JCMC Nursing Annual Report - Mountain States Health Alliance

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From the Chief Nursing Officer It is with great pleasure that I am writing to you as the chief nursing officer to acknowledge the nursing excellence evidenced at Johnson City Medical Center. Being the first hospital in Tennessee to achieve Magnet status and redesignation has provided us with an opportunity to focus on our success as a Magnet organization by “Celebrating the Strengths That Nursing Brings to Patient-Centered Care.” These strengths are the key to excellence and our overall success at Johnson City Medical Center ( JCMC). The strengths cross all Magnet forces and provided the basis for our redesignation success and the evidence that our nursing staff is continuously identifying new ways to improve how patient care is delivered. The exemplars identified by the Magnet Site appraisers included our strategic plan to eliminate travel nurses with the onboarding of 120 new grads and the hiring of 10.6 FTEs of support in clinical resource nurses and educational roles to support the transition of the new grads. The projected cost savings for elimination of contract labor, an 84-hour cardiovascular option, an Emergency Department weekend staffing option, the use of i-choice scheduling options and nursing role definitions have been estimated at $7.2 million. We also exceeded Magnet expectations in disseminating quality data throughout the organization. Our personal Blueprint cards, based on our four pillars of quality, Magnet cited as an exemplar for communicating quality data to all team members. We exceeded Magnet expectations in providing adequate resources for consultation and access to nursing expertise to nurses at all levels in the organization and fiscal allocations for affiliated schools and colleges of nursing based on the identification of needs within the nursing program to meet the goals for health care in the region. They commended the examples offered that demonstrate how nurses are used in promotional materials, brochures, advertisements, newspaper articles, television and radio advertisements, direct mailings, educational booklets, pamphlets and community activities. JCMC was congratulated on providing resources that include tuition support, scholarships and flex time to attend school, and demonstrating support to nurses, financially, to attend different conferences or symposiums. With our Magnet redesignation, it will truly be a year to celebrate our excellence. ANCC honors all the newly designated and redesignated Magnet organizations at the National Magnet Conference each year. We look forward to receiving this honor at the 2010 ANCC National Magnet Conference in Phoenix, Oct. 13-15, 2010, at the Phoenix Convention Center. We also realized a successful Joint Commission survey and achieved, for a second time, the TNCPE Governor’s Award for Excellence. Over the past five years, our organization has made significant investments in improving recruitment and retention. RN recruitment, turnover and retention are now blueprint measures for the CNO and her nursing leaders. We now have 150 students enrolled in our scholarship program who will be employed at the completion of their RN program. We are developing LPN to RN and LPN to BSN programs. We have also implemented a JCMC Nurse Retention Committee. With these new initiatives and dedicated resources, our recruitment numbers have shown an increase for this year. In addition, to recognize and financially reward excellence at the bedside, the “BEST” Nurse (Bedside Excellence Shining Through) Clinical Advancement Program at Johnson City Medical Center is the spirit and practice of caring for patients, families and the community through leadership, knowledge and compassion. We believe that nursing is both an art and a science incorporating multiple realms of care including the physical, developmental, emotional, social, psychological, cultural and spiritual. Nursing 2
exemplifies the highest degrees of accountability, integrity and honesty in all relationships with patients, families, colleagues and community. The nurse is a patient advocate committed to upholding the American Nurses Association’s Code of Ethics for Nurses and other professional and regulatory standards of nursing practice and patient care. The program supports nursing practice by assisting the retention of experienced, motivated bedside nurses in direct patient care by acknowledging their professional development. We now have 250 BEST nurses at JCMC. Many accomplishments, advances, contributions and innovations have been mentioned in the preceding paragraphs and will be expanded upon throughout the Annual Report. I applaud the efforts that have been undertaken that substantiate the achievement of Magnet redesignation. I am very proud of our nursing staff for their professional contributions, as well as their commitment to our patients, Johnson City Medical Center and our community. Congratulations on a year of excellence. This certainly is a time to celebrate our strengths. Inside Contents Congratulations from Senior Leadership............4 New Magnet Model.................................................5 Magnet Redesignation.............................................6 Transformational Leadership.................................8 Structural Empowerment.................................... 10 Exemplary Professional Practice......................... 14 New Knowledge, Innovation and Improvement.................................................. 18 Imperical Quality Outcomes.............................. 21 Niswonger Children’s Hospital.......................... 23 Years of Service....................................................... 24 Pressure Ulcers....................................................... 26 Turnover.................................................................. 26 Rapid Response...................................................... 27 Pat Niday, VP, CNO bringing loving care to health care | www.msha.com 3
Page 1: Celebrating Strengths That Nursing
Page 5 and 6: New Magnet Model Global Issues in N
Page 7 and 8: inging loving care to health care |
Page 9 and 10: Results from the 2009 NDNQI RN Sati
Page 11 and 12: NDNQI Scores The NDNQI RN Satisfact
Page 13 and 14: unable to afford health care. It se
Page 15 and 16: Lisa Anderson, RN, MSN, CCRN, CCNS,
Page 17 and 18: Exemplary Professional Practice in
Page 19 and 20: Falls Prevention Program: Decision
Page 21 and 22: Empirical Quality Outcomes (Forces
Page 23 and 24: Niswonger Children’s Hospital Ope
Page 25 and 26: Georgita Washington On Dec. 19, 200
Page 27 and 28: Percentage of Non-ICU Code Blue Occ

JCMC Nursing Annual Report - Mountain States Health Alliance

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