JCMC Nursing Annual Report - Mountain States Health Alliance

Quality Awards 2009
Individual Award Winner: Katie Rice, RNC
Holding the Gains: Operational Effectiveness
After implementation of Centricity Perinatal (CPN),
missed charges were dramatically reduced and charges
generated by CPN were found to be consistently
correct when nursing documentation was correct and
complete. Nurses in the Center for Women’s Health
continually monitored for correct capture of patient
charges. The nurse caring for the patient must verify
and sign the electronically generated charge form prior
to submitting it, and as a double-check the clerical
associate who entered charges notified the CPN
system administrator if anything seemed unusual. In
addition, a review of all available charts for a 5-week
period was conducted 2.5 years after implementation
of CPN charge capture to verify that gains were indeed
being held as well as we perceived. Over the past two
years, CPN has correctly captured 100% of patient
charges when nursing documentation is correct and
complete, and nursing staff is consistently reviewing
charges and ensuring accuracy before submission of
charges. This method of charge capture, which started
with the Obstetrics unit at JCMC, has been expanded
to the OB units at JCSH, SSH and IPMC.
Team Award Winner: Lisa Carter, MSN, RN, Nurse
Manager of PICU
Renee’ Lowe, RN, Nurse Manager of NICU
Jill Naylor, RN, Assistant Clinical Leader of NICU
Dr. William Devoe, MD, Neonatologist
Retinopathy of prematurity is a condition affecting
premature infants in which blood vessels in the eye
begin to grow abnormally. In 2006, the overall NICU
rate was found to be 75%. We have since decreased
this rate to 24%, and the rate for severe ROP dropped
from 14.3% to 2%. To ensure continued success with
the ROP protocol, specific elements are monitored
monthly by nursing and respiratory staff. The
results from these monitors show that the staff have
consistently maintained compliance rates at 94% or
greater with following the ROP protocol. We have
continued to see drastic reductions in the number of
infants diagnosed with severe ROP (stage 3 or greater),
and have continued to see fewer infants requiring
surgical interventions. Only two infants have needed
treatment in the last 12 months. The rate for severe
ROP has dropped from our initial rate of 14.3% to 2%,
which is well below the national average. The rates for
any stage of ROP have dropped from 75% to 24%.
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