Empowering Nurses: Improving Financial Performance Without Compromising Employee and Patient Satisfaction

2.50
Hdl Handle:
http://hdl.handle.net/10755/182135
Category:
Abstract
Type:
Presentation
Title:
Empowering Nurses: Improving Financial Performance Without Compromising Employee and Patient Satisfaction
Author(s):
Coakley, Lisa
Author Details:
Lisa Coakley, MSN, RN, FNP-BC, NE-BC, CPN, Nurse Manager, St. Louis Children's Hospital, St. Louis, Missouri, USA, email: coakleylm@gmail.com
Abstract:
Podium presentation, ANCC National Magnet Conference: In 2007 General Medicine RN labor productivity performance was worse than budget by 7,650 hours or 16%. As a result, in 2008 the hospital CNO and CFO commissioned a project team to focus on improving RN labor productivity while maintaining or increasing patient and employee satisfaction. The project team, led by the unit RN Manager, was comprised of Staff RNs, Charge RNs, Patient Care Associates, Pharmacists, Physicians, Child Life Specialists, Food & Nutrition, Housekeeping, Finance, a Lean Six/Sigma process improvement expert, and the department Director. Nursing research has shown that optimizing workflow efficiency and managing staffing performance in real time can positively impact labor productivity(1,2). Therefore, an RN workflow analysis was conducted and revealed that 28% of an RN's time in taking care of patients was spent on inefficient activity, e.g. looking for equipment/supplies or correcting inaccurate/incomplete orders. It was also determined that existing staffing tools were inconsistently utilized and inaccurate which prohibited real time adjustment of staffing levels to coincide with census fluctuations. With respect to improvements, a workplace reorganization significantly reduced the time spent searching for supplies and decreased critical equipment delivery time from 40 to 0 minutes. Also, the implementation of an electronic daily staffing worksheet managed by the Charge RN enabled real time flexing of staff in line with census levels. The cumulative impact of all of the process improvements has resulted in an RN labor productivity improvement of 40%. At the same time employee satisfaction has increased by 18% and patient satisfaction has remained constant.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, 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.titleEmpowering Nurses: Improving Financial Performance Without Compromising Employee and Patient Satisfactionen_GB
dc.contributor.authorCoakley, Lisaen_US
dc.author.detailsLisa Coakley, MSN, RN, FNP-BC, NE-BC, CPN, Nurse Manager, St. Louis Children's Hospital, St. Louis, Missouri, USA, email: coakleylm@gmail.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182135-
dc.description.abstractPodium presentation, ANCC National Magnet Conference: In 2007 General Medicine RN labor productivity performance was worse than budget by 7,650 hours or 16%. As a result, in 2008 the hospital CNO and CFO commissioned a project team to focus on improving RN labor productivity while maintaining or increasing patient and employee satisfaction. The project team, led by the unit RN Manager, was comprised of Staff RNs, Charge RNs, Patient Care Associates, Pharmacists, Physicians, Child Life Specialists, Food & Nutrition, Housekeeping, Finance, a Lean Six/Sigma process improvement expert, and the department Director. Nursing research has shown that optimizing workflow efficiency and managing staffing performance in real time can positively impact labor productivity(1,2). Therefore, an RN workflow analysis was conducted and revealed that 28% of an RN's time in taking care of patients was spent on inefficient activity, e.g. looking for equipment/supplies or correcting inaccurate/incomplete orders. It was also determined that existing staffing tools were inconsistently utilized and inaccurate which prohibited real time adjustment of staffing levels to coincide with census fluctuations. With respect to improvements, a workplace reorganization significantly reduced the time spent searching for supplies and decreased critical equipment delivery time from 40 to 0 minutes. Also, the implementation of an electronic daily staffing worksheet managed by the Charge RN enabled real time flexing of staff in line with census levels. The cumulative impact of all of the process improvements has resulted in an RN labor productivity improvement of 40%. At the same time employee satisfaction has increased by 18% and patient satisfaction has remained constant.en_GB
dc.date.available2011-10-28T15:10:41Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:10:41Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_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.-
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