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How the CNL Role Facilitates Other Healthcare Quality Initiatives

How the CNL Role Facilitates Other Healthcare Quality Initiatives. CNL Education-Practice Partnership Meeting Marjorie S. Wiggins, RN, MBA Denver, Colorado Vice President of Nursing/Chief Nursing Officer June 1, 2006. Quality: The Elusive Goal of All Healthcare Providers.

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How the CNL Role Facilitates Other Healthcare Quality Initiatives

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  1. How the CNL Role Facilitates Other Healthcare Quality Initiatives CNL Education-Practice Partnership Meeting Marjorie S. Wiggins, RN, MBA Denver, Colorado Vice President of Nursing/Chief Nursing Officer June 1, 2006

  2. Quality:The Elusive Goal of All Healthcare Providers

  3. JCAHO Patient Safety Goals • National Quality Forum – Nurse Sensitive Indicators • 100K Lives Campaign • Patient & Family Centered Care • IOM – Redesign of Care • Etc, Etc, Etc The Mandate

  4. The Obstacles: Fragmented Care DAY 1 DAY 2 DAY 3 Pre Admission Surgery Recovery Room Intensive Care Step-Down Unit Home with Visiting Nurse DAY 4 Surgery Unit Next Step on The Continuum Rehabilitation Nursing Home Case Manager Hand off

  5. The Obstacles: Complexity Technology Information Svs Telecommunications Blood Bank Pharmacy Med Dist Radiation Therapy Radiology Decreased Reimbursement OR Bio Med Engineering Materials Mgmt Pharmacists Respiratory TX OT PT Residents Anesthesiologists Medical Records Chronicity Attendings Nurse Practitioners Linen Financial Svs Laboratory Telecommunications Chaplains Clinical Specialists Transport Admitting Dieticians Blood Bank Speech Therapy Cardiac Cath Social Workers Food Services Care Coordinators EKG HVAC Shorter Hospital Stays Sleep Lab Labor Shortages Environmental Svs Engineering Public Relations Marjorie S. Wiggins, RN, VPN/CNO Maine Medical Center Acuity

  6. The Obstacles: Time & Institutional Energy

  7. Clinical Nurse Leader Role’s Contribution to Quality

  8. How the Elements of the Role Intersect with Quality & Safety

  9. Develop a model to facilitate the CNL role, promote the quality agenda, and maximize the care to optimal patient outcomes

  10. Designs of care today are not by design, but by default

  11. The Partnership Care Delivery Model One Approach…

  12. Identify Key Characteristics of your Care Model

  13. Partnership Care Delivery Model Key Characteristics • Safe Patient & Family Centered Care • Outcome Oriented • Continuity of Plan & Provider • Interdisciplinary Approach to Care • Evidence-Based Practice

  14. Identify required structural & process changes & measures of success Involve the Clinical Staff in the design ALWAYS

  15. Identify Best Practices / Evidence-Based Practice

  16. Safe Patient & Family Centered CareMedication Reconciliation

  17. Medication Reconciliation

  18. Define Responsibility

  19. Interdisciplinary Approach to Care

  20. Interdisciplinary Approach to Care Daily Interdisciplinary Rounds Patient & Family included in Rounds CNL & MD rounding daily

  21. Define Responsibilities

  22. Amplify Results Evaluate Each Care Delivery Model Change Evaluate Each Care Delivery Model Change Amplify Results

  23. Keep Score for All Staff to See

  24. The Clinical Nurse Leader together withCare Delivery Redesign create endless possibilities to change the healthcare of Patients

  25. Questions??

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