>> My name is Jonathan Green, I'm the director of critical care
for Good Samaritan Hospital in Suffern, New York.
So I am a part of the nursing department and I oversee operations
for the critical unit emergency department dialysis and wound care services.
We have a critical care unit which is a 16 bed intensive care unit.
And then the emergency department, we see about 43,000 visits a year.
And I oversee the operations, the personnel in the nursing division, the budgets, the supplies
and ordering logistics for those units, I oversee policies procedures.
I oversee scheduling, I have a team that I work with to do scheduling, just personnel issues
and training and coaching and orientation and education.
In addition to the just overseeing compliance with policies
and procedures and clinically competencies.
Yeah, we always have very performance improvement initiatives going on,
looking at clinical quality, looking at operational efficiency,
looking at just staff satisfaction and how to rework what we do to do it better,
whether it's better for the patients' outcomes, it's better for the staff,
in terms of making their flow more efficient.
And meeting regulatory requirements.
So we look at a variety of things.
There's actual clinical outcomes such as hospital required infections,
catheter associated urinary tract infections, central line infections, pressure ulcers,
and those are all metrics that are measured nationally in hospitals across the country
so we can compare our performance to the rest of the healthcare system.
We look internally at metrics like the time it takes from when an order is placed
until a patient is moved or from when an order is placed
to when the patient receives the appropriate medication.
We look at fundamentals like hand washing, whether staff are introducing themselves
to patients, those things that influence both patient safety and the patient's experience.