thank You from Parents

§ If there is a beef, that is all you will know

§ Normal people need to focus on their normal life

§ There is an ocean of goodwill, thanks, and prayers out there
for you that you will never know exist

§ Thanks to PQCNC for recognizing the importance of parent

involvement

§ Special thanks to Ann Smith and Tinisha Lambeth

Caroline Mack Davis (2011-)
Novant Health Forsyth Medical Center
Parent Engagement and Integrated Care

Making healthcare remarkable