Archive for the ‘Quality Management’ Category

What if Buddy the Elf were in charge of Customer Service?

Monday, January 10th, 2011
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My dad, who I sadly lost this year, had a saying about selecting a life profession: “Think of what you like to do, and decide if you’re going to either make it or sell it.” In its simplicity, the adage has proven itself true over and over again.

Consider the talents of artists, scientists, and engineers – all of whom can conceptualize an idea into masterpieces of beauty and/or function. How else would we have the benefits of a Renoir painting or a home designed by Frank Lloyd Wright? Who would have ever imagined we could reduce a computer’s size to that of a manila envelope? Wait – who could have ever imagined a computer in the first place? To help creative souls make an actual living, it is the sellers – teachers, marketers, salesmen – who find ways to promote artistic concepts into consumer needs. If done effectively, we become excited to be part of something new or beautiful, to embrace a better breadbox by improving circumstances to a higher standard than ever before.

Historically, the sales and marketing side of business has been seen in a negative light – tough to justify expense and return, annoying and persistent personalities, etc. Yet, even if we can’t take credit for a product’s design or creation, aren’t the rest of us actually sellers? Aren’t we selling a new entrée plate in the cafeteria, or a new menu delivery system to our patients and hospital staff? Aren’t we selling an efficiency method when we promote automation of our inventory? Or, would it be more accurate to state we are sharing excitement and fun instead? Doesn’t everyone want to be “in” on the latest idea or fashion? Perhaps not, but sharing happiness and excitement is definitely a fun way to manage change.

Over the holiday season, I kept wondering how one of my favorite movie characters – Buddy the Elf – would handle customer service and sales. His innocence, and genuinely happy approach to everything, is pretty significant when one also considers outcomes. Recipients of his antics do not realize what hit them: random acts of kindness, compliments, and silliness temper the doldrums of day-to-day life.

In a recent blog by Ron Dawson (12/10/10), he cites Buddy life-lessons we can all use every day – from greeting everyone with a hug to loving the unlovable. While we can’t hug everyone in our daily business, we can treat everyone with genuine welcome. And, perhaps the hardest challenges are the most rewarding (aka the “unlovable”)? In Stephanie Wonderlin’s blog about Buddy the Elf, she identified how his skill sets – always asking questions (“Buddy the Elf, what’s your favorite color?”) and positive outlook (“You did it! Congratulations! World’s best cup of coffee! Great job, everybody! It’s great to be here.”) – help us learn our customers’ needs, along with adapting sales strategies to accommodate the target market. She reminds us that technology does not replace human contact. Surely, we haven’t forgotten that?

In the end, I think we sometimes forget who our customer really is. It could be someone calling for software assistance, or a recipe’s allergy information, or just another human being seeking to expand their knowledge. We might also forget that the majority of us are the sellers, or better yet, the educators of a challenge yet unsolved. What an awesome privilege – sharing knowledge, promoting solutions, and bringing artistic concept to reality.

Thanks for the reminders, Buddy… my favorite color is red.


by Annie Conley, Director of Client System Integration, Vision Software

Taking Care of Business

Wednesday, May 26th, 2010
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Robin Ashton, in How You Can Help Operators brings out some great points, borrowed from Doug Fryett. I’d like to chime in on this one, too.

What’s the point of food service equipment and technologies? It’s to help all of us in the food service world take better care of customers. Fryett lists areas where the right choices can make or break success: food safety, sustainability, workflow optimization, productivity enhancement, standards compliance… even creating a worker-friendly environment.

So what’s the value of technology? Integrated food and nutrition software feeds into just all of those essentials in a hospital food service operation.

Want to improve standards compliance? Why not automate the mission-critical quality and safety processes, like multiple diet prescriptions, or food allergy checking on a patient menu? Or automate nutrition screening to customized standards? These are solutions that improve workflow, boost productivity, and improve quality of patient care.

Want to engage workers and hand them the power to deliver excellence? We see this paradigm shift in implementation of room service systems in more hospitals every year. But… Want to implement room service without driving up costs and expanding staffing? Technology steps up to the plate again. Systems like diet office call center support, real-time communications, tray tracking, patient ID verification—and behind-the-scenes diet histories and nutrition care records—make these systems possible even within lean budgets.

If you’re digging into room service, I recommend the Room Service Checkup as a free planning guide. Hospital meal service is not all about technology. But technology can be the silent “Red Bull” powering basic systems we need in order to take care of business, which really means: taking care of patients.


by Michael Babines, Vice President, Vision Software

Is 99.9 Percent Good Enough?

Friday, April 30th, 2010
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Most Foodservice and Nutrition Care Managers would acknowledge that, in a number of situations, “OK is good enough”. However, many times it is understood and that “OK” is NOT acceptable. It is likely that many individuals would agree 99.9% accuracy is a completely adequate standard. Yet, in many healthcare situations, even 99.9% is definitely not good enough. Here are some examples, from a 400-bed teaching hospital, of what would happen each year if 99.9% accuracy was the accepted standard:

Newborn babies dropped by obstetricians: 4
X-rays incorrectly diagnosed: 110
Medications given to the wrong patient: 2,850
Minutes of ventilator life support failure: 54
Incorrectly reported lab results: 1,095
Meal trays received by the wrong patient: 416

So then, based on the above examples, is 99.9% good enough? There will always be risks. The goal and reward is to create systems which will avoid, reduce and eliminate ANY risks.


by Michael Babines, Vice President, Vision Software

Clinical Nutrition: The Real-Time Workflow

Monday, March 22nd, 2010
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Technology Outlook 2010 reveals technologies that can “make a real impact” in healthcare this year, as identified by leading IT executives. A common thread: Supporting the clinical care workflow in real time.

The clinical workforce is mobile. Care takes place at the bedside, not at computers in remote offices. Healthcare is a face-to-face business. This means “traditional computers have become mobile devices,” according to Russ Branzell, CIO at Poudre Valley Health System (Fort Collins, CO).

Additional technologies in high demand include smartphones and interactive patient television systems. Each of these devices moves patient care to its rightful place—with the patient.

What does this mean for patient menus in hospitals? It means that excellence in care requires a real-time workflow that responds to patient needs and requests at the touch of a screen or the tap of a PDA.

Branzell believes, “One of next major advancements will be to take the traditional television and transform it into the center of the patient care experience.” This approach requires integrated hospital technologies and HL7-compliant interfaces for a unified patient health record. Vision Software is proud to have pioneered the application of patient-driven menus supported by mobile and bedside technologies, including interactive television systems. At stake is patient satisfaction, as well as crucial compliance with ever-changing clinical data: diet orders, diet history data, nutritional status, medication lists, and of course, patient requests.

Technology Outlook also emphasizes the importance of “analytical software for doing automated comparisons” to improve patient care. Does nutrition screening come to mind? Despite its automation and labor savings, the power of technology actually goes much deeper.

The real benefit of nutrition screening software is discovering patient needs and opportunities. With short length-of-stay and limited resources in hospitals today, every hour is critical. Let’s set nutritional assessment and personalized care planning into action in time to improve patients’ well-being through comprehensive, automated nutrition screening that taps into real-time information available through the electronic health record.

Are your clinical nutrition experts empowered with technology that follows—rather than impeding—their real workflows? Are you ahead of the curve in your hospital food & nutrition operation? The time is now.


by Michael Babines, Vice President, Vision Software

Can Nutrition Technology be a Hazard in Your Hospital?

Monday, February 15th, 2010
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Recently, “problems with computerized systems” received a ranking as one of the 10 most hazardous technologies in healthcare from the ECRI Institute. ECRI is a nonprofit organization that aims to improve medical care through application of technology to healthcare procedures and processes.

What do we mean… problems? “If systems are poorly planned, implemented, or managed, they can threaten patient safety and lead to inefficiencies, significant interruptions in operations, and uncaptured or lost revenue,” according to their report. In other words, technology is not inherently perfect. As an example, the Joint Commission found that 25% of medication errors in 2006 involved computer technology. See the story.

So how do we avoid the pitfalls? It comes down to “quality data,” as explained in a presentation of the American Health Information Management Association (Quality Data for a Healthy Nation, Mary H. Stanfill, Health Information and Technology Week, 2005). Stanfill says very simply that quality data is current, timely, and comprehensive. It must be accurate and it must be available to decision-makers—the right information in the right place at the right time. She says, “Quality data is the foundation for quality information that results in quality care.”

So why doesn’t quality always happen? Stanfill explains that even in computerized hospitals, “Interfaces from one application to another are often problematic,” and poorly designed IT interfaces are actually a threat to quality of care.

On the other hand, a well designed, real time interface for nutritional care in hospitals can improve patient safety. We want to know about current medications, so we can avoid serving grapefruit juice to a patient who could have a dangerous food-drug interaction. We want to integrate food allergy data with meal service to prevent life-threatening anaphylactic reactions. Based on a synthesis of laboratory data, clinical data, and diet history, we want to flag patients at nutritional risk and target interventions before they get into trouble.

Without health information systems interfaces that include admissions, discharges, transfers, diet orders, diagnoses, medications, up-to-date lab data, and more, clinical dietitians and hospital diet office staff can’t make their best decisions, and patient safety is on the line.

In its statement on Medical Informatics for Better and Safer Health Care, The Agency for Healthcare Research and Quality (AHRQ) agrees: “Informatics can improve decision-making and patient safety.” AHRQ research focuses on electronic medical record system, access to current information, clinical reminders, clinical decision support, electronic communication, patient education and self-management of chronic disease, and more.

How about your nutrition department? Do you have quality data? In real time?


by Michael Babines, Vice President, Vision Software