2007 Strategic Plan

Our Journey to being the best place for: Patients to receive care…. Employees to work… Physicians to practice medicine.
Nursing Service Vision The vision of Covenant Nursing Service is to be the best place to practice evidence-based nursing and provide compassionate, high quality, family-centered patient care.
| PEOPLE |
Goal: Create an environment which demonstrates individualized patient and family centered care through employee engagement.
Measurement: Employee Satisfaction Scores
Initiatives:
- Management engagement in Hardwiring for Excellence and participation in Leadership Development Institute
- Implementation of Unit Q12 Impact Plan
- Assure active Unit Governance Councils with productive outcomes; partner successful councils with those requiring additional guidance.
- Partner with HR to:
- Develop and implement a hiring process that meets organizational and applicant needs in a timely manner.
- Develop a process for obtaining accurate vacancy and turnover rates on a monthly basis.
- Develop a process for review and follow-up on Exit Interviews.
- Increase number of CSON graduates by 5% in 2007
- Support initiatives as recommended by the Recruitment/Retention Council and the Student Advocacy Council.
- Monitor student evaluations for trends and corrective actions.
- Explore mentorship program with CSON students through Nurse Manager and staff ownership, as well as involvement of Student Advocates.
Goal: Create an environment of nursing excellence that promotes professional growth.
Measurement: Number of participants in professional organizations, advancement ladder program, and in formal nursing education.
Initiatives:
- Promote Clinical Development Practice Program
- Explore options for increased financial support for professional organization membership and fees.
- Continue leadership development of Charge Nurses.
- Implement succession planning.
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| SERVICE |
Goal: Create an environment that demonstrates excellence in the delivery of patient and family centered care.
Measurement:
- Improve patient satisfaction scores measured by Avatar
- Improve patient education related to food/drug interactions as measured by Avatar
- Improve physician perception of nursing care as measured by PRC
- Decrease number of patient/family complaints
Initiatives:
- Implement and monitor hourly rounding with focus on toileting, pain, and position
- Update white boards each shift to improve communication.
- Institute follow-up discharge phone calls.
- Regular patient/family rounding by nursing management.
- Increase staff accountability for promoting positive image to all healthcare providers.
- Continue Nursing Administration physician rounding monthly, with timely feedback on issues presented.
- Communicate improvements in care delivery to physicians, including reinstitution of quarterly Pride physician/staff meetings and encouragement of physician involvement in unit activities.
- Utilize individualized physician preference cards to facilitate communication.
Goal: Create an environment of excellence and community among nursing departments.
Measurement: Improve “quality of care” perception on Employee Satisfaction Survey
Initiatives:
- Increase Rapid Response Team utilization.
- Mentoring by experienced Nurse Managers.
- Increase participation in Charge Nurse meetings through varied meeting times.
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| QUALITY |
Goal: Create an environment that promotes the delivery of quality patient care through evidence-based practice.
Measurement:
- Reduction in pressure ulcer rates as monitored by quarterly prevalence studies
- Increased compliance with NPSG, including patient fall rates
- Improved compliance with Core Measures
- Continue development of Nursing Center of Excellence and progress on Magnet journey
Initiatives:
- Compliance with skin care protocols, turning schedules, hourly rounding, and increased utilization of skin specialists for specialty bed placement.
- Use of reliability model for increasing accountability
- Explore opportunities to develop interdisciplinary teams for improving CORE measure compliance.
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| COMMUNITY |
Goal: Create an environment that supports healthy community activities.
Measurement:
- Increase participation in community service projects as measured by the Leadership Evaluation tool.
- Measurement of staff participation in community activities as documented by the Nursing Center of Excellence.
Initiatives:
- Support individual and unit/department involvement in community activities.
- Provide information related to pertinent legislative and professional issues.
- Simplify the reporting process for community activities.
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| FINANCE |
Goal: Create an environment of financial stability to support CHS mission and health ministry
Measurement:
- Meet productivity targets within 97% - 105%
- Decrease use of agency/premium pay personnel
- Decrease unit LOS
- 25% reduction in Lost Charge Rates
Initiatives:
- Utilize scheduling and staffing product tools (VisionWare, Res-Q, Kronos) to facilitate effective and efficient department staffing.
- Support continued growth and development of Staffing Operations Office.
- Observation Unit development and expansion.
- Partner with Case Management for weekly unit-based LOS meetings.
- Support development of discharge holding area.
- Explore reduction of supply costs through CS pyxis.
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| GROWTH |
Goal: Create an environment of nursing excellence and technological innovation, collaborating with regional and system organizations.
Measurement:
- Increased staff competency in Clinipac, Physician Connect/HPF, Res-Q, Health.edu, Krames and Lexicomp
- Increase number of educational/professional opportunities provided for the region
Initiatives:
- Continue computer training for staff, providing increased number of formal courses
- Increase capacity of current Nursing Computer Lab.
- Plan for involvement in EMR development project through representation on the Care Redesign team.
- Coordinate outreach education with nursing educators in targeted areas.
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Nursing Philosophy
Nursing Philosophy
Nursing philosophy at Covenant Health System endorses a family-centered approach to care. Nursing throughout the organization has focused on strategies to improve satisfaction for two primary customers, the patient/family and physician.
Using the standards of the Pride Program, nursing units have continued with monthly meetings designed to discuss patient and family complaints, as well as compliments. Striving for improvement in patient satisfaction, nursing leaders review Avatar scores routinely for trends and opportunities to provide and improve experiences for both the patient and their family members.
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