Leading the Quest for Quality, Efficient, Safe Treatment for Hospitalized Older Adults

2.50
Hdl Handle:
http://hdl.handle.net/10755/202309
Type:
Presentation
Title:
Leading the Quest for Quality, Efficient, Safe Treatment for Hospitalized Older Adults
Abstract:
(41st Biennial Convention) This poster summarizes how the application of leadership skills learned through the Geriatric Nursing Leadership Academy (GNLA) improved quality, efficiency, and safety of older adult on a segregated unit in an acute care facility. Hallmarks of leadership and organizational impact included: facilitating change of the model of care for older patients by enhancing knowledge, empowering nursing decision-making, embracing shared accountability with physician partners, and encouraging the heart by using data to celebrate success.   The goals of the QuEST initiative originated by streamlining team communication, delivering geriatric-sensitive care, improving patient, physician and staff satisfaction, impacting length of stay (LOS), and enhancing transition planning. Areas for improvement included: daily rounds, care plans, communication with physicians, and post-discharge follow-up. A partnership with a physician group to cluster their admissions on one Unit and scripted, daily rounds led by the physician were implemented. A shared vision was inspired by eliciting feedback from nursing, social work and case management, pharmacy and nutrition personnel. Nurses began using SBAR (situation, background, assessment, recommendations), as a highly functional template for communication. A comprehensive care plan was devised to keep patients informed and encourage questions. Two elements of transition planning were introduced: post-discharge appointment scheduling and discharge phone calls. Baseline metrics were established on a dashboard and is reviewed monthly. Measurements include Press Ganey / HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores, LOS and nurse/ physician satisfaction. Leadership skills developed through the GNLA include: building confidence, stewarding change, team building and the use of effective communication. Confidence has been achieved by leading inter-professional teams, instituting and stewarding change on the unit and proudly and effectively presenting at a national conference.  
Keywords:
communication; quality
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleLeading the Quest for Quality, Efficient, Safe Treatment for Hospitalized Older Adultsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/202309-
dc.description.abstract(41st Biennial Convention) This poster summarizes how the application of leadership skills learned through the Geriatric Nursing Leadership Academy (GNLA) improved quality, efficiency, and safety of older adult on a segregated unit in an acute care facility. Hallmarks of leadership and organizational impact included: facilitating change of the model of care for older patients by enhancing knowledge, empowering nursing decision-making, embracing shared accountability with physician partners, and encouraging the heart by using data to celebrate success.   The goals of the QuEST initiative originated by streamlining team communication, delivering geriatric-sensitive care, improving patient, physician and staff satisfaction, impacting length of stay (LOS), and enhancing transition planning. Areas for improvement included: daily rounds, care plans, communication with physicians, and post-discharge follow-up. A partnership with a physician group to cluster their admissions on one Unit and scripted, daily rounds led by the physician were implemented. A shared vision was inspired by eliciting feedback from nursing, social work and case management, pharmacy and nutrition personnel. Nurses began using SBAR (situation, background, assessment, recommendations), as a highly functional template for communication. A comprehensive care plan was devised to keep patients informed and encourage questions. Two elements of transition planning were introduced: post-discharge appointment scheduling and discharge phone calls. Baseline metrics were established on a dashboard and is reviewed monthly. Measurements include Press Ganey / HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores, LOS and nurse/ physician satisfaction. Leadership skills developed through the GNLA include: building confidence, stewarding change, team building and the use of effective communication. Confidence has been achieved by leading inter-professional teams, instituting and stewarding change on the unit and proudly and effectively presenting at a national conference.  en_GB
dc.subjectcommunicationen_GB
dc.subjectqualityen_GB
dc.date.available2012-01-11T11:21:24Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T11:21:24Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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