STEER YOUR MAGNET JOURNEY LET PROPHECY ASSESSMENTS BE YOUR GPS

Prophecy Predicting Employee Success STEER YOUR MAGNET JOURNEY LET PROPHECY ASSESSMENTS BE YOUR GPS www.prophecyhealth.com www.aps-web.com 617.275.7300

The journey to Magnet is both exhilarating and challenging! Hospitals know that many improvements have been achieved but the difficulty often lies in proving it. How can you measure the impact of your hard work? Quantifying the evidence is key. Using this guide, learn how Prophecy can steer you in the right direction with a potholefree roadmap to validating competency and performance outcomes. Our assessments meet rigorous content validity standards so your hospital is assured of making decisions that are legally defensible. Plus, our reports put assessment results at your fingertips making it easy to add data graphs to your Magnet application. Our Behavioral, Situational and Clinical Knowledge assessments assure a smooth pathway to: Reducing turnover and transfers by hiring the right applicants with the best job fit for a particular clinical specialty Customizing nurse onboarding to accelerate time to independent practice while reducing cost and improving nurse competency Validating readiness to practice independently at the end of onboarding Identifying ongoing learning needs and professional development opportunities Measuring outcomes of educational offerings Minimizing risk by assuring safe practice Creating evidence based succession plans for nursing leadership Improving staff engagement and HCAHPS scores About APS: APS is a technology company that works with organizations to build the best patient care teams. With our solutions, healthcare leaders focus on their most important resource-- their people. Our data-driven insights help the nation s leading health systems improve quality while reducing risk, cost, and nurse vacancy so they can deliver safer, more consistent patient care. Our assessment-based analytics provide healthcare leaders with unparalleled insight into team proficiency, and how to improve it, so they can: Identify, place, onboard, and develop the best clinicians; Transform clinicians learning with evidencebased, personalized content; and Measurably improve performance by building teams with high reliability 1

Transformational Leadership TL-2: TL-3: Nurses at all levels (CNO, Manager, Staff) advocate for resources, including fiscal & technological resources to support unit/ division goals. Strategic planning structures and processes are used by nursing to improve the healthcare system s efficiency and effectiveness. TL3EO: The outcomes resulting from the planning in TL-3 TL-4: Processes enabling the CNO to influence organization-wide changes TL4EO: One CNO-influenced organization wide change TL-6: How the organization supports: Leadership development Performance management Mentoring activities Succession planning for leaders Prophecy Advantage: CNO champions who advocate for Prophecy as a resource can showcase this effort as an approach to identifying high performing nurses, customizing the onboarding process, and using assessments for professional development, performance improvement and risk management. Prophecy Outcomes: Prophecy clients have demonstrated reduced costs and improved competency by customizing nurse onboarding to individual learning needs, improved retention rates, decreased internal transfers related to staff dissatisfaction with a clinical specialty, reduced manager time conducting screening interviews, improved job fit in selecting staff assignments. Prophecy Outcomes: CNOs who champion the use of Prophecy assessments for applicant selection, onboarding and professional development of allied health and non-clinical positions are influencing organization wide change. Prophecy Advantage: Baseline Behavioral, Clinical and Situational-Interpersonal skills identify knowledge gaps to easily customize learning paths. Management and leadership attributes are assessed within the Behavioral assessment, which can be taken by both clinical and non-clinical staff. Prophecy s Leadership Report provides opportunities to effectively coach new and existing leaders with a customized approach to Succession Planning. Prophecy offers additional leadership assessments for nurses beginning with the Preceptor assessment, then Charge Nurse assessment and forward to the Clinical Nurse Manager assessment. Each level of assessment helps to determine a candidate s personality attributes as well as job knowledge needed for advancement. The Performance Management process is enhanced with the use of Prophecy s individualized Coaching Report, which is helpful in addressing performance improvement and identifying counterproductive work behaviors during a root cause analysis. * Criteria pulled from the American Nurses Credentialing Center (ANCC) Magnet Recognition Program 2

Structural Empowerment SE-1: Structures and processes that enable nurses from all settings and roles to actively participate in organizational decision making groups such as committees, councils and task forces. Prophecy Advantage: Managers can utilize Prophecy assessment results to identify unit based learning needs in clinical, interpersonal and behavioral arenas. Teams then strategize effective interventions to improve outcomes. SE1EO: Two improvements in different practice settings because of nurse involvement in organizational decision making groups. Prophecy Outcomes: Improvements can be demonstrated in HCAHPS patient satisfaction scores, communication skills, teamwork and clinical knowledge. SE-5: Prophecy Advantage: Clinical job knowledge assessments in addition to high-fidelity situational video assessments are available in the Prophecy library to assess critical thinking, communication, specialty specific patient conditions, pharmacology, math ability, perceptual ability, dysrhythmia identification and more. Prophecy clinical assessments yield immediate results so that knowledge gaps can be readily identified for individualized learning plans. Results can also be used as annual learning needs assessments for nurses as well as on-boarding efforts for graduate nurses. Structure and process used to develop and provide continuing education for all nurses at all levels. SE5EO: Measure the effectiveness of 2 educational programs provided. SE-6 How the organization provides career development opportunities for non-nurse employees and members of the community interested in becoming RNs. SE-7 Structure and process used to promote the teaching role of nurses. SE-8 How nursing facilitates the transition of new nurses into the work environment. SE-10: How nurses support academic practicum experiences and serve as preceptors, instructors, adjunct faculty or faculty. Prophecy Outcomes: Use Situational Clinical video assessments and Knowledge exams A and B as preand post- assessments to measure the effectiveness of continuing education. Prophecy Advantage: Use Behavioral Assessments to determine employees with high performing cognitive, engagement and customer service skills that demonstrate a potential for future success in nursing. Prophecy Advantage: Utilize Prophecy s Preceptor Assessment to identify nurses with high potential to become effective preceptors. Prophecy s Coaching and Onboarding Report and the Preceptor s Guide to Prophecy provide coaches and preceptors with the insight and understanding of using results of Prophecy assessments to get to know the learning styles, engagement history and attributes of each individual nurse. This understanding helps a preceptor to effectively customize the onboarding process and promote optimal learning. Prophecy Outcomes: Many Prophecy clients integrate Prophecy assessments into their nurse residency program to promote job fit and identify knowledge gaps early in the onboarding process. Decreased time to complete orientation has occurred as a result of customizing the onboarding process. Resulting cost savings can be quantified. Orientee satisfaction with the preceptor can be measured. 3

New Knowledge, Innovation, & Improvement K-4: Structures and processes for developing, expanding and/or advancing nursing research. NK4EO: Nursing research studies from the past 2 years. NK-5: Dissemination of knowledge generated from research. NK-6: Structures and processes used to evaluate current nursing practice based on evidence. NK-7: Structures and processes used to translate new knowledge into nursing practice. NE7EO: How the translation of new knowledge into nursing practice has impacted patient outcomes. NK-8: Innovations in nursing practice. NK-9: Evaluating and allocating technology and information systems to support practice. NK9EO: Improvement in practice due to nurse involvement in technology and information systems. Prophecy Outcomes: Results of Prophecy assessments are a data rich source of information for research, EBP studies and performance improvement. Many reports available on our website are already programmed for hospital use such as a comparison of assessment results to national benchmarks, performance of individual departments on specific assessments, and even a drill down to specific questions missed which facilitate learning plan development. Reporting tools can also be used to demonstrate the effectiveness of remediation and education. Reports are easily exported to Excel so that your hospital data can be added to conduct correlation studies. And, Prophecy clinical staff is readily available to assist you with study design, data analysis and reporting. Prophecy frequently partners with clients to publish these results and to make presentations at national conferences. Our goal is your goal to discover new knowledge and to continuously improve patient care! 4

Exemplary Practice EP3EO Nurse satisfaction or engagement data aggregated at the organization or unit level outperform the mean, median or other benchmark statistic of the national database used. Prophecy Advantage: Nurse managers utilize Prophecy Behavioral assessments to learn about applicant and incumbent employee engagement history. Discussion questions provided prompt candid conversations about individual likes and dislikes to improve engagement. EP-5 How nurses use the care delivery system to make patient care assignments that ensure continuity, quality and effectiveness of care within and across services and settings. EP- 6 How regulatory and professional standards are incorporated into the Care Delivery Systems. EP-7 The structure and process used to engage internal experts and external consultants to improve care in the practice setting. Prophecy Advantage: Clinical job knowledge assessments identify strengths and knowledge gaps of individual nurses that help determine effective and safe patient assignments. Interpersonal Situational assessments assist with determining baseline communication skills to help ensure quality and effectiveness of care. Behavioral assessment results help supervisors and charge nurses to be proactive in providing guidance to nurses who may be uncomfortable or unfamiliar with specific circumstances. EP7EO Two improvements in the practice setting that occurred as a result of the use of internal experts or external consultants. EP-10 How nurses develop, implement, and evaluate action plans related to unit-based staff recruitment and retention. EP-13 How nurses have assumed leadership positions in interdisciplinary collaboration. EP-15 Cite examples where Interdisciplinary collaboration uses continuous quality and process improvement. Prophecy Advantage: Prophecy assessments are based upon the latest regulatory and professional standards and are updated a minimum of every 3 years. Subject matter experts from across the country participate in the rigorous content validity process that occurs prior to each assessment launch. Prophecy Outcomes: Prophecy nurse consultants are readily available to managers and staff to foster effective implementation of assessments as well as to assist clients with measuring and correlating outcome data for customized evidence-based practice, performance improvement and research. Prophecy Outcomes: Organizations that utilize Prophecy as part of the pre-hire screening process have demonstrated statistically significant improvements in recruiting the right employee for the right position resulting in improved staff retention. Prophecy Advantage: Behavioral assessments identify leaders from all disciplines who possess high collaborative work styles. Assessments can be part of a root cause analysis conducted when teams become dysfunctional which can then be addressed through coaching and remediation classes. 5

Exemplary Practice EP-19 That nurses have ready access to, and routinely use, current literature, professional standards and other data sources to support autonomous practice. EP-20 That nurses at all levels routinely use selfappraisal performance review and peer review, including annual goal setting, for the assurance of competence and professional development, EP-31 How the facility uses a facility-wide approach for proactive risk assessment and error management. EP-32 The nursing structure and processes that support a culture of patient safety. EP32EO That nurse-sensitive indicator data aggregated at the organizational or unit level outperform the mean, median or benchmark statistic of the national database used. (patient falls, pressure ulcer prevalence, BSI, UTI, VAE, restraint use etc.). EP-33 The structure and processes used by the organization to allocate/reallocate resources to monitor and improve the quality of nursing and total patient care. EP33EO How the allocation or reallocation of resources improved the quality of care. EP-35 The structure and process used to identify significant findings and trends in overall patient satisfaction with nursing as compared to benchmarked sources. EP35EO Patient satisfaction data aggregated at the organizational or unit level outperform the mean, median or other benchmark statistic of the national database used. ( related to pain, patient education, courtesy and respect by nurses, response time or other nurserelated survey question). Prophecy Advantage: Prophecy s clinical knowledge assessments are based upon the latest professional standards. Using assessments as part of an annual learning needs assessment or as part of performance coaching can contribute to a nurse s self-directed learning which in turn promotes autonomous practice. Assessments can be administered to the entire team and results aggregated for review by staff for the purpose of identifying knowledge or skills gaps to be addressed as a department or facility. Prophecy Outcomes: Prophecy assessments such as clinical knowledge, pharmacology, math ability and perceptual ability can be an integral part of conducting an FMEA or Root Cause Analysis of actual or near miss adverse events by providing quantitative insight into knowledge and ability gaps. Results can be used to identify potential risk and determine the most effective improvement approach needed. Prophecy s skills checklists and education modules related to national safety goals, hazardous chemical use, patient fall reduction and other topics are widely used a part of an annual risk reduction program. Prophecy Outcomes: An applicant or employee only needs to take a Behavioral assessment one time, however, results can then be recalculated to various clinical specialties to determine the optimum job fit for the nurse. Matching staffs to patient care acuity results in improved allocation of resources and improved quality of patient care. Prophecy Advantage: When Prophecy assessments are used pre-hire, hospitals are more likely to employ high performing staff with great customer service skills. For incumbent staff, Behavioral and Situational assessments offer quantitative results that can be used to coach performance and design remediation to improve staff/ patient communication. Situational Interpersonal Competence video-based assessments measure soft skills such as communication, collaboration and conflict resolution, which can identify opportunities impacting HCAHPS & patient outcomes. Prophecy Outcomes: Hospitals often conduct correlation studies between the initiation of Prophecy and HCAHPS score resulting in marked improvement. These studies can also be used to substantiate the return on investment for using Prophecy. 6