mount carmel

Mount CarmelMount Carmel

A Bedtime Story…

Once upon a Once upon a timetime……

The CastleThe Castle

FactsFacts 258,978 square feet on 258,978 square feet on

23 ½ square acres23 ½ square acres All on one floorAll on one floor 457 beds457 beds Over 575 villagers Over 575 villagers

(employees)(employees) 9 Nursing Units9 Nursing Units

The Floor Plan Of The CastleThe Floor Plan Of The Castle

The CastleThe Castle

The castle is licensed The castle is licensed for Medicare and for Medicare and MedicaidMedicaid

Mount Carmel Mount Carmel accommodates both accommodates both long-term and sub-acute long-term and sub-acute residents. residents.

The castle averages The castle averages 94% to 95% capacity at 94% to 95% capacity at all times.all times.

A History Of The CastleA History Of The Castle

Established in 1958Established in 1958 Additions added in Additions added in

1963, 1972, & 1986.1963, 1972, & 1986. Governed by a variety Governed by a variety

of different bodies over of different bodies over the years the years

Currently managed by Currently managed by Benedictine Health Benedictine Health SystemSystem (BHS) of Duluth (BHS) of Duluth

Woods And ForestWoods And Forest

GreenfieldGreenfield is a small is a small blue-collar working blue-collar working class community, where class community, where tradition and tradition and commitment flourish commitment flourish

Newer smaller castles Newer smaller castles all jousting for the same all jousting for the same employeesemployees

Trials And TribulationsTrials And Tribulations

In 1998 the castle was In 1998 the castle was cited for 122 cited for 122

deficiencies, pushing deficiencies, pushing Mount Carmel into a Mount Carmel into a

decertificationdecertification

Benedictine Health System (BHS) Benedictine Health System (BHS) Entered The KingdomEntered The Kingdom

Through the collaborative Through the collaborative efforts of BHS, Clement efforts of BHS, Clement Manor, and the residents Manor, and the residents of Mount Carmel and of Mount Carmel and their families, the doors their families, the doors were kept open…BHS were kept open…BHS continues to manage us continues to manage us today.today.

With the drawbridge With the drawbridge down and welcoming.down and welcoming.

Benedictine Health System - HistoryBenedictine Health System - History

Benedictine Sisters Benevolent Association Benedictine Sisters Benevolent Association establishes BHS in 1985 with three facilitiesestablishes BHS in 1985 with three facilities Benedictine Health Center, Duluth, MNBenedictine Health Center, Duluth, MN St. Joseph’s Medical Center, Brainerd, MNSt. Joseph’s Medical Center, Brainerd, MN St. Mary’s Medical Center, Duluth, MNSt. Mary’s Medical Center, Duluth, MN

Bed complement in 1985Bed complement in 1985 445 Acute Care445 Acute Care 120 Long Term Care120 Long Term Care

Benedictine Health System - PurposeBenedictine Health System - Purpose

In 1985, the Benedictine Sisters of St. In 1985, the Benedictine Sisters of St. Scholastica Monastery established BHS to:Scholastica Monastery established BHS to: Further the Benedictine healthcare missionFurther the Benedictine healthcare mission Efficiently and effectively manage the healthcare Efficiently and effectively manage the healthcare

resources of the BSBAresources of the BSBA Increase the involvement and participation of the Increase the involvement and participation of the

laity in the expanding Benedictine healthcare laity in the expanding Benedictine healthcare ministry.ministry.

Benedictine Health System - TodayBenedictine Health System - Today

BHS owns and/or manages more than 60 BHS owns and/or manages more than 60 health care facilities across 9 stateshealth care facilities across 9 states

Bed complementBed complement 818 Acute Care818 Acute Care 4,235 Long Term Care4,235 Long Term Care 584 Assisted Living584 Assisted Living 769 Independent Living769 Independent Living

January 29, 1999 was the January 29, 1999 was the Drop Dead Pass/Fail Drop Dead Pass/Fail

Recertification Date…Recertification Date…

And we did it…And we did it…

The Kingdom stayed open!!The Kingdom stayed open!!

BHS Meetings With The VillagersBHS Meetings With The Villagers

Sharing the:Sharing the:

Future Vision of Future Vision of Mount CarmelMount Carmel

New administrative team New administrative team was Knightedwas Knighted

BHS: Our White KnightBHS: Our White Knight

The Royal Family The Royal Family then began then began

improving quality improving quality systems systems

throughout the throughout the land.land.

THE ROYAL FAMILYTHE ROYAL FAMILY

The KingThe King In January of 2002 a In January of 2002 a

new king was crowned new king was crowned AdministratorAdministrator

Mike Berry NHAMike Berry NHA Ruled other lands for Ruled other lands for

over 33 years over 33 years

The QueenThe Queen In January of 2002 a In January of 2002 a

new queen was crowned new queen was crowned

Cheryl Waber RN, DONCheryl Waber RN, DON Compassionate nurse Compassionate nurse

who cares deeply for the who cares deeply for the people of her kingdompeople of her kingdom

Storm Clouds On The HorizonStorm Clouds On The Horizon

Trouble Is BrewingTrouble Is Brewing

Over the years the kingdom went through a Over the years the kingdom went through a series of transitions following the trials and series of transitions following the trials and tribulations of 1998, which included:tribulations of 1998, which included: All departments were asked to review and All departments were asked to review and

reallocate their resources. reallocate their resources. Nursing was using an increase in the amount of Nursing was using an increase in the amount of

agency staff.agency staff.

THE DRAGONTHE DRAGON

As the 2003 budget As the 2003 budget loomed near, the loomed near, the increasing cost of increasing cost of

agency staff caused the agency staff caused the fire breathing dragon to fire breathing dragon to

rear its head…rear its head…

It was obvious something It was obvious something had to be done.had to be done.


$0

$100,000

$200,000

$300,000

$400,000

$500,000

$600,000

1st Qtr 2nd Qtr 3rd Qtr 4th Qtr

COST OF POOL NURSES

2002

In 2002 the average cost of nursing temp. staff was In 2002 the average cost of nursing temp. staff was

$117,000 month$117,000 month

KINGS ADVISORS AND COURTKINGS ADVISORS AND COURT

In February 2003 the King met with his advisorsIn February 2003 the King met with his advisors:: REDUCED POOLREDUCED POOL

Job FairsJob Fairs Caribbean cruise drawingCaribbean cruise drawing for successfully recruiting a for successfully recruiting a

nursenurse Increased amount of Increased amount of sign on bonussign on bonus (still in place today) (still in place today) College recruitingCollege recruiting ( Marquette and UWM) ( Marquette and UWM) Adjusted nurse wagesAdjusted nurse wages to be more competitive to be more competitive Contracted with agenciesContracted with agencies for reduced rates for reduced rates

FIGHT THE DRAGON!FIGHT THE DRAGON!

Preparing To Fight THE DRAGONPreparing To Fight THE DRAGON

Fighting The DragonFighting The Dragon

Met with the agenciesMet with the agencies:: Limited the number of agencies from 15 to 5Limited the number of agencies from 15 to 5 Negotiated lower ratesNegotiated lower rates Notified the agencies that we were going agency-Notified the agencies that we were going agency-

free… free…

and they laughedand they laughed !!!!!! Then we recruited their staff, and…Then we recruited their staff, and…

we laughed!!!we laughed!!!

We Fought A Good BattleWe Fought A Good Battle

$0

$100,000

$200,000

$300,000

$400,000

$500,000

$600,000

1stQtr

2ndQtr

3rdQtr

4thQtr

COST OF POOL NURSES

2002

2003

In 2003 the average cost of nursing temp. staff was In 2003 the average cost of nursing temp. staff was $44,592 month vs $117,000 in 2002 $44,592 month vs $117,000 in 2002

We Wounded The Dragon!We Wounded The Dragon!

But he was not yet But he was not yet defeated….defeated….

What Should The King Do?What Should The King Do?

The King knew that he The King knew that he would need MAGIC would need MAGIC of some kind to slay of some kind to slay this fierce dragon…this fierce dragon…

The WizardThe Wizard

He decided to consult a He decided to consult a Wizard (Clint Maun) Wizard (Clint Maun) and his collaborator, and his collaborator, the Sorceress (Cheryl the Sorceress (Cheryl Boldt)Boldt)

Clint Clint MaunMaun

A Little About The WizardA Little About The Wizard

Hails from the Hails from the Kingdom of OmahaKingdom of Omaha

Well recommended Well recommended and experienced in..and experienced in..

DRAGONDRAGON

SLAYING !!!SLAYING !!!

Privy CouncilPrivy Council

The Wizard had a Magical Plan The Wizard had a Magical Plan to help the king slay the dragon.to help the king slay the dragon.

In order to execute the Magical Plan, the king In order to execute the Magical Plan, the king needed to appoint a Privy Council.needed to appoint a Privy Council.

He gathered together some of the brightest and He gathered together some of the brightest and most talented villagers in the kingdom.most talented villagers in the kingdom.

Qualities Of The Privy CouncilQualities Of The Privy Council

Qualities included:Qualities included: Movers and shakers Movers and shakers Self-motivatedSelf-motivated Not afraid to jump right in up to their elbowsNot afraid to jump right in up to their elbows Willing to take risksWilling to take risks Global thinkersGlobal thinkers

Truly committed to the residents and each other.Truly committed to the residents and each other.


Lady Catherine BrownLady Catherine Brown

Dedicated to the Dedicated to the villagersvillagers providing providing

human resources human resources support using support using

innovative thinking, and innovative thinking, and fairness to all of the fairness to all of the

villagers.villagers.

Lady Anne GuetersohnLady Anne Guetersohn

An assistant to the king An assistant to the king like no other, allowing like no other, allowing

compassion and compassion and kindness to shine in all kindness to shine in all of her interactions with of her interactions with

the villagers.the villagers.


Lady Carrie WeberLady Carrie Weber

Lady of DarknessLady of Darkness who, who, with her energy and zest with her energy and zest

for life, energized the for life, energized the Privy Council and kept Privy Council and kept them laughing, yet still them laughing, yet still focused on slaying the focused on slaying the

dragon.dragon.

Lady Kari SchmidtLady Kari Schmidt

Lady of LightLady of Light who, with who, with persistence and tenacity persistence and tenacity kept the Privy Council kept the Privy Council focused on the needs of focused on the needs of the kingdom as a whole the kingdom as a whole

with an emphasis on with an emphasis on equality.equality.


Lady Sandy MillerLady Sandy Miller

Offers commitment and Offers commitment and innovative thinkinginnovative thinking

with experience from with experience from other lands.other lands.

Lady Stephanie RoseLady Stephanie Rose

A visionary who jumps A visionary who jumps right in and gets the right in and gets the

job done with job done with exuberance and exuberance and

emphasis on detailemphasis on detail..

Privy Council Privy Council

Lady Laure ZulkowskiLady Laure Zulkowski

AA soft-spoken leader, soft-spoken leader, whom with intelligence whom with intelligence and grace has led the and grace has led the

kingdom to many kingdom to many successessuccesses..

Sir Robert RadkeSir Robert Radke

An experienced leader An experienced leader with the ability to with the ability to

analyze a situation and analyze a situation and provide solutions using provide solutions using

critical thinkingcritical thinking..


Lady Dori SchellLady Dori Schell

Offers critical thinking Offers critical thinking and new ideasand new ideas

Lady Peg NapientekLady Peg Napientek

A honest and kind teacher A honest and kind teacher who can think globallywho can think globally

Lady Mary TorrenceLady Mary Torrence

Kindness and compassion allow her to staff the Kindness and compassion allow her to staff the Village and keep the dragon at bay.Village and keep the dragon at bay.


These hand-picked villagers of the kingdom came These hand-picked villagers of the kingdom came together, under the direction of the Wizard and his together, under the direction of the Wizard and his

Sorceress, to execute the strategic plan and aid the King Sorceress, to execute the strategic plan and aid the King and Queen in slaying the dragon.and Queen in slaying the dragon.

We Needed To Prepare For BattleWe Needed To Prepare For Battle

The Magical PlanThe Magical Plan

The Wizard had a Magical Plan entitled the…The Wizard had a Magical Plan entitled the…

SUPER TEAMSUPER TEAM

With a With a mission statementmission statement focusing on the focusing on the elimination of agency staff (THE elimination of agency staff (THE DRAGON)… while emphasizing quality DRAGON)… while emphasizing quality systems of care throughout the kingdom.systems of care throughout the kingdom.

Super TeamSuper Team

But we knew that we But we knew that we had to “eat the had to “eat the

elephant one bite at elephant one bite at a time”a time”

(or in this case…THE (or in this case…THE DRAGON)DRAGON)

Privy Council DeliberatesPrivy Council Deliberates

The Privy Council, in all of their infinite The Privy Council, in all of their infinite wisdom, knew they had to approach slaying wisdom, knew they had to approach slaying the dragon from many different directions.the dragon from many different directions.

They adopted the Mighty Wizard’s Super They adopted the Mighty Wizard’s Super Team plan, but had to break it down into Team plan, but had to break it down into workable strategic phases.workable strategic phases.

Developing The PlanDeveloping The Plan

They started by renaming themselves the They started by renaming themselves the mighty mighty FOREST RANGERSFOREST RANGERS

… ….therefore developing cohesiveness and .therefore developing cohesiveness and strengthening the relationships within the strengthening the relationships within the Privy Council.Privy Council.

This team then brought the Wizard’s Magical This team then brought the Wizard’s Magical Plan into being on Plan into being on August 4, 2003August 4, 2003

Forest RangersForest Rangers

They knew that They knew that measurable measurable goalsgoals were needed thus… were needed thus…

It was decided to adopt a It was decided to adopt a 24 24 week plan week plan to eliminate to eliminate agencyagency

Hoping to rid the Hoping to rid the Kingdom of THE Kingdom of THE

DRAGON once and DRAGON once and for all!for all!

The Magical PlanThe Magical Plan

The Wizard knew the The Wizard knew the Magical Plan was only Magical Plan was only as good as the sum of its as good as the sum of its partsparts

The Wizard The Wizard emphasized emphasized MAGICMAGIC in each phase of the in each phase of the

plan.plan.

Breaking Down The Magical PlanBreaking Down The Magical Plan

The Forest Rangers knew that each of these phases The Forest Rangers knew that each of these phases had to be tackled one at a time.had to be tackled one at a time.

A A proclamationproclamation went out to all of the Villages that went out to all of the Villages that the Magical Plan was coming.the Magical Plan was coming.

The VillagesThe Villages

In the kingdom the In the kingdom the VillagesVillages exist in exist in

groupings known as groupings known as HubsHubs

Hub 1Hub 1:: Chestnut, Willow Chestnut, Willow and Elmand Elm

Hub 2Hub 2: Spruce, Cedar, and : Spruce, Cedar, and PinePine

Hub 3Hub 3: Hickory, Cypress, : Hickory, Cypress, and Oakand Oak

The Floor Plan Of The CastleThe Floor Plan Of The Castle

A Method To Our MadnessA Method To Our Madness

Phase IPhase I: :

1. All of the Villages on NOC shift would be agency 1. All of the Villages on NOC shift would be agency free by free by August 18, 2003August 18, 2003

The fair Lady Carrie, The fair Lady Carrie, Lady of Darkness, Lady of Darkness, in charge of the in charge of the villagers on NOC shift, proclaimed that they would be first villagers on NOC shift, proclaimed that they would be first to be free of THE DRAGON’s influenceto be free of THE DRAGON’s influence

22.. Villages: Villages: Cypress, Cedar, and Willow would be Cypress, Cedar, and Willow would be Agency FreeAgency Free by by October 31, 2003October 31, 2003


Phase II: Phase II: Villages:Villages: Oak, Elm, and Pine would be Oak, Elm, and Pine would be

Agency FreeAgency Free by by December 30, 2003December 30, 2003

Phase IIIPhase III:: Villages:Villages: Hickory, Spruce, and Chestnut Hickory, Spruce, and Chestnut

would be would be Agency FreeAgency Free by by January 23, 2004January 23, 2004

A Strategic Battle PlanA Strategic Battle Plan

The phases were chosen The phases were chosen with great deliberation with great deliberation and thought from all the and thought from all the members of the Privy members of the Privy Council.Council.

They chose to tackle the They chose to tackle the Villages that were using Villages that were using the least amount of the least amount of agency firstagency first

Visionary ThinkingVisionary Thinking This forward thinking group of people knew that This forward thinking group of people knew that

slaying THE DRAGON and getting rid of agency slaying THE DRAGON and getting rid of agency staff would not be enough to maintain quality systems staff would not be enough to maintain quality systems in the kingdom.in the kingdom.

Recruitment and Retention was the key to remaining Recruitment and Retention was the key to remaining agency freeagency free

The Magical Plan would also have to include ways in The Magical Plan would also have to include ways in which to give the Villages more autonomy to fight which to give the Villages more autonomy to fight their individual battles, therefore strengthening the their individual battles, therefore strengthening the kingdom as a whole.kingdom as a whole.

One Great UnitOne Great Unit

At this time the Privy At this time the Privy Council decided to enlist the Council decided to enlist the help of the Wizard’s trusty help of the Wizard’s trusty SorceressSorceress

Cheryl BoldtCheryl Boldt She presented them with the She presented them with the

mystical concept of turning mystical concept of turning each of the Villages into: each of the Villages into:

ONE GREAT UNIT(S)ONE GREAT UNIT(S)

CherylCherylBoldtBoldt


The Sorceress knew that The Sorceress knew that the kingdom had to the kingdom had to

have all of the Villages have all of the Villages on the same page in on the same page in order to best fight: order to best fight:



The SUPER TEAM plan was for all of the The SUPER TEAM plan was for all of the Villages…but each Village has very unique Villages…but each Village has very unique and individual qualities and are in different and individual qualities and are in different

stages of governing themselves. stages of governing themselves.

Thus the Magical Plan was modified to capture Thus the Magical Plan was modified to capture the Village’s individual strengths, yet maintain the Village’s individual strengths, yet maintain

equality throughout the kingdom.equality throughout the kingdom.

Support From The Privy CouncilSupport From The Privy Council

The Privy Council met:The Privy Council met: Using suggestions from the Wizard and the Sorceress Using suggestions from the Wizard and the Sorceress

the council created support for the Villages to execute the council created support for the Villages to execute the Magical Plan.the Magical Plan.

They identified first that the culture of the kingdom They identified first that the culture of the kingdom would have to be changed…would have to be changed…

We had learned to live with the dragon!We had learned to live with the dragon!

Changing The Culture Of The Changing The Culture Of The KingdomKingdom

The Villagers had become comfortable with the dragon The Villagers had become comfortable with the dragon lurking about, but the Privy Council knew that the lurking about, but the Privy Council knew that the dragon had to be slain… dragon had to be slain…

Multiple resources were neededMultiple resources were needed Each Village would have to become stronger.Each Village would have to become stronger. The Villages needed to work together to conquer the The Villages needed to work together to conquer the

dragondragon

Thus Sub-Councils were formedThus Sub-Councils were formed

Sub-CouncilsSub-Councils

The Privy Council identified the weaknesses The Privy Council identified the weaknesses and strengths of the kingdom and created and strengths of the kingdom and created Sub-Councils.Sub-Councils.

Each Sub-Council was led by a member of the Each Sub-Council was led by a member of the Privy Council.Privy Council.

Sub-CouncilsSub-Councils were specialized teams focusing were specialized teams focusing on specific areas that needed to be addressed.on specific areas that needed to be addressed.

Convincing The VillagersConvincing The Villagers

These teams were needed to help the villagers These teams were needed to help the villagers execute the Magical Plan.execute the Magical Plan.

Some of the villagers do not believe the Some of the villagers do not believe the dragon can be slain…dragon can be slain…

They had heard it before and it never worked.They had heard it before and it never worked. Why would it work now?Why would it work now? What does it mean for the villagers?What does it mean for the villagers?

Would The Villagers Be Convinced?Would The Villagers Be Convinced?

Even if they could slay the Even if they could slay the dragon, would there be dragon, would there be enough villagers in the enough villagers in the kingdom to take the place of kingdom to take the place of the agency staff?the agency staff?

Are the individual Villages Are the individual Villages ready to commit to the ready to commit to the Sorceress’ plan and adopt Sorceress’ plan and adopt the the One Great Unit One Great Unit concept?concept?

Could The Villagers Be Convinced?Could The Villagers Be Convinced?

The Privy Council thought The Privy Council thought so… and the Wizard so… and the Wizard and the Sorceress were and the Sorceress were certain it could certain it could happen… but…happen… but…

Could they convince the Could they convince the villagers?villagers?

Everyone United Together Everyone United Together

The Sub-councils needed to consist of The Sub-councils needed to consist of villagers who were prepared to fight the villagers who were prepared to fight the dragon… and the people who did not think the dragon… and the people who did not think the dragon could be slain.dragon could be slain.

By keeping the dissenters close, the Privy By keeping the dissenters close, the Privy Council felt there would be a better chance for Council felt there would be a better chance for success in their battle against…success in their battle against…

THE DRAGON!THE DRAGON!

Only by fighting THE Only by fighting THE DRAGON as a DRAGON as a

united front could united front could the kingdom and its the kingdom and its Village be free of Village be free of

this menace this menace forever!!forever!!

Can The Kingdom Survive?Can The Kingdom Survive?

Would the villagers rise up??Would the villagers rise up?? Will the dragon be slain??Will the dragon be slain?? What other magic does the Wizard see in his What other magic does the Wizard see in his

crystal ball??crystal ball?? Does the Royal Family get dethroned??Does the Royal Family get dethroned??

Stay Tuned….Stay Tuned….

Questions?Questions?

End of Chapter 1End of Chapter 1

Break between Chapters Break between Chapters

Welcome back to our Welcome back to our story…story…

Chapter 2Chapter 2

Where we left off… Where we left off…

THE DRAGON still lurks on the horizon, THE DRAGON still lurks on the horizon, sucking the life’s blood out of the Villages.sucking the life’s blood out of the Villages.

The villagers have gathered together to take on The villagers have gathered together to take on this menacing force of nature and are this menacing force of nature and are prepared for battle!prepared for battle!

Magic In The Super Team Plan Magic In The Super Team Plan

The The Privy CouncilPrivy Council continues to consult continues to consult with the Wizard and the with the Wizard and the Sorceress on executing Sorceress on executing the SUPER TEAM plan.the SUPER TEAM plan.

Sub-Councils Lead The VillagersSub-Councils Lead The Villagers

Sub-CouncilsSub-Councils are organizing are organizing

Some villagers continue to be skeptical, but Some villagers continue to be skeptical, but THE DRAGON has to be slain.THE DRAGON has to be slain.

Focus On Strengthening The Focus On Strengthening The Sub-councilsSub-councils

The Wizard encouraged the The Wizard encouraged the Privy Council to continue Privy Council to continue with their endeavors, and with their endeavors, and

focus on strengthening their focus on strengthening their Sub-Councils.Sub-Councils.

He knew this was the route to He knew this was the route to success.success.

Magic At Each Stage Of CreationMagic At Each Stage Of Creation

The Sub-Councils had to The Sub-Councils had to have the same MAGIC have the same MAGIC at each phase of their at each phase of their

creation that the SUPER creation that the SUPER TEAM did.TEAM did.

Quality had to be built in Quality had to be built in to each stage.to each stage.


Phase IPhase I: : 1.1. All of the Villages on NOC shift would be agency All of the Villages on NOC shift would be agency

free by free by August 18, 2003August 18, 2003

The fair Lady Carrie, The fair Lady Carrie, Lady of Darkness, Lady of Darkness, in charge of the in charge of the villagers on NOC shift, proclaimed that they would be villagers on NOC shift, proclaimed that they would be first to be free of THE DRAGON.first to be free of THE DRAGON.

22.. Villages: Villages: Cypress, Cedar, and Willow would be Cypress, Cedar, and Willow would be Agency FreeAgency Free by by October 31, 2003October 31, 2003


Phase II: Phase II: Villages:Villages: Oak, Elm, and Pine would be Oak, Elm, and Pine would be

Agency FreeAgency Free by by December 30, 2003December 30, 2003

Phase IIIPhase III:: Villages:Villages: Hickory, Spruce, and Chestnut Hickory, Spruce, and Chestnut

would be would be Agency FreeAgency Free by by January 23, 2004January 23, 2004


In conjunction with In conjunction with fighting THE DRAGON fighting THE DRAGON we were improving we were improving quality throughout the quality throughout the systems by systems by concentrating on our concentrating on our strengths and strengths and weaknesses via our Sub-weaknesses via our Sub-Councils.Councils.

The Battle ContinuesThe Battle Continues

Units that were using the Units that were using the least amount of agency were least amount of agency were chosen to be tackled in chosen to be tackled in Phase I.Phase I.

The bigger hurdles were The bigger hurdles were saved for later as the level saved for later as the level of expertise increased in the of expertise increased in the Villages.Villages.

Magical PlanMagical Plan

As mentioned earlier the plan to slay THE As mentioned earlier the plan to slay THE DRAGON was in place, now was the time for DRAGON was in place, now was the time for action.action.

At the same time it was also time for action in At the same time it was also time for action in addressing the weaknesses and strengths addressing the weaknesses and strengths identified earlier by the identified earlier by the Privy CouncilPrivy Council..

It was time to It was time to launch the launch the

Sub-CouncilsSub-Councils..

Talent TeamTalent Team

Talent was a STRENGTH in all the lands:Talent was a STRENGTH in all the lands:

Talent teamTalent team: This Sub-Council reviewed the talents : This Sub-Council reviewed the talents currently available in the Villages, and how these currently available in the Villages, and how these attributes could be tapped.attributes could be tapped.

Therefore Lady Catherine and Lady Anne, with the Therefore Lady Catherine and Lady Anne, with the help of their team placed an ad in help of their team placed an ad in Ye Olde Milwaukee Ye Olde Milwaukee JournalJournal with the proclamation describing the talents with the proclamation describing the talents and expertise of selected exemplary villagers. and expertise of selected exemplary villagers.

Ye Olde Milwaukee JournalYe Olde Milwaukee Journal

The goal of this was to The goal of this was to personalize the ads to personalize the ads to the specific needs of the specific needs of each One Great Unit (s).each One Great Unit (s).

Therefore bringing new Therefore bringing new villagers into the villagers into the kingdom who would kingdom who would have the talent to fill have the talent to fill these needs.these needs.

Education TeamEducation Team

Education was a WEAKNESS in all the lands:Education was a WEAKNESS in all the lands:

Education team:Education team: Initially this Sub-Council focused on Initially this Sub-Council focused on improving the overall knowledge in the kingdom as improving the overall knowledge in the kingdom as well as teaching the villagers how to have fun at well as teaching the villagers how to have fun at work. ( FISH video)work. ( FISH video)

The long range goal was expanding on the current The long range goal was expanding on the current Mentor Program Mentor Program which was not being consistently which was not being consistently executed.executed.

Education TeamEducation Team

Lady Peg and Sir Robert Lady Peg and Sir Robert with their team led the with their team led the kingdom to embrace kingdom to embrace new villagers, while new villagers, while promoting recruitment promoting recruitment and retention.and retention.

Resource TeamResource Team

Resource was a STRENGTH in all the lands:Resource was a STRENGTH in all the lands:

Resources TeamResources Team: : This Sub-Council was created to This Sub-Council was created to analyze and better allocate the wealth and monetary analyze and better allocate the wealth and monetary resources scattered throughout the kingdom.resources scattered throughout the kingdom.

This team of analysts provided statistical input related This team of analysts provided statistical input related to agency use and identified trends.to agency use and identified trends.

Resource TeamResource Team These These identified trendsidentified trends allowed the team to better pinpoint allowed the team to better pinpoint

vulnerable points of THE DRAGON. vulnerable points of THE DRAGON.

Hours of Agency Use By Units Hours of Agency Use By Units 9/9/03 – 9/14/039/9/03 – 9/14/03

0

5

10

15

Cedar Chest Pine Hickory

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Turf/Territory TeamTurf/Territory Team

Turf/Territory was a WEAKNESS in all the landsTurf/Territory was a WEAKNESS in all the lands::

Turf/Territory TeamTurf/Territory Team: This Sub-Council focused on : This Sub-Council focused on the villagers having shift and departmental wars.the villagers having shift and departmental wars.

Lady Dori and her team introduced the Lady Dori and her team introduced the Problem=Solution PolicyProblem=Solution Policy to all the Villages in to all the Villages in hopes to bring a sense of unity throughout the hopes to bring a sense of unity throughout the kingdom.kingdom.

Turf/Territory TeamTurf/Territory Team

This team focused on This team focused on unification of all the unification of all the Villages in the Villages in the kingdom using the kingdom using the P=S PolicyP=S Policy

Publicity TeamPublicity Team

Publicity was a WEAKNESS in all the lands:Publicity was a WEAKNESS in all the lands:

Publicity TeamPublicity Team: : This Sub-Council’s purpose was to This Sub-Council’s purpose was to publicize success while creating energy throughout the publicize success while creating energy throughout the Villages.Villages.

Therefore bringing spirit and a sense of anticipation Therefore bringing spirit and a sense of anticipation throughout the kingdomthroughout the kingdom

Publicity TeamPublicity Team

The Ladies, Carrie, Kari, and The Ladies, Carrie, Kari, and Laure along with their team Laure along with their team created this sense of energy created this sense of energy

via posters, celebrations, via posters, celebrations, song, festivities and dance.song, festivities and dance.

They created a buzz They created a buzz to get the villager’s to get the villager’s

attentionattention..

Creating The BUZZCreating The BUZZ

The SongThe Song

Prepare yourself for the live Prepare yourself for the live presentation of the famous presentation of the famous

“Forest Ranger Theme Song”“Forest Ranger Theme Song”

Selection TeamSelection Team

Selection was a WEAKNESS in all the landsSelection was a WEAKNESS in all the lands::

Selection Team:Selection Team: This Sub-Council’s purpose was to This Sub-Council’s purpose was to take old villagers and analyze why they stayed, what take old villagers and analyze why they stayed, what they liked, and how to attract more villagers from they liked, and how to attract more villagers from other lands with these same attributes.other lands with these same attributes.

Lady Peg, Sir Robert and their team modified the way Lady Peg, Sir Robert and their team modified the way the kingdom recruited new villagers.the kingdom recruited new villagers.


The interview process was modifiedThe interview process was modified::1.1. Interview questions were created based on Interview questions were created based on

specific criteria that the villagers felt were key specific criteria that the villagers felt were key aspects of retentionaspects of retention

2.2. The villages interviewed their own recruits with The villages interviewed their own recruits with the idea that “if you hired them, you would take the idea that “if you hired them, you would take care of them”care of them”

3.3. The hiring process was streamlinedThe hiring process was streamlined


Appreciating the current Appreciating the current villagers was stressed villagers was stressed throughthrough

1.1. Reevaluation of wagesReevaluation of wages

2.2. An annual An annual Celebration of Celebration of Appreciation Appreciation with food and with food and gifts for all.gifts for all.

3.3. An additional An additional Celebration Celebration of Longevityof Longevity was held with was held with gifts and feasting.gifts and feasting.

Trigger TeamTrigger Team

Scheduling was a WEAKNESS in all the lands:Scheduling was a WEAKNESS in all the lands:

Trigger TeamTrigger Team: This Sub-Council’s purpose was to : This Sub-Council’s purpose was to review the current scheduling of the villagers while review the current scheduling of the villagers while analyzing the needs of all the Villages.analyzing the needs of all the Villages.

The Ladies Carrie, Kari and the scheduling The Ladies Carrie, Kari and the scheduling coordinators reviewed all the master schedules, coordinators reviewed all the master schedules, including in-house pool schedules.including in-house pool schedules.

Trigger Team Trigger Team

Revised criteria for in-house pool.Revised criteria for in-house pool. Reviewed and modified the current bonus plan Reviewed and modified the current bonus plan

for nurses.for nurses. Considered new shift differential for difficult-Considered new shift differential for difficult-

to-fill positions.to-fill positions. Encouraged Village leaders to be more Encouraged Village leaders to be more

involved in scheduling, with the goal of involved in scheduling, with the goal of moving toward moving toward Unit-Based Scheduling.Unit-Based Scheduling.

Nursing Leadership TeamNursing Leadership Team

Nursing Leadership was anNursing Leadership was an

UNTAPPED STRENGTH in all the lands:UNTAPPED STRENGTH in all the lands: Nursing Leadership TeamNursing Leadership Team: : This Sub-Council’s This Sub-Council’s

purpose was to take the individual strengths purpose was to take the individual strengths the Village leader’s already possessed and the Village leader’s already possessed and bring them together to form a unified front.bring them together to form a unified front.

Nursing Leadership TeamNursing Leadership Team

This reform was needed This reform was needed both to slay THE both to slay THE DRAGON and move DRAGON and move toward improving toward improving quality in all of the quality in all of the kingdom.kingdom.

Overlapping Of The Sub-CouncilsOverlapping Of The Sub-Councils

These Sub-Councils These Sub-Councils were originally created were originally created as separate entitiesas separate entities

Overlapping soon Overlapping soon occurred:occurred: Goals were similarGoals were similar Similar villagers on Similar villagers on

different Sub-Councilsdifferent Sub-Councils

The villagers, united The villagers, united under the direction of under the direction of the Privy Council and the Privy Council and the Sub-Councils, began the Sub-Councils, began their full-fledge their full-fledge onslaught againstonslaught against


Full Scale WarFull Scale War

Conquering THE DRAGONConquering THE DRAGON

If they kept on track the If they kept on track the plan was to conquer plan was to conquer THE DRAGON in 24 THE DRAGON in 24 weeks.weeks.

Could they do it?Could they do it?

We Won Battle IWe Won Battle I

NOCs went pool free NOCs went pool free on:on:

August 15, 2003August 15, 2003

The ProclamationThe Proclamation made by the made by the Lady of Lady of DarknessDarkness Carrie came Carrie came true.true.

Continuing The WarContinuing The War

We had won the battle…We had won the battle…

but we had not yet won thebut we had not yet won the

WAR!WAR!

The Remaining BattlesThe Remaining Battles

DAYs went pool free on: DAYs went pool free on: August 19, 2003August 19, 2003They Won Battle IIThey Won Battle II

PMs fought the hardest battle, and casualties PMs fought the hardest battle, and casualties were high…were high…

but they were still able to conquerbut they were still able to conquer THE DRAGON THE DRAGON

October 7, 2003October 7, 2003

The ProclamationThe Proclamation

The King put out a The King put out a ProclamationProclamation: :

THE DRAGONTHE DRAGON WAS WAS SLAIN!!SLAIN!!

This kingdom would This kingdom would never again be under the never again be under the control of such a control of such a menacing beast!!menacing beast!!

Celebration Throughout The Celebration Throughout The KingdomKingdom

Imagine to their Imagine to their surprise… not only surprise… not only

were they able to slay were they able to slay THE DRAGON,THE DRAGON,

but were able to do itbut were able to do it

InIn only 7 only 7 weeks!!weeks!!

There was rejoicing There was rejoicing throughout the throughout the

Kingdom!!!Kingdom!!!

Celebration Throughout The Celebration Throughout The KingdomKingdom

How Did The Villagers Do It?How Did The Villagers Do It?

All of the other castles nearby were shocked.All of the other castles nearby were shocked. Some had been trying to slay their own Some had been trying to slay their own

dragons for years… dragons for years… How did Mount Carmel do it?How did Mount Carmel do it?

All of the Villages were focused on the same All of the Villages were focused on the same result and worked together to achieve their result and worked together to achieve their goal. goal.

Teamwork and perseverance were the key.Teamwork and perseverance were the key.

Burning THE DRAGONBurning THE DRAGON

Celebration In The CastleCelebration In The Castle

Moving ForwardMoving Forward

Now that THE DRAGON was slain..Now that THE DRAGON was slain..

the villagers could concentrate their sub-the villagers could concentrate their sub-councils on improving quality systems councils on improving quality systems throughout the kingdom starting with,throughout the kingdom starting with,

focusing on the concept of:focusing on the concept of:

ONE GREAT UNIT(S)ONE GREAT UNIT(S)

One Great Unit One Great Unit

The Privy Council decided the order in which The Privy Council decided the order in which the villages would be declared the villages would be declared

ONE GREAT UNITONE GREAT UNIT

Initially the Villages were chosen by history of Initially the Villages were chosen by history of pool usage.pool usage.

Planting The VisionPlanting The Vision

The individual Village The individual Village leaders had a vision leaders had a vision planted by the Wizard planted by the Wizard and the Privy Council to and the Privy Council to promote the ideas of promote the ideas of individual autonomy for individual autonomy for all the Villages. all the Villages.

Each Village would start Each Village would start to become self to become self

operatingoperating. .

Cultivating The VisionCultivating The Vision

A meeting with village staff A meeting with village staff was called by the Privy was called by the Privy Council in which the vision Council in which the vision was planted:was planted: Identify each strength and Identify each strength and

weakness specific to their weakness specific to their Village.Village.

Emphasizing quality Emphasizing quality improvement and positives to improvement and positives to be realized.be realized.

Could They Do It?Could They Do It?

Each Village was at a different level of independence. Each Village was at a different level of independence.

Some of the villagers were very skeptical of the ideas Some of the villagers were very skeptical of the ideas presented.presented.

Would they ever be able to do all the things the Privy Would they ever be able to do all the things the Privy Council suggested?Council suggested?

One Great UnitOne Great Unit

The Village leaders met with the villagers in The Village leaders met with the villagers in order to set attainable goals for the unit that order to set attainable goals for the unit that would start small and build from there.would start small and build from there.

The villagers acceptance of the goals was The villagers acceptance of the goals was important. The more they believed in the goal important. The more they believed in the goal the more dedicated to reaching it.the more dedicated to reaching it.

Goal SettingGoal Setting The Village leaders The Village leaders

helped their individual helped their individual Villages identify Villages identify weaknesses and weaknesses and strengths strengths

Tap into these areas to Tap into these areas to create goals that were create goals that were measurablemeasurable

Move toward quality improvement.Move toward quality improvement.

Self SchedulingSelf Scheduling

Each Village started Each Village started with the basics to ensure with the basics to ensure consistent quality consistent quality throughout the land.throughout the land.

From there, self From there, self scheduling of the nurses scheduling of the nurses on one shift began with on one shift began with the goal to move the goal to move towards all shifts doing towards all shifts doing their own schedules.their own schedules.

Accepting The GoalsAccepting The Goals

The villagers acceptance of the goals was important. The villagers acceptance of the goals was important. The more they accepted the goal the more dedicated The more they accepted the goal the more dedicated to reaching that goal.to reaching that goal.

The goals needed to be chosen by them, so that they The goals needed to be chosen by them, so that they would own it and not be dictated to them by the would own it and not be dictated to them by the castle. castle.

The idea of autonomy was new and difficult to The idea of autonomy was new and difficult to believe would ever be possible.believe would ever be possible.

Celebrating SuccessCelebrating Success

Each Village set Each Village set measurable goals for measurable goals for themselves, unique from themselves, unique from other Villages.other Villages.

Each goal met was Each goal met was celebrated.celebrated.

Becoming An Independent VillageBecoming An Independent Village

In summaryIn summary::Each Village set its own measurable goalsEach Village set its own measurable goalsEach Village would become self operating (self-Each Village would become self operating (self-

scheduling)scheduling)Continue quality improvementContinue quality improvementCelebrate successCelebrate success … …Thus declaring the Thus declaring the Village independent…Village independent…

Jousting TournamentJousting Tournament

One Great Units were up and running:One Great Units were up and running: PurposePurpose: Create a team atmosphere while enhancing : Create a team atmosphere while enhancing

quality throughout all the departments and to quality throughout all the departments and to encourage friendly competition between the shifts encourage friendly competition between the shifts and the units.and the units.

Taking the Goal-based objective of the One Great Taking the Goal-based objective of the One Great Unit(s) one step further.Unit(s) one step further.

Mount Carmel’s Major League Mount Carmel’s Major League ConnectionConnection

Decided on which Decided on which quality goals quality goals would be part of would be part of the game.the game.

Picked issues that Picked issues that could impact could impact quality care.quality care.

Choosing A Theme Choosing A Theme

We chose the baseball theme because the We chose the baseball theme because the physical structure of the land made it a natural.physical structure of the land made it a natural.

And it was And it was Summer time!Summer time!

Each Hub became a divisionEach Hub became a division:: Hub 1: Eastern DivisionHub 1: Eastern Division Hub 2: Central DivisionHub 2: Central Division Hub 3: Western DivisionHub 3: Western Division

The CompetitorsThe Competitors

Each division was divided into three teams per Each division was divided into three teams per Village per shift:Village per shift:

ExampleExample: The Village of Chestnut: The Village of ChestnutEastern divisionEastern division Day shift team: Day shift team: CharmersCharmers Pm shift team: Pm shift team: SparklersSparklers Noc shift team: Noc shift team: Summer SluggersSummer Sluggers

Team DivisionTeam Division

The Nursing Staff was The Nursing Staff was the focus of the the focus of the competition.competition.

Fan support was Fan support was encouraged from other encouraged from other departments living departments living within the Village.within the Village.

The Games BeganThe Games Began

Each game was scheduled to last an entire Each game was scheduled to last an entire week from Sunday to Saturday.week from Sunday to Saturday.

Each team experienced one bye-weekEach team experienced one bye-week

The teams competed within their own division The teams competed within their own division first, with the winner moving on to a playoff first, with the winner moving on to a playoff round. round.

Name Of The GameName Of The Game

First GameFirst Game::

Target goalTarget goal: Attendance/Tardy: Attendance/Tardy ScoreScore: the number of villagers that were late : the number of villagers that were late

during that game (week)during that game (week) An example of a winning team was The Warriors An example of a winning team was The Warriors

beat the Wildcats 8 to 5.beat the Wildcats 8 to 5.

Keeping ScoreKeeping Score

Creating The Spirit Of The GamesCreating The Spirit Of The Games

Team PlayersTeam Players

Fan AppreciationFan Appreciation

Kickoff Tailgate LuncheonKickoff Tailgate Luncheon: This was held : This was held for all the villagers to create a feeling of for all the villagers to create a feeling of competition.competition.

Crackerjack was handed out to all villagersCrackerjack was handed out to all villagers Things to comeThings to come: :

Baseball TriviaBaseball Trivia with tokens awarded to the with tokens awarded to the winnerswinners

Complimentary tickets to local eventsComplimentary tickets to local events

Commencement Commencement Competition continued Competition continued

throughout the summer throughout the summer ending in a playoff ending in a playoff tournament.tournament.

Commencement Commencement celebrations followed celebrations followed the games ending in the games ending in grand feasts.grand feasts.

Awards were presented to the winnersAwards were presented to the winners..

Moral Of The StoryMoral Of The Story

No one person can slay No one person can slay a dragon a dragon

Our Appreciations Go Out To:Our Appreciations Go Out To:

The entire nursing staff:The entire nursing staff: without them The without them The Dragon could never have been slain.Dragon could never have been slain.

All departmentsAll departments: for their support and : for their support and sacrifices throughout the Warsacrifices throughout the War

Benedictine Health SystemBenedictine Health System: for coming to our : for coming to our aid when we most needed it.aid when we most needed it.

Administrative TeamAdministrative Team: For empowering the : For empowering the village leaders to have the autonomy to wage village leaders to have the autonomy to wage war. war.

Questions?Questions?

We live happily ever after…We live happily ever after…

THE ENDTHE END

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