Inspiring Excellence in Nursing: Kaiser Permanente San Diego Initiatives

1. The Voice of NursingCommunity of Practice Forums (CoP) Forums San Diego Medical Center February 19, 2015 Anne Marie Watkins, CNE Sally Franz, Patricia Bowden, Carroll Daly, Sandy Caulder-Roth, Veronica Timple, Mariaelena Thibodeaux, Kathy Wilbourn.

2. KP San Diego Voice of Nursing Leadership Team Executive Sponsor Jane Finley, Sr. Vice President & Executive Director Project Lead Sally Franz, Nursing Director, Operations Patricia Bowden, Nurse Manager Champion Anne Marie Watkins, Chief Nurse Executive EVALUATION Leader Mariaelena Thibodeaux Team members: Jacquelyn Levy Paulette Ashkiani Carol Kelly Greg Lutz Taryn Baca Maryann Matanga Pam Pressney EDUCATION Leader Veronica Timple Team members: Sandra Caulder-Roth Jennifer McInerney Estella Dominguez Edna Tabladillo Amelia Platt Catherine Rivera Matt Paglia INFRASTRUCTURE Leader Katherine Wilborne Team members: Nancy Purdy Erica Garcia Noreen Bristow Lilian Paredes Kathleen Rogers-King Paula Goodman-Crews INSPIRATION Leader Carroll Daly Team members: Allyson Sapp Sheryl Almandrez Leah Apatan Eileen Craig Jill Mitchell

3. Voice of Nursing: Current Work Introduction to Voice of Nursing (VON) at KP San Diego Medical Center • Connect KP Nursing mission, vision and values with the Voice of Nursing • VON Lunch and Learn Sessions • Attended by Inpatient and Ambulatory Nurse Leaders • Introduced VON overview and 4 components • Ambulatory Care will be doing lunch and learns with the clinic RN’s at the various MOB’s. • VON Kick Off Event • Attended by nursing and support staff (Inpatient and Ambulatory) • Celebration style event with posters, banners, food, raffle prizes and giveaways • Poster presentations of 4 components • Model wheel, bookmarks, pamphlets and white paper distributed • On-going dialogue with staff • Professional Practice Council • Nursing Quality and Patient Safety Council • Unit Based Teams, Staff Meetings and Unit Huddles • Charge Nurse Meetings • Staff Meetings • 1:1 conversations with staff • Hospital DA Meetings

4. Voice of Nursing Kickoff- January 14, 2015

5. Inspiration: “When you are a nurse, you know that every day you will touch a life or a life will touch yours.” - Anonymous Goals: Inspiration creates momentum and movement. To inspire means that we will draw forth or bring out. People will come forward when they believe that what they have to offer is valued and that they are contributing to a vision that is compelling. The focus is always on what matters most: caring and healing relationships at each point of care. • Initiatives: • DAISY Award • The National Nursing Pin Program • National Nursing Recognition and Extraordinary Nurse Award • Nurse Week 2015 Celebration of the Voice of Nursing

6. Inspiration How to Nominate an Extraordinary Nurse The DAISY Award is an international program that rewards and celebrates extraordinary clinical skill and compassionate care given by nurses every day. Each DAISY Award Honoree will be recognized at a public ceremony in her/his unit and will receive: a beautiful certificate, a DAISY Award pin, and a hand carved stone sculpture entitled A Healer’s Touch. Patients, visitors, nurses, physicians, employees may nominate a deserving nurse by filling out this form and submitting it to the party below. An electronic version for hospital employees is available on the Kaiser Permanente intranet site. Values and Criteria Here are 2 of the 6 Professionalism • Outstanding Role Model • Dedicated to maintaining excellent working relationships • Establishing priorities and plans, monitoring progress and making corrections • Clearly communicating to ensure understanding • Treating others with dignity and respect Excellence • Clinical Skills • Refuses to accept less then the best • Demanding high quality work of others and ourselves, always improving • Personal responsibility to improve performance

7. Infrastructure Goals: The goal of the infrastructure team is to link our day to day professional nursing practices with our mission and values statements by focusing on unifying our practices, standards, systems, processes and work groups throughout Kaiser Permanente in San Diego. • Initiatives: • Elevate the roles of the health care professionals in the nursing departments. • Enculturate a mutually beneficial partnership with our patients and their families. • Cultivate a caring and honest environment. • Strengthen and enhance our interdisciplinary workforce. • Foster our performance culture by innovation and technology.

8. Infrastructure • Bi-monthly leadership seminars • Establish a Nursing Leadership Council • Monthly VON KP Nursing Values and Vision theme • KP VON intranet website • VON newsletter • VON integrated into NEO, performance appraisals and Standards of Practice • Branding of all nursing communication

9. Education • Goals: • Educate all nursing staff across the continuum of care with the following objectives: • Demonstrate a dedication to patient and family-centric care • Advocate for the profession of nursing as a whole • Practice nursing according to the ANA Standards of Practice and Code of Ethics • Initiatives: • Lunch & Learn for the Nursing Leadership Team • Voice of Nursing Kick-Off- January 14, 2015 • Disciplines of Nursing Theme Roll-Out every 2 months • Voice of Nursing at the Nurse’s Week Celebration

10. American Nurses Association (ANA)Standards of Practice and Professional Performance Education American Nurses Association (ANA)Code of Ethics for Nurses Provision 1: Respect for Others Provision 2: Commitment to the Patient Provision 3: Advocacy for the Patient Provision 4: Accountability and Responsibility for Practice Provision 5: Duty to Self and Duty to Others Provision 6: Contribution to Healthcare Environments Provision 7: Advancement of the nursing profession Provision 8: Promotion of Community and World Health Provision 9: Promotion of the Nursing Profession 1. Assessment 2. Diagnosis 3. Outcomes Identification 4. Planning 5. Implementation 6. Evaluation 7. Ethics 8. Education 9. Evidence-Based Practice and Research 10. Quality of Practice 11. Communication 12. Leadership 13. Collaboration 14. Professional Practice Evaluation 15. Resource Utilization 16. Environmental Health

11. Evaluation • Goals: • Evidence Team goal is to develop a continuum communication strategy (Ambulatory to Inpatient) utilizing our scorecards and other tools to translate information to engage the front line. • Evidence makes visible the alignment of individual behaviors with the overall vision. This is primarily compiled through measurement and evaluation. Nursing will measure our success by evaluating: • Staff Satisfaction • Patient Satisfaction • Hospital Scores • Ambulatory Scores • Recognition • Initiatives: • Engagement of frontline staff/UBTs: • People Pulse Survey Results • VON Scorecard: Quality and Staff Engagement • Staff engagement and satisfaction survey

12. Kaiser Permanente San Diego Evidence & Evaluation Team • Nursing Values • Professionalism • Patient Centric • Teamwork • Excellence • Integrity Evidence ANA Standards 9 (please refer to Standards and Code of Ethics) Statit Scorecards

13. Disciplines of Nursing Professionalism Teamwork Patient- and Family-Centric COMPASSION EXCELLENCE Integrity

14. Q & A