Inova Nurses: Transforming the Future of Health. Inova Nursing Annual Report 2012

Inova Nurses: Transforming the Future of Health

We continued to work toward our patient safety projects. Our goal is one Inova goal. We created an to constantly improve our patient Inova-wide nursing float pool to outcomes, and we have shown real make it easier for nurses to move growth in meeting that goal in 2012. effortlessly between hospitals to Inova Nursing was a part of every care for patients. We streamlined committee, task force, council and equipment, supplies, policies and initiative, offering opportunities for procedures to initiate a single, nurses to make an important impact Gilclear Fly sheet - transparent Blank Welcome It is my pleasure to present the 2012 Inova Nursing Annual Report. I am so proud of the work we have accomplished this year, and of the continuing excellence we demonstrate each day. 2012 was a year of interesting challenges and important achievements for Inova nurses. We would not be where we are today without their indefatigable efforts. In keeping with Inova s service promise, this past year has seen us seek every opportunity to meet the unique needs of each person we are privileged to serve every time, every touch. We worked hard to meet the changing demands of our community s healthcare needs, even as our country s policies were transformed to foster access to healthcare as never before. System-wide standard of nursing practice and patient care. We moved closer to the development of a shared governance model that will improve communication and innovation, and promote educational advancement and specialty certifications among Inova nurses. And we played an integral role in the implementation of Inova s electronic medical record system, EpicCare, with hundreds of nurses serving as super users to support critical go-lives and other efforts. 2012 saw the evolution of Inova s nursing research function. This report showcases the remarkable accomplishments of nurses who have participated in groundbreaking studies, presentations, and publications that advance nursing practice and patient care. We look forward to further progress in 2013 as we expand our focus on evidence-based nursing practice. on quality, safety and outcomes. The 2012 Inova Nursing Annual Report offers a snapshot of the past year and recognizes the ongoing efforts, innovations, initiatives and noble achievements of our amazing staff. I am honored to lead this remarkable group of dedicated nurses. Maureen Swick, PhD, MSN, RN, NEA-BC Senior Vice President Chief Nurse Executive Inova In collaboration with our physician and clinical colleagues, the nursing staff has led and participated in many quality improvement and Inova Nursing Institute Report 2012

2 Nursing Strategic Plan Leadership Development 3 Nursing Strategic Plan Nursing at Inova is centered on the strategic plan developed by nurse leaders in 2010. It serves as the guide for innovation and development within nursing practice. The plan was created with the principles of the Magnet Recognition Program the American Nurses Credentialing Center s gold-standard designation for nursing excellence and quality patient care in mind. 2011-2014 Inova Nursing Strategic Plan Goals Leadership Development Model of Care RN Professional Development Image of Nursing Nursing Research A. Recruit, assess and develop nurse leaders B. Create an effective communication infrastructure for Inova Nursing A. Develop new delivery of care model utilizing simulation modeling B. Define roles within the new model of care for the RN and support staff C. Design and define the role of multidisciplinary rounds in the new model of care A. Encourage and support advanced degrees B. Provide leadership education for the professional nurse A. Develop strong and influential nurse advocates B. Create a brand for Inova Nursing and market internally and externally C. Effectively manage communication and relationships with all stakeholders Create a functioning nursing research council with consistent structure and process at each hospital The 2011-2014 Nursing Strategic Plan consists of five target areas: Leadership Development, Model of Care, Nursing Professional Development, Image of Nursing and Nursing Research. Each directs innovation and provides a framework to ensure nurses at Inova continue to excel as caregivers and transformational leaders. - Implement a standardized assessment and selection process for existing and future nurse leaders - Develop and implement a recognition and retention program for nurse leaders - Develop educational programs to support transformational nurse leaders - Establish and effectively communicate a burning platform for change - Develop a communication plan that includes all staff and specialty committee work - Create one set of nursing policies and standards - Select pilot within Inova - Develop new job descriptions and competencies based on simulation modeling and staff input - Develop and implement nurse peer review for ongoing quality improvement - Establish a plan to address UAP recruitment and training - Establish key components of a successful care planning process - Improve RN/MD interaction by using SBAR for every communication - Implement ISHAPED on every unit within Inova - Increase BSN, MSN and PhDs - Institute educational requirements for all positions moving forward - Develop leadership program for all RNs - Develop an ROI for ADVANCE - Establish reward and recognition program for outstanding performance in ADVANCE - Implement changes to orientation process and develop mentoring program for new nurse leaders - Implement preceptorship/mentoring program for new graduate nurses - Create a process for problem-solving issues and sharing nurse resources across all hospitals - Create opportunities for direct care RNs to interact with their colleagues from other Inova hospitals - Improve the nursing website, adding poster guidelines, speakers bureau - Improve the annual report - Create an image (internally and externally) that conveys Inova Nursing excellence and selectivity - Educate the community about professional nursing at Inova - Showcase key accomplishments of Inova nurses on the website and in the newsletter - Utilize existing reward and recognition programs for quality and safety - Standardize uniforms for direct care nurses across the system - Create patient/physician messaging about standardized RN roles and workflows at all Inova facilities - Improve partnership with physicians and physician leadership - Address language/accent barriers impacting communication and patient safety - Implement relationship-based care model - Create system-wide nursing research coordinator position - Implement standardized process for QI projects and research studies (from question to dissemination) - Align translation of findings into practice with nursing s strategic initiatives: patient safety, quality, and staff and leadership development Leadership Development Inova nurses have unique opportunities to be transformational leaders through their clinical work, participation in shared governance, management roles, community outreach, clinical research and mentoring. The nursing leadership team creates a vision of the future and implements the values, beliefs and behaviors necessary to achieve it.. Climbing the Clinical Ladder For clinicians who wish to move forward in their careers and increase or further develop their skills at the patient s bedside, Inova offers an innovative, cutting-edge clinical ladder advancement program. In 2012, the ADVANCE (Achievements Demonstrating Versatile Accomplishments in Nursing Clinical Excellence) program was further strengthened to promote clinical leadership, accountability and autonomous nursing practice on the units. Nurses can progress by demonstrating superior clinical expertise; completing a combination of continuing education courses, advanced training or professional certification; participating in research; and exhibiting continued development in clinical practice. In 2012, more than 900 nurses were recognized as RN3 or RN4 on the ADVANCE scale. Program participation is elective and requires the RN to meet certain benchmarks annually. In addition to the 900 who maintained their status in 2012, the following Registered Nurses were promoted: RN3 Junlan Fan Jacqueline Ann Lauzau Lauren Burlew Melissa Eatherly Jess Aranda Dolores Kemp Jackie McDonald Brenda Sheive Nancy Devlin RN4 Denise Chavers Nicole Dlesk Carmen Hawkins Elaine Casey Kanya Fogleman Mildred O Meara-Lett Brenna Barnhouse Kristine Menefee Ritchie Medeiros Tonya McClellan Norieta Javier Amy Brown Meghan McCarthy Joni Brady Strategic plan goals ensure that Inova nurses continue to excel as transformational leaders.

4 Model of Care Model of Care 5 Model of Care Patient care delivery was transformed in significant enhances transfer of information, authority and EpicCare truly represents the future of health. It meaningful system, and sharing their knowledge. They ways throughout 2012. The introduction of a patient- responsibility between nurses, but also involves the combines all medical, scheduling, registration and provided critical support for each of the EpicCare go-live centered shift change transfer process called patient in the process. This adds a layer of safety by billing information in a single database. Instead of using dates, including: ISHAPED added a safer, more effective way to transition care responsibility between nurses. Inova also launched EpicCare, a customized electronic medical record (EMR) system to link patient information across all of its hospitals and outpatient facilities. ISHAPED: Patient-Centered Communication 2012 marked the official introduction of the innovative ISHAPED shift-change model across Inova. ISHAPED stands for: Introduction, Story, Assessment, Plan, Error Prevention and Dialogue. Developed by Inova nurses and supported with funding from the Picker Institute, Inova nurses transform patient interactions. ISHAPED is a new strategy for bedside report that standardizes communication and improves patient satisfaction, quality and safety. ISHAPED not only allowing the patient to communicate potential safety concerns. Nurses created educational modules on patientcentered handoffs that were deployed across inpatient units System-wide. They developed a tool kit that included video vignettes demonstrating patient-centered handoffs for various clinical areas. ISHAPED education was provided to 3,161 nurses at Inova in 2012 via HealthStream, Inova s online learning management system. EpicCare includes the ISHAPED template to support patient-centered bedside handoffs. EpicCare: A Smooth Transition to the Future of Health Inova nurses were key players in the successful implementation of EpicCare Inova s new electronic medical record (EMR) system. This transformative technology is now up and running at the Inova Fairfax Medical Campus, Inova Fair Oaks and Inova Loudoun hospitals and more than 60 Inova ambulatory sites. Inova Alexandria and Inova Mount Vernon hospitals will start using EpicCare in late June 2013. When the roll-out is complete, it will link all of Inova s hospitals many different computer systems to gather patient information, nurses, physicians and other caregivers now use just one. Instead of a file of papers that can get lost or mixed up, medical records are together in one secure location. With the click of a button, clinicians can easily find and share data, track a patient s health history, order and review tests and medications, and much more. EpicCare helps nurses take better care of patients. With less paperwork, they have more time for direct interaction. They can retrieve the information they need quickly and easily. Communication with physicians is improved, too. Orders are legible and pop up in real time, which ensures RNs stay current on any changes in their patients conditions. With everything typed in the computer, messy handwriting is no longer an issue. Inova nurses use transformative technology to improve care. Nurses are the biggest group of EpicCare users within Inova. As such, they have pitched in to make sure the EMR is the best it can be serving on the EpicCare Implementation Team, helping to design and build a Super user expertise. Super users are specially trained to help implement EpicCare. They coordinate rehearsals to test equipment and workflows prior to go-live, and provide critical at-the-elbow support during go-live. Hundreds of nurses served as super users, answering questions and helping to resolve issues. Data conversion. Nurses helped transfer millions of pieces of patient data from other systems into Epic, including visits, demographic information, and lab and X-ray results stretching back five years. This ensured a smooth patient care transition. With so many nurses involved in EpicCare, other departments had to step up to recruit and onboard replacement staff. Human Resources, InovaTemps, Nursing Informatics and the Inova Learning Network were among those performing yeoman s service to make sure everyone was screened, trained and oriented to provide safe and excellent patient care. and outpatient facilities, enhancing the patient experience. Timeline for ISHAPED Implementation Kaizen ISHAPED Pilot Analysis Modify Implement ISHAPED Apply for Picker Institute Grant Grant awarded Recruit Patient/Family members Parent Advisory Council and New Patient Advisory Council Patient Perception Pilot Study Development of Educational Modules; Script writing; Production Development of New Outcome Indicators March April May June July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June July 2010 2011 2012 Educational Campaign Program Evaluation

Nursing Professional Development 7 Nursing Professional Development Inova nurses are on the forefront of the nursing profession. With the support of programs like those provided by the Inova Edelman Center for Nursing, they are able to pursue ongoing professional development opportunities such as board certification, advanced nursing degrees and membership in national nursing organizations. The Inova Edelman Center for Nursing The Inova Edelman Center for Nursing was established in 2005 through a major charitable donation from Jean and Ric Edelman, long-time supporters of nursing at Inova. The Center provides Inova nurses with a critical resource for career planning, development and growth. Thanks to the many generous donors who support the Edelman Center s mission, Inova nurses are granted meritbased financial awards and scholarships. In 2012, the Edelman Center provided continuing education awards to 63 nurses to attend professional nursing organization national conferences. The nurses returned to share the knowledge they gained at these events with their coworkers. They ve used that knowledge to innovate practice on their units and drive change throughout Inova. An additional 60 nurses received awards to cover the cost of renewing their professional certifications. Inova nurses transform practice through professional development. The continuing education award I received allowed me to attend the Center to Advance Palliative Care s Annual National Conference last November. Interfacing with experts in the palliative care field provided valuable insights into how to improve our program. The information I shared has greatly contributed to the growth and development of Inova s palliative care program. In fact, we reached the point where we were able to apply to The Joint Commission for Advanced Palliative Care certification. We are now awaiting our site visit. - Lynne Kennedy, PhD, RN, RNFA, CHPN, CNOR, CLNC, Program Coordinator, Women s Services, MIGS & Palliative Care, Inova Fair Oaks Hospital

8 Nursing Professional Development Nursing Professional Development 9 Nursing Excellence Scholarships The Edelman Center is pleased to provide a Amanda Fulk, MSN-NP Scholar scholarship program for Inova employees pursuing Elizabeth Hingley, MSN-NP Scholar BSN, MSN or doctorate-level nursing degrees. Mechelle Ledwith, MSN-NP Scholar In 2012, the following Inova nurses were awarded scholarships: Jamie Ayoub, BSN Scholar Dana Covin, BSN Scholar Saghi Tehran, BSN Scholar Jane Uperti, BSN TWIG Scholar Marcia DePolo, BSN Scholar Anne Marie Chartrand, Karlgaard BSN Scholar Lindsay Clevenger, MSN-NP Scholar The Annual Edelman Nursing Celebration Almost 700 nurses turned out for one of the most popular events of the year: the Annual Edelman Celebration held during Nurses Week in May. DeLinda Cooper, IFH Auxiliary MSN Scholar The 2012 celebration featured a number of inspiring Laura Shanks, PhD Scholar speakers: Cheryl Schmitz, DNP Scholar Keiko Kuykendall, DNP Scholar Joy Harnage, DNP Scholar Patricia Christensen, Toups Doctoral Scholar Maureen Fowler, Toups Doctoral Scholar Victoria Nahum shared her Safe Care Keynote speaker Erik Wahl challenged nurses to think creatively and change their perspective with his highly entertaining presentation In addition, nurses from each Inova hospital were recognized for their efforts to promote human caring Campaign aimed at empowering nurses to and improve morale on their units (see related lower the rate of hospital-acquired infections information on page 18). Leann Thiemann provided some Chicken Soup for the Nurses Soul and reminded them about the importance of caring for themselves Mary Tate, MSN Scholar as well as others Visionary speaker, Erik Wahl, paints Marilyn Monroe during his keynote presentation. Erik later presented the portrait as a gift to Inova nurse Patricia Andes. Maureen Swick congratulates 2012 scholarship recipients

10 Nursing Professional Development Nursing Professional Development 11 Recognizing Expertise Through Certification Board certification is an important way to distinguish that a nurse has a met a level of distinction and knowledge indicating professional nursing practice. While licensure measures entry-level competence, certification is the official recognition of achievement, expertise and clinical judgment. It is a mark of excellence that requires continued learning and skill development to maintain. The following Inova nurses achieved board certification in the noted specialty area(s) of practice in 2012: Betsy Wymer, CRN Lynda Ariaban, CPEN Stephanie Boese, CCRN Kristina Gotcher, RN-BC Sandi Wright, CPEN Christine Oyler, RN-BC Pam Kravatz, CPN Linnea Jackson, CEN Elizabeth Allard, RN-BC Marietta Salisbury, RN-BC Alyssa Menzenwerth, CPEN Elaine Mendis, RN-BC Cynthia Earley, RN-BC Brenna Barnhouse, RN-BC Lorie Smith, CEN Richie Soppet, RN-BC Jackie Harmon, RN-BC Jacinta Tamangan, IBCLC Ann Lossman, CEN Donna McFadden, RN-BC Amber Wilson, CPEN April Yoder, RNC-MNN Beeta Schoppet, RNC-MNN Christy Symons, CPN Jenny Byerly, CEN Jeong Ah Choi, RNC-MNN Robyn Connell, RNC-MNN Heather Dedekind, IBCLC Robyn Degnan, CPHQ Mary Gibbons, NE-BC Tricia Harman, IBCLC Katie Hile, ONC Judith Irvine, RN-BC Kathleen Jennings, IBCLC Kelly Johnson, RN-BC Jennifer McCaughey, RNC-MNN Junghee Nham, RNC-MNN Ruth Owens, TNCC Kim Rathburn, RNC-NIC Diane Romano, CEN Karen Thompson, CPN Justyna Witkowski, TNCC Shannon Wess, TNCC Yufang Zhang, PCCN Jessica Davis, CPAN, CAPA Jennifer Dennehy, CPAN, CAPA Florence Hegeler, RN-BC Rita Kingdon, CGRN Marie Koffi-Bella, RNC-NIC Amy Buchanan, RNC-OB Dorsey Drummond, CGRN Lynne Kennedy, CHPN Azra Kukic, ACM Certification improves quality and safety, assures the public that nurses have mastered skills in a particular specialty, and gives consumers a benchmark to measure the level of care they can expect to receive at Inova. Ultimately, certification contributes to higher standards of care and better patient outcomes. Monina Malazarte, CEN, CPEN Maureen Mannix, RNC-NIC Sherri Washington, RNC-OB Tracy Thompson, CRN Sherri Washington, RNC-OB Ramona Currie, CARN Laurie Holland, CARN Mary Corkins, CCRN Karen Peck, CCRN-E Anneli Escalante, CCRN-E Mary Frances Kamin, CCRN-E Barbara Sanders, CCRN-E Theresa Davis, NE-BC Michelle Vassallo, CEN Shelli Paul, CEN Abby Ho, FACT RN Shirley Riggsbee, CPEN Katie Jurcich, RN-BC Jayne O Connor, RN-BC Lynn Soderstrom, RN-BC Grace Arceo, RN-BC Jennifer Collier, PCCN Allison McNeely, CCRN Jennifer Gros, CCRN Sally Rushton, PCCN Jess Aranda, CCRN Merisa Bainbridge, CPAN Jill Briggs, CPN Katrina Kinney, CPN Aimee Southerly, CPN Reena Sifer, CPN Mary Bikowski, CPN Brittany Goldsmith, CPN Randi Colclough, CPN Nai Robinson, CPN Beck Adye, CPN Lauren Doyle, CPEN Liz Stacey, CPEN Tracy Welling, CPEN Terri Ackerman, CPEN Marge Insheep, CPEN Pam Carleson, CPEN Alecia Herndon, CPEN Carlos Acosta, CPEN Donna Grinoel, CPEN Mariam McBride, CPEN Emma Hoegh, CPEN Olga Moshenna, CPEN Trish Todd, CPEN Tanya Reynolds, CPEN Deb Hermes, CPEN Lorie Elis, CPEN Shawna Brennfleck, CCRN Krystal Franklin, CCRN Christiana Budu, CCRN Alba Carcamo, CCRN Nasha Pope, CCRN Stephanie Sweet, CCRN Katherine Major, CCRN Katie Heitman, CCRN Holly Bull, RNC-LNC Sarah Werner-Chester, RNC-LNC Andrea Cummings, RNC-NIC Sarah Putnam, RNC-NIC Mary Ann Zegeer, RNC-NIC Latonya Howell, RNC-NIC Kathy Caton, RNC-NIC Lara Bellingham, RNC-NIC Lakeia Henry, RNC-NIC Emme Tate, RNC-NIC Renee Wardinksi, RNC-NIC Irinia Sukhanova, RNC-NIC Mary Gorman, RNC-NIC Kristin Conti, RNC-NIC Shirley Bell, RNC-NIC Chlyeen Trammell-Bradley, RNC-NIC Colleen Thomas, RNC-NIC Myriam Arroyo, RNC-NIC Patricia Engle, RNC-NIC Valerie Booth, RNC-NIC Kim Buckles, RNC-NIC Jennifer Helget, RNC-NIC Desiree Canonizado, RNC-NIC Gladys Alston-Hardin, RNC-NIC Beth Bender, RNC-NIC Kristin Solomon, RNC-NIC Jennifer Langdon, RN-BC Anita Hall, PCCN Imelda Cojo, FNP Juliana Anyaugo, PCCN Kim Ford, ACMA Clare Wisthoff, ACMA Barbara Petruncio, ACMA Kimberly Jones, ACMA Susan Shotter, CPUR Patricia Davis, CPUR Nancy Loeffler, CPUR Jacqueline Burris, ACMA, CPUR Barbara Nolan, OCN Leslie Hunt-Reda, OCN Laura Shanks, RN-BC Mani Murugavel, RN-BC Freda Osei, RN-BC Ed Crowley, RN-BC Patience Yengo, RN-BC Paula Wright, ONC Malou Inocencio, CRRN Woineshet Getaneh, CRRN Maria Boone-Fleming, CRRN Denise Lee, CRRN Inova nurses are on the forefront of the nursing profession.

12 Nursing Professional Development Image of Nursing 13 Image of Nursing Advancing Practice through Education As Inova s many hospitals and outpatient facilities share resources across the System and enhance come together as OneInova, Inova nurses have taken communication among clinical sites. The ongoing Inova continues to support the pursuit of advanced patient outcomes. Through partnerships with local the same approach to develop a consistent model for goal is to develop a brand for Inova Nursing that nursing degrees and joins with leading nursing nursing programs, support for clinical rotations and nursing. Initiatives were implemented to help nurses showcases the talent, commitment and leadership organizations and the Institute of Medicine to robust scholarship programs, Inova is committed to consistently demonstrated by our award-winning recommend that the minimum educational credential helping nurses advance their education. nurses both inside and outside our hospital walls. Inova nurses are committed to advanced education. Communicating for nursing practice is the baccalaureate degree (BSN). Formal nursing education enhances knowledge and application of nursing theory, as well as critical thinking and communication skills, all of which positively impact In 2012, Inova developed and launched a Nursing Blog to enhance communication between Inova nurses at all levels and across the system. The blog reaches a wide audience both internally and externally, and promotes The following Inova nurses Cecile Allen, BSN Kelly Clark, MSN achieved academic degrees Cara Rawlings, BSN Megan Fila, MSN Katie Patel, BSN Jean Hill, MSN Lauretta Kiniery, BSN Patricia Church, MSN Josephine Samudre, BSN Lorraine Hund, MSN Debbie Good, BSN Cindy Humston, MSN/FMP Cathy McLaughlin, BSN Joan Manning, MSN Martha Munters, BSN Karen DuTeil, MSN Yosiko Dais, BSN Margaret Burridge, MBA Rick Hollis, BSN Lisa Klein, DNP Rebecca Waitt, BSN Lynne Kennedy, PhD in 2012: Beverly Shatzen, BSN Nallah Robinson, BSN Kerry Brooks, BSN Katie Jurcich, BSN Donna Soper, BSN Olivia Kolko, BSN Kristin Conti, BSN Deb Ludeman, BSN Delores Kemp, BSN Amy Gilliam, BSN a paperless environment. Showcasing everything from policy updates and research opportunities to community involvement and achievements of Inova nurses, the blog also promotes Inova Nursing s image in the region. Visit inovanursing.org Aklilu Guluma, BSN Stacy Lofty Dewees, BSN Sammy Pani, MSN Carmen Hawkins, MSN Kelly Webster, MSN Inova nurses elevate the image of nursing inside and outside our hospital walls.

Image of Nursing 15 Healing Operation Walk Virginia had a successful trip to Antigua, Guatemala in September. Together, the team of more than 50 doctors, nurses, therapists and volunteers was able to provide 48 people with new Darla Ceppi and Maura Matheison volunteer their time to support Honor Flight Network, a not-forprofit organization that flies World War II veterans to Washington, DC, escorts them to the memorials and hips and knees. This life-changing surgery would not takes them back to the airport. have been possible without Operation Walk. In addition Inova s Pediatric ED Trauma Nurse Specialists to volunteering their time and expertise, the group participate in Reality Check, Inova Trauma Services provides all of the equipment necessary for surgery, program to give students an up-close, real-life look at post-operative care and home care from implants to the consequences of unsafe driving behavior and poor multivitamins. Operation Walk Virginia also worked with decision-making. Reaching several thousand students the staff of Los Obras Sociales in Antigua, a Franciscan in the community each year through in-hospital and in- hospital and home for extremely ill and abandoned school programs, the Reality Check Teen Safe Driving disabled children. As a result, much of the team s down Program is a collaborative effort of the Inova Regional time was spent interacting with the youngsters and Trauma Center, the Inova Fairfax Hospital Emergency holding babies in the nursery. Department and the Fairfax City Fire and Rescue Department. Giving For the fifth year in a row, Cheryl Schmitz, MS, Inova nurses were major contributors to Inova s annual Team Captain for the Washington, DC, Susan G. Employee Giving Campaign, which raises funds for Komen 3-Day, the annual walk to raise money both Inova programs and community programs offered to fight breast cancer. RN-BC, CNS-BC, CEN, CPEN, served as the Medical through the United Way of the National Capitol Area. Nurses at Inova Alexandria Hospital held a food drive for the Alexandria Catholic Charities Center and donated 50 boxes of food. Inova nurses participate in Operation Walk Virginia in Guatemala

16 Image of Nursing Image of Nursing 17 Serving Tonya Elliot, serves as a Joint Commission Reviewer for Ventricular Assist Device Certification. Paula Graling, DNP, RN, CNS, CNOR, serves as President of the Association of perioperative Nurses (AORN) Foundation in Denver, CO. The AORN Foundation s mission is to advance patient safety by supporting nurses who make surgery safe through education, research and patient safety initiatives. Linda Schakenbach, MSN, RN, CNS, CCRN, ACNS-BC, serves as peer reviewer for the nursing publications Critical Care Nurse and Journal of Cardiovascular Nursing. Sonia Astle, RN MS, CCRN, CNRN, CCNS, is starting a three-year term as a member of the American Association of Critical Care Nurses (AACN) Certification Corporation Board. As a board member of the Ostomy Support Group of Northern Virginia, Martha Hammond, WOCN, provides an annual presentation on ostomy and peristomal skin care. Award Winners The DAISY Award recognizes nurses care and compassion and the super-human work they do every day. Established by the DAISY Foundation (Diseases Attacking the Immune System), the award honors Patrick Barnes, who died of an autoimmune disease when he was just 33 years old. Pat s parents are long-time supporters of nurses as unsung heroes deserving of society s profound respect and recognition. In addition to excellent clinical skills and critical thinking, DAISY Award recipients must demonstrate: Compassion Professionalism Excellent interpersonal skills A positive can do attitude An ability to problem-solve unusual and/or complex patient or family needs DAISY Awards in 2012 Bisola Oyedela Kelsey Luong Ermie Eres Rene Zelkin Jennifer Candy Rachel Ryals Sara Towne Marianito Pasaylo Nicki Shah Debbie Walker Judy Goss Barbara Gaul Daisy Georgestone Sam Asamoah Zahida Samat Lam-Anh Goehring Susan Sconyers Tracey Woodward Nursing Excellence Award Winners During Nurses Week 2012, leadership at three Inova hospitals elected to recognize highperforming nurses who demonstrated a superior commitment to excellence and made an impact on their nursing peers during the previous year. Each hospital developed its own selection criteria and award categories. This recognition program was so successful it inspired the remaining hospitals to develop their own award programs for 2013. Nursing Excellence Award winners from Inova Fairfax Hospital Linda Schakenbach Visionary in Nursing Practice Meg Wiese Leadership in Clinical Practice Janet Lloyd Commitment to Professional Practice Ed Pomianowski Preceptor Sean Amedeo Outstanding New Graduate Lauren Burlew Excellence in Improvement and Innovation Susan Weatherbee Commitment to Community Involvement Elaine Casey Excellence in Clinical Practice Nursing Excellence Award winners from Inova Loudoun Hospital Tammy Fitch Research Terry Trail Leadership Megan Frohm Innovation Aurora Newcomer Evidence-based Practice Jamie Ulrich Mentoring Anne Chopivsky Preceptor Deb Hunsucker Community Service Kitty Sharpe Valor Todd Rockwell Nurse of the Year LAMPS Multidisciplinary Team Nursing Excellence Award winners from Inova Alexandria Hospital Teresa McCaffrey Shared Transformational Leadership Aida Sistoza Meaningful Recognition (RN3/RN4) Mohammed Kamara Meaningful Recognition (New Graduate) Tori Wilson Collaborative Relationships Ansanus Obizuo Care Delivery System Rosita Chandansingh Care Delivery System Karen Thongtavee Professional Vision and Values Mike Timberlake Evidence-based Practice Judy Goss Optimal Outcomes Inova recognizes our Daisy Award winners.

18 Image of Nursing Image of Nursing 19 Improving Unit Morale March of Dimes Nurse of the Year Awards Virginia Magnet Consortium Nursing Nurse.com Nursing Excellence Awards Jean Edelman and the chief nursing officers from The March of Dimes Nurse of the Year Awards Gala Excellence Awards Nurse.com Nursing Excellence Awards are prestigious each Inova hospital awarded morale grants at the salutes the tireless efforts of nurses, draws awareness Each year, Magnet-designated hospitals across annual awards that honor superior nurses across the annual Edelman Nursing Celebration in May. The to the critical nursing shortage facing our community, Virginia have the opportunity to nominate nurses for country. Nurses are nominated by their peers and $1,000 awards are given annually to nurses who and raises much-needed funds for the mission of the the Virginia Magnet Consortium Nursing Excellence selected by the Nurse.com National Advisory Board. proposed the most innovative and creative projects to improve morale on their units. 2012 Morale Grant Winners Bernadette Stratton Vera Johnson Melissa Anderson-Ortiona LaSonia Landry Gina Harrison March of Dimes in Virginia and the nation. The Nurse of the Year Awards honor and recognize nursing excellence throughout the United States. 2012 award finalists from Inova Elizabeth Myers Sharon Kempin Myriam Arroyo Jayne Crowther Award. Nominations are accepted in two categories, Clinical and Leadership. The award is presented at a gala hosted by the Virginia Nurses Foundation. In 2012, Inova nurse Karen Gabel-Speroni won in the Nursing Excellence Leadership category. 2012 award nominees from Inova Clinical Category Laura McNicholl, MSN, RN, CNS-BC, RN-BC Marcia Depolo, RN 2012 award nominees from Inova Deborah Stewart Marisa Jamarik Jalil Bentalib Ester Heselbarth Sue Winfield Marcia DePolo Robin Jackson Enhancing Human Caring Gail Ahrendts, MSN, BNS, CCRN Caritas awards are given annually to nurses who propose special projects to enhance human caring Leadership Category Irene Williford, MSN, RN, NE-BC, CNOR opportunities on their units. Winners are selected by Ilona Edwards, BSN, RNC-NIC the hospital s human caring educators. The $1,000 awards are presented at the Edelman Nursing Celebration by Jean Edelman and Cathy Sachs, another long-time supporter of nursing at Inova. 2012 Caritas Award winners Mani Murugavel Tercia Soares Sharpe Sherri Robinson Lisa Lee, MSN, BSN, FNP, PhD (c ) Marcia Depolo, RN Margaret Pugh, BSN, RN, OCN Karen Gabel-Speroni, PhD, RN I have a heart full of gratitude for the Caritas Award that made it possible to expand the knowledge in delivering quality, compassionate care to our patients at the end of their lives. - Tercia Soares Sharpe, Inova Loudoun Hospital Young McCollum Marian Yoakum Inova nurses are recognized and honored by the community for their comfort, compassion and caring.

Nursing Research 21 Nursing Research research studies and evidence-based projects The addition of a System-level Nursing Research Coordinator, Mary Ann Friesen, PhD, RN, CPHQ, has strengthened nursing research throughout Inova. that ranged from identifying a practice problem for disciplined inquiry to planning and implementing a resolution to that problem. In 2012, 11 research studies were submitted to Inova s Institutional Review Board. Nursing Research Council members interface with Inova s library staff, our GMO office staff, and internal The Inova Nursing Research Council is co-chaired by and external nursing experts as they seek to promote Mary Ann Friesen, PhD, RN, CPHQ, and Karen Speroni scholarly and professional activities. PhD, RN, and is comprised of representatives from our hospitals, local universities, our library and our Grants Management (GMO) office. The Council coordinates nursing research activities across the system. The contribution to nursing knowledge and patient care from our nurse researchers has spanned numerous specialties as well as the continuum of care. The Nursing Research Councils have sponsored educational Each Inova hospital has a research committee chaired presentations covering various aspects of research, by nurses with advanced education. including how to conduct a literature review, how to The chairs for each of the Inova Hospital Research develop a survey instrument, and how to interpret Councils are: statistics. The Inova Fair Oaks and Inova Loudoun Christine Althoff, MSN, RN, AOCNS Inova Fairfax Nursing Research Council Suzy Fehr, MSN, RNC Inova Alexandria Nursing Research Council Nursing Research Councils have sponsored research idea contests to generate ideas to improve nursing care delivery processes and patient outcomes. The nursing research education programs, workshops and research efforts are made possible with the support Sara Phillippe, MSHCA, BSN, RN, NE-BC of the GMO and generous funding from the Inova Inova Mount Vernon Nursing Research Council Nursing Foundation, and grants from the Picker Institute, Karen Gabel Speroni, PhD, RN the Emergency Nurses Association and Sigma Theta Inova Loudoun Nursing Research Council Tau-Epsilon Zeta Chapter. Karen Gabel Speroni, PhD, RN Following is a complete list of our nurses presentations, Inova Fair Oaks Nursing Research Council posters, publications, chapters and contributions. The Nursing Research Council supports research initiatives focusing on patient-centered care. Each hospital s nursing research council facilitated nursing Inova nurses transform patient care through their dedication to research.

22 Nursing Research Posters and Presentations Joselin Bodaghi, RN Eight quarters with Zero Pressure Ulcers on TWIG National Gerontologic Nurse Association Conference, Baltimore, MD Kerry Brooks, BSN, RN, CBN Nurse Leader Onboarding: An Initiative to Support Success in Leadership During the First 90 Days. Nursing Research 23 Using TeleICU to Enhance Knowledge and Critical Thinking Outpatient Management in the US Deborah Fulbrook, EdM, BSN, RN ISHLT ICCAC, Prague Professional Nurse Educators Group (PNEG): On a Journey of Excellence event at Villanova University College of Nursing, Philadelphia, PA. EMS care for VAD patients in the field Nurse Leader Onboarding: An Initiative to Support Success in Leadership During the First 90 Days Leveraging Clinical Expertise During A Mass Casualty Incident Using Mobile Telemedicine Joint Commission Resources 2012 Annual Emergency Preparedness Conference, Arlington, VA Management Congress. Nashville, TN Air-care Symposium, Winchester, VA Management Congress. Nashville, TN Suzy Fehr, MS, RN, NE-BC Karen Gabel-Speroni, PhD, RN Eight quarters with Zero Pressure Ulcers on TWIG Effect of Nurses Living Fit Exercise and Nutrition Intervention on Body Mass Index in Nurses National Gerontologic Nurse Association Conference, Baltimore, MD Lisa Dugan, PhD, RN, CE-BC Theresa Davis, PhDc, MSN, RN, NE-BC Rethinking Disaster Preparedness When The Unexpected Happens During A Tornado At St. Johns Hospital In Missouri American Telemedicine Association 17th Annual International Meeting & Exposition, San Jose, CA. Expect the Unexpected: A Lived Experience Of Virtual Triage and Decision Support Using TeleICU During A Disaster National Teaching Institute, American Association of Critical Care Nurses, Orlando, FL. The Relationship Between Quality of Care in the Emergency Department and Timeliness of Intervention for Patients with Severe Sepsis. Mary Ann Friesen, PhD, RN, CPHQ Developing a Patient-Centered Approach to Handoffs ENA Conference, San Diego, CA Patient Safety: Tools and Strategies to Enhance Outcomes Always Events Learning Network, Picker Institute Tonya Elliot, MSN, RN, CCTC Listening to the Voice of the Patient to Develop a Patient-Centered Approach to the Shift-to-Shift Bedside Report Using the ISHAPED Model EMS care of VAD patients in the community EMS Symposium, November 2012 PACU treatment pearls for VAD patients Perioperative Symposium, Falls Church, VA. 2012 Capital Area Scholarship Symposium, Methods and Challenges: Working Towards Strategies for Excellence, Northern Virginia Campus of the University of Phoenix, Reston, VA Sigma Theta Tau International 23rd International Research Congress, Brisbane, Australia ANA Healthy Nurses Conference, Washington, DC 2012 Capital Area Scholarship Symposium, Methods and Challenges: Working Towards Strategies for Excellence, Reston, VA Effect of the Workforce Initiatives Safe Handling Minimal Lift Program on Patient Care Provider Injuries, Attributable Costs and Satisfaction 2012 Capital Area Scholarship Symposium, Methods and Challenges: Working Towards Strategies for Excellence, Reston, VA A National Survey of Hospital Nursing Research Requirements and Outcomes Developing a Patient-Centered Approach to Handoffs Implications for Performance Improvement 2012 State of the Science Congress on Nursing Research, Washington, DC 2012 Annual Best Practices 2012 Virginia Nurses Association, Richmond, VA Family Participation in Change of Shift Rounds Nursing Alliance for Quality Care. Symposium, Nurses Contributions to Fostering Successful Patient Engagement, Washington, DC Developing a Patient Centered Approach to Handoffs Using ISHAPED 2012 Improvement Science Summit & Summer Institutes on Evidence-Based Quality Improvement, San Antonio, TX 2012 Virginia Nurses Association, Richmond, VA Always Events Storyboard, IHI Forum, Orlando, FLA Elizabeth Freund, BSN, RN-BC GYN Oncology Patient: It Takes a Village 2012 AWHONN Conference Members of the Inova Nursing Research Council Samuel Asamoah and Earl Smith

24 Nursing Research Nursing Research 25 Anna Herbst and Nancy Morrissey Prospective Evaluation of the Effect of Nurses Living Fit Intervention versus No Intervention on Body Mass Index of Nurses 2012 Virginia Nurses Association, Richmond, VA Developing a Patient Centered Approach to Handoffs Using ISHAPED 2012 Virginia Nurses Association, Richmond, VA Nursing Alliance for Quality Care Symposium, Nurses Contributions to Fostering Successful Patient Engagement. Washington, DC 2012 Improvement Science Summit & Summer Institutes on Evidence-Based Quality Improvement, San Antonio, TX Ten top patient safety issues 59th Annual AORN Congress, New Orleans, LA Medication Safety in the OR: A collaborative approach 59th Annual AORN Congress, New Orleans, LA Success in Implementing the CNS role in Peri-operative services Annual Military and Federal Nursing Symposium, New Orleans, LA Cheryl Hathaway, RN Overcoming Resistance: Implementation Of Antimicrobial Stewardship In Critical Care 27th Annual GWAC-AACN: SPOTLIGHT ON CRITICAL CARE, Springfield, VA Anna Herbst, MSN, RN-BC Listening to the Voice of the Patient to Develop a Patient Centered Approach to the Shift-to-Shift Bedside Report Using the ISHAPED Model 2012 Capital Area Scholarship Symposium, Methods and Challenges: Working Towards Strategies for Excellence, Northern Virginia Campus of the University of Phoenix, Reston, VA Older Adult Perceptions of a Patient-Centered Bedside Report Process National Gerontological Nurses Association Annual Convention: A Safe Harbor, Baltimore, MD Janet Hooper, MA, BSN, RNC, LCCE GYN Oncology Patient: It Takes a Village 2012 AWHONN Conference Denise Lee, BS, RN, CRRN Electronic Rehabilitation Documentation: Our Journey to Paperless 2012 Connect with Leaders in Rehabilitation Nursing. Nashville, TN Usha Parker, BSN, RN Overcoming Resistance: Implementation of Antimicrobial Stewardship In Critical Care 27th Annual GWAC-AACN: SPOTLIGHT ON CRITICAL CARE, Springfield, VA Patricia Schmehl, MSN, RN GYN Oncology Patient: It Takes a Village 2012 AWHONN Conference Patricia Seifert, MSN, RN, CNOR, CRNFA, FAAN Nurses in Industry on the Move: Transatlantic differences while competent nursing practices prevail (with Judith Seltzer) 59th AORN Congress, New Orleans, LA Publications: Mary Dellinger, BSN, RN, ANP, CNOR, CRNFA The circulating nurse s role in error recovery in the Cardiovascular OR AORN Journal, 95(6): 755-762 Cynthia Earley, BSN, RN-BC Effect of Nurses Living Fit Exercise and Nutrition Intervention on Body Mass Index in Nurses Journal of Nursing Administration, 42(4):231-238. [Nurses Choice recommended article: www.nursingcenter.com] Tonya Elliot, MSN, RN, CCTC Variability in infection control measures for the percutaneous lead Progress in Transplantation. 22(94): 351-359 Mary Ann Friesen, PhD, RN, CPHQ Developing a Patient-Centered ISHAPED Handoff With Patient/Family and Parent Advisory Councils Accepted November 15, 2012, (submitted 09 October 2012), Journal of Nursing Care Quality Mary Gibbons, MSN, RN, NE-BC Nurse Leader Onboarding: An Initiative to Support Success in Leadership During the First 90 Days Management Congress. Nashville, TN Patient and Parent Perceptions of a Patient-Centered Bedside Handoff Using ISHAPED 13th Annual Interdisciplinary Research Conference School of Nursing & Midwifery, Trinity College, Dublin, Ireland Reaping What we Sow: Bullying Carries a High Price. ORN Northwest Georgia. Atlanta, GA. Pamela Wagner-Cox, BSN, RN, CWOCN Paula Graling, DNP, RN, CNS, CNOR Selection of a method to rate the strength of evidence for AORN Recommendations Practice Based on Evidence: the Future of Nursing Conference University of Maryland, Baltimore, MD Rating the Strength of Scientific Evidence Gerry Higgins, MSN, RN, OCN Nursing Education for Interpretation of Opioid Analgesic Range Orders using the look back method 2012 Capital Area Scholarship Symposium, Methods and Challenges: Working Towards Strategies for Excellence, Northern Virginia Campus of the University of Phoenix, Reston, VA Eight quarters with Zero Pressure Ulcers on TWIG National Gerontologic Nurse Association Conference, Baltimore, MD Puget Sound Multi-chapter AORN Coalition Conference, Seattle, WA Margaret Rodan, Terry Davis, Suzy Fehr, and Lois Culler

26 Nursing Research Nursing Research 27 Karen Gabel-Speroni, PhD, RN Developing a Patient-Centered ISHAPED Handoff with Patient/Family and Parent Advisory Council Accepted November 15, 2012, (submitted 09 October 2012), Journal of Nursing Care Quality Vicki Korker, BSN, RN Effects of two different protocols of oxytocin infusion for labor induction on obstetric outcomes: A cohort study Open Journal of Obstetrics and Gynecology. 2: 106-111 Kersten Yonish, BSN, RN, CNOR, CRNFA The circulating nurse s role in error recovery in the Cardiovascular OR AORN Journal, 95(6): 755-762 Contributions Tonya Elliot, MSN, RN, CCTC The 2013 ISHLT MSC Guidelines Journal Heart Lung Transplant (2013), Vol 32 No 2 Effect of Nurses Living Fit Exercise and Nutrition Intervention on Body Mass Index in Nurses Journal of Nursing Administration, 42(4):231-238, [Nurses Choice recommended article: www.nursingcenter.com] Adjusting eptifibatide doses for renal impairment: A model of dosing agreement among various methods of estimating creatinine clearance The Annals of Pharmacotherapy, 46: 1-7 Mary Kroetch, MS, CRNFA Evaluation of Patient Safety Culture: A survey of clinicians in a cardiovascular Operating Room Innovations, 7(5):328-337 Jaimee Robinson, MSN, RNC-OB Developing a Patient-Centered ISHAPED Handoff With Patient/Family and Parent Advisory Councils Chapters Linda Schakenbach, MSN, RN, CNS, CCRN, ACNS-BC Management of patients with structural, infectious or inflammatory cardiac disorders In Hinkle JL & Cheever KH, Eds; Smeltzer, Bare, Brunner and Suddarth s Textbook of Medical-Surgical Nursing, 13th Ed, Lippincott Williams & Wilkins, Philadelphia, PA, (in process) Cheryl Schmitz, MS, RN-BC, CNS-BC, CEN, CPEN ACLS Review Made Incredibly Easy, 2nd edition Linda Halpin, MSN, RN Patient disposition and long-term outcomes after valve surgery in octogenarians Annuals Thoracic Surgery, 94: 744-50 Linda Henry, PhD, RN Patient disposition and long-term outcomes after valve surgery in octogenarians Annuals Thoracic Surgery, 94: 744-50 The circulating nurse s role in error recovery in the Cardiovascular OR Accepted November 15, 2012, (submitted 09 October 2012), Journal of Nursing Care Quality Patricia Seifert, MSN, RN, CNOR, CRNFA, FAAN Implementing AORN Recommended Practices for transfer of patient care information AORN Journal, 96(5): 476-490 The circulating nurse s role in error recovery in the Cardiovascular OR AORN Journal, 95(6): 755-762 Patricia Seifert, MSN, RN, CNOR, CRNFA, FAAN Care of the Cardiac Surgery Patient In Odom-Forren, J. Cecil s PeriAnesthesia Nursing: A Critical Care Approach, ed 6. Philadelphia: Elsevier Saunders: 2013 AORN Journal, 95(6), 755-762 Candice Sullivan, MSN, RN-BC Evaluation of Patient Safety Culture: A survey of clinicians in a cardiovascular Operating Room Innovations, 7(5):328-337 Should oral misoprostol be used to prevent postpartum haemorrhage in home birth settings in low-resource countries? A systematic review Anna Herbst, MSN, RN-BC BJOG: An International Journal of Obstetrics & Gynaecology, 120(3): 277-87 Impact of intentional caring behaviors on patients perceptions of being cared for, nurses perceptions of caring in the workplace, and nurses intent to stay Chapter 11 (173-194) from Measuring Caring: International Research on Caritas as Healing. Watson, J., & Nelson, J., eds., Springer Publishing Company LLC, New York Diann Wohlleb, BSN, RNC-OB Effects of two different protocols of oxytocin infusion for labor induction on obstetric outcomes: A cohort study Open Journal of Obstetrics and Gynecology, 2: 106-111 Developing a Patient-Centered ISHAPED Handoff With Patient/Family and Parent Advisory Councils Accepted November 15, 2012, (submitted 09 October 2012), Journal of Nursing Care Quality

Awards and Recognition 29 Awards and Recognition U.S. News & World Report Inova Mount Vernon Hospital All five of Inova Health System s hospitals Comprehensive Addiction Treatment Services (CATS) have been ranked among the Washington, DC, region s best hospitals by U.S. News & World Gold Seal of Approval for Joint Replacement Report. In 2012, Inova was the only system with four Inova Fairfax Hospital hospitals in the greater Washington region s top ten Inova Fair Oaks Hospital hospitals, with Inova Fairfax Hospital named #1. Inova Mount Vernon Hospital To be ranked in its metro area, a hospital must score in the top 25 percent among its peers in at least one of 16 medical specialties. Intensive Care Unit) Inova Fairfax Hospital for Children Joint Commission Accreditation Certified Stroke Centers The purpose of The Joint Commission on Inova Alexandria Hospital Accreditation of Healthcare Organization survey and accreditation process is to evaluate Inova Fairfax Hospital facilities compliance with nationally established Inova Loudoun Hospital Joint Commission standards that relate to quality of Inova Mount Vernon Hospital care, safety of care, and safety in the environment of care. The Joint Commission is one of the nation s most respected accrediting agencies, and achieving Gold Seal of Approval for Spine Surgery Inova Fair Oaks Hospital its standards ensures that our performance and Gold Seal of Approval for Acute Myocardial improvement are being held to the highest levels in Infarction (heart attack) the United States. Inova Heart and Vascular Institute at Inova Fairfax By demonstrating compliance with The Joint Hospital Commission on Accreditation of Healthcare Gold Seal of Approval for patients with Left Organization s national standards for health care quality and safety, Inova hospitals have received multiple Gold Seals of Approval from The Joint Commission: Ventricular Assist Devices (LVAD) Inova Heart and Vascular Institute Inova Fairfax Hospital Earns the Nation s Joint Commission Accreditation First Certification for Neonatal Care Inova Alexandria Hospital In 2011, Inova Fairfax Hospital earned The Joint Inova Fairfax Hospital Commission s first ever Gold Seal of Approval for Inova Fair Oaks Hospital Inova Loudoun Hospital Gold Seal of Approval for Prematurity (Neonatal Neonatal Intensive Care by demonstrating compliance with The Joint Commission s national standards for quality and safety in the care of premature infants.

30 Awards and Recognition Awards and Recognition 31 This prestigious certification is a testimony to the indicates that stroke assessment and services provide Nurses Improving Care for Leapfrog knowledge and dedication of our nursing staff. With over 20,000 births annually, Inova Fairfax Hospital is Northern Virginia s premier facility for maternity care and the Gold Seal approval is validation of the extraordinary care Inova nurses provide to our tiniest patients. Magnet Designation Magnet designation is a coveted designation to recognize excellence in nursing care. The American Nurses Credentialing Center, the nation s largest nursing accrediting and credentialing organization, created and administers the program. Hospitals that receive Magnet designation must meet a stringent set of 14 standards of care and practice (with 95 different criteria), including categories such as clinical skill and leadership. When and if Magnet status is granted for a four-year period. The following Inova hospitals have achieved Magnet designation: Inova Fairfax Hospital (four re-certifications, most recently in 2011) Inova Fair Oaks Hospital (certified in March 2009) Inova Loudoun Hospital (certified in 2008 and again in 2011) patients with the best chance of survival. Community Value Five-Star Award Based on the Cleverley and Associates Community Value Index score, Inova Alexandria, Inova Fair Oaks, Inova Loudoun and Inova Mount Vernon hospitals were ranked among the top hospitals in the nation in terms of the value we provide to the community. National Beacon Award for Critical Care Excellence Presented by the American Association of Critical-Care Nurses, the Beacon Award recognizes the nation s top critical (intensive) care units. Units are judged on 42 criteria, and nurses must demonstrate they achieve excellent patient outcomes, have created and promote a healing environment conducive to their patients well-being, and exhibit leadership and ethical nursing practices. In 2012, Inova Fairfax Hospital s Pediatric Intensive Care Unit received this recognition. Other Inova critical care units to receive this honor in previous years were: Inova Alexandria Hospital - Medical Surgical Intensive Care Unit Healthsystem Elders (NICHE) NICHE (Nurses Improving Care for Healthsystem Elders), comprised of almost 450 hospitals and healthcare facilities throughout North America, is the leading nurse-driven program designed to help hospitals improve the care of older adults. NICHE designation demonstrates a hospital s organizational commitment and continued progress in improving quality, enhancing the patient and family experience, and supporting the hospital s efforts to serve their communities. Inova Fairfax Hospital and Inova Mount Vernon Hospital held the NICHE hospital designation in 2012. Center of Excellence for Weight Loss Surgery by the American Society of Metabolic and Bariatric Surgery Inova Fair Oaks Hospital is nationally recognized as a Center of Excellence by the American Society of Metabolic and Bariatric Surgery, which recognizes surgical programs with a demonstrated track record of favorable outcomes in obesity surgery. To earn a Center of Excellence designation, Inova Fair Oaks Hospital underwent a series of site inspections during which all aspects of the obesity surgery center program s surgical processes were closely examined Inova Fair Oaks Hospital was the only hospital in Virginia to be recognized by The Leapfrog Group as a top hospital. The Leapfrog Hospital Survey assesses hospital performance based on national performance measures, including NQF Safe Practices. These measures and practices are of specific interest to healthcare purchasers and consumers, and cover a broad spectrum of hospital services and infrastructure. They also provide hospitals with the opportunity to benchmark the progress they are making in improving safety, quality, and efficiency of care delivery. Certified Hyperbaric Oxygen Therapy Program The Hyperbaric Oxygen Therapy program at Inova Mount Vernon Hospital is the only program in Northern Virginia accredited by the Undersea & Hyperbaric Medical Society, and one of just 600 in the United States to carry this quality accreditation. Gold Plus Award for Stroke Care - American Heart Association Get with the Guidelines Program The American Heart Association (AHA) and the American Stroke Association (ASA) awarded Inova Fairfax Hospital and Inova Loudoun Hospital the Gold Plus Award for outstanding specialized stroke treatment. The Get with the Guidelines designation Inova Fairfax Hospital - Medical Surgical Intensive Care Unit Inova Fairfax Hospital - Trauma Intensive Care Unit Inova Fairfax Hospital - Neuro Intensive Care Unit, and Cardiac Intensive Care Unit Inova Loudoun Hospital - Medical Surgical Intensive Care Unit, Telemetry Unit and data on health outcomes were collected. Inova Fair Oaks Hospital and other obesity surgery centers receiving the Bariatric Surgery Center of Excellence designation agree to continue to share information on clinical pathways, protocols and outcomes data.

32 Nurse Council The 2012 Inova Chief Nurse Council Maureen Swick, PhD, MSN, RN, NEA-BC Senior Vice President, Chief Nurse Executive Inova Health System Lisa Dugan, PhD, RN, NEA-BC Chief Nursing Officer Inova Loudoun Hospital Cheri Goll, MSN, RN, NE-BC Chief Nursing Officer Inova Fair Oaks Hospital Ann Logan, PhD, RN, NEA-BC Chief Nursing Officer Inova Fairfax Hospital Mary Dixon, MSN, RN, NEA-BC Chief Nursing Officer Inova Alexandria Hospital Marie T. Duffy, DNP, RN, FNP-BC, NEA-BC Chief Nursing Officer Inova Mount Vernon Hospital Patricia Christensen, MSN, RN, NEA-BC Director, Clinical Excellence and Innovation Inova Health System Patricia Mook, MSN, RN, NEA-BC Chief Nursing Informatics Officer Inova Health System Gilclear Fly sheet - transparent In 2012, Inova welcomed Cheri Goll as CNO for Inova Fair Oaks Hospital. She is pictured here along with Inova s 2012 Chief Nurse Council (back left) Patricia Mook, Marie Duffy, Lisa Dugan, Cheri Goll. (Front left) Mary Dixon, Maureen Swick and Ann Logan.

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