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      <title>Noise Reduction Implementation Project by Liam Steigerwald</title>
      <link>https://padlet.com/ny_chemical/cf9tvxynhqz9</link>
      <description>The need for continuation of noise reduction implementation measures at UPMC St. Margaret.</description>
      <language>en-us</language>
      <pubDate>2017-11-13 19:14:52 UTC</pubDate>
      <lastBuildDate>2017-11-19 04:49:41 UTC</lastBuildDate>
      <webMaster>hello@padlet.com</webMaster>
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         <title>5) It’s a marathon; not a sprint.</title>
         <author>ny_chemical</author>
         <link>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206439855</link>
         <description><![CDATA[<div>Understanding that the project may take several months to years to see the true evaluation of the project implementation.  The real measurement of the project will be of the 2017-2018 HCAHPS scores.  If this project has a successful implementation, it must continue to be implemented if we want to see continued acceptable HCAHPS scores.</div>]]></description>
         <enclosure url="" />
         <pubDate>2017-11-13 19:17:50 UTC</pubDate>
         <guid>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206439855</guid>
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         <title>4) Strategy execution takes longer than strategy formulation.</title>
         <author>ny_chemical</author>
         <link>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206440883</link>
         <description><![CDATA[<div>Execution is a process or a series of integrated decisions that occur over time and demand great attention (Shirey, 2011). In other words, we spent a whole semester and half (20 weeks) planning for a project that will need to be implemented and continued or executed for at least a year until a true evaluation can be made.</div>]]></description>
         <enclosure url="" />
         <pubDate>2017-11-13 19:19:10 UTC</pubDate>
         <guid>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206440883</guid>
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         <title>3) Patient satisfaction should be #1 priority.</title>
         <author>ny_chemical</author>
         <link>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206441437</link>
         <description><![CDATA[<div>The ultimate goal for any hospital should be patient satisfaction.  We want the patients to keep coming back for our services.  If patients are unhappy with their stay, HCAHPS scores will reflect this.</div>]]></description>
         <enclosure url="" />
         <pubDate>2017-11-13 19:19:54 UTC</pubDate>
         <guid>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206441437</guid>
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         <title>2) Leaders will need to make changes to meet patient satisfaction.</title>
         <author>ny_chemical</author>
         <link>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206441722</link>
         <description><![CDATA[<div>There will be execution challenges and changes to leadership positions.  Having knowledge of these challenges to ongoing implementation will help leaders to effectively advance meaningful and sustainable change (Shirey, 2011).  </div>]]></description>
         <enclosure url="" />
         <pubDate>2017-11-13 19:20:21 UTC</pubDate>
         <guid>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206441722</guid>
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         <title>1) Reimbursement and budgeting is based off of good HCAHPS scores.</title>
         <author>ny_chemical</author>
         <link>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206442092</link>
         <description><![CDATA[<div>The reputation of the hospital is impacted due to public reports, and more importantly, the better the scores, the more reimbursement (MGHPCS.org, 2017).</div>]]></description>
         <enclosure url="" />
         <pubDate>2017-11-13 19:20:57 UTC</pubDate>
         <guid>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206442092</guid>
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         <title>References:</title>
         <author>ny_chemical</author>
         <link>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206444119</link>
         <description><![CDATA[<div>MGHPCS. (2017). What is the HCAHPS survey? Retrieved November 13, 2017, from <a href="http://www.mghpcs.org/eed_portal/Documents/PatExp/What_is_HCAHPS.pdf">http://www.mghpcs.org/eed_portal/Documents/PatExp/What_is_HCAHPS.pdf</a></div><div> </div><div>Shirey, M. (2011).  Strategic leadership for organizational change. <em>JONA. 41 (1). </em>Retrieved November 13, 2017, from </div><div><a href="https://moodle.chatham.edu/pluginfile.php/646831/mod_resource/content/3/Shirey_2013_Addressing_strategies.pdf">https://moodle.chatham.edu/pluginfile.php/646831/mod_resource/content/3/Shirey_2013_Addressing_strategies.pdf</a></div>]]></description>
         <enclosure url="" />
         <pubDate>2017-11-13 19:24:11 UTC</pubDate>
         <guid>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/206444119</guid>
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      <item>
         <title>Hospital Noise Top Stories</title>
         <author>mrobb1</author>
         <link>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/207874956</link>
         <description><![CDATA[<div>Hi Liam - This video was part of a 2013 CBC news story. Based on the experience with your project, do you feel that any progress has been made in the last 4 years? What similarities and differences do you notice?  How does this report speak to the notion of the need for project sustainability?  </div>]]></description>
         <enclosure url="https://www.youtube.com/watch?v=WpQqXQs-Kmk" />
         <pubDate>2017-11-16 19:48:04 UTC</pubDate>
         <guid>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/207874956</guid>
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         <title>Reply to Dr. Robb</title>
         <author>ny_chemical</author>
         <link>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/208353756</link>
         <description><![CDATA[<div>Hi Dr. Robb,</div><div>&nbsp;</div><div>Thanks for sharing this video. It’s an all too common theme—patients go to the hospital, get admitted, and need to get rest but end up feeling more frustrated because of lack of sleep. Patients need to sleep for emotional health, wound healing, and to maintain a strong immune system (Brown, 2011). I think it’s the combination of minor noises (rolling the vitals machine down the hallway, closing a patient’s door across the hall, another coworker laughing at a joke from a patient that just got admitted, etc.) that adds up to be a major distraction in peace and quiet for patients. Progress has certainly been made in the last four years, and hospitals will continue to make progress in this area as noise reduction will always be a priority.&nbsp; We now have scanners and phones that be put on vibrate or silent, carts have been replaced that had squeaky wheels, and earplugs are now offered on most units.&nbsp; Unfortunately, in the medical/surgical units, noise will always be inevitable but we can do our best to all work in an acceptable noise range, hence the traffic light detection system is great for monitoring this. Because there will always be noise on the units, the need for project sustainability will always be there too.&nbsp; I do feel we can go further with this.&nbsp; It would take time and a lot of money but we could use a lighting system or text page to communicate.&nbsp; For example, instead of calling the doctor at the VA, veterans use Myhealth-E Vet, a program that allows veterans to write secure messages to their health care provider.&nbsp; Usually the responses are immediate.&nbsp; What if patients could do this from their own room. For example, patient writes a message c/o pain, and fills out a short survey, answering the PQRST’s of Pain and the nurse receives the text and administers the pain medication without ever having to talk over a loudspeaker waking his roommate up. I might be on to something here….</div><div>&nbsp;</div><div>Liam</div><div>&nbsp;</div><div>Reference:</div><div>&nbsp;</div><div>Brown, T. (2011). Need sleep? Stay out of the hospital. Retrieved November 18, 2017, from <a href="https://well.blogs.nytimes.com/2011/09/07/need-sleep-stay-out-of-the-hospital/">https://well.blogs.nytimes.com/2011/09/07/need-sleep-stay-out-of-the-hospital/</a></div>]]></description>
         <enclosure url="" />
         <pubDate>2017-11-18 10:15:17 UTC</pubDate>
         <guid>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/208353756</guid>
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      <item>
         <title></title>
         <author>asbk50</author>
         <link>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/208430664</link>
         <description><![CDATA[<div>Liam,<br>I always found these kinds of debates very interesting. Are patient satisfaction surveys really the way to go to change healthcare? Should we be judging our healthcare staff and then encouraging them to make changes based off their patients perceptions?<br><br>Ashlee</div>]]></description>
         <enclosure url="https://www.medscape.com/viewarticle/827434" />
         <pubDate>2017-11-19 04:47:36 UTC</pubDate>
         <guid>https://padlet.com/ny_chemical/cf9tvxynhqz9/wish/208430664</guid>
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