The document discusses CHI Memorial's efforts to recruit and retain nurses through an intensive RN residency program. It provides new nurses with a thorough orientation and exposure to different departments to find a good fit. The program has a 93% retention rate for its graduates. CHI Memorial is also working to improve the work environment and culture through open communication between nurses and leadership, and by increasing salaries and opportunities for career growth and development.
This slide show provides a summary of Larkin Community Hospital and our plans for Larkin University.
Larkin Community Hospital is one of 12 designated statutory teaching hospitals in Florida. We offer the largest number of training programs for Osteopathic Physicians in the United States (offering training in more than 30 different specialties). We sponsor an allopathic residency program in Psychiatry, an Advanced Education in General Dentistry Residency Program, an American Society of Health System Pharmacists Accredited Pharmacy Residency Program and a Podiatric Medicine and Surgery Residency Program. In addition, our School of Nursing offers a Registered Nurse Associate Degree program and our College of Biomedical Sciences offers a Post-Baccalaureate Biomedical Sciences Degree program.
Our hospital is also the home of:
• The Miami Neuroscience Center at Larkin, a state of the art facility which specializes in Gamma Knife Radiosurgery. This 25 member team, led by world renowned neurosurgeon Dr. Aizik Wolf, has performed over 8000 procedures during the past 20 years. Gamma Knife is a non-invasive state of the art neurological procedure used to treat brain tumors, head and neck cancer, and neurological conditions, such as trigeminal neuralgia and Arteriovenous Malformations.
• The Center for Advanced Orthopedics at Larkin, which specializes in advanced orthopedic surgery using the latest multimodal perioperative pain management modalities and state of art technology and instrumentation with advanced robotic technology. The center, led by world renowned orthopedic surgeon Dr. Carlos Lavernia, includes an outcomes-oriented robust research component with an ongoing prospective surgical registry and a comprehensive rehabilitation department.
To achieve the re-accreditation, South Nassau demonstrated its compliance with standards established by the NAPBC to provide the best possible care to patients with diseases of the breast.
Improving Aboriginal and Torres Strait Islander cancer screening rates in NNS...Cancer Institute NSW
Northern NSW (NNSW) LHD was awarded a $20,000 grant from the Cancer Institute NSW to increase breast and cervical cancer screening in Aboriginal women and cancer screening in Aboriginal men in the Northern NSW region.
Audience of presentation learnt about the health care system in Oman with focus on the Health Vision 2050. Also, it delineated the six strategic directions of the vision of nursing services at the MoH in Oman.
This slide show provides a summary of Larkin Community Hospital and our plans for Larkin University.
Larkin Community Hospital is one of 12 designated statutory teaching hospitals in Florida. We offer the largest number of training programs for Osteopathic Physicians in the United States (offering training in more than 30 different specialties). We sponsor an allopathic residency program in Psychiatry, an Advanced Education in General Dentistry Residency Program, an American Society of Health System Pharmacists Accredited Pharmacy Residency Program and a Podiatric Medicine and Surgery Residency Program. In addition, our School of Nursing offers a Registered Nurse Associate Degree program and our College of Biomedical Sciences offers a Post-Baccalaureate Biomedical Sciences Degree program.
Our hospital is also the home of:
• The Miami Neuroscience Center at Larkin, a state of the art facility which specializes in Gamma Knife Radiosurgery. This 25 member team, led by world renowned neurosurgeon Dr. Aizik Wolf, has performed over 8000 procedures during the past 20 years. Gamma Knife is a non-invasive state of the art neurological procedure used to treat brain tumors, head and neck cancer, and neurological conditions, such as trigeminal neuralgia and Arteriovenous Malformations.
• The Center for Advanced Orthopedics at Larkin, which specializes in advanced orthopedic surgery using the latest multimodal perioperative pain management modalities and state of art technology and instrumentation with advanced robotic technology. The center, led by world renowned orthopedic surgeon Dr. Carlos Lavernia, includes an outcomes-oriented robust research component with an ongoing prospective surgical registry and a comprehensive rehabilitation department.
To achieve the re-accreditation, South Nassau demonstrated its compliance with standards established by the NAPBC to provide the best possible care to patients with diseases of the breast.
Improving Aboriginal and Torres Strait Islander cancer screening rates in NNS...Cancer Institute NSW
Northern NSW (NNSW) LHD was awarded a $20,000 grant from the Cancer Institute NSW to increase breast and cervical cancer screening in Aboriginal women and cancer screening in Aboriginal men in the Northern NSW region.
Audience of presentation learnt about the health care system in Oman with focus on the Health Vision 2050. Also, it delineated the six strategic directions of the vision of nursing services at the MoH in Oman.
This presentation highlighted the process that the MoH in Oman used to build consensus on the importance of establishing the role of NP in Oman. All of what has been presented could be used by other health systems especially in GCC
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR IMPROVING PATIENT SAFETY Ruby Med Plus
This essay explores how Clinical governance as a process is interpreted,
understood and practiced for improving the quality of patient care and Patient
safety.
Specific Objectives-
1. To give an overview of corporate governance and Clinical governance and
to focus on Definition, principles, need, components, key features and
benefits of Clinical governance.
2. To Understand the principles and Pre-requisites of Governance and
clinical governance.
3. To comprehend Power Culture, Quality Assurance, Clinical Audit, and
Clinical Governance.
4. To analyse decision making, safety culture, Integrated pathways,
informed consent, right clinical information, Acrediation and Clinical
Governance.
HRSA Comprehensive Geriatric Education Grant Posternomadicnurse
This grant funds a Clinical Nurse Specialist position to work with current Gerontological CNS in providing education, mentoring / support, developing / measuring outcomes for knowledge, practice change and patient outcomes by:
Expanding NICHE training at Piedmont Hospital in Atlanta beyond Acute Care nurses to include Emergency Department nurses;
2) Introducing NICHE training at Piedmont Fayette, Piedmont Newnan and Piedmont Mountainside for Acute Care and Emergency Department nurses;
3) Introducing NICHE training for nursing staff at two of our Long-Term Care facility partners; and
4) Disseminating program materials and information to other healthcare entities throughout Georgia and the U.S. through local workshops and presentations at national healthcare conferences.
An opportunity to hear how service redesign positively impacts on the patient experience and improves outcomes for both the patient and NHSScotland. Showcasing examples of changes to pathways of care in orthopaedics and community support for people with complex and chronic conditions.
Survivorship Care Plans in the U.S.: Current Status and Future ChallengesCarevive
On Q Health's Chief Clinical Officer, Dr. Carrie Tompkins Stricker, gave a presentation on survivorship care plans in Tokyo, Japan during the 1st International Seminar on Cancer Nursing. The seminar theme was "The Role of Cancer Nursing in Improving Quality of Cancer Care: The Current Situation and Outlook for Developments 10 Years from Now".
Learn more about survivorship and On Q Health's Care Planning System™: http://bit.ly/onqcareplans
In this #CRCWebinar learn all about how physical therapy can assist in the management of colorectal cancer. Alaina Newell, physical therapist, spends the hour discussing the benefits and misconceptions of this type of treatment in our webinar.
DQ 3-1 response 1Working in Oncology care, the Oncology Nursing.docxelinoraudley582231
DQ 3-1 response 1
Working in Oncology care, the Oncology Nursing Society or ONS is a national professional specialty nursing association that I have been an ongoing member of since 2010. As an organization, their mission is “to advance excellence in oncology nursing and quality cancer care” with a vision “to lead the transformation of cancer care” (Oncology Nursing Society, 2017). Innovation, excellence and advocacy is what guides ONS to improve the quality of life and outcomes for patients with cancer and their families as well as improving the nursing profession (Oncology Nursing Society, 2017). They are continually working towards promoting respect and recognition on behalf of patients and the nursing profession. They not only engage in providing education and training for nurses but also engage in international outreach and partnering with other organizations that share common goals to enhance quality of care for people with cancer. They also serve as advocates to promote public health policy. ONS sends members to the Nurse in Washington Internship program annually giving attendees a better understanding of political, legislative and regulatory issues facing nurses ending with a visit to Capitol Hill to influence policy for nurses and the patients they serve (Saria et al., 2014). Cancer care is complex and continuously changing. As a member of the health care team, I feel the values of excellence, innovation and advocacy are reflected in their mission and vision statements. I also feel their mission and vision statements also mirrors the organization I work for. As a health care provider, Aurora Health Care, helps people to live well, providing the best care possible during and after a patient’s hospitalization. They support and encourage their medical/oncology nurses to become oncology and chemotherapy certified. They provide annual mandatory cancer education and offer monthly oncology seminars for all health care providers. The also encourage and support local, state and national seminars as well for their nurses. As a health care provider, they are devoted to providing the most current up to date treatment and promote safety through the encouragement and participation of evidence based initiatives and quality improvement projects.
References
Oncology Nursing Society. (2017). About ONS. Retrieved October 9, 2017, from https://www.ons.org/about
Saria, M. G., Stone, A., Walton, A. L., Brown, G., Norton, V., & Barton-Burke, M. (2014). Voices of oncology nursing society members matter in advocacy and decisions related to U.S. health policy. Clinical Journal of Oncology Nursing, 18(6), 719-721. doi:10.1188/14.cjon.719-721
Response 2
Dignity Health hospitals are committed to furthering the healing ministry of Jesus. They pride themselves on delivering compassionate, high-quality, affordable health services while serving and advocating for the poor and disenfranchised and partnering with others in the community to improve the quality of .
The MHA program’s case competition showcases the knowledge and skills gained throughout the rigorous curriculum into an end-of-first year integrative experience.
This presentation highlights the work done by two other exceptional students and myself in a team effort that addresses the challenges facing a complex health care organization through an in-depth analysis and corresponding action plan.
This presentation highlighted the process that the MoH in Oman used to build consensus on the importance of establishing the role of NP in Oman. All of what has been presented could be used by other health systems especially in GCC
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR IMPROVING PATIENT SAFETY Ruby Med Plus
This essay explores how Clinical governance as a process is interpreted,
understood and practiced for improving the quality of patient care and Patient
safety.
Specific Objectives-
1. To give an overview of corporate governance and Clinical governance and
to focus on Definition, principles, need, components, key features and
benefits of Clinical governance.
2. To Understand the principles and Pre-requisites of Governance and
clinical governance.
3. To comprehend Power Culture, Quality Assurance, Clinical Audit, and
Clinical Governance.
4. To analyse decision making, safety culture, Integrated pathways,
informed consent, right clinical information, Acrediation and Clinical
Governance.
HRSA Comprehensive Geriatric Education Grant Posternomadicnurse
This grant funds a Clinical Nurse Specialist position to work with current Gerontological CNS in providing education, mentoring / support, developing / measuring outcomes for knowledge, practice change and patient outcomes by:
Expanding NICHE training at Piedmont Hospital in Atlanta beyond Acute Care nurses to include Emergency Department nurses;
2) Introducing NICHE training at Piedmont Fayette, Piedmont Newnan and Piedmont Mountainside for Acute Care and Emergency Department nurses;
3) Introducing NICHE training for nursing staff at two of our Long-Term Care facility partners; and
4) Disseminating program materials and information to other healthcare entities throughout Georgia and the U.S. through local workshops and presentations at national healthcare conferences.
An opportunity to hear how service redesign positively impacts on the patient experience and improves outcomes for both the patient and NHSScotland. Showcasing examples of changes to pathways of care in orthopaedics and community support for people with complex and chronic conditions.
Survivorship Care Plans in the U.S.: Current Status and Future ChallengesCarevive
On Q Health's Chief Clinical Officer, Dr. Carrie Tompkins Stricker, gave a presentation on survivorship care plans in Tokyo, Japan during the 1st International Seminar on Cancer Nursing. The seminar theme was "The Role of Cancer Nursing in Improving Quality of Cancer Care: The Current Situation and Outlook for Developments 10 Years from Now".
Learn more about survivorship and On Q Health's Care Planning System™: http://bit.ly/onqcareplans
In this #CRCWebinar learn all about how physical therapy can assist in the management of colorectal cancer. Alaina Newell, physical therapist, spends the hour discussing the benefits and misconceptions of this type of treatment in our webinar.
DQ 3-1 response 1Working in Oncology care, the Oncology Nursing.docxelinoraudley582231
DQ 3-1 response 1
Working in Oncology care, the Oncology Nursing Society or ONS is a national professional specialty nursing association that I have been an ongoing member of since 2010. As an organization, their mission is “to advance excellence in oncology nursing and quality cancer care” with a vision “to lead the transformation of cancer care” (Oncology Nursing Society, 2017). Innovation, excellence and advocacy is what guides ONS to improve the quality of life and outcomes for patients with cancer and their families as well as improving the nursing profession (Oncology Nursing Society, 2017). They are continually working towards promoting respect and recognition on behalf of patients and the nursing profession. They not only engage in providing education and training for nurses but also engage in international outreach and partnering with other organizations that share common goals to enhance quality of care for people with cancer. They also serve as advocates to promote public health policy. ONS sends members to the Nurse in Washington Internship program annually giving attendees a better understanding of political, legislative and regulatory issues facing nurses ending with a visit to Capitol Hill to influence policy for nurses and the patients they serve (Saria et al., 2014). Cancer care is complex and continuously changing. As a member of the health care team, I feel the values of excellence, innovation and advocacy are reflected in their mission and vision statements. I also feel their mission and vision statements also mirrors the organization I work for. As a health care provider, Aurora Health Care, helps people to live well, providing the best care possible during and after a patient’s hospitalization. They support and encourage their medical/oncology nurses to become oncology and chemotherapy certified. They provide annual mandatory cancer education and offer monthly oncology seminars for all health care providers. The also encourage and support local, state and national seminars as well for their nurses. As a health care provider, they are devoted to providing the most current up to date treatment and promote safety through the encouragement and participation of evidence based initiatives and quality improvement projects.
References
Oncology Nursing Society. (2017). About ONS. Retrieved October 9, 2017, from https://www.ons.org/about
Saria, M. G., Stone, A., Walton, A. L., Brown, G., Norton, V., & Barton-Burke, M. (2014). Voices of oncology nursing society members matter in advocacy and decisions related to U.S. health policy. Clinical Journal of Oncology Nursing, 18(6), 719-721. doi:10.1188/14.cjon.719-721
Response 2
Dignity Health hospitals are committed to furthering the healing ministry of Jesus. They pride themselves on delivering compassionate, high-quality, affordable health services while serving and advocating for the poor and disenfranchised and partnering with others in the community to improve the quality of .
The MHA program’s case competition showcases the knowledge and skills gained throughout the rigorous curriculum into an end-of-first year integrative experience.
This presentation highlights the work done by two other exceptional students and myself in a team effort that addresses the challenges facing a complex health care organization through an in-depth analysis and corresponding action plan.
The Academy White Paper was published in October 2014 as a means to tell the Academy’s story, the history of how AIHM came to be, and why its formation is timely and important.
Linking clinical workforce skill mix planning to health and health care dynamicsIme Asangansi, MD, PhD
Current health workforce planning methods are inadequate for the complexity of the task. Most approaches treat the workforce supply of individual health professions in isolation and avoid quantifying the impact of changes in skills mix, either planned or unplanned. The causes and consequences of task delegation and task substitution between or within health professions is particularly important in handling workforce shortages in developing countries and understanding and planning possible responses to both rapid catastrophic health demands and slower background trends in their social and political environment. As well as the contextual environment, interactions and delays in supplying and balancing health resources and configuring clinical services are required to address the geographic, profession-specific and quality imbalances. These supply side resources include knowledge and research, skills and attitudes of clinicians, buildings and equipment, medications and medical technologies, information and communications technologies and any other methods and models to improve the provision of clinical services. The interaction between demand
and supply could adjust for feedbacks of health services outcomes, policies and governance on population expectations, funding, political and social supports and explicitly link these to clinical workforce supply in a useful, rigorous and relevant tool. The challenge is capture the relevant essence of the dynamic complexity of health and healthcare for this purpose.
1. Success
Starts Here
March 2016
The energy and excitement building
is a result of several efforts to help
novice nurses find the right department,
feel comfortable in their new roles, and
support experienced nurses as they strive
to grow in their careers.The RN Residency
program is in its third cohort, and is a way
for new nurses to gain exposure to different
areas and find a department that’s a great fit
for both the nurse and their team.
In a 2014 study of the nursing industry and
culture by the RN Work Project, 17.5%
of newly licensed RNs leave their first job
within the first year, and one in three leave
within two years. This is important because
nursing turnover has a significant impact
on overall employee satisfaction, hospital
margins and patient safety.
“Word is traveling through
the nursing community and
throughout the southeast
about the program because
of the positive ways our nurses our reacting to
it. They’re telling other nurses and even sharing
their experiences on social media,” says Rhonda
Poulson, CNO, vice president, clinical operations,
at CHI Memorial. “Standardizing the first six weeks
of orientation before pursuing a clinical specialty
sets a solid foundation for long-term success.”
There are currently 41 new residents participating
in this new structured onboarding process, which
will make a total of 84 who will have completed
the orientation. The current retention rate for these
nurses is 93%, and 60 to 70 new nurses will begin
training in July.
CHI Memorial Nursing:
Recruiting and Retaining the Best!
Good things are happening in nursing at CHI
Memorial.
People
Rhonda Poulson,
CNO, vice
president, clinical
operations
One way CHI Memorial continues its mission to provide the highest quality nursing care is through an intensive RN
residency program. Participants receive a thorough orientation and acclimation to the hospital setting and their
respective departments before they begin caring for patients.
(continued on back page)
2. Expanded Space Breathes New Life and
Energy into Cardiopulmonary Rehab
Regular exercise is one of the proven
keys to living a longer and healthier life.
But knowing what to do, establishing
a routine, and sticking with it are all
challenges patients face – especially
those with cardiac, pulmonary function
or other health issues issues. The new
Lehman Center for Heart & Lung
Rehabilitation at CHI Memorial offers
the latest in exercise technology and
support from medical professionals – all
in a beautiful and open space.
According to the American Heart
Association, regular exercise training
increases cardiovascular function capacity
and decreases myocardial oxygen demand
in apparently healthy persons as well as in
most people with cardiovascular disease.
CHI Memorial’s program is medically
supervised, which mitigates the potential
risk of physical activity through supervision
and education.
“Cardiac and pulmonary conditions cause
shortness of breath that lead people to avoid
exercising, even though that’s exactly what
they need to do,” says Allan Lewis, MS,
FAACVPR, manager of cardiopulmonary
rehabilitation at CHI Memorial. “Now cardiac
and pulmonary rehab patients can exercise in
dedicated areas that the specific needs related
to their medical conditions.
A First in Class Exercise Facility
The bright and open workout floor includes
state-of-the-art cardio equipment like treadmills,
recumbent bikes, and lateral elliptical trainers
ergonomically designed to minimize impact on
major joints while training hip and leg muscles
sometimes missed by other machines.The expanded
range of free weights and exercise and stability
balls help improve core strength, which build up
the muscles that people use in their everyday lives
to twist, bend and keep their balance.
“We’re excited about the variety of group classes we
can offer like cardio fitness, balance, strengthening
and toning, yoga, and even healthful cooking
demonstrations,” says Lewis. “Cardiopulmonary
rehab has always focused on support and education,
and our multipurpose space opens a whole new
realm of possibilities and ways to engage the people
we serve.”
The prevalence of coronary artery disease in
patients over 45, coupled with increasing rates of
heart disease and obesity mean that many patients
easily meet physician referral requirements.
The new center now provides more ways than ever
before to help people lose weight and increase
strength and flexibility – all leading to positive,
long-term effects on good health. A self-pay option
and financial support are also available for qualified
applicants.
“CHI Memorial has been steadily working toward
preventative health programs that match the quality
of care people receive when they are in the hospital,”
says Lewis. “This is one more way we’re keeping
people healthier, out of the hospital, and helping
them improve their quality of life.”
For more information or to refer a patient to
cardiopulmonary rehab, call (423) 495-7764.
For information on programs offered at
CHI Memorial Hospital Hixson, call
(423) 495-7422.
Allan Lewis, MS,
FAACVPR, manager
of cardiopulmonary
rehabilitation
CHI Memorial is a Silver
Sneakers and Silver and
Fit provider, offering
programs that help seniors
get fit and live active lives.
People
3. CHI Memorial has invested in a smarter and
faster medical image system called TeraRecon,
a flexible technology platform that improves the
image viewing experience, interpretation, and
sharing and collaboration capabilities across the
hospital system. Because many health conditions
are imaging intensive, the system’s advanced
viewing and post-processing tools can make the
difference in how these conditions are managed.
“TeraRecon is an advanced visualization program
that allows radiologists or other physicians to
identify and isolate a specific area of the body and
see it unhindered by other internal structures,”
says Charles Piez, M.D., chief of radiology at
CHI Memorial. “One important application
is the evaluation of blood vessels throughout
the body to determine the amount and exact
location of stenosis that can impact vascular
procedures. The automatic and precise measuring
technology provides a consistent, straightforward
measurement of internal structures that can be
reproduced.”
TeraRecon is also valuable for its ability to fuse
three-dimensional and two-dimensional images
into one and manipulate the output based on data
sets pre-installed or specifically entered by the
physician. It displays the single image in black
and white and color, making it easier to identify
and isolate specific areas of concern. These
intuitive viewing capabilities and advanced post-
processing tools integrate with CHI Memorial’s
PACS (picture archiving communication system)
and have the potential to change the way
images are used in diagnosis and treatment
of a wide variety of health conditions.
“The goal for this application is for
physicians and technologists to have a
more streamlined and efficient experience,”
says Christy Sentell, imaging technical
coordinator and patient care liaison. “It’s
designed to offer a broader use of the
technology throughout specialty areas and
foster closer collaboration with referring
physicians.”
Bothphysiciansandcliniciansareengaged
with the implementation process, and
several radiologists are currently using the
platform. Super-users have been trained
in each clinical area and are working to
educate the larger team.Afull go-live for
TeraRecon is targeted for April.
“This system is more than simple
viewing – it meets the needs of multi-
specialty clinicians who need a more
flexible viewer to accommodate
the wide range of clinical uses they
encounter,” says Dr. Piez. “We’re
excited to improve the accessibility,
performance and clinical functionality
that ultimately impact nearly every
area of the hospital system.”
Seeing
Things
Clearly
Integrated Imaging
Software Improves
Function and Accessibility
Technology
Charles Piez, M.D., chief of radiology
4. ADDRESS SERVICE REQUESTED
Memorial Hospital
2525 deSales Ave
Chattanooga TN 37404
CHI Memorial Nursing (continued from p.1)
Listening then Leading
Each month, Poulson goes on a “CNO
Roadshow” where she visits different
departments to talk with nurses, listen to their
suggestions and concerns, and quickly address
problems. It’s also a chance to share the ways
nurses are improving processes and patient care.
Nurses who have left to go to other hospitals are
now making their way back, and since July 16%
of all experienced nursing hires were rehires.
Developing a culture and work environment
based on open communication goes a long way
toward improving job satisfaction and retention.
Expanding the Vision
In an effort to attract and retain the best and
brightest talent, Memorial has increased nursing
salaries as a market adjustment to ensure
they are regionally competitive while also
communicating the availability of free or
low-cost continuing education opportunities.
Clinical, educational and leadership tracks
are also being developed to help guide nurses
as they think about career advancement.
“I want CHI Memorial to be a place where
everyone can grow. As leaders, it’s our
responsibility to know that people want
to do new things and be ready to support
their efforts and provide opportunities,”
says Poulson. “My focus is to improve
the lives of our patients and staff while
providing opportunities and encouraging
professional development. The more we
can grow and develop the employees we
have, the stronger we will be.”