Northwest Community Hospital 3/2/2017. Silos to Superstars Successful Advancement of the Clinical Practice Innovations Council. Objectives for today

Transcription

1 Silos to Superstars Successful Advancement of the Clinical Practice Innovations Council Julia Knight APN, RN, ACNS-BC Cindy Ruiz MS, APN-CNS, CCRN Objectives for today Discuss effects silos have on Spheres of Influence Describe actions to eliminate Silos and demonstrate value of integrated teams Northwest Community Hospital 489-bed hospital, Arlington Heights, IL 350,000 outpatient visits & 20,000 patient admissions per year Three-time Magnet designation JC Accreditation for Comprehensive Stroke Center and Advanced Palliative Care Earned the Joint Commission s Gold Seal of Approval in 2015 for quality and safe patient care 1

2 The Driver of Change NCH Story Silos Affect All Spheres of Influence Our Farm CNSs and Nurse Educators Varied reporting structures & responsibilities Inconsistent project management Duplication of efforts Uncertain framework Silos 2

3 Our Mission Remodel the Farm Move from Fragmented Silos to Integrated teams between CNSs and Nurse Educators Develop framework to identify gaps, lead teams, and disseminate knowledge Organize our talents, knowledge and insights to guide nursing through healthcare's transformation to complex integrated health care systems Why Eliminate Our Silos? Leadership expectations New Unified Vision for CNS & Educators Resources Integrate assets of CNS education and experiences into team Optimize Productivity CNS coordination of Spheres of Influence Heighten Organization awareness CNS specific qualities What if we made no changes? Loose the farm! Framework to Breakdown Silos Create a Unified Vision Achieve Common Goals Change Agents Execute and Measure Collaborate and Create 3

4 Create a Unified Vision Raising the Barn Unit based CNSs met to form the vision Incorporate Unit based Nurse Educators Changed from a my unit to our organization Vision: The Clinical Practice Innovations Council (CPIC) is a Nursing committee formed for the purpose of promoting, leading, and supporting evidence based quality improvement initiatives, educate/mentor staff on evidence-based practice, quality improvement and research, in alignment with Corporate and Nursing Strategic Goals at Northwest Community Healthcare Work Towards a Common Goal Align our goals within the organization, nursing and complex patient care. Team Goals: High Quality Care as Evidenced by Clinical Outcomes Action Plans: Drive and integrate unit and organizational quality outcomes Provide CNS representation on corporate committees Create a method for collaboration among the APNs and Clinical Nurse Educators CPIC as Change Agents Example Mock Code Blue All units have codes (system) Vision: increase confidence and quality in Code situations Goal: Annual Mock Codes for each inpatient unit Continuous evaluation of sessions 4

5 Execute and Measure Define Purpose and Goal of an opportunity Mobilize groups to get the work done Identify Stakeholders outside of our team Staff input (Keeping Magnet in mind) Gather Supporting Data Baseline Post Intervention Ongoing Evaluation Collaborate and Create Key Factors for this Team! Knowledge Collaboration Innovation Confidence Outcomes for CPIC Framework to develop identified opportunities Vision, Goal, Change, Measure, Create, Evaluate Alcohol Withdrawal Protocol 5

6 AWS Protocol Identified Issue: Order Set but no Protocol Sub-group transformed to Multidisciplinary Team Goal to keep both patient and staff safe! Develop Protocol, Policy, Education Evaluate Data 6 months pre and post implementation ICU Transfers 18.18% drop to 13.3% Mr. Strong's 2.75% drop to 1.81% Additional Impact Nurse Resident Program with 92% retention rate! Pharmacy savings >$12,000 with elimination of IV flush bag requirement. Patient Education Resource standardization providing continuity across system with EMMI. Mock Code Blue increased confidence in staff performance and improvement in compression rates. Bar Code Medication Scanning Compliance Rate sustained at > 97%. Next steps Standardized Reporting Template to showcase our impact to the organization, nursing, and patients! 6

7 Thank you! Julia Knight, APN, RN, ACNS-BC Cindy Ruiz, MS, APN-CNS, CCRN MS, APN-CNS, CCRN References Bakhla, A. K., Khess, C. R. J., Verma, V., Hembram, M., Praharaj, S. K., & Soren, S. (2014) Factor structure of CIWA-Ar in alcohol withdrawal. Journal of Addiction. 2014, Article ID , Gleeson, B. (2013, October 8). Re: The silo mentality: how to break down the barriers [Online forum content] Retrieved from Huseman, K. (2012) Improving code blue response through the use of simulation. Journal for Nurses in Staff Development. 28, (3) doi: /NND.0b013e Taenzer, A., & Blike, G. T. (2012) Postoperative monitoring- the Dartmouth experience. Journal of the Anesthesia Patient Safety Foundation Newsletter, 27, (1)