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The Power of Presence: Johannah Scheuer, M.D.

Chelsea Klevesahl

Chelsea Klevesahl

Co-founder, COO

The Power of Presence is an interview series that explores the experiences of physicians, nurses and families who have used Q-rounds; they are not compensated for sharing their stories, and responses have been edited for length and clarity. 

Johannah Scheurer, M.D., is a Neonatologist at M Health Fairview Masonic Children’s Hospital who has used Q-rounds for six months.

Having a child in the neonatal intensive care unit (NICU) can be the most difficult time in a family’s life. And doing the hard work of supporting them through this experience is why Johannah Scheurer, M.D., got into medicine. To be with families during their  NICU journey before sending them home and out into the world to become amazing toddlers and kids.

“Q-rounds ability to enhance how providers connect with patients and their families is important for physicians’ ongoing wellbeing, because having more meaningful interactions reinforces why we all went into medicine in the first place.”

Is it easy to use Q-rounds?

It was very intuitive—if you can use any given app, Q-rounds is easy to use, and you can do so on a phone, tablet or desktop. A colleague was initially concerned, but on his second day of Q-rounds he told me, ‘I see why this makes sense, and it was as easy as I was told it would be.’  

Does Q-rounds add value to rounds?

When I’m at the bedside with a patient and their family outside of rounds, we can have follow-up conversations and already be on the same page. And sometimes on weekends, when my shift is just two days, I’ve gone from connecting with no families to seeing seven more families than I would have without Q-rounds. The difference between zero and seven in a two-day span is very meaningful.

91% of families that attend daily rounds have a higher level of confidence in the care team.* 

Does Q-rounds improve care team communication?

Yes—I’m better able to share my plans for the day with the rest of my team. Not just with the nurses and families who are getting the notifications about rounds, but also the advanced practice providers,  and doctors in training who are an integral part of rounds. It gives the team more control and knowledge of the schedule—it’s like they can see what’s in my brain.

Has Q-rounds improved your interactions with families?

I’m able to more directly communicate with a higher number of families because of Q-rounds, both because they’re able to better plan their time when they’re in the hospital and come to rounds, and because it’s more easily accessible to be part of rounds via teleconference. And the sense families used to sometimes bring to rounds when joining sporadically—of needing to get all their questions in when they could—has decreased with having their presence on rounds more accessible on a daily basis.

What do families say about Q-rounds?

Families lack a lot of control over what goes on in the NICU—that’s the nature of a baby needing all this medical support and care. Q-rounds is one small thing we’ve been able to do to help them have control over something. Interestingly, when they transition out of the higher acuity NICU—which is a good thing—they go to a part of the neonatal unit that doesn’t use Q-rounds, and they’ve asked ‘Why don’t we have Q-rounds in this area?’

“Working in a Level 4 NICU where patients are very sick, historically led to an emphasis on connecting with a smaller number of families of the most ill patients. Using Q-rounds has improved patient care because more families are part of rounds in person or via teleconference, and I’ve been able to increase and enhance the connections I’m able to make with more families.”

Has Q-rounds had an impact on patient care?

I truly believe Q-rounds has helped patient care, mainly in terms of having a cohesive care plan. Nurses are more frequently part of rounds, dramatically reducing the amount of time they might have missed for their patient and allowing them to provide input in the moment. Because it’s not just about agreeing to the same care plan—having all members of the care team having the same understanding of why the plan is what it is, is very beneficial for patient care. 

Research has shown Q-rounds increased nurse presence for the entirety of rounds by 215%.*

How has Q-rounds personally impacted your work?

Sometimes it feels like we’re asked to add technologies that can take away from the things we providers find meaning in both in and outside of work. Q-rounds ability to enhance how providers connect with patients and their families is important for physicians’ ongoing wellbeing, because having more meaningful interactions reinforces why we all went into medicine in the first place. I love helping babies’ families through the NICU and engaging the whole care team in that effort. 

Rounding it up

Technology in healthcare is frequently used to replace tasks dependent on human interaction. Q-rounds proudly provides an unique alternative with an app whose purpose is creating more meaningful interactions for physicians with their patients, families and partners on the care team.

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*Q-rounds: Data on file, 2023.