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CQI Quality PrinciplesCQI Quality Principles
Patients and other Patients and other customers are our first customers are our first prioritypriority
Quality is achieved Quality is achieved through peoplethrough people
All work is part of a All work is part of a processprocess
Decision-making by factsDecision-making by facts Quality requires Quality requires
continuous improvementcontinuous improvement
RN Recruitment Retention TeamsRN Recruitment Retention Teams
Nursing Education Nursing Recruitment and Retention Steering Team
Nursing Technology
Shared Accountability
Collegial Relationships
Compensation
Nursing Informatics
2000 Current
Nursing Portal
Work Life Balance – FlexibilityWork Life Balance – Flexibility
Full-time61%
Less than part-time
4%
Part-time19%
Per-diem16%
Benefits to Fit Many NeedsBenefits to Fit Many Needs
Phased retirementPhased retirement Health plan option to cover Legally Health plan option to cover Legally
Domiciled AdultDomiciled Adult Defined Benefit plan plus Matched Savings Defined Benefit plan plus Matched Savings
planplan Tuition reimbursement and loan repaymentTuition reimbursement and loan repayment Long-term care insurance Long-term care insurance Adoption benefitsAdoption benefits
Shared Accountability – Low Shared Accountability – Low Nursing TurnoverNursing Turnover
St. Marys Hospital Medical St. Marys Hospital Medical Center (Madison, WI) – 7.4%Center (Madison, WI) – 7.4%
St. Marys Health Center St. Marys Health Center (Jefferson City, MO) – 9.2%(Jefferson City, MO) – 9.2%
Cardinal Glennon Children’s Cardinal Glennon Children’s Hospital – 10.8%Hospital – 10.8%
St. Joseph Health Center – St. Joseph Health Center – 7.7%7.7%
December 31, 2002
American Organization of Nurse Executives benchmark = 14%-24% dependent on size, location, specialty, etc.
Showcase for Sharing Showcase for Sharing Examples Examples
Nurse internship programsNurse internship programs Decreased ER wait timeDecreased ER wait time Standardized forms and discharge Standardized forms and discharge
ordersorders Employee recognition approachesEmployee recognition approaches Improved patient satisfactionImproved patient satisfaction
GreatIdea!!
Pre-Promotion AssessmentPre-Promotion Assessment
CalipersCalipers– Evaluates leadership potentialEvaluates leadership potential
– Helps ensure successful managersHelps ensure successful managers
– Consistent evaluation and self-Consistent evaluation and self-learning instrumentlearning instrument
DiversityDiversity
Core dimension of recruitment and Core dimension of recruitment and retentionretention
Need to reflect the communities we Need to reflect the communities we serveserve
Initially, address balance between Initially, address balance between male and female executivesmale and female executives
Now, address areas of ethnic Now, address areas of ethnic diversitydiversity
Our Diversity GoalsOur Diversity Goals
Professionals and Managers
0
4
8
12
16
1998
1999
2000
2001
Aug '0
2
SSM G
oal
HC Bnc
hmrk
Nat'l B
nchm
rk
Pe
rce
nt
Good
Our Diversity JourneyOur Diversity Journey
Corporate Vice Corporate Vice President – Human President – Human Resources and Resources and System DiversitySystem Diversity
Diversity forumsDiversity forums Diversity mentoring Diversity mentoring
programs programs Diversity component Diversity component
of employee of employee satisfaction processsatisfaction process
Employee Satisfaction SurveyEmployee Satisfaction Survey
Segmentation typesSegmentation types– DepartmentDepartment– Functional group ( manager, professional, Functional group ( manager, professional,
support staff, etc.)support staff, etc.)– AgeAge– National originNational origin– TenureTenure– Pay typePay type– GenderGender
Employee Satisfaction ResultsEmployee Satisfaction Results
50
60
70
80
90
Total FT PT
Mgr
s/Sup
vRNs
Physic
ians
Suppo
rt Pro
f
Clinica
l Pro
f
Whit
eBlac
k
Hispan
ic
Asian
Native
Am
er
Per
cent
Fav
orab
le
Employees HR Solutions NormativeHR Solutions Top 25%
Training OptionsTraining Options
Traditional, stand-up, classroom styleTraditional, stand-up, classroom style VideoconferencingVideoconferencing ““Meeting in a Box”Meeting in a Box” Intranet/internet training modulesIntranet/internet training modules Placeware – using telephone and Placeware – using telephone and
intranetintranet
Competency & Education Competency & Education AssessmentAssessment
Annual assessmentAnnual assessment– Employee competency Employee competency
– Trends and patterns?Trends and patterns?
– What has been done/will be done?What has been done/will be done?
– What training has been done?What training has been done?
– What training needs to be done?What training needs to be done?
Staff Focus: Lessons LearnedStaff Focus: Lessons Learned
Improve the measurement of processesImprove the measurement of processes Enhance diversityEnhance diversity Reformat the work environmentReformat the work environment Find new ways to gather feedbackFind new ways to gather feedback Take hard look at employee educationTake hard look at employee education Benchmark internally and externallyBenchmark internally and externally Incorporate HR into the planning processIncorporate HR into the planning process