1. Medical Center of McKinney
Employee Orientation

2. Mission
• To attain leadership in the health care field;
• To provide excellence in healthcare;
• To improve the standard of health care in our community;
• To provide superior facilities and needed services to
enable physicians to best serve the needs of their
patients;
• To accomplish this mission within an environment of
honesty and integrity;
• To generate measurable benefits for our patients,
community, employees, and medical staff

3. Vision Statement
To be the most comprehensive, provider of quality
health care services in North Texas.

4. Values
• We recognize and affirm the unique and intrinsic worth of
each individual.
• We treat all those we serve with compassion and
kindness.
• We act with absolute honesty, integrity, and fairness in
the way we conduct our business and the way we live our
lives.
• We trust our colleagues as valuable members of our
health care team and pledge to treat one another with
loyalty, respect, and dignity.
• We recognize each individual’s right to the assessment,
evaluation, and management of pain.

5. HCA Family of Hospitals & Facilities

6. HCA – Over 40 Years of Caring
• Our hospital/facility is one of about 170 hospitals and 115
outpatient centers in the HCA system.
• Combined, HCA facilities have about 40,000 licensed
beds and treat more than 5 million patients a year.
• One out of every 20 hospital procedures is done at an
HCA location.

7. Medical Center of McKinney
• Medical Center of McKinney opened its doors in the 1920s.
• Hospital moved to current location in 1998.
• Medical Center of McKinney’s Wysong campus was original a
hospital started by Dr. Charley Wysong in the late 1970s.

8. Senior Administration Team
Ernest C. Lynch, III
President & Chief Executive Officer

9. Our Senior Staff
Sharn Barbarin
Senior Vice President & Chief Operating Officer

10. Our Senior Staff
Dwayne Ray
Senior Vice President & Chief Financial Officer

11. Leadership Team
Randy Blanchard, CNO

12. Medical Center of McKinney
Overview

13. Emergency Services
• Full Service Emergency Department
• Accredited Chest Pain Center
• Dedicated Pediatric Treatment Room
• Cardiac Trauma Care
• Accredited Stroke Center

14. Cardiovascular Services
• Cardiac Catheterization & Interventional Lab
• Cardiac Rehabilitation
• Cardiovascular Surgery (Open Heart)
• Post Plasty Unit
• Vascular Surgery

15. Center for Orthopedics
• General Orthopedics
• Joint Replacement -Certified
• Sports Medicine
• Specially trained orthopedic nurses
• Dedicated Orthopedics Unit

16. Center for Neurosciences
• Neurology
• Neurosurgery
• Stroke Care
• Alzheimer’s Care
• Parkinson’s
• Headache Clinic
• Pain Management

17. Maternity Services
• Labor & Delivery Suites
• Recovery Suites
• Education Series
• Lactation & Prenatal Guidance
• Maternal Fetal Medicine
• Newborn Nursery
• Level II Nursery
• Neonatology

18. Other Services
Outpatient Services
• Ambulatory Surgery Center
• Community Education & Support Groups
• Occupational Health Center
• Outpatient Imaging
• Sleep Lab
• Physical, Speech & Occupational Rehab

19. Patient Satisfaction

20. Header (Arial / Bold 28 pts)
Patient Satisfaction
Inpatient
• You make it happen Wings
– Introduce yourself when entering a patient’s room (1st Qtr 2009
Preliminary)
• This includes all employees – Registered Nurses,
Housekeeping, Phlebotomists, Radiology Techs, • 2E 3.88
etc… • 2N 3.66
– Inform the patient of your name and department • 2S 3.85
• 2W 2.94
• 3N 3.58
• Is there anything else I can do for you? • 3W 3.40
– I have the time. • 4E 3.20
• 4N 3.60
• 4S 3.71
• 4W 3.64
• REHA 3.55

21. HCAHPS
• The intent of the HCAHPS initiative is to provide a standardized survey instrument and data collection
methodology for measuring patients' perspectives on hospital care. While many hospitals have collected
information on patient satisfaction, prior to HCAHPS there was no national standard for collecting or publicly
reporting patients' perspectives of care information that would enable valid comparisons to be made across all
hospitals. In order to make "apples to apples" comparisons to support consumer choice, it was necessary to
introduce a standard measurement approach: the HCAHPS survey, which is also known as the CAHPS® Hospital
Survey, or Hospital CAHPS. HCAHPS is a core set of questions that can be combined with a broader, customized
set of hospital-specific items. HCAHPS survey items complement the data hospitals currently collect to support
improvements in internal customer services and quality related activities.
Three broad goals have shaped the HCAHPS survey. First, the survey is designed to produce comparable data
on the patient's perspective on care that allows objective and meaningful comparisons between hospitals on
domains that are important to consumers. Second, public reporting of the survey results is designed to create
incentives for hospitals to improve their quality of care. Third, public reporting will serve to enhance public
accountability in health care by increasing the transparency of the quality of hospital care provided in return for
the public investment. With these goals in mind, the HCAHPS project has taken substantial steps to assure that
the survey is credible, useful, and practical. This methodology and the information it generates are available to the
public.
In May 2005, the National Quality Forum (NQF), an organization established to standardize health care quality
measurement and reporting, formally endorsed the CAHPS® Hospital Survey. The NQF endorsement represents
the consensus of many health care providers, consumer groups, professional associations, purchasers, federal
agencies, and research and quality organizations.

22. LEAD Performers: Key Features
Leadership Empowerment
• Knows HCAHPS Domains • Everybody’s “JOB”
• Actively Engaged • Everyone knows their role
o Current performance
Better
Patient Experience • Everyone is involved
o Goals • Everyone responds
o Championing Better
HCAHPS Performance
o Supporting
Accountability Dedication
• Clear expectations • Demonstrate proven behaviors
• Routine reviews of action plans o Every day
• Routine reviews of performance o Every patient
• Recognition and rewards o Every encounter

23. Individual Question Analysis
Rank HCAHPS question Dimension Somers' d
1 q1 - During this hospital stay, how often did nurses treat you with courtesy and respect? Nurse Communication 0.69
2 q2 - During this hospital stay, how often did nurses listen carefully to you? Nurse Communication 0.64
q14 - During this hospital stay, how often did the hospital staff do everything they could to help you with
3 Pain Management 0.61
your pain?
4 q3 - During this hospital stay, how often did nurses explain things in a way that you could understand? Nurse Communication 0.58
5 q5 - During this hospital stay, how often did doctors treat you with courtesy and respect? Physician Communication 0.55
q4 - During this hospital stay, after you pressed the call button, how often did you get help as soon as you
6 Staff Responsiveness 0.54
wanted?
7 q6 - During this hospital stay, how often did the doctors listen carefully to you? Physician Communication 0.50
q16 - Before giving you any new medicine, how often did hospital staff describe possible side effects in a
8 Medication Communication 0.50
way that you could understand?
9 q8 - During this hospital stay, how often were your room and bathroom kept clean? Cleanliness 0.49
10 q13 - During this hospital stay, how often was your pain controlled? Pain Management 0.48
11 q7 - During this hospital stay, how often did doctors explain things in a way that you could understand? Physician Communication 0.46
12 q11 - How often did you get help in getting to the bathroom or in using a bedpan as soon as you wanted? Staff Responsiveness 0.46
q17 - Before giving you any new medicine, how often did the hospital staff describe any possible side
13 Medication Communication 0.44
effects in a way that you could understand?
14 q9 - During this hospital stay, how often was the area around your room quiet at night? Quietness of Environment 0.39
q20 - During your hospital stay, did you get information in writing about what symptoms of health
15 Discharge Information 0.34
problems to look out for after you left the hospital?
q19 - During your hospital stay, did hospital staff talk with you about whether you would have the help
16 Discharge Information 0.34
you needed when you left the hospital?

24. Certification & Accreditations

25. Medical Center of McKinney is…
• Accredited by the Joint Commission
• An accredited Stroke Center by the Joint
Commission
• Accredited Chest Pain Center
• Accredited Joint Certification in Total
Hip/Knees by Joint Commission
• Accredited Sleep Lab
• CAP Accredited Laboratory

26. Medical Center of McKinney is…
• One of 25 hospitals across the nation to participate in
all three American Heart Association quality programs
– Gold – Coronary Artery Disease
– Gold– Stroke
– Silver– Heart Failure

27. Marketing & Community Relations

28. Innovation

29. Innovation

30. Dates to Remember
July 29 and 30th Skills Fair for all employees at Wysong
Campus
August 24th-25th Town Hall Meetings
September 11th Meet the Troops at DFW Airport
October 3rd MCM Employee Picnic