Our Journey to Organizational Excellence Using Magnet and Baldrige Synergy Tammy Dye, MSN, RN Vice President of Clinical Services, Chief Quality Officer Vicki Johnson, MSN, RN, NE-BC, CSSBB Vice President of Nursing Services, Chief Nursing Officer Magnet & Baldrige Synergy The ripest peach is the highest on the tree. -James Whitcomb Riley (The Hoosier Poet) Objectives Describe the Synergy of Both Programs Schneck s Journey on a Dual Path Lessons Learned on the Journey 1
Magnet & Baldrige Synergy Magnet Recognition 2006, 2011 Baldrige Award 2011 The criteria for both the Baldrige and Magnet Recognition Programs offer standards to which healthcare organizations can aspire. Magnet & Baldrige Models Magnet Components Transformational Leadership Structural Empowerment New Knowledge, Innovation, & Improvements Exemplary Professional Practice Empirical Outcomes Baldrige Categories Leadership, Strategic Planning Customer & Workforce Focus Measurement, Analysis, and Knowledge Management Operations Focus Results Magnet & Baldrige Characteristics M A G N E T Structure Organizational Overview Narrative Process Empirical Outcomes Limit 15 inches Outcomes BALDRIGE Profile Organizational Profile Narrative Process Results Limit OP + 50 pages Results 2
Results Category Baldrige Addresses all results: Product and Process Customer Workforce Leadership and Governance Financial and Market Results Category Magnet Addresses Nursing Outcomes Top Decile, Top Quartile Outperform the Mean Data at Unit Level National Database Select Unit-level and Nursing-level Measures Unit-Specific BSN Goals 2011 2011 NDNQI Units SMC 4N ICU OB OR ACC PACU ED Pain Home Cancer Actual Ending 2011 26.55 61.43 40.82 39.22 24.77 66.67 59.5 80.00 34.35 53.33 41.34 44.98 44.04 51.72 42.55 40.98 40.98 40.98 41.01 na na na 43.13 na NDNQI mean 2011 NDNQI Top Decile 2011 67.99 74.56 62.39 68.74 68.74 68.74 62.45 na na na 67.68 na Ending # of RNs 2011 22 15 24 16 17 6 24 5 8 4 166 183 Goal # 2012 2 1 0 1 0 0 1 0 1 0 9 10 Increase 2012 9% 7% 0% 6% 0% 0% 4% 0% 13% 0% 5% 5% % of 2012 35.55 68.43 44.82 45.22 24.77 66.67 63.50 80.00 47.35 53.33 46.34 50.32 Projected Ending Rate Magnet & Baldrige Impacts MAGNET Reduction in Mortality and Morbidity Rates Increase in Patient & Staff Satisfaction Decreased Nursing Turnover Collegial Relationships among Medical Staff Improved Nurse-patient Ratios BALDRIGE Reduction in Mortality and Morbidity Rates Increase in Patient and Staff Satisfaction Decrease in Employee Turnover Increased Physician Satisfaction Increase in Market Share and Profit Margin 3
Shared Governance The Journey Begins Magnet Journey 2003 Needed a Framework to Guide all Departments of Nursing Magnet Research and Model Selected Shared Governance Structure Benchmarking Nursing Practice Staff Knowledge and Engagement Baldrige Journey 2007 Needed a Framework to Guide Organization Baldrige Research and Model Selected Began in Quality Department Director became Baldrige Examiner Education Deployed to Increase Leadership Knowledge and Engagement Shared Governance Model Schneck Medical Center Nursing Services Shared Governance Model Nurse Executive Nurse Manager-Supervisor Schneck Medical Center Shared Governance Model Advanced Practice Nurse Nurse Executive Coordinating Inpatient Nurse Practice Outpatient Nurse Practice Our Mission To promote quality healthcare to all we serve through empowerment, knowledge, equity, trust, and respect Our Vision Nurses aspire to provide the highest quality care though a multidisciplinary team approach in an environment which supports patient safety using innovation, evidence-based practice and professional standards. Magnet Evolution Nursing Departments Steering Committee Governance s Specialty s The way we do our work 4
Quality of Care Customer Service Fiscal & Operations Human Resources Leadership Model Set Direction Evaluate & Improve Vision: To be a healthcare organization of excellence every person, every time Develop strategies, objectives, & options Deploy the Plan PILLARS of EXCELLENCE Mission: To provide quality healthcare to all we serve. Values: Integrity + Compassion + Accountability + Vision = Excellence Stakeholders: Patients, Patient s Family, Community, Workforce Align Processes & People Baldrige Evolution One Department One Committee Six Committees A member of AEC (Administrative Executive Committee) leads each of the categories The way we do our work Racing Towards Excellence 2009 OPE Site Visit 2010 Mock Site Visit 1 st National Site Visit KEEP MOVING 2008 Submitted to OPE 2010 Application 2011 Application 2011 Magnet Site Visit & Re-designation 2011 Baldrige Recipient 2007 Application 2 0 0 3 Roadmap to Excellence 2006 Magnet Site Visit & Designation Committed to Journey 5
Magnet & Baldrige Synergy Lesson #1 Just Do It! Don t Wait to Apply Commit to a Cycle of Self Assessment Every Year Complete Assessment Capture Strengths OFIs Lead Change Lesson #2 Network Be Active in Your State and National Programs Become an Examiner Attend Conferences Magnet Champions and Baldrige Leaders Work Together Contact Others on the Journey 6
Lesson #3 Get an Outside Perspective Accelerates Learning and Improvement Serves as a Knowledge Expert and Brings Additional Experience Assists with Fixing OFIs Lesson #4 Look Back When looking ahead, do not forget to look back and celebrate how far you have come! Lesson #5 Dual Path Approach Dual Path S y n e r g y Excellence Every Person, Every Time 7
Magnet & Baldrige Synergy Continuous, unflagging effort, persistence, and determination will win. Let not the man be discouraged who has these. -James Whitcomb Riley Children Honor Riley on Riley Day, 1913 Riley Hospital for Children Indianapolis, Indiana Our Journey to Organizational Excellence Using Magnet and Baldrige Synergy Tammy Dye, MSN, RN Vice President of Clinical Services, Chief Quality Officer Vicki Johnson, MSN, RN, NE-BC, CSSBB Vice President of Nursing Services, Chief Nursing Officer 8