Board of Directors Formal Meeting. November 23, Item 6.

Transcription

1 Maricopa County Special Health Care District Board of Directors Formal Meeting November 23, 2009 Item 6.

2 Maricopa Integrated Health System Nursing Division Quarterly Report 3rdQ 2009 Presented by: The Perinatal Team November, 2009

3 MIHS Nursing Evidence to Excellence Philosophy Where we started The last nursing strategic plan focused a commitment to reclaiming our fundamental nursing values and was called BACK TO BASICS Where we are going Today, the Nursing Division is using Evidence-Based Practice to move in a new and exciting direction Excellence 2

4 Philosophy Excellence in nursing is a dynamic process that is based on both the art and science of nursing in the context of caring. Nursing care at MIHS is based upon the belief that the best care is accomplished through positive interpersonal relationships, especially the nurse-patient relationship. Autonomy in decision-making, both at the point of service (patient and family) as well as in the global environment is central. Shared governance models are used to assure staff input into clinical practice and professional activities. The Clinical Ladder Program exists to support professional nursing practice through ongoing growth and development. 3

5 Nursing Pillars People Service Quality Growth Finance 4

6 People Train managers on the Shared Governance Model to enable strong support and collaboration Identify core nursing UBCs to be responsible for communicating projects, barriers, and successes to the Nurse Practice Council and the Nurse Executive Council Publish the results of the projects being implemented to the Board, leadership, and the unit nurses. Focus on employee and patient process improvements (utilize findings from Peer Review, RCA, PI, regulatory changes, etc.) Clinical Ladder implemented New Graduate Nurse Residency program ongoing 5

7 People March of Dimes 2009 Nurses of the Year Awards Diana Schmidt, NICU CRL - Nurse of The Year Outstanding Mentor! Pat Johnson, NICU NNP Finalist, Nurse of the Year Research/Advancing the Profession Meera Markus, RN, NICU -- Nominee, Patient Care Category Tita Delisi, RN, Educator Nominee, Clinical Education Category Kim Ludwig, RN, NICU - Nominee, Patient Care Category 6

8 People Pediatric Nurse Certification Exam (PNCB) PNCB certification validates a nurse s specialized skills, knowledge, and abilities. The exams are recognized and endorsed by the American Academy of Pediatrics (AAP), the Society of Pediatric Nurses (SPN), the Association of Faculties of Pediatric Nurse Practitioner Programs (AFPNP), and the National Association of Pediatric Nurse Practitioners (NAPNAP). MIHS congratulates our Certified Pediatric Nurses: Merilyn Calo, RN, CPN Kari Jahner, RN, BSN, CPN Jennifer Crain, RN, CPN Barbara Meyer, RN, BSN, CPN Jill Smith, RN, MSN, CPN Diane Barrera, RN, BSN, CPN Kimberly Choppi is our Certified Pediatric Emergency Nurse (CPEN). 7

9 Service Bed Management Software (TeleTracking) This system will improve patient flow by automating requests for patient beds, transport assistance, and EVS assistance in bed cleaning Currently training and implementing user guides for Managers, CRLs, and bedside nurses Collaboration with IT, Housekeeping, and Transporters Develop a PI tool to ensure software improves efficiency 8

10 Quality Nurse Sensitive Indicators developed - Pressure Ulcer - Pain Assessment - Restraints - Telephone/Verbal Orders - Patient Education Review and revise the MIDAS software to ensure the measurements and method of data collection are aligned. Involve the direct line staff in the development of interventions and the evaluation of the interventions for each nurse sensitive indicator. Involve the Clinical Practice Educators in developing education for the areas identified as needing improvement. 9

11 Quality Performance Improvement (PI) Projects Multi-disciplinary teams IHI Bundles Ventilator Associated Pneumonia Blood Stream Infections Urinary Tract Infections Supply Management New PI for 4 th Quarter OB Hemorrhage Collaborative Glycemic Management Sepsis IHI Bundle Smoking Cessation Alcohol Withdrawal Development of CHC PI taskforce Documentation Patient satisfaction Clinic flow System-wide monitoring of Coagulation Therapy Standing Stone software utilized 10

12 Growth Established connections with Community-Based Service Groups, local schools, and churches Family Health Care Centers Community Health Fairs Collaboration with schools surroundings the FHCs 11

13 Finance Revenue Capture Nursing leadership from every department working with a revenue specialist to determine billable items. Nursing Leadership from each department working with coding specialists to ensure appropriate coding occurs. Nursing leadership currently working with revenue capture specialists to determine the best strategy for capturing charges, i.e., tic sheets, audits. Identify revenue capture improvements in the Monthly Operating Reports Meeting. Rolled out new Tic Sheets (chargeable procedures and or supplies) Burn Labor and Delivery Next task Development of CMI taskforce to determine opportunities for improvement with documentation, coding process, etc. 12