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Empowerment Through Process Improvement: Having a Voice

Empowerment Through Process Improvement: Having a Voice. Sonya Cap RN Creighton University Medical Center. Objectives:. Describe implementation of process improvement teams Explore ways to improve quality outcomes

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Empowerment Through Process Improvement: Having a Voice

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  1. Empowerment ThroughProcess Improvement: Having a Voice Sonya Cap RN Creighton University Medical Center

  2. Objectives: • Describe implementation of process improvement teams • Explore ways to improve quality outcomes • Discuss the importance of involving bedside caregivers in process improvement • Evaluate Jean Watson’s caritas processes related to process improvement teams

  3. Vision for Engagement • New Chief Nursing Officer • Strong nursing empowerment beliefs • Scorecard and engagement disappointment • Dinner table and conversation • Action

  4. The Process FFIND OORGANIZE CCLARIFY UUNDERSTAND SSELECT http://patinnawoq.livejournal.com/33002.html 1

  5. Focus Areas

  6. Success via EngagementThe Vision for Staff Increased involvement = increased satisfaction Professionalism Commitment Loyalty Goal was: improvement in patient care and staff satisfaction http://www.jessiemac.com/oldblog/?postPage=2

  7. What it Looks Like • Consistency and ownership • People at the table who are involved in the process every time. • Drill down to uncover real obstacles and causes of variation • “why?” “why?” “why?” “why?” “why?” “why?” • Ongoing until reach the goal • Measure your results • Celebrate • Recognize small, quick wins to maintain momentum • Establish benchmarks for big wins

  8. Communication

  9. CUMC Falls with Injury June 2009 – December 2011

  10. CUMC Pain Management

  11. CUMC Facility Acquired Pressure Ulcers 2010 - 2011

  12. CNO Scorecard YTD 2009 • Nursing outcomes 90.2% (included falls and skin +) • Nursing quality 99.5% 2011 • Nursing Falls with Injury 154.6% • Nursing Tissue Integrity 186.4% • Nursing quality 155.1%

  13. Employee Engagement 2011 CUMC most improved in the Tenet system • My ideas and suggestions count: 25% improve • My hospital values my contribution: 15% improve • Turnover index: 14% improve • Quality of care we provide is what I would want for a family member: 13% improve • Where I work, we set clear performance standards for quality: 11% improve • My job makes good use of my talents and abilities: 7% improve

  14. Team Questions PI team members • Do you have any experiences you would like to share as a result of your involvement with Process Improvement, Shared Governance or Unit Based Councils? • What has involvement meant to you personally? • Do you see any difference in patient care delivery at CUMC secondary to the work done on any of the teams? Versant residents • How will attending process improvement committees impact care you provide? • What did you see or hear during today’s process improvement team meetings that you wish to share? • How does process improvement enhance professional and organizational commitment?

  15. Powerful Responses • Patient outcomes • Improved patient outcomes • Enhanced patient experience • Nurse Outcomes • Knowing (Awareness and knowledge) • Productivity • Empowerment • Satisfaction • CUMC/Unit/Department outcomes • Communication • Team work • Satisfaction • Commitment

  16. Dr. Jean Watson Caritas # 1Embrace altruistic values and practice loving kindness with self and others3 Caritas # 6 Use creative scientific problem-solving methods for caring decision making3 Caritas # 9 Assist with basic physical, emotional, and spiritual human needs3

  17. http://Acting Like Animals.com 4

  18. References • http://patinnawoq.livejournal.com/33002.html • http://www.jessiemac.com/oldblog/?postPage • Watson Caring Science Institute, (2011) retrieved from http://www.watsoncaringscience.org/ • http://Acting like animals.com

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