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Twilight (The Flamingo Hotel)
Monday, 29 January 2007
6:30 PM - 8:00 PM
Twilight (The Flamingo Hotel)
Tuesday, 30 January 2007
4:30 PM - 6:00 PM
Data Coming From All Directions..........Putting it All Together
Susan Avent, RN, MSN, MBA/MHA, Nursing, Duke University Health System, Box 3543 Erwin Road, Durham, NC 27710
Objectives:
1) Provide a methodology to report nursing quality indicators, trended by quarter, in a simple one page format that leadership and staff can easily understand, articulate, and use for performance improvement
2) Provide a methodology to report nursing quality indicators for all reporting areas for a quarter, thus leadership and staff can determine areas with high compliance and seek out information regarding strategies for success and best practices
Purpose: A large academic center implemented Norton and Kaplan’s Balanced Scorecard (BSC) concept to organize nursing quality indicators for performance improvement.
Description: Voluminous reports generated by organizations make it challenging for senior leadership and nurse leaders to determine the true picture of the ‘health of the unit’ and further make it difficult to engage staff nurses in discussing unit level nursing quality indicators and performance improvement. The American Nurses Association (ANA) acute care nursing quality indicators and the National Quality Forum set of Nursing-Sensitive outcome measures guided the creation of a Nursing BSC for evaluating the quality of the nursing care in our organization. Magnet required indicators are also included. The Nursing BSC is organized into four quadrants including Clinical Quality/Internal Business, Customer Service, Work Culture, and Finances and has approximately 70 indicators, dependent upon the unit. A sample of indicators included are mortality rate, adverse drug events, failure to rescue (DVT), patient falls/ falls with injury per 1000 patient days, pressure ulcer prevalence, ventilator associated pneumonia rate, 7-day readmission rate, restraint utilization, patient satisfaction, key documentation elements, RN turnover, staff injuries, RN staff years of experience and educational preparation, length of stay, nursing care hours provided per patient, and use of agency and float staff. Definitions for indicators will be presented along with graphs that accompany the reports to provide detailed review of additional indicators.
Implications for practice: The creation of a one page report in a simple format enhances review with staff and action planning to address opportunities for improvement.
1) Provide a methodology to report nursing quality indicators, trended by quarter, in a simple one page format that leadership and staff can easily understand, articulate, and use for performance improvement
2) Provide a methodology to report nursing quality indicators for all reporting areas for a quarter, thus leadership and staff can determine areas with high compliance and seek out information regarding strategies for success and best practices
Purpose: A large academic center implemented Norton and Kaplan’s Balanced Scorecard (BSC) concept to organize nursing quality indicators for performance improvement.
Description: Voluminous reports generated by organizations make it challenging for senior leadership and nurse leaders to determine the true picture of the ‘health of the unit’ and further make it difficult to engage staff nurses in discussing unit level nursing quality indicators and performance improvement. The American Nurses Association (ANA) acute care nursing quality indicators and the National Quality Forum set of Nursing-Sensitive outcome measures guided the creation of a Nursing BSC for evaluating the quality of the nursing care in our organization. Magnet required indicators are also included. The Nursing BSC is organized into four quadrants including Clinical Quality/Internal Business, Customer Service, Work Culture, and Finances and has approximately 70 indicators, dependent upon the unit. A sample of indicators included are mortality rate, adverse drug events, failure to rescue (DVT), patient falls/ falls with injury per 1000 patient days, pressure ulcer prevalence, ventilator associated pneumonia rate, 7-day readmission rate, restraint utilization, patient satisfaction, key documentation elements, RN turnover, staff injuries, RN staff years of experience and educational preparation, length of stay, nursing care hours provided per patient, and use of agency and float staff. Definitions for indicators will be presented along with graphs that accompany the reports to provide detailed review of additional indicators.
Implications for practice: The creation of a one page report in a simple format enhances review with staff and action planning to address opportunities for improvement.
See more of Using Quality Indicators to Achieve Quality Improvement
See more of The NDNQI Data Use Conference (January 29-31, 2007)