Hey, those areHey, those arenice shoes!nice shoes!

I still have my feeton the ground, I justwear better shoesOprah Winfrey

Lead with your feetKeep your feet planted on the groundLeave your footprints Walk the talkFollow my leadLead the wayStep in the right directionGet your feet wetJump in with both feetStand on your own two feetThinking on your feet

Nurse toChief NurseFrom bedside to boardroom

Jerome Mendoza Dayao, DNP, MS, RN, NEA-BC, CPHQ, CCRN-K

Hi, my nameis Jerome.

Doctor of Nursing Practice, UCLAMaster of Science in Nursing, CSULABachelor of Science in Nursing, WUP

Nurse Executive Advanced (NEA-BC)Healthcare Quality (CPHQ)Critical Care (CCRN-K)

Senior Associate AdministratorChief Nursing OfficerUW Medicine | Harborview Medical Center

Education

Board Certification

Hi, my nameis Jerome.

Elected Board Member, American Organization forNursing Leadership (AONL)Ex-Officio Board Member, American HospitalAssociation Regional Policy BoardAt-Large, Board Member, Northwest Organizationof Nurse Leaders (NWONL)

Board Service:

Clinical Background:Heart Failure and Heart Transplant

Scholarly Interests Leadership Development and Succession Planning

Objectives:

Who is the CNOHow does one become CNOPractical tips to prepareyourself to the role of the CNO

1.

2.

3.

Highest administrator of Nursing PracticeRequired by regulation (CEO, CMO, CNO)Typically has the largest operational scopeand span of control among all senior hospitalexecutives reporting to the CEO

Must be a licensed RNMust have an post graduate degree orevidence of advanced knowledge/skills orplan to obtain degree

Chief Nursing Officer (CNO)

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R37SOMA.pdf

https://www.mcnhealthcare.com/director-of-nursing-qualifications/

https://nrchealth.com/wp-content/uploads/2017/06/WP_JC_Leadership-in-Healthcare-

Organizations_Second_Schyve_Carr.pdf

Chief Nursing Officer/ Senior VP/Administratorof Patient Care Services

Director/ Service Line Administrator

Associate CNO/ VP/ Assistant Administrator

Unit Manager/ Associate Director

ANM and Charge Nurses

Organizational Chart

Unit Staff (RNs, HAs, HUA)

Chief NurseWho?

No one goes to nursing school tobecome the chief nurse.

Seize theOpportunityToday, more that ever, we need morenurses who can manage & lead.

Silver Tsunami56% of CNOs will be retirable in the next 10years (n=710)Average age of WA's RNs was 45.8 years

Rewarding careerCNO job satisfaction is 87%(n=386) Salary is competitive with 51%averaging 200 to >300K annually(N=398)

Be the change you want to seeMake the workplace better

https://www.aonl.org/system/files/media/file/2019/06/2019-salary-full.pdfhttps://www.michiganstateuniversityonline.com/resources/healthcare-management/reasons-to-choose-a-career-in-healthcare-management/https://www.aha.org/news/insights-and-analysis/2019-01-09-17th-year-row-nurses-top-gallups-poll-most-trusted-professionhttps://www.beckershospitalreview.com/hospital-management-administration/nurses-are-most-trusted-to-improve-the-us-healthcare-system.html#:~:text=Americans%20do%20not%20trust%20any,Chan%20School%20of%20Public%20Health.https://www.wcnursing.org/site/wp-content/uploads/documents/reports/2018-May-WA-RN-Snapshot.pdf

Wanted: leadersMedical and health services managers careersprojected growth 20% = 424, 300 positions

Nurses are most trusted18 years straight and the public agrees

1

2

3

Get more educated.Check out the outside of the box;be a member of professionalorgs; get new skills

Raise Your Handand be seen.Career advancement is not anaccident; you need to strategize

Do it before you'reready.Learn as you go, don't wait for100% 

Becoming theCNO: PracticalStepsBacked by research, verified byexperience.

4Don't be a specialist.become multi-lingual in thelanguage of leadership.

https://www.aonl.org/system/files/media/file/2019/06/2019-salary-full.pdfhttps://www.pewresearch.org/internet/2017/05/03/the-future-of-jobs-and-jobs-training/https://insight.kellogg.northwestern.edu/article/take-5-how-to-take-charge-of-your-professional-development?utm_source=piano&utm_medium=onsite&utm_campaign=1131https://www.forbes.com/sites/womensmedia/2014/04/28/act-now-to-shrink-the-confidence-gap/#979efdd5c41chttps://hbr.org/2014/08/why-women-dont-apply-for-jobs-unless-theyre-100-qualifiedhttps://papers.ssrn.com/sol3/papers.cfm?abstract_id=3017363https://hbr.org/2018/07/when-generalists-are-better-than-specialists-and-vice-versahttps://www.sciencedirect.com/science/article/pii/S0749597812001185?via%3Dihub

5

6

7

Ask a friend.Find a mentor, accelerate success.Centrality - not how many but who.

Failure is yourteacher.The more you fail the sooner yousucceed.

Look and Sound thepart.Executive Presence

Becoming theCNO: PracticalStepsBacked by research, verified byexperience.

8Don't forget who youare.You are a leader WHO IS a NURSE.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3396092/https://www.emerald.com/insight/content/doi/10.1108/JMP-10-2019-0591/full/htmlhttp://www.executivepresencegroup.com/intelligence/research/

https://journals.lww.com/jonajournal/fulltext/2019/04000/preparing_the_nurse_executive_of_the_future.1.aspx

My unconventional

leadership tip:

You want something changed?Do something about it.

RecommendedMedia

Power of Moments - HeathBrothersAtomic Habits - James ClearMultipliers - Liz Wiseman

Harvard Business ReviewKellog InsightVoice of Nursing Leadership

Journal of Nursing Leadership

Linkedin Learning

Books:

Magazines:

Journals:

Virtual Training:

Work Life - Adam GrantNo Ego - Cy Wakeman

Podcast

AONL @tweetAONLJONA @JONAonline@AdamMGrant@HarvardBiz

TED Talks

Twitter

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