Nicklaus Children s Hospital Nicklaus Children s Hospital Nursing Strategic Plan 2014-2017
Contents Organizational Goals and Nursing Objectives... 3 Advance the engagement & empowerment of our people... 4 1.1 Create an environment of empowerment & recognition... 4 1.2 Increase staff engagement & retention... 5 1.3 Support nursing professional development & professionalism... 6 Enhance breadth & depth of care... 7 2.1 Enrich community outreach & partnerships... 7 2.2 Create innovation solutions to expand and enhance nursing services... 8 Improve quality outcomes... 9 3.1 Promote a culture of safety and high quality of care... 9 3.2 Utilize lean methodology, evidence-based practices, and nursing research for process improvement... 10 Excel in customer service and experience by delivering compassionate care, affordability & access... 11 4.1 Enhance the patient experience & customer satisfaction... 11 4.2 Support the professional practice model and care delivery system... 12 Manage provision of care along care continuum... 13 5.1 Support nursing and interprofessional collaboration in care coordination and continuity of care across the continuum... 13
Organizational Goals and Nursing Objectives Organizational Goals Nursing Objectives Page Advance the engagement and empowerment of our Create an environment of empowerment 4 people Enhance staff engagement and retention 5 Support nursing professional development 6 Enhance breadth and depth of care Enrich community outreach and partnerships 8 Create innovative solutions to expand and enhance nursing services 10 Improve Quality Outcomes Support a culture of safety and high quality care Utilize Lean methodology, evidence-based practices, and nursing research for process improvement 11 13 Excel in customer service and experience by delivering compassionate care, affordability, & access. Enhance the patient experience and customer satisfaction Support the professional practice model and care delivery system 15 16 Manage provision of care along care continuum Support nursing and interprofessional collaboration in care coordination 18
Advance the engagement & empowerment of our people 1.1 Create an environment of empowerment & recognition Utilization metrics of electronic recognition usage and Outcomes specific to technology implemented Press Ganey Employee Engagement Survey Scores Outcomes specific to workflow redesigns. Advance the engagement & empowerment of our people 1.1 Create an environment of empowerment & recognition Enhance current recognition methods and develop innovative recognition platforms Mio Cervantes SE11 Guide staff in the development of unit specific staff led empowerment and autonomy initiatives Cristina Suarez EP 16 Empower staff to be involved in technology/workflow designs and implementation Zoila Araica NK 5 EO Recognize an individual nurse and group of nurses for their contributions to the nursing strategic priorities Mio Cervantes SE 11
1.2 Increase staff engagement & retention Press Ganey Survey Employee Engagement Retention Rate Clairvia acuity Increased participants in mentoring/succession planning programs Successful role transitions from mentoring/succession planning programs; decreased vacancy rates Advance the engagement & empowerment of our people 1.2 Increase staff engagement and retention Implement creative staffing strategies to meet unit specific needs and fluctuations Mirtha Gonzalez EP 9 Create opportunities for clinical nurse participation in recruitment & retention activities Peggy Townsend EP 11 EO Utilize best practices to implement new strategies to enhance staff engagement and retention Susan Fornaris EP 11 EO EP 3 EO Collaborate with TM&E to identify high performers and place into mentoring and succession planning programs Susan Fornaris TL 6 Engage staff in the unit budget process Suzy Castro EP 10
1.3 Support nursing professional development & professionalism Horizon nurse retention rates and satisfaction results Number of SNIPs transitioned into Horizon Program Certification rates BSN and higher rates Increase in scholarship opportunities Successful resource allocation to support strategic priorities Advance the engagement & empowerment of our people 1.3 Support nursing professional development & professionalism Achieve national accreditation for the Horizon Program & develop a transitional nurse onboarding program Christina Mellon Susan Fornaris SE 7 Expand in the student nurse internship program (SNIP) Laura Hernandez SE 5 Enhance the preceptor program according to national best practices Ruby Whalen SE8 Host onsite sub-specialty certification review courses and specialized education. Increase Jenny Cordo SE 3 EO SE 6 Collaborate with local universities to provide RN to BSN program financial incentives for NCH employees to achieve 80% or higher BSN workforce by 2020 with a 3% BSN rate growth annually. Susan Fornaris Jenny Cordo OO7 Engage in philanthropic efforts to provide scholarships toward formal nursing education advancement Jackie Gonzalez OO7 Empower clinical nurses & nursing leader in advocating for resources to meet strategic goals Susan Fornaris Jill Tahmooressi TL 2 TL 7
Enhance breadth & depth of care 2.1 Enrich community outreach & partnerships Telehealth utilization outcomes Increased percentage of nurses involved in community outreach Increased percentage of multi-site nursing research studies and advancement of new knowledge Enhance breadth & depth of care 2.1 Enrich community outreach & partnerships Partner with the Miami Dade County Public School System Jill Tahmooressi SE 10 EO to expand nursing telehealth services to Students Partner with Brigham and Women s Hospital as expert leaders in the development of a Maternal-Fetal Program Jackie Gonzalez TL 3 EO Expand nursing presence and services throughout the community Christina Serrano Michelle Burke SE 10 EO SE 9 Lead and/or participate in multi-site nursing research studies Debbie Hill-Rodriguez Ruby Whalen NK 1 EO Provide organizational support for targeted community partnerships aimed at growing the nursing workforce Monica Ruiz- Valls SE 9 SE 5
2.2 Create innovation solutions to expand and enhance nursing services Patient Satisfaction scores HAPU rates Palliative care specific metrics (patient encounters, re-admission rates, advanced care planning documentation, referrals for home palliative/hospice care) Specific patient outcomes related to implementation of nurse-led protocols Time saved from nursing process automation Improved nursing knowledge and skills Heart Transplant Program Certificate of Need approved for program development Nursing productivity improvements from technology utilization Enhance breadth & depth of care 2.2 Create innovation solution to expand and enhance nursing services Expand nursing led telehealth programs (i.e., Lactation support, palliative care, etc.) Mirtha Gonzalez NK 5EO Develop Pediatric Palliative Care & Wound Care Program Jenny Cordo Peggy Townsend EP 8 EO Enhance nursing education through innovative education methods Laura Hernandez OO6 SE 4 EO Utilize technology to automate processes to enhance nursing services Janice Yanez NK5EO Develop nurse-led protocols Sheila Coakley Ginel Capdevilla EP 14 Successfully submit the Heart Transplant Certificate of Need Jackie Gonzalez TL 4 Incorporate innovative technology to enhance nursing practice and work flows Jackie Gonzalez Susan Fornaris Michael Caschette TL 4 NK 5 EO NK 6 EO
Improve quality outcomes 3.1 Promote a culture of safety and high quality of care Quality outcomes specific to quality improvement activities/projects Clinical Excellence Index (CEI) outcomes NDNQI outcomes Improved patient safety outcomes as a result of incorporating Improve quality outcomes 3.1 Promote a culture of safety and high quality of care Incorporate specialty standards/guidelines and national/international patient safety goals into the delivery of care to improve patient outcomes Maryann Duva Zoila Infante Michael Caschette EP 6 EP 21 EO EP 7 EO Engage in collaborative interprofessional quality improvement activities Valeria Riorda Suzy Castro Amy Jones EP 12 Involve clinical nurse in organizational level interprofessional decision making groups related to quality of care Michelle Burke Sarah Taylor Amy Jones TL 1 EO SE 1 EO Implementation of proactive risk assessment and error management; Drive improvements in workplace safety for nurses Amy Jones Diane Chafin Maryann Duva EP 18 EO EP 19 EO Collaborate with the clinical nurse quality safety advocates and unit councils to improve patient safety through evaluation unit patient safety data. Amy Jones Jenny Cordo EP 20 EO
3.2 Utilize lean methodology, evidence-based practices, and nursing research for process improvement Improved outcomes resulting from LEAN integration Launch EBP Fellowship resulting in 2 completed projects Increase implementation of EBP projects resulting in improved outcomes Creation of nursing innovation Improved outcomes resulting from application of learned best practices through professional nursing organizations Improve quality outcomes 3.2 Utilize lean methodology, evidence-based practices, and nursing research for process improvement Become a high reliability organization (HRO) through Jackie Gonzalez TL 8 integration of LEAN principles & practices TL 3 EO Develop an Evidence Based Practice (EBP) Nursing Fellowship Program Deborah Hill-Rodriguez Laura Hernandez EP8EO Host annual Nursing Research & EBP Workshop to increase implementation of EBP practices across the organization Ana Trykala Laura Hernandez EP14 NK 3 Create nursing innovations through Nursing Research; Internal and External translation of new knowledge Danielle Sarik Laura Hernandez NK 2 NK 4 EO Improve quality outcomes and nursing practice through implementation of best practices learned through involvement in professional nursing organizations Jenny Cordo Susan Fornaris SE 2 EO
Excel in customer service and experience by delivering compassionate care, affordability & access 4.1 Enhance the patient experience & customer satisfaction Patient Satisfaction Scores Discharge application utilization Excel in customer service and experience by delivering compassionate care, affordability & access 4.1 Enhance the patient experience & customer satisfaction Partner with clinical nurses in improving the patient experience Ivette Roldan TL 9 Develop innovative Discharge App to enhance patient experience Rashard Scippio David Diaz NK 5EO
4.2 Support the professional practice model and care delivery system Patient Satisfaction Scores Clinical Excellence Index (CEI) outcomes Length of Stay Excel in customer service and experience by delivering compassionate care, affordability & access 4.2 Support the professional practice model and care delivery system. Implementation of Peer Review across the organization Jenny Cordo EP 1 EP 2 EO Create partnerships with patients and families to create individualized goals and improved family centered systems of care Debbie Hill-Rodriguez EP 4 Collaborate with interprofessional teams to improve patient education activities to improve patient outcomes Mio Cervantes Laura Hernandez EP 13 EO Develop a parent partnership discharge planning pathway model Mayi Ramirez EP 5
Manage provision of care along care continuum 5.1 Support nursing and interprofessional collaboration in care coordination and continuity of care across the continuum Re-admission Rates Patient Satisfaction Scores Manage provision of care along care continuum 5.1 Support nursing and interprofessional collaboration in care coordination and continuity of care across the continuum Implement Nurse Navigator roles across service Jackie Gonzalez EP 5 lines Implement a Nurse Care Coordinator role in the Primary Care Clinic (PCC) Susan Churchill EP 5