コーチングの成果を武器に チーム一丸となって訪問診療を展開

TNサクセスコーチングのコーチングが
成果を上げている病院のご紹介をします。

クリニックばんぶう 2019年4月号 掲載 ブログにするにあたり日本医療企画出版社より許可を頂いております。

明日を創る 全国診療所シリーズ

診療所にとって地域は「顧客」であり、
サービスの充実はもちろん、
経営の継 続性を確保していくには、
地域の課題 解決につながる事業展開は不可欠だ。
本企画では、そうした地域課題を解決するための
さまざまな取り組みを行っ ているリーダーと診療所を紹介する。

 

クリニックばんぶう 2019年4月号


写真をクリックで購入画面にいきます。

地域診療所レポート
埼玉県 川口市 鳩ヶ谷クリニック
コーチングの成果を武器に チーム一丸となって訪問診療を展開

 

POINT!

1.コーチング導入で大きな成果を生み出す
コーチングを取り入れたことで、同院が活性化され、スタッフ同士のコミュニケー ションも盛んになった。
結果として、在宅患者数の増加や売上もアップ。

2.常に高い目標を掲げ、スタッフの士気を高める
高山院長が掲げる「患者数500人」といった大きな目標に対して、スタッフ自身が考え、意見を出し合い、全力で取り組むようになった。

3. モチベーションアップのための努力は惜しまない
スタッフ同士の距離を縮めるため、飲み会や旅行を計画。
また、高山院長はスタッフの昇給についても法人とかけあい、承諾を得た。

 

 

循環器から美容形成を経て 訪問診療を選択する

埼玉高速鉄道の南北線直結により
都内へのアクセスが向上した埼玉県川口市エリア。
東京都心のベッドタウンとして注目される鳩ケ谷駅近くで、
鳩ヶ谷クリニックは2008年8月に開院した。
「患者様とご家族の意向に100%添う」を理念に、
高山健彦院長をはじめ、
看護師2人、
医療クラーク1人、
医療事務1人、
医療連携室スタッフ1人の体制で、
主に介護付き有料老人ホームなどで生活する高齢者の訪問診療を行っている。

高山院長は、虎の門病院などで心臓外科医として勤務した後、
転科し、形成外科や美容外科の手術経験を数多く積んできた。
しかし、どれも自分の納得する医療ではなかったという。
そんなとき、魅力を感じたのが訪問診療だった。

高山健彦院長
高山健彦院長
訪問診療は、主治医が患者さんの症状をすべて診ますので、そこに興味が湧きました。
糖尿病や認知症などを勉強し直し、新薬に関しても積極的にとり入れるようにしました。そうしたことがとても面白かった

と高山院長は語る。

やりっぱなしの研修からトータル研修プログラムへ。TNサクセスコーチング

チームビルディングに向け コーチングを導入

開院後しばらくはスタッフの離職率が高く、患者数も伸び悩んでいた。
試行錯誤した末、高山院長は、
スタッフ全員が目標達成に向けて協力し合えるチームづくりを目指し、
コーチングの導入を決意。
数々の医療機関において人材育成やチームビルディングを成し遂げてきた、
TNサクセスコーチング株式会社の奥山美奈代代表取締役社長に、
半年間全スタッフに人間関係を深める実践的な考え方や、
コーチングスキルを指導してもらった。

高山健彦院長
高山健彦院長
大きな成果を上げているチームは、職場に安全性が担保されています。
安全性とは、身体的ではなく精神的なもので、互いを理解し、何が起きても誰かが必ずサポートするといった信頼関係を築くこと。
われわれはそれを目指したのです

そのとき、数値目標として掲げたのが
「在宅患者数500人」だ。
当時350人だった同院にとって、
プラス150人はそう容易いことではない。
高山院長は、スタッフ全員が毎日意識するよう、
誰もが目にする場所にこの数字を提示した。

診察風景。「人生の先輩として敬意を持って患者さんに接するよう心がけています」と高山院長

 

コーチングは、高山社長とスタッフが、それぞれが置かれている立場や
求められる医療の相互理解を深めることから始まった。

看護師が2人の同院。
たとえば、高山院長が看護師2人に、褥瘡処置の指示を出したとき、
軟膏や被覆材など、それぞれが違う処置をすることがあった。
そこで、
互いの考え方、
これまでの経験の違い、
そして得意不得意があることを洗い出し、それをパターン化して捉え、
効率的に仕事をするための共通のゴールを定めた。
そして成功体験を引き出し、
うまくいったときの要因をスタッフ自ら語ることで、
「リソースフル」な状態にもっていき、行動変容につなげていった。

半年後、職場はスタッフたちの会話で溢れ、雰囲気も明るくなった。
「大きく変わったのは仕事に対する意識」
と話すのは、主任看護師の関美恵さん。
「どうしたら効率よく仕事ができるのか、皆で意見を出し合うようになったのです」
と、コーチングの効果を実感した様子。

チームの団結力も深まり、「チームづくり」の目標も達成。
スタッフの働きがよくなったことで地域での評判を生み、
結果として患者の獲得にもつながった。

高山健彦院長
高山健彦院長
新たに訪問診療する施設が増え、患者数が460人に。
これは大きな成果です。
コーチングの導入は確実にスタッフの成長に結びついていると確信しています

 

コーチング大会の模様

コーチング大会では「クレーム対応」で医療連携室スタッフの林義将氏が優勝

 

奥山美奈のコーチング・トレーニング申し込みはこちらから。TNサクセスのコーチング

成長した姿を披露したコーチング大会

今年2月には、日頃学んでいるコーチング技術を競い合う
「コーチング大会」に全スタッフが参加。
大会には、
同院のほか3病院から医師や看護師、理学療法士など約8人が集結した。
「食事の不満」や「手術時の家族への連絡不備」など、
どこの医療機関でも起こり得る内容を想定したクレーム対応などを競った。
出場した看護師の濱津真紀子さんは
「自分の主張だけでなく、相手の気持ちをうまく取り入れたクレーム対応ができたと思います」
と自信をのぞかせた。

*******************************************************
コーチング大会 クレーム対応(鳩ケ谷クリニック)

※ その他沢山の動画があります! こちらから(チャンネル登録お願いします。)
*******************************************************

現状の課題について高山院長は、

高山健彦院長
高山健彦院長
もちろん患者数500人の達成が目標ですが、病院との連携も課題。
訪問診療にとって、中核病院との密な連携は重要です。
現在2病院と連携してますが、今後は5病院まで伸ばしたい

と力を込める。

高山健彦院長

「座右の銘は『Withoutliberey,lifeismisery(自由こそすべて)』。自由を勝ち取るための行動を常に考えてます」

 

奥山美奈のコーチング・トレーニング申し込みはこちらから。TNサクセスのコーチング

クリックで購入できます↓

 医療者のための共育コーチング 著・奥山美奈

オンラインサロンがスタート!

こんな事例でお困りではありませんか??

・学生に「この人の問題点を考えて下さい」と言われた
・スタッフの状況を考えないで、「ハンコ押して下さい」「チェックまだですか?」と言われる
・技術チェックを受ける際、学生が自分で患者選定ができない
・バイタルサインが異常値でも、すぐ報告に来ない
・患者さんと仲良くなると言葉使いが敬語ではなくなる
・スタッフが言ったことが、行動記録にそのまま書かれている。学生の考えが記入されていない
・指導しても返答がない言い訳をする。など。
このみなさんの困ったを奥山塾で解決していきます!

奥山塾(オンラインサロン)がスタートしました。
月額¥1,000(税込)で、月に数回、全国どこにいても、オンラインで奥山美奈のセミナーが受けられます
セミナー中に直接、奥山美奈に質問することもできますよ。

塾生限定のメリット多数!

  • 24時間オンラインセミナーが受けられます。
  • ¥360,000の対面式コーチングトレーニングにコーチングを受けるクライアント役として、無料で2回まで参加できます。
  • 奥山美奈の11,000円の電話&スカイプコーチング(50分)の半額割引クーポンが年間2回分受け取れます。
  • 塾生以外にはご案内しない、奥山美奈との直接交流会に参加できます。
  • 月に一度、オンラインで奥山美奈の研修に参加できます。
  • 申し込みはダイレクトにこちらから 
オンラインサロンの特典を詳しく見る

 

お知らせ

2020年2月1日(土) 東京ビックサイトにて
医学の友社「コーチング・セミナー」を開催します。

目の前で奥山美奈のコーチングシーンが見れ、講師のガイドにより自分自身もコーチングが体験できる体験型セミナーです。たった1日であなたのコーチング力が倍増間する画期的なセミナー。
ぜひ、会場でお会いしましょう。

イベント特設ページ・参加申し込みはこちら >>
医学の友社のお申込みサイトはこちら >>

 

 


こちらの記事もおすすめです!

よりよい組織づくりのための病院長の工夫

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