Keeping Track and Keeping Score: Balancing Clinical Performance and Role Identity with Measurement Scales

2.50
Hdl Handle:
http://hdl.handle.net/10755/164295
Category:
Abstract
Type:
Presentation
Title:
Keeping Track and Keeping Score: Balancing Clinical Performance and Role Identity with Measurement Scales
Author(s):
Muller, Anne C.; Strauss, Robyn
Author Details:
Anne C. Muller, MSN, RN, CRNP, CNS, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: nacnsorg@nacns.org; Robyn Strauss, MSN, APRN, BC, CVN, WCC
Abstract:
Purpose: Describe the use of a scorecard to quantify the CNS's contributions to quality initiatives and excellence in patient care. Significance: The intense competition for limited reimbursement monies, particularly among institutions providing highly specialized levels of care, creates a compelling need for a measurement tool that accurately quantifies the broad range of CNS contributions to quality initiatives and patient care. It is imperative that the significant influence and contributions of the CNS to quality patient care be objectively measured using reliable data sources, capable of being used to compare contributions in varied settings. This scorecard identifies objective measurements capable of measuring the CNS's role in patient outcomes. Design: Scorecards serve to link performance criteria and institutional initiatives, creating a balance between previous successes and barriers and realistic future performance goals. Scorecards delineate efforts aimed at achieving goals while also analyzing expectations of prospective goals. Methods: A literature search revealed a significant lack of evidence for the use of a scorecard with the role of the CNS. A focus group, led by the chief nursing officer, was formed to establish the metrics to be used in a CNS "scorecard." The tool uses some of the metrics in the managerial review as well as some unique to the domains of CNS practice, linking the efforts of the unit based managerial team with foundations of CNS practice. Findings: Our process included a critical appraisal of the current CNS role, identification of potential barriers and relevant historical antecedents, identification of standardized metrics for use and creation of the scorecard. Common themes were found embedded in CNS work, leading to the identification of standardized quality indicators capable of linking the CNS's work with institutional priorities, professional standards and traditional domains of practice. Baseline and threshold values were established, establishing a sustainable system to measure and compare CNSs influence. Content consensus was achieved and the proposal communicated with significant stakeholders. Conclusions: The scorecard methodology can be successfully adapted to serve as a measurement tool for CNS's contributions to quality patient care. Implications for Practice: This scorecard demonstrates a data driven outcome tool that documents the universal effectiveness of the CNS role through varied care paradigms.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
Clinical Nurse Specialists: Leaders in Clinical Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Atlanta, Georgia, USA
Description:
Conference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgia
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.titleKeeping Track and Keeping Score: Balancing Clinical Performance and Role Identity with Measurement Scalesen_GB
dc.contributor.authorMuller, Anne C.en_US
dc.contributor.authorStrauss, Robynen_US
dc.author.detailsAnne C. Muller, MSN, RN, CRNP, CNS, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: nacnsorg@nacns.org; Robyn Strauss, MSN, APRN, BC, CVN, WCCen_US
dc.identifier.urihttp://hdl.handle.net/10755/164295-
dc.description.abstractPurpose: Describe the use of a scorecard to quantify the CNS's contributions to quality initiatives and excellence in patient care. Significance: The intense competition for limited reimbursement monies, particularly among institutions providing highly specialized levels of care, creates a compelling need for a measurement tool that accurately quantifies the broad range of CNS contributions to quality initiatives and patient care. It is imperative that the significant influence and contributions of the CNS to quality patient care be objectively measured using reliable data sources, capable of being used to compare contributions in varied settings. This scorecard identifies objective measurements capable of measuring the CNS's role in patient outcomes. Design: Scorecards serve to link performance criteria and institutional initiatives, creating a balance between previous successes and barriers and realistic future performance goals. Scorecards delineate efforts aimed at achieving goals while also analyzing expectations of prospective goals. Methods: A literature search revealed a significant lack of evidence for the use of a scorecard with the role of the CNS. A focus group, led by the chief nursing officer, was formed to establish the metrics to be used in a CNS "scorecard." The tool uses some of the metrics in the managerial review as well as some unique to the domains of CNS practice, linking the efforts of the unit based managerial team with foundations of CNS practice. Findings: Our process included a critical appraisal of the current CNS role, identification of potential barriers and relevant historical antecedents, identification of standardized metrics for use and creation of the scorecard. Common themes were found embedded in CNS work, leading to the identification of standardized quality indicators capable of linking the CNS's work with institutional priorities, professional standards and traditional domains of practice. Baseline and threshold values were established, establishing a sustainable system to measure and compare CNSs influence. Content consensus was achieved and the proposal communicated with significant stakeholders. Conclusions: The scorecard methodology can be successfully adapted to serve as a measurement tool for CNS's contributions to quality patient care. Implications for Practice: This scorecard demonstrates a data driven outcome tool that documents the universal effectiveness of the CNS role through varied care paradigms.en_GB
dc.date.available2011-10-27T11:45:43Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:45:43Z-
dc.conference.date2008en_US
dc.conference.nameClinical Nurse Specialists: Leaders in Clinical Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.descriptionConference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgiaen_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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