Nursing Council Strategic Planning: FY2013 Strategic Priority Objectives Metrics Initiatives (Leader) Maximize Revenue Capture (Getting Better) Enhance Performance on Metrics Tied to Payment HCAHPS scores HAIs (SSI, CLABSI, CAUTI) Pressure ulcer/1000 days Injury Falls/1000 days Consider VBP metrics Percent BSN Prioritize targeted interventions for key indicators (ie, toolkits) Integrate toolkits in CHAH Integrate quality goals into PFDs at the unit level Standardize/reduce variation in clinical practice Enfranchise patients and families in care processes (CNPC) LOOK bedside handoffs (CNPC) Improve peer accountability (CNPC) Relationship based care (Holly) Integrate strategies for pressure ulcer and injury falls between post acute care and acute care Maximize VBP return ID opportunities for nursing documentation to improve revenue capture (Sharon K/Mike) Bend the Cost Curve (Getting Better) Prevent Unnecessary Readmissions 30 day all cause readmission rate 30 day disease specific readmission rates (AMI, HF, pneumonia) Assess current project activities, ensure alignment across the system Support, monitor, implement from the LAH pilot (Melody/Rhonda) Enable a safe transition home with immediate follow up care for most vulnerable patients Consider instilling self care habits (Marcia) Bend the Cost Curve (Getting Different) Flex Staffing to Actual Demand Frontline turnover Nursing $$/CMIAAA Summit Medical Center to pilot hospital wide flexing plan(Jodee) Bend the Cost (Getting Different) Innovate on the Inpatient Staffing Model Length of stay (in targeted or piloted areas) Nurse and support personnel turnover Nursing dollars per CMIAAA Pressure ulcer incidences/1000 Fall incidences/1000 Increase PCA skill set See case studies/NICHE suggestions Evaluate systems/processes/structures to support PCA skill sets Evaluate LPN model (Mike) Complete gap analysis for credentialing ASCENT nurse residency program (Noreen) Expand Effective Capacity (Getting Better) Achieve for Preventable Complications HAIs (SSI, CLABSI, CAUTI) DVT incidences per 1000 patient days Widely display metrics/dashboards, on compliance and results Document LOS impact on HAIs Leverage CNPC to ID and implement next best practices Invest in innovation for complex patients (ie, risk staffing ) Obtain nurse sensitive data for DVTs
Falls and trauma incidences per 1000 days LOS Percent BSN Check VOC dashboard Evaluate teach interventions in CIS for DVT patients (LAH) Manage Case Mix (Getting Different) Embed Risk Assessments into Workflow Targeted LOS for pilot areas 30 day all readmission rate Develop electronic data collection for readmission risk (Melody/Sharon) Hardwire Common Purpose (Getting Better) Drive Individual Accountability Press Ganey &/or PES scores HCAHPS scores HAIs (SSI, CLABSI, CAUTI) Pressure ulcer incidences and trauma incidences Increase frontline ownership through greater input Embed peer feedback into workflow (CNPC) Provide “Instilling Frontline Accountability: Best Practices for Enhancing Individual Investment in Organizational Goals” session (10/19/12) Use associate engagement data to make improvements System wide peer accountability (CNPC) Hardwire Common Purpose (Getting Different) Position Nursing at a Best-in-Class Partner for IT (Informaticists should advise on this strategy) Unknown Cultivate informatics expertise (Sharon Kirby & team) Ensure data integrity (Sharon Kirby/Kerri Webster) Promote timely documentation/discharges (Sharon Kirby & team) integrated electronic care plans – KOIN (Sharon Kirby & team) Define CNO role in enterprise wide IT initiatives Use advisory board resources for best practices (Informatics team) Talent procurement for informaticists