new hanover health network wilmington, north carolina an innovative approach to establishing shared...
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New Hanover Health Network
Wilmington, North Carolina
An Innovative Approach An Innovative Approach to Establishing Shared to Establishing Shared
GovernanceGovernance
Gabriele Pike, RN New Hanover Health Network
October 15, 2004
New Hanover Health Network
Wilmington, North Carolina
MissionMissionMissionMission Assure that professional nurses have formal programs
with prescribed authority to influence practice.
Committee StructureCommittee StructureCommittee StructureCommittee Structure Promotes professional involvement and accountability for
quality, cost and productivity and serves as the voice of nursing. Five Nursing Congress Councils make up the Nursing Congress structure.
PhilosophyPhilosophyPhilosophyPhilosophy
The Nursing Congress serves as a facilitating structure for making decisions regarding the practice of nursing across the continuum.
New Hanover Health Network
Wilmington, North Carolina
Boardof
Trustees
Core Team
Nursing LeadershipCouncil
NursingFinanceCouncil
OperationsTeam
MedicalExecutiveCommittee
PainManagement
Standing Committees
Core Team
Nursing LeadershipCouncil
PerformanceImprovement &
Outcomes/Research Council
NursingFinanceCouncil
NursingProfessionalDevelopment
Councill
NursingClinical Practice
Council
Patient & FamilyEducation
Council
RegulatoryAdvisory
Committee
OperationsTeam
MedicalExecutiveCommittee
RestraintManagement
Unit Based PracticeCouncils
Nursing Congress
NetworkEducatorsMeeting
Projects & Initiatives
Standing Committees
Nursing StrategicAdvisory Council
Record ReviewTeamLPN Council
Practice Prof. Development
MentorshipProgram
Retention &Recognition
ClnicalInformatics
Council
Patient SafetySteering
Committee
New Hanover Health Network
Wilmington, North Carolina
Leadership Leadership CouncilCouncil
Leadership Leadership CouncilCouncil
N u rs ing C o ng re ss O rg an iza tio n S tru c tu re
F in a nce C ou n c il L e a de rsh ip C ou n c il R e sea rch a nd O u tcom esC o u n c il
P ro fess ion a l D e ve lo p m e ntC o u n c il
P ra c tice C o u n c il
To lead the implementation and evaluation of the strategic initiatives for NHHN’s nursing community
New Hanover Health Network
Wilmington, North Carolina
Leadership CouncilLeadership CouncilLeadership CouncilLeadership Council
Reporting Council for Nursing Congress Membership
Chair persons of 4 councilsAdministration (CNE)Nursing Manager RepresentativeMagnet ManagerDirectors of Nursing invited on quarterly basis
New Hanover Health Network
Wilmington, North Carolina
N u rs ing C o ng re ss O rg an iza tio n S tru c tu re
F in a nce C ou n c il L e a de rsh ip C ou n c il R e sea rch a nd O u tcom esC o u n c il
P ro fess ion a l D e ve lo p m e ntC o u n c il
P ra c tice C o u n c il
Professional Development Professional Development CouncilCouncil
To foster the professional growth of the bedside nurse in a non-management model
New Hanover Health Network
Wilmington, North Carolina
Professional Development Professional Development CouncilCouncil
Professional Development Professional Development CouncilCouncil
Staff DevelopmentPay for Certification Bonus ($1200)
Reward and RecognitionNursing Excellence Awards ($500)
Clinical Ladder ProgramClinical Ladder III ($2000)Clinical Ladder IV ($4000)
New Hanover Health Network
Wilmington, North Carolina
N u rs ing C o ng re ss O rg an iza tio n S tru c tu re
F in a nce C ou n c il L e a de rsh ip C ou n c il R e sea rch a nd O u tcom esC o u n c il
P ro fess ion a l D e ve lo p m e ntC o u n c il
P ra c tice C o u n c il
Research and Outcomes Research and Outcomes CouncilCouncil
Monitor, evaluate, improve processes impacting patient outcomes and nursing practices while supporting nursing research and integrating findings into evidence-based practice.
New Hanover Health Network
Wilmington, North Carolina
Research and Outcomes Research and Outcomes CouncilCouncil
Research and Outcomes Research and Outcomes CouncilCouncil
Fosters and promotes research activity within the nursing community
Holds educational in-services on research initiatives Hosts research day and research fairs
New Hanover Health Network
Wilmington, North Carolina
N u rs ing C o ng re ss O rg an iza tio n S tru c tu re
F in a nce C ou n c il L e a de rsh ip C ou n c il R e sea rch a nd O u tcom esC o u n c il
P ro fess ion a l D e ve lo p m e ntC o u n c il
P ra c tice C o u n c il
Practice CouncilPractice Council
To assure that the delivery of nursing care to our patients meets current established
standards of nursing practice.
New Hanover Health Network
Wilmington, North Carolina
Practice CouncilPractice CouncilPractice CouncilPractice Council
Governs policies and procedures Ensures all policies and procedures are referenced and
utilizes evidenced based practice
New Hanover Health Network
Wilmington, North Carolina
N u rs ing C o ng re ss O rg an iza tio n S tru c tu re
F in a nce C ou n c il L e a de rsh ip C ou n c il R e sea rch a nd O u tcom esC o u n c il
P ro fess ion a l D e ve lo p m e ntC o u n c il
P ra c tice C o u n c il
Finance CouncilFinance Council
Evaluate economic factors such as resource allocation and consumption as they relate to safety, outcomes, effectiveness, cost and social impact when developing and implementing practice innovations.
New Hanover Health Network
Wilmington, North Carolina
Finance CouncilFinance CouncilFinance CouncilFinance Council
Responsible for cost containment Productivity Initiated floating guidelines Developed “Nursing Resource Fund” to supplement
educational opportunities for nurses
New Hanover Health Network
Wilmington, North Carolina
Strategic PlanStrategic PlanStrategic PlanStrategic Plan Nursing Congress developed Strategic Plan in 2001 to
drive the outcomes of the councils.
4 Key Elements4 Key Elements4 Key Elements4 Key ElementsMagnet DesignationMagnet Designation
ResearchResearch
Evidenced Based PracticeEvidenced Based Practice
CommunicationCommunication
New Hanover Health Network
Wilmington, North Carolina
What was the role of Nursing What was the role of Nursing Congress for Magnet Congress for Magnet
Designation?Designation?
What was the role of Nursing What was the role of Nursing Congress for Magnet Congress for Magnet
Designation?Designation? CNE discussed Magnet at Congress Meetings and forums
for staff Team of Management and staff visited 3 Magnet Facilities. Team presented report to Congress, and Congress voted
to continue to pursue designation Congress presented to the Board of Trustees to continue
to seek Magnet Designation Councils assigned specific standards, staff RNs assisted
Congress members to “prove” standard in documentation Nursing Congress members were “leaders”, took
information to the staff
New Hanover Health Network
Wilmington, North Carolina
Co-Chairs were in “charge” of standards Administrative Champions assisted with process A portion of each Congress meeting was set aside to
discuss evidence gathered and questions about Magnet Evidence was gathered by self or in groups Staff nurses were asked to assist with narratives or write
narrative/ overview of how standard was “proven” with supportive evidence
What was the role of Nursing What was the role of Nursing Congress for Magnet Congress for Magnet
Designation?Designation?
What was the role of Nursing What was the role of Nursing Congress for Magnet Congress for Magnet
Designation?Designation?
New Hanover Health Network
Wilmington, North Carolina
We did it! We did it!
June 2003June 2003
Nursing Congress celebrated Nursing Congress celebrated its success of becoming the its success of becoming the
7070thth Magnet Designated Magnet Designated HospitalHospital
We did it! We did it!
June 2003June 2003
Nursing Congress celebrated Nursing Congress celebrated its success of becoming the its success of becoming the
7070thth Magnet Designated Magnet Designated HospitalHospital