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In this week's article, I would like to give you some information on the Transitional Orientation Program and the Day in the Life (DIL) activities here at NNMC. Since we are embarking on a historical merger with Walter Reed, it is imperative that the workforce is prepared to provide Patient and Family Centered World Class health care services for our Wounded Warriors and other beneficiaries.

In April we conducted Workspace Trainer ("Train the Trainer") sessions at WRAMC. These sessions were designed to assist them in developing the curriculum for their functional areas, clinics, and wards on workspace specific training such departmental orientation, equipment familiarization and operation, and life safety measures. In addition, Day in the Life scenario preparation workshops were facilitated for WRAMC and NNMC staff.

The Transitional Orientation sessions began on May 17, 2011, and will continue through July 21, 2011, with the purpose of training and orienting approximately 3,000 staff members relocating from WRAMC and Malcolm Grow. Topics during these sessions include: Cultural Integration; Evolving into a World Class Hospital; and Making the Transition, which includes items in the "Onboarding" process such as check-in, parking, and badging. Sessions were opened with a welcome address from the NNMC leadership. On June 23, there were an extensive number of attendees at the four sessions given at WRAMC. A total of 1,284 staff members attended during that singular day, and to date, we have trained 2,144 individuals.

During the months of June through August, workspace orientation and equipment training is scheduled for each of the end-user areas and focused on the particular mission of that area. This includes cross training of personnel from both WRAMC and NNMC, with the purpose of blending our staff and cultures.

The Day in the Life (DIL) exercises are designed to evaluate systems and processes that involve high risk, high volume, and potentially problem prone areas or processes, as well as looking at patient flow patterns. Six full tracer style scenarios, focusing on services not previously offered at NNMC, will be tested. The first set of exercises occurred on Tuesday, July 12, with the next evolution to occur on July 26. In addition, clinics and services are conducting their own DIL activities specific to their functional areas. Additionally, equipment training, scavenger hunts, life safety training, and open houses are being conducted for new staff during this time period. For coverage of this exercise, see page 6.

For more information about this training, contact Dr. Joan Gordon at 301-319-3817 or

All staff relocating to NNMC are required to attend an orientation session. Newly reporting NNMC staff members who have arrived since the December 2010 timeframe are also encouraged and recommended to attend. If documentation is not available related to attendance at Transitional Orientation, staff members will be required to attend the eight hour Joint Newcomers Orientation starting in the fall.

To be prepared to serve in a Medical Home environment and provide safe Patient and Family Centered quality care to our patients, everyone relocating to the Bethesda Campus must participate. Our focus continues to be our three objectives of patient and staff safety, quality patient care, and continuous survey readiness. By participating in these assessment, orientation, and educational activities, we will be successful and meet these objectives. Thank you for your efforts and dedication, assisting with the preparation for and execution of the moves, and continuing to provide superb world class care to our patients, and their families, during this time of increased tempo and patient census.

Please address any correspondence to