What is Shared Governance?

1. What is Shared Governance? And why are we doing it here at St. Luke’s?

2. What is Shared Governance? It is a partnership between staff and management working together to promote shared decision making and accountability to provide an improved work environment.

3. Why are we doing Shared Governance and why now? • It’s the right thing to do! • It is a critical foundational part of the Magnet journey!! • Organizations are recognizing the positive significance of systems that grant professional employees the responsibility and accountability for governing issues directly related to their own practice.

4. Magnet Video

5. New Model for ANCC Magnet Program Structural Empowerment = Shared Governance

6. Linda Aiken assumptions (1994) • “hospitals that facilitate professional autonomy, control over practice, and comparatively good relations between nurses and physicians will be the ones in which nurses are able to exercise their professional judgment on a more routine basis with positive implications for the quality and outcomes of patient care” – Relationship Based Care; A Model for Transforming Practice, page 119.

7. Magic Valley Nursing Shared Governance Structure Implementation Timeline • One-Day SL • Council meetings • SNRC initial meeting • Communication initial meeting • Start charter • Elect Chair/Co-Chair, facilitator And identify manager • SG Steering Committee • & Service Line Chairs meet • SG Retreat June/July ‘09 November ‘09 • SL Councils • initiated Spring ‘08 May ‘09 Summer ‘08 October ‘09 January 2010 • CC 2nd meeting • Finalize Charter • 1st Housewide SG Meeting • SG System Nursing Summit • SG Model • Developed • Comm. Council introduced • to SLs at Ed.Offering • Comm. Council membership • Structure defined SG=Shared Governance SL=Service Line CouncilsCC=Communication Council SNRC=System Nursing Research Council HW=Housewide

8. Shared Governance Model Expert Matter Groups Case Managers Contract Services Dieticians DI Infection Control Interpretive Services Lab MSTI OT Patient Safety Pharmacy PT Quality Resources RT ST Social Services Home Health Transport Services UST IT Med-Surg Critical Care Women’s & Children’s Surgical Services Q Q Q Q E E E C C E C C P P P P House-wide Councils Quality Education Practice Leadership

9. Service Line Communication Council • Each service line will have their own Communication (C) Council (4 councils total) • Communication Council will be made up of Chairman & Co-Chairman from the respective Service Line Education, Quality & Practice Councils • There will be a Manager and Educator from the respective service line on each of the Communication Councils E Communication P Q

10. Service Line Communication Council • Purpose of the Service Line Communication Council is to facilitate coordination and communication of activities within the service line framework • A charter will be developed for the Communication Council. • Communication Council will elect a Chairman, Co-Chairman, & Facilitator

11. Our Vision: Who do we want to become? • Patient and Family are central to all An environment where: • decisions • All clinical staff have a voice • Practice decision making is in the hands of all staff—Empowers clinical staff to make decisions that affect their practice • All staff share in ownership and accountability of the Practice, Education and Quality committees • There is a partnership among all St. Luke’s staff • Ideas cannot be vetoed—only sent back for revision.

12. Vision for 2009-2010 • First House wide Council meetings- November 10th and December 8th • System wide Nursing Summit to celebrate and plan shared governance –November 17 • Magic Valley Service Line Shared Governance Day- January 7. • System Research Council • Magic Valley Fellowship program

13. What has worked for our council? • Email reminders of the meeting. • Responsibilities • Membership Requirements • Group Norms

14. Responsibilities Charter to be reviewed annually      Evaluation of council to be done every six months.

15. Evaluation Form • \\mvrmcnas\pubdata$\SHARED GOVERNANCE\Medical Surgical Services\MS Education Council\Tools\Evaluating My Unit Council.doc

16. Information Compiled • \\mvrmcnas\pubdata$\SHARED GOVERNANCE\Medical Surgical Services\MS Education Council\Evaluation My Unit.shs

17. Membership Requirements -Active participation in monthly council meetings, occasional ad hoc task forces. -Attendance is required for 70% of scheduled meetings-Conference call is acceptable for attendance requirements-Ability and willingness to represent constituency group (s).-Able to make/support decisions based on the best interest of the discipline, perspective represented, and/or Medical Center goal (s).-Willingness to engage in and support consensus decision-making (not 100% agreement, can agree to disagree). -Maintain confidentiality of issues, opinions and discussions.

18. Group Norms • Start and end on time.Clarify if consensus is achieved during theCome prepared to engage in discussion;meeting (reflected in minutes) or bring forth read agenda packet prior to meeting. for a future agenda item.Value ideas and communicationSupport consensus decisions of the group. and respect all members’ ideas/comments.Take accountability for membership in otherEvaluate, periodically, if information iscouncils for information sharing.repetitious. Participants are responsible for accessing minutes/agenda via electronic formatIssues affecting the productivity of the group will be addressed by the group (i.e. attendanceNotify other unit representative if not able to attend meeting

19. IDEAS As leaders (chairs, co-chairs, and facilitators) of the councils it is our responsibility to keep the council members excited and engaged before we can excite and engage other employees at St. Luke’s Magic Valley. What has worked in your council?