Moving from what is known to what works: Adapting a certification framework to promote sustainable improvement throughout a health system

2.50
Hdl Handle:
http://hdl.handle.net/10755/164098
Category:
Abstract
Type:
Presentation
Title:
Moving from what is known to what works: Adapting a certification framework to promote sustainable improvement throughout a health system
Author(s):
Muller, Anne
Author Details:
Anne Muller, RN, MSN, BC-CNS, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: anne.muller@uphs.upenn.edu
Abstract:
PURPOSE/OBJECTIVES: This presentation describes a novel use of regulatory agency recommendations strategically translated for sustained improvement in Diabetes Mellitus (DM) care. As a patient advocate capable of system-wide influence, the Diabetic Clinical Nurse Specialist (CNS) at a quaternary care facility overlaid the Joint Commission's (JC) disease specific certification guidelines to current nursing processes to evaluate existing practice and identify gaps. The CNS then implemented technologic innovations to ensure sustained global improvement throughout multiple clinical care areas. Applying select aspects compelled system improvement while supporting the individual priorities of several health system entities. SIGNIFICANCE: In the United States, 8.0 % of the total population is diagnosed with DM with 1 in 3 of people born in 2000 projected to develop DM in their lifespan. The economic costs are estimated at $ 174 billion with higher costs portended due to longitudinal data demonstrating an association between glucose level in middle age and future costs. The inclusion of "glycemic excursions" in the never events adds further urgency to developing integrated programs focused on successful strategies to control glucose levels throughout a hospitalization while demonstrating that patients understand and are able perform self-care following transition to the out-patient setting. BACKGROUND/RATIONALE: DM disease specific certification guidelines can establish a foundation for improved care processes. Technologic tools augment processes, ensuring sustained practice improvements are embed. Description: Certification programs link specific management processes with long term success in improving outcomes. Elements include education, tracking of outcomes using technology, evidence of patient adoption of self-management techniques and more. This presentation will discuss examples of institutional performance measures, systematic analysis of outcomes and data entry for cross analysis and comparative performance evaluation. OUTCOME: Selective application of certification criteria assists CNSs in improving the health of patients with chronic illness. INTERPRETATION/CONCLUSION: Process improvement strategies reduce the frequency of blood glucose serum excursions. IMPLICATIONS FOR PRACTICE: CNS practice must move from the translation of research to adopting effective, efficient methods to improve practice. Acute care innovations must ensure high quality care and safe patient transitions. The direct cost and lost productivity concerns of employers and purchasers looking to control costs must also be considered.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleMoving from what is known to what works: Adapting a certification framework to promote sustainable improvement throughout a health systemen_GB
dc.contributor.authorMuller, Anneen_US
dc.author.detailsAnne Muller, RN, MSN, BC-CNS, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: anne.muller@uphs.upenn.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/164098-
dc.description.abstractPURPOSE/OBJECTIVES: This presentation describes a novel use of regulatory agency recommendations strategically translated for sustained improvement in Diabetes Mellitus (DM) care. As a patient advocate capable of system-wide influence, the Diabetic Clinical Nurse Specialist (CNS) at a quaternary care facility overlaid the Joint Commission's (JC) disease specific certification guidelines to current nursing processes to evaluate existing practice and identify gaps. The CNS then implemented technologic innovations to ensure sustained global improvement throughout multiple clinical care areas. Applying select aspects compelled system improvement while supporting the individual priorities of several health system entities. SIGNIFICANCE: In the United States, 8.0 % of the total population is diagnosed with DM with 1 in 3 of people born in 2000 projected to develop DM in their lifespan. The economic costs are estimated at $ 174 billion with higher costs portended due to longitudinal data demonstrating an association between glucose level in middle age and future costs. The inclusion of "glycemic excursions" in the never events adds further urgency to developing integrated programs focused on successful strategies to control glucose levels throughout a hospitalization while demonstrating that patients understand and are able perform self-care following transition to the out-patient setting. BACKGROUND/RATIONALE: DM disease specific certification guidelines can establish a foundation for improved care processes. Technologic tools augment processes, ensuring sustained practice improvements are embed. Description: Certification programs link specific management processes with long term success in improving outcomes. Elements include education, tracking of outcomes using technology, evidence of patient adoption of self-management techniques and more. This presentation will discuss examples of institutional performance measures, systematic analysis of outcomes and data entry for cross analysis and comparative performance evaluation. OUTCOME: Selective application of certification criteria assists CNSs in improving the health of patients with chronic illness. INTERPRETATION/CONCLUSION: Process improvement strategies reduce the frequency of blood glucose serum excursions. IMPLICATIONS FOR PRACTICE: CNS practice must move from the translation of research to adopting effective, efficient methods to improve practice. Acute care innovations must ensure high quality care and safe patient transitions. The direct cost and lost productivity concerns of employers and purchasers looking to control costs must also be considered.en_GB
dc.date.available2011-10-27T11:41:59Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:59Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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