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"RROHC has opened my eyes to limitless opportunities
to foster excellent patient outcomes!"
~RROHC Level 1 Specialist Program Student


The RROHC™ Specialist Program has been shown to improve professional practice up to 37%!

This is a 20-week, instructor-guided/self-study online course that grounds participants in the RROHC system philosophy and proven best practices that empower and motivate care providers to deliver world-class care and definably improve clinical outcomes.

Master Coach Ruth Hansten, RN, PhD, FACHE will guide your staff in learning the material and assimilating the concepts in their own clinical areas through scheduled conference calls, videos and online support.

Highlights of the five-month instructor-guided self-study include: 

  • Each student receives a portfolio, worksheets, tools and assignments. Two textbooks are required, and access to a computer and specified online sites is needed.
  • Each participant will have access to video coaching and live group coaching via pre-scheduled conference calls spaced periodically to enable access to all shifts.
  • Four hours of Nursing credit is granted from Olympic College (additional registration fees apply).   
  • Your organization's coordinator assists with discussions or group work internally.
  • Each participant completes an individual or group critical thinking project.

Following are just a few of the real results our clients have experienced by implementing the RROHC philosophy and bundle of best bedside practices and expert delegation and supervision skills.

  • Nurses at a Michigan hospital gained 30 more minutes a day by implementing the RROHC system for shift handoffs.
  • Organizations enrolled in the RROHC program show 37% improvement in clinical delegation skills.
  • Graduates show improved team engagement and satisfaction with improved nurse retention.
  • An Emergency Department in Ohio improved the time from admission to patient transfer by an average of 54 minutes.
  • A Midwest hospital's overall rating of inpatient care grew by 20%.
  • A Pediatrics Unit and ED earned a 99% in Press Ganey score and reached 80-90% mean patient satisfaction.


The RROHC Online Specialist Certification Program is intended to be a 20-week program. The portfolio is organized into sections with videos, reading and on-the-job assignments to complete.

This enhanced course will offer customized, online training at its best, with access to coaching by Ruth Hansten.


This course prepares the student for the following RROHC competencies:

  • Effectively assign, delegate, supervise, and establish team leadership.
  • Communicate professionally as a leader and interdisciplinary team member.
  • Skillfully deliver essential reports and feedback.
  • Solves problems through primary critical thinking skills.
  • Successfully apply 4 Ps (Purpose, Picture, Plan, Part) with patients, patients’ families, teams and organization.


At the conclusion of this course, the learner will perform the following behaviors:

  • Makes assignments flexibly, based on intended outcomes and the personnel available, using the 5 rights of teamwork.
  • Gives initial direction to assistive personnel.
  • Makes a plan for the shift with one’s team (4 Ps for day) or as charge RN.
  • Plans checkpoints and breaks.
  • Introduces self and/or team to patients/families using important connection points (i.e., names, roles, privacy, clarity, team members introduction).
  • Performs initial rounding for prioritization.
  • Performs bedside focused interviews with patients/families using preferred techniques for centering, presence, and shared outcomes determination.
  • Plans and leads end of shift feedback session time.
  • Offers and receives feedback in a reciprocal manner.
  • Communicates effectively with physicians as team members.
  • Delivers a change of shift report or hand-off using the 4Ps.
  • Uses critical thinking problem solving skills on real problems and presents recommendations to appropriate personnel in the workplace.
  • Communicates effectively with allied healthcare professional members of the interdisciplinary team as well as the bedside nursing care team and shares the patient’s 4 Ps with them.
  • Initiates reflection about personal behavior and begins using emotional intelligence to augment communication skills.
  • Acts consistently with RROHC principles of practice and professional integrity.

Ready to register for the RROHC Level 1 Specialist Program class beginning January 2015? Visit the RROHC Registration Page. For more information, contact us.

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