educating direct care nurses in using quality indicators
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One Magnet Hospital’s Innovative ApproachOne Magnet Hospital’s Innovative Approach
Patient Care Services
Quality CouncilLehigh Valley Hospital and Health Network
Patient Care Services
Quality CouncilLehigh Valley Hospital and Health Network
Educating Direct Care Nurses inUsing Quality Indicators to Implement Bedside Practice Improvements
Educating Direct Care Nurses inUsing Quality Indicators to Implement Bedside Practice Improvements
Lehigh Valley Hospitaland Health NetworkLehigh Valley Hospitaland Health Network
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Magnet DesignationMagnet Designation
2002, 20062002, 2006
Mature Professional Practice ModelMature Professional Practice Model
■ Implemented in 1985
■ In 2004, conceptual framework redesigned based on the Forces of Magnetism
■ At that time, a Nursing Quality Council was formed
■ Implemented in 1985
■ In 2004, conceptual framework redesigned based on the Forces of Magnetism
■ At that time, a Nursing Quality Council was formed
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Lehigh Valley Hospital and Health NetworkPatient Care Services
Professional Practice Model
Lehigh Valley Hospital and Health NetworkPatient Care Services
Professional Practice Model
Collaborative
For
Evidence-Based
Practice
QualityQuality
CouncilCouncilPractice
Council
Bedside Scientist Institute
Evidence Based Practice
Leadership Group
Evidence Based Practice
Expert Group
Community Advisory Group
Research Day
Planning Committee
Policy & Procedure
Committee
Patient Care
Specialist Council
Peer Review Committee
Ad Hoc Quality Work
Groups
RN Advisory
Group
Patient Care
Operations
Council
Professional
Excellence
Council
Collegial Review & Recognition
Peer Review Associated
with Performance
Reward &
Recognition
Development & Recognition
Committee of Professional
Excellence Council
Unit/Department
Level
Empowerment
Career
Awareness
Committee
Development &
Recognition
Committee
Nursing
Advocacy
Committee
Community
Outreach
Committee
•Unit/Department Level
EmpowermentKEY
Relationship
Report
Collaborate
PPM Key Components
Clinical Practice
Quality
Research
Professional Excellence
Operations
Collegial Review & Recognition
Quality Council EvolutionQuality Council Evolution
■ Purpose and authority
■ Membership composition
■ Functions– Dissemination of quality data
– Staff education regarding quality data analysis
– Utilization of data to improve bedside practice
– Collaboration with Peer Review Committee to resolve quality issues
– Sharing of best practices using a
“Spirit of Appreciative Inquiry” model
■ Purpose and authority
■ Membership composition
■ Functions– Dissemination of quality data
– Staff education regarding quality data analysis
– Utilization of data to improve bedside practice
– Collaboration with Peer Review Committee to resolve quality issues
– Sharing of best practices using a
“Spirit of Appreciative Inquiry” model
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Nursing Quality NewsletterNursing Quality Newsletter
■ Publication of the Quality Council
■ Each quarterly issue focuses on one quality indicator
■ Disseminates outcome data, educates staff, and communicates best practices related to nursing quality indicators
■ Creative educational methods address diverse learning needs of healthcare providers
■ Publication of the Quality Council
■ Each quarterly issue focuses on one quality indicator
■ Disseminates outcome data, educates staff, and communicates best practices related to nursing quality indicators
■ Creative educational methods address diverse learning needs of healthcare providers
Newsletter FeaturesNewsletter Features
■ Case Study
■ What the Experts are Saying
■ Outcome Data Report
■ Sharing Best Practice
■ Educational Game or Puzzle
■ Updates
■ Case Study
■ What the Experts are Saying
■ Outcome Data Report
■ Sharing Best Practice
■ Educational Game or Puzzle
■ Updates
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Nursing Quality News:
Clinical Case StudyNursing Quality News:
Clinical Case Study
■ A peer reviewed clinical case scenario is presented
■ Opportunities for improvement are highlighted
■ Learnings and recommendations for changes in practice, process, procedure, policy, or equipment are shared
■ A peer reviewed clinical case scenario is presented
■ Opportunities for improvement are highlighted
■ Learnings and recommendations for changes in practice, process, procedure, policy, or equipment are shared
■ Presenter: Director of Patient Care Services
■ Case: 71 year old man admitted for bilateral knee replacement
■ Risk factors identified
■ ET consultation process reviewed
■ Customized plan of care and appropriate interventions outlined
■ Effective HAND OFF communication regarding skin care plan discussed
■ Potential complications and consequences of such complications explored
■ Presenter: Director of Patient Care Services
■ Case: 71 year old man admitted for bilateral knee replacement
■ Risk factors identified
■ ET consultation process reviewed
■ Customized plan of care and appropriate interventions outlined
■ Effective HAND OFF communication regarding skin care plan discussed
■ Potential complications and consequences of such complications explored
Volume 1, Issue 3 – Pressure Ulcers
“Case Study”Volume 1, Issue 3 – Pressure Ulcers
“Case Study”
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■ Review of internal and external expert opinion
■ Review of current literature and evidence-based findings
■ Review of product/equipment recommendations for using and troubleshooting
■ Provides staff with evidence-based quality improvement recommendations
■ Review of internal and external expert opinion
■ Review of current literature and evidence-based findings
■ Review of product/equipment recommendations for using and troubleshooting
■ Provides staff with evidence-based quality improvement recommendations
Nursing Quality News:
What are the Experts Saying?Nursing Quality News:
What are the Experts Saying?
■ Presenter: physical therapist who is also a certified wound specialist
■ Description of therapy
■ Indications
■ Contraindications
■ Appropriate use
■ Desired effects
■ Network policy and protocols related to therapy and care of patient
■ Tips for troubleshooting equipment
■ Presenter: physical therapist who is also a certified wound specialist
■ Description of therapy
■ Indications
■ Contraindications
■ Appropriate use
■ Desired effects
■ Network policy and protocols related to therapy and care of patient
■ Tips for troubleshooting equipment
Volume 1, Issue 3 – Pressure Ulcers
“Pressure Ulcer Management Using Negative Pressure Wound Therapy (VAC)”
Volume 1, Issue 3 – Pressure Ulcers
“Pressure Ulcer Management Using Negative Pressure Wound Therapy (VAC)”
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■ Presenter: licensed dietician/nutritionist who is also a certified diabetic educator
■ Description of nutritional supplement products available within the network
■ Benefits and limitations of each supplement
■ Results of internal studies of product effectiveness in promoting wound healing
■ Presenter: licensed dietician/nutritionist who is also a certified diabetic educator
■ Description of nutritional supplement products available within the network
■ Benefits and limitations of each supplement
■ Results of internal studies of product effectiveness in promoting wound healing
Volume 1, Issue 3 – Pressure Ulcers
“Using a Med Pass Nutritional Supplement to Aid in Wound Healing”
Volume 1, Issue 3 – Pressure Ulcers
“Using a Med Pass Nutritional Supplement to Aid in Wound Healing”
■ Dissemination of quality data specific to focus indicator
■ Graphic display of quality data for an 18-month period, with trend line displayed
■ Report of organizational performance in comparison to the NDNQI benchmark
■ Dissemination of quality data specific to focus indicator
■ Graphic display of quality data for an 18-month period, with trend line displayed
■ Report of organizational performance in comparison to the NDNQI benchmark
Nursing Quality News:
How is LVHHN Doing?Nursing Quality News:
How is LVHHN Doing?
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■ Presenter: Patient Care Services Quality Manager and Quality Analyst
■ Presenter: Patient Care Services Quality Manager and Quality Analyst
Volume 1, Issue 1 – Patient Falls
“How is LVHHN Doing?”Volume 1, Issue 1 – Patient Falls
“How is LVHHN Doing?”
■ Based on Spirit of Appreciative Inquiry
■ A best performer shares obstacles, strategies for improvement and successes
■ Based on Spirit of Appreciative Inquiry
■ A best performer shares obstacles, strategies for improvement and successes
Nursing Quality News:
Sharing of Best PracticeNursing Quality News:
Sharing of Best Practice
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■ Highlights the Transitional Skilled Unit (TSU) and their strategies for successfully reducing fall rate
■ Components of the TSU Initiative
– Literature review findings
– Unit-based research findings
– Fall Prevention Standard of Care and interventions
– Outcomes and measures of success
■ Highlights the Transitional Skilled Unit (TSU) and their strategies for successfully reducing fall rate
■ Components of the TSU Initiative
– Literature review findings
– Unit-based research findings
– Fall Prevention Standard of Care and interventions
– Outcomes and measures of success
Volume 1, Issue 1 – Falls
“Sharing Successes”Volume 1, Issue 1 – Falls
“Sharing Successes”
■ Gaming technique familiarizes readers with terms and definitions associated with the selected focus indicator
■ Gaming technique familiarizes readers with terms and definitions associated with the selected focus indicator
Nursing Quality News:
PuzzleNursing Quality News:
Puzzle
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Volume 1, Issue 2
“Double Puzzle”Volume 1, Issue 2
“Double Puzzle”
Nursing Quality NewsNursing Quality News
■ Provides contact information and resources specific to nursing quality
■ Connects staff with internal experts and best performers
■ Disseminates quality data and benchmark comparisons
■ Educates staff about nursing quality indicators relevant to bedside practice
■ Informs staff about best practices and successful quality improvement initiatives
■ Provides contact information and resources specific to nursing quality
■ Connects staff with internal experts and best performers
■ Disseminates quality data and benchmark comparisons
■ Educates staff about nursing quality indicators relevant to bedside practice
■ Informs staff about best practices and successful quality improvement initiatives
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Georgiann Morgan, RN
484-884-7012
Holly D. Tavianini, RN, BSHSA, CNRN
610-402-5671
Carol Torchen, MSN, RN, CAN
610-402-1630
Georgiann Morgan, RN
484-884-7012
Holly D. Tavianini, RN, BSHSA, CNRN
610-402-5671
Carol Torchen, MSN, RN, CNA
610-402-1630