July 27, 2007July 27, 2007

Great Hospital Work Great Hospital Work EnvironmentsEnvironments

Using Data to Create Great Using Data to Create Great Hospital Workplaces Hospital Workplaces

FutureThinkFutureThinkThe state of Ohio recognizes health is more than the The state of Ohio recognizes health is more than the

absence of illness. All Ohioans have access to absence of illness. All Ohioans have access to care, which assists them in achieving their optimal care, which assists them in achieving their optimal

being. Ohioans are informed, motivated and being. Ohioans are informed, motivated and personally accountable to actively participate in personally accountable to actively participate in

maintaining a healthy lifestyle, just as health care maintaining a healthy lifestyle, just as health care providers are accountable to Ohioans. The health providers are accountable to Ohioans. The health care workforce is inspired and educated to be part care workforce is inspired and educated to be part

of a care delivery model that promotes of a care delivery model that promotes collaboration, respects the contributions of collaboration, respects the contributions of different caregivers and utilizes integrative different caregivers and utilizes integrative

technology. This model attracts bright, diverse technology. This model attracts bright, diverse and talented individuals to serve our population.and talented individuals to serve our population.

FutureThink Strategic ObjectivesFutureThink Strategic Objectives Ohioans maintain physical, mental and spiritual well-being through Ohioans maintain physical, mental and spiritual well-being through

timely prevention and illness services in collaboration with health care timely prevention and illness services in collaboration with health care workers.workers.

Health care teams provide an integrated plan of care using advanced Health care teams provide an integrated plan of care using advanced interactive technology and information systems.interactive technology and information systems.

Health care organizations are recognized for creating an environment Health care organizations are recognized for creating an environment that attracts and retains bright, diverse and talented individuals. that attracts and retains bright, diverse and talented individuals.

Health professional education programs share a common core Health professional education programs share a common core curriculum, building collaboration among professionals and integrating curriculum, building collaboration among professionals and integrating students into practice. students into practice.

Health care professionals and organizations demonstrate financial Health care professionals and organizations demonstrate financial and clinical accountability directly to the citizens of Ohio. and clinical accountability directly to the citizens of Ohio.

Goals of Great Work Environment Goals of Great Work Environment Project Project

Promote quality in settings that support the Promote quality in settings that support the hospital workforce. hospital workforce.

Improve hospital’s recruitment and retention.Improve hospital’s recruitment and retention. Identify best workforce practices, evaluate Identify best workforce practices, evaluate

promising practices.promising practices. Promote Ohio hospitals as the best places to Promote Ohio hospitals as the best places to

work in the nation. work in the nation.

Use data to:

How’d we get here?How’d we get here?

UnderpinningsUnderpinnings

•OHA Medical Collaboratives•OONE Nursing Report Card•OHA Data Services•OHA Workforce Committee•FutureThink

FutureThinkFutureThink

Intent – create long term solutions to Ohio’s Intent – create long term solutions to Ohio’s workforce shortagesworkforce shortages

Strategic objective about work environments:Strategic objective about work environments:– Health care organizations are recognized for Health care organizations are recognized for

creating environments that attract and retain creating environments that attract and retain bright, diverse and talented individualsbright, diverse and talented individuals

CLINICALEXCELLENCE

WORK ENVIRONMENT

American Association of Critical-Care Nurses, Jan. 26, 2005

Adopted by the OHA Workforce Committee’s Subcommittee on Benchmarks – Nov. 3, 2005

OPTIMALPATIENT OUTCOMES

Interdependence of Healthy Work Environment, Clinical Excellence &Optimal

Patient Outcomes

CLINICALEXCELLENCE

WORK ENVIRONMENT

Interdependence of Healthy Work Environment, Clinical Excellence and Optimal Patient Outcomes American Association of Critical-Care Nurses, January 26, 2005

OPTIMALPATIENT OUTCOMES

Patient falls Pressure ulcers Pain management Peripheral IV infiltration

RN SatisfactionStaff mix:

RNs, LPNs, UAPs

Nursing care hours provided/ patient day RN education/certification Staff mix: RNs, LPNs, UAPs

NATIONAL DATABASE OF NURSING QUALITY INDICATORS (NDNQI)

OHA DataOHA Data

CLINICALEXCELLENCE

WORK ENVIRONMENT

Interdependence of Healthy Work Environment, Clinical Excellence and Optimal Patient Outcomes American Association of Critical-Care Nurses, January 26, 2005

OPTIMALPATIENT OUTCOMES

Medical collaborativesMedical Collaboratives

OHA Database JCAHO core indicators

TurnoverVacancy

ExampleExample

http://http://www.ohanet.orgwww.ohanet.org/Dashboard//Dashboard/

OHA Supports Great Work OHA Supports Great Work EnvironmentsEnvironments

TimelineTimeline June 7June 7 Small Committee begins to review and rank Small Committee begins to review and rank

proposalsproposals July 13July 13 Content Expert is SelectedContent Expert is Selected July 19July 19 Workforce Committee provides feedback and Workforce Committee provides feedback and

recommendations for steering committee. recommendations for steering committee. July 27July 27 OONE Board meeting OONE Board meeting July 30July 30 Steering committee members are finalizedSteering committee members are finalized Aug. 30Aug. 30 Steering committee has had initial meetingSteering committee has had initial meeting Sept. 21 Sept. 21 Presentation of project plan to boardPresentation of project plan to board (or Oct. 19)(or Oct. 19) October 19 Presented to CNO roundtable (during OONE Annual October 19 Presented to CNO roundtable (during OONE Annual

meeting)meeting) October October OSHHRA fall conferenceOSHHRA fall conference Dec. Dec. Budget and project proposal developedBudget and project proposal developed

Questions for Committee Questions for Committee

Does it make sense?Does it make sense? What is missing?What is missing? Will this be helpful for hospitals?Will this be helpful for hospitals? Would you like to be on steering committee?Would you like to be on steering committee? Who else should be on steering committee?Who else should be on steering committee?

July 27, 2007July 27, 2007

FutureThink:FutureThink:Creating a Preferred Future for Creating a Preferred Future for

the Delivery of Patient Carethe Delivery of Patient Care

www.FutureThink.orgwww.FutureThink.org