Trish Celano, MSN, RN Chief Nursing Officer Walt Disney Pavilion ...
Trish Celano, MSN, RN Chief Nursing Officer Walt Disney Pavilion ...
Trish Celano, MSN, RN Chief Nursing Officer Walt Disney Pavilion ...
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<strong>Trish</strong> <strong>Celano</strong>, <strong>MSN</strong>, <strong>RN</strong><br />
<strong>Chief</strong> <strong>Nursing</strong> <strong>Officer</strong><br />
<strong>Walt</strong> <strong>Disney</strong> <strong>Pavilion</strong><br />
Florida Hospital For Children
Does<br />
Environment<br />
Matter ?
�Transactional Leadership<br />
Power & control<br />
�Laissez-Faire Leadership<br />
Absence of leadership<br />
�Transformational Leadership<br />
Driven by mission,<br />
Motivating
�Role model behaviors<br />
�Shared values & beliefs<br />
�Inspirational<br />
�Motivational
�Strong Vision<br />
�Well Articulated<br />
Philosophy<br />
�Professional Practice<br />
Model<br />
�Strategic Plan<br />
�Quality Plans
Strategic Planning<br />
Communication<br />
Advocacy<br />
Empirical<br />
Outcomes<br />
Accessibility<br />
Influence<br />
Visibility
Environment Leadership<br />
Strategic<br />
Planning<br />
Communication<br />
Advocacy<br />
Accessibility<br />
Influence<br />
Visibility<br />
Meaningful<br />
Recognition<br />
Appropriate<br />
Staffing<br />
True<br />
Collaboration<br />
Skilled<br />
Communication<br />
Authentic<br />
leadership<br />
Effective<br />
Decision<br />
Making
Authentic<br />
Leadership
Accessible<br />
Authentic<br />
Leadership<br />
Visible
Defined Expectations
Barrier<br />
Visible &<br />
Accessible
�No Meetings-MWF<br />
�30 Minute Meetings<br />
�Flexible Schedule
�Night Shift Rounding<br />
�"Time with <strong>Trish</strong>"<br />
�"Lunch with Lisa"<br />
�Town Halls<br />
�Nurse Practice Council<br />
�Staff Meetings
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
2008 2009 2010<br />
Below Mean<br />
At Mean<br />
Above Mean
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
2008 2009 2010<br />
Below Mean<br />
At Mean<br />
Above Mean
Effective<br />
Decision<br />
Making
Strategic<br />
Planning<br />
Effective<br />
Decision<br />
making<br />
Input<br />
From<br />
DCN’s
�<strong>Nursing</strong> Practice Council<br />
�<strong>Nursing</strong> Coordinating Council<br />
�Staff Interviews<br />
�Educational Needs Assessment<br />
�Strategic Planning Day-SWOT<br />
�Grass Roots Initiatives<br />
�Facility Design
Key<br />
Mission<br />
Extending the Healing<br />
Ministry of Christ to<br />
Children<br />
Strategic<br />
Innovation<br />
Agenda<br />
Excellence<br />
Measures<br />
Magnet<br />
Framework<br />
2010 <strong>Nursing</strong><br />
Strategies<br />
Vision<br />
Become a Global Pacesetter<br />
Delivering<br />
Preeminent Faith Based<br />
Healthcare<br />
Employee<br />
Experience<br />
TEAM<br />
Engage Employees<br />
& Physicians<br />
•<strong>RN</strong> Retention < 10%<br />
• Employee Sat > 66%<br />
• Physician Sat > 54%<br />
Transformational<br />
Leadership<br />
• Improve <strong>RN</strong>/MD Communication to<br />
within 5% of national mean per<br />
NDNQI<br />
• Increase perception of <strong>Nursing</strong><br />
Administration to > than 5% of<br />
National Mean per NDNQI<br />
• Increase perception of support by<br />
NM to > 5% of National Mean per<br />
NDNQI.<br />
• Increase percentage of leadership<br />
with National Certification by 10%<br />
Enrich<br />
Experience<br />
Values<br />
I – Integrity<br />
C – Compassion<br />
B – Balance<br />
Patient<br />
Experience<br />
SERVICE<br />
Respond to customer<br />
needs and concerns<br />
•Patient Satisfaction Press<br />
Ganey -Willingness to<br />
recommend >77%<br />
•ED Door to Depart < 360<br />
minutes<br />
Structural<br />
Empowerment<br />
• Increase staff Nationally<br />
Board Certified in specialty by<br />
10%.<br />
• Increase number of BSN or<br />
higher prepared nurses by 2.5%<br />
• Increase professional<br />
engagement by increasing<br />
nurse participating in national<br />
nursing organizations by 3 %.<br />
• Implement DAISY Award<br />
E – Excellence<br />
S – Stewardship<br />
T - Teamwork<br />
Excellerate<br />
Processes<br />
<strong>Nursing</strong> Professional Practice Model<br />
Our Professional Practice Model is our framework for nursing professional<br />
practice at FHFC embracing the principles of CREATION Health and<br />
our core values. The model illustrates the alignment and integration of<br />
whole person care with nursing practice and its impact on the patient,<br />
family and community. It demonstrates how nurses collaborate,<br />
communicate and grow professionally within the organization to provide<br />
safe, effective and quality care to the patients we serve.<br />
Provision of<br />
Care<br />
CLINICAL<br />
Be one of the safest<br />
hospitals in the country<br />
• CLABSI – 0%<br />
•VAP -0%<br />
•Asthma Core M-100%<br />
•Falls w/Injury 95%<br />
Florida Hospital<br />
Budget<br />
•<strong>Nursing</strong> Labor within<br />
98% of budget targets<br />
Improve<br />
Patient Outcomes<br />
• Improve willingness to<br />
recommend to 77% as<br />
measured by Press Ganey<br />
• Improve perception of<br />
communication between<br />
<strong>RN</strong>’s and families to top<br />
quartile as measured by<br />
Press Ganey<br />
• Successfully onboard all<br />
nurses to new service and<br />
behavior standards<br />
• Successfully launch<br />
spiritual care assessment<br />
into every patient’s plan<br />
of care
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
2008 2009 2010<br />
Below<br />
National<br />
Mean<br />
Above<br />
National<br />
Mean
Communication
�Peer Review<br />
�Recognition Boards<br />
�Rounding/Bedside reporting<br />
�Hand-off Committee<br />
�Mock Codes Monthly<br />
�MD rounding<br />
�Wee-Care Transfers<br />
�Conflict Resolution Tool<br />
�Daily Energizers
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
200820092010<br />
Below Mean<br />
At Mean<br />
Above Mean
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
200820092010<br />
Below Mean<br />
At Mean<br />
Above Mean
Recognition
Reward<br />
Recognition<br />
Encourage
�Annual <strong>Nursing</strong> Summit<br />
�Daisy Award<br />
�Clinical Ladder<br />
�Paid Conference Attendance<br />
�Pay for National Board<br />
Certification<br />
�Annual Performance Bonus<br />
�Professional Membership<br />
Paid for <strong>Nursing</strong> award<br />
winners<br />
�<strong>Nursing</strong> Annual Report
�Annual <strong>Nursing</strong> Summit<br />
�Daisy Award<br />
�Clinical Ladder<br />
�Paid Conference Attendance<br />
�Pay for National Board<br />
Certification<br />
�Annual Performance Bonus<br />
�Professional Membership<br />
Paid for <strong>Nursing</strong> award<br />
winners<br />
�<strong>Nursing</strong> Annual Report
Percentage of Nationally Certified Nurses<br />
50.0%<br />
45.0%<br />
40.0%<br />
35.0%<br />
30.0%<br />
25.0%<br />
20.0%<br />
15.0%<br />
10.0%<br />
5.0%<br />
0.0%<br />
Nationally Certifed Nurses<br />
All FHFC Nurses<br />
Q3 2008 Q4 2008 Q1 2009 Q2 2009 Q3 2009 Q4 2009 Q1 2010 Q2 2010 2010 YTD<br />
All <strong>RN</strong>s 13.6% 14.1% 15.3% 19.0% 21.6% 27.1% 29.3% 43.6% 47.7%<br />
**Annual Goal = Increase certifications by 10%
Percentage BSN or Higher Prepared Nurses<br />
65.0%<br />
60.0%<br />
55.0%<br />
50.0%<br />
56.6%<br />
Florida Hospital for Children<br />
BSN or higher Prepared Nurses<br />
All FHFC Nurses<br />
61.8%<br />
63.7%<br />
2008 2009 2010
BETTER<br />
14.00%<br />
12.00%<br />
10.00%<br />
8.00%<br />
6.00%<br />
4.00%<br />
2.00%<br />
0.00%<br />
<strong>RN</strong> Turnover Rate<br />
Florida Hospital for Children<br />
2008 - 2010<br />
YTD 2008 YTD 2009 YTD 2010<br />
<strong>RN</strong> Turnover 12.24% 11.07% 9.21%
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
Professional Status<br />
200820092010<br />
Below Mean<br />
At Mean<br />
Above Mean
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
200820092010<br />
Below Mean<br />
At Mean<br />
Above Mean
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
Board Cert<br />
BSN<br />
Magnet Children's Hospitals<br />
Job<br />
Satisfaction<br />
Turnover<br />
Vacancy<br />
2008<br />
2009<br />
2010
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