JCMC Nursing Annual Report - Mountain States Health Alliance

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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%. 20
Empirical Quality Outcomes (Forces of Magnetism: Quality of Care) Global Issues in Nursing and Health Care Structural Empowerment Transformational Leadership Empirical Outcomes New Knowledge, Innovations & Improvements Exemplary Professional Practice Nursing Excellence: Empirical Outcomes During our celebration of nursing excellence and Magnet redesignation, we discussed the components of the new Magnet nursing excellence model. Empirical outcomes are a common thread throughout the Magnet model for nursing excellence. These outcomes are the identified endpoints for each aspect of the model using measurable quantitative data, as well as qualitative data. They are based on using existing evidence as well as generating that evidence. We discussed two models for using the evidence and one model for generating the evidence. We were reminded that research occurs in all practice arenas including administration, clinical, education and research. We must evaluate the evidence and its impact on healthcare resources, patient/ participant preferences and actions, level of evidence, and settings and circumstances. Clinical or area expertise is needed to integrate all the information to determine if the evidence fits our environment. When evidence is generated, practice, theory and education are part of a continuous cycle to support our practice and contribute to nursing’s body of knowledge. There are internal and external factors that affect how evidence is used, and both research and non-research evidence should be included. Using the evidence or generating the evidence both will lead to quality outcomes in all areas of practice. This will result in improved quality and a continuation of nursing excellence at Johnson City Medical Center. 21 bringing loving care to health care | www.msha.com
Page 1 and 2: Celebrating Strengths That Nursing
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Page 7 and 8: inging loving care to health care |
Page 9 and 10: Results from the 2009 NDNQI RN Sati
Page 11 and 12: NDNQI Scores The NDNQI RN Satisfact
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Page 15 and 16: Lisa Anderson, RN, MSN, CCRN, CCNS,
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Page 19: Falls Prevention Program: Decision
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Page 25 and 26: Georgita Washington On Dec. 19, 200
Page 27 and 28: Percentage of Non-ICU Code Blue Occ

JCMC Nursing Annual Report - Mountain States Health Alliance

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