Lead to manage: Inspiring nurses to improve the quality of care

Alessandro Pizzo

RN, MSc Management, Country Nursing Manager, NephroCare Italy

Country Nursing Manager of NephroCare Italy.

Alessandro has 17 years experience in Hemodialysis field (previously as renal nurse and Regional nurse responsible).

Responsible for strategic planning of nursing units, coordinates the training plans in e-Learning modality and the patients educational programs.

Coordinates and promote educational workshops for enhancing professional and technical knowledge, directs and develops healthcare staffing.

Lead to manage – Inspiring nurses to improve the quality of care

Alessandro Pizzo, Country Nursing Manager, NephroCare Italy

Genoa, Italy, September 16, 2018

EDTNA/ERCA 15-18.09.2018

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

Page 3

Introduction

• The European populations’ life

expectancy increases

• In the times of economic crisis it is necessary to make wise decisions

Italian Nursing Coordination Challenges

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

NURSING CARE MANAGEMENT LEADERSHIP / RELATIONSHIP

Implement the best practices to

ensure the adequate quality of

the service as per Local

requirements and Corporate

Directives, Supervision of

Regional nursing activities and

training Plan, Research

activities.

Putting together

ideas, people,

energies to compete

for one or more

common goals

PLANNINGHUMAN RESOURCES

MANAGEMENT

TECHNICAL RESOURCES

MANAGEMENT

OPTIMIZATION OF RESOURCES

EVALUATION / CONTROL (AUDIT)

Directing staff toachieve organizationalgoals by highlightingtheir personal energiesand skills

EDTNA/ERCA 15-18.09.2018

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"Within the next few years 90,000 nurses will be neededin our country, keeping in mind the number of those whowill retire, those who will join or have joined the part-time and those who make the profession“*.

EDTNA/ERCA 15-18.09.2018

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

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General Situation in Italy

Individual and distinct regional needs and requirements

The critical issues of the Italian Healthcare system

SUM

Milan 2016 - National Conference Nursing Degree Courses, the "EUHWForce Project: a forecast of the needsof Nurses in Italy in the next 20 years", realized by the National Federation of Nursing Professions AssociationFNOPI.

450.000 Nurses

work across the

Country

13

7

21

10

4

Nurse Management Team

8 REGIONS

54 ≈ 2.300

Dialysis Units Patients

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

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78%

19%

1%2%

Vascular Access

AVF

CVC

TEMP.CVC

GRAFT

EDTNA/ERCA 15-18.09.2018

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

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Nurses’ clinical challenges

0,4%

6,4%

28,7%26,5%

37,9%

0,0%

5,0%

10,0%

15,0%

20,0%

25,0%

30,0%

35,0%

40,0%

1 – 24, 25 – 44, 45 – 64, 65 – 74, ≥ 75 years

Age of NC Italian Patients

Average 68,1

Standard dev 14,1

Lack of resources

Goals Complexity

High quality of care requirements

66%

34%

HD Treatment

HDF

Online

HD

EDTNA/ERCA 15-18.09.2018

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

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Staff Complexity and Patients Expectations

Quality treatment

Full staff engagement

Empowerment

19,9%

47,1%

18,9%14,1%

0 - 2 3 - 10 11 - 20 > 20

0,0%

10,0%

20,0%

30,0%

40,0%

50,0%

354

6723

81 79

0

100

200

300

400

Nurses Phisycians Health Care

ass.

NC Health Care Staff

EMPLOYEE FREELANCE

23%

29,6%

70,4%

Male Female

Nurses years of service

• Leaders do more than organize, direct, delegate, and havevision; they use interpersonal skills to help others achievetheir highest potential.

EDTNA/ERCA 15-18.09.2018Lead to Manage – Inspiring nurses to improve the quality of

care, Alessandro Pizzo © Fresenius Medical CarePage 9

People Management

Leadership

Motivation

Teamwork

Goal

ManagementVision

Strategy

Challenges

• Challenge is managing teams:

professionals having different

skills and characteristics

need to work together.

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

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People Management

People Management is a fundamental pillar to manage and lead all activities.

EDTNA/ERCA 15-18.09.2018

EDTNA/ERCA 15-18.09.2018

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

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People Management

Employee involvement

Effective communication

Interpersonal skills

• An opportunity for Nurses to

take part in decisions that affect their work: either in their immediate job (task discretion) or related to wider company issues (organizational participation). It appears to be a precious resource to stimulate autonomous and quality oriented behaviors.

• When the communication between workers and health managers is well focused on the objectives, it contributes positively to activating the involvement of individuals with respect to the strategic goals of the organization.

• Leadership skills : Inspireothers to accomplish theplanned goals with commitmentand dedication.

• Team work: involves co-operating with fellow memberswhile nurturing theiraspirations. A leader develops asense of collaboration whileworking with its peers and othermembers of the staff.

EDTNA/ERCA 15-18.09.2018

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

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Planning & Organizing

“Failing to plan is planning to fail”(Diplomat, Inventor, Writer, Scientist, 1706 - 1790)

Benjamin Franklin

EDTNA/ERCA 15-18.09.2018

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care Page 13

Planning & Organizing

PlanningLong and short term plans

Measuring PerformanceControlling

Implementing plansDirecting and Motivating

D e c i s i o n

M a k i n g

Comparing actualto planned

Planning can be defined as … “where one wants to go, how to get there and the timetable for the journey” …Complete planning sets out indicators for tracking progress and ways to measure if the trip was worth the investment. 1

1)Ontario Ministry of Health and Long-Term Care. The health planner’s toolkit. Ontario: Ministry of Health; 2006

• Digital transformation in a dialysis unit affects the entireorganization. It requires management changing. In fact, it callsfor open-mind healthcare professionals in welcoming the newtechnology and relying on so-called digital leaders with ITskills and attitudes to facilitate their better integration andacceptance in their daily activities

EDTNA/ERCA 15-18.09.2018

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

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Digital Transformation

Satisfaction Level & Participation Rate

100% 97% 100%

97% 97% 93%

2015 2016 2017

Tasso di partecipazione

Livello di soddisfazione

EDTNA/ERCA 15-18.09.2018

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

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Digital Transformation

6 459

5 643 5 442 5 428

7 383

8 299

7 624

9 593

9 3689 959

0

2 000

4 000

6 000

8 000

10 000

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2Nephro

Care

Website V

isits (

no.)

Via Direct entry

Via Search engine

Via Other websites

Lead to Manage – Inspiring nurses to improve the quality of care, Alessandro Pizzo © Fresenius Medical Care

CHALLENGES

To combine in the best way all the activities

Training

EDTNA/ERCA 15-18.09.2018

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EDTNA/ERCA 15-18.09.2018 Page 17Lead to Manage – Inspiring nurses to improve the quality of

care, Alessandro Pizzo © Fresenius Medical Care

Thank You Very Much for Your Attention !

Naples - Italy