Maine Nursing Summit Celebrating Nursing Excellence: Credible Nurses Doing an Incredible Job

1
Maine Nursing Summit Celebrating Nursing
Excellence Credible Nurses Doing an Incredible
Job

• Ann Sossong RN, PhD

2

• Excellence is the essential fuel for nurses, the
  source of high-octane that keeps up the momentum
  by continually sparking new understandings, new
  ideas, and new challenges
• Adapted from Warren Bennis Burt Nanus

3

• Maines nurses have captured the power of a
  collective creative spirit and this spirit is
  generating incredible momentum.

4
SUMMARY of MAINE STATEWIDE NURSING WORKFORCE
INFORMATION and INITIATIVESMarch 2011 Lisa
Harvey McPherson (lead author) from Summary
Compiled by OneMaine Health Academic
Partnershipwww.mainenursepartners.com
5
The key to achieving success and surviving in the
future world is collaboration and
connectionbuilding bridges.. breaking down
walls. Thomas Friedman
6
Name of Report/Initiative Workforce Data/ Information Initiatives Summary Nursing Education Programs Stakeholders OMNE USM lead the annual survey activity. Focus Data summary of annual survey of Maines nursing education programs. Information presented each year at the Maine Nursing Summit Partnership Interface All nursing programs in Maine participate with responding to the survey conducted every two years (next survey will be fall 2011) The presentations are posted on the USM nursing program website, all partners can review
7
Name of Report/Initiative Workforce Data Information Initiatives Maine Minimum Dataset Stakeholders OMNE is the lead organization to publish the MMDS reports. Focus Nurses at time of license renewal voluntarily participate in Maine Minimum Data set questionnaire. Data reported in two year cycles, dating back to 2001. Partnership Interface All of the Maine Minimum Data Set reports are posted on the USM nursing program website.
8
Name of Report/Initiative Workforce Data Information Maine DOL Workforce Analysis of Maines Health Services Sector Stakeholders Maine DOL Focus Maine Legislature charged the DOL to complete a comprehensive health occupations report every 4 years. Partnership Interface Report publically available, will serve as a resource to legislators and the Governor. One Maine Health Collaborative members, through the healthcare workforce forum, provided input into this report.
9
Name of Report/Initiative Workforce Data Information Intiatives Maine DOL Healthcare Workforce Stimulus Grant Stakeholders State Level Activity Focus 4.8 Million Grant to increase the supply of healthcare workers in high demand occupations. . Partnership Interface Healthcare organizations and nursing programs area are active participants with the grant project. The project will support 50 associate and 50 baccalaureate degree graduates and support faculty to obtain masters. DOL is approving applicants.
10
Name of Report Initiative Workforce Data Information/Initiatives OneMaine Health Academic Partnership Stakeholders Four healthcare systems and all Maine Universities /Colleges with Nursing Programs. Health systems Central Maine Healthcare (CMH) Eastern Maine Healthcare Systems (EMHS) Maine General Healthcare (MGH) MaineHealth Universities / Colleges Husson University Saint Joseph College Maine Community College System University of New England University of Maine System Focus Define actual nursing needs of the 4 largest healthcare systems (as proxy for the State) and define the actual resources needed to increase the nurse graduates in the State. Develop programmatic responses to increase the nursing pipeline to address the States workforce need Interface
11
Name of Report/ Initiative Workforce Data Information /Initiatives Maine CDC Health Workforce Forum Recommendation Guide to Ensure an Adequate Supply of Skilled Health Professionals in Maine Stakeholders Maine CDC and Healthcare Workforce Forum members. Focus Provide input for DHHS health policy and planning decisions for the future of Maines healthcare workforce Healthcare organizations and nursing education programs active with the Healthcare Workforce Forum had input in to this report. Partnership Interface The recommendations of this report are posted on the Healthcare Workforce Forum Website. Focus is on 6 key areas Leadership, Workforce Data, Pipeline/Supply, Financial Resources, Workforce Utilization Effectiveness Emerging Needs.
12
Name of Report/Initiative Workforce Data Information/ Initiatives HRSA Grant to Develop Comprehensive Nursing Strategic Plan for Maine Stakeholders MSBON, OMNE, PEP Focus 148,500 HRSA Appropriation Grant to create an education and workforce strategic plan for nursing in Maine. Partnership Interface EMHS provides project coordinator support to the HRSA grant. HRSA grant work will coordinated with the DOL/MJC healthcare strategic planning grant and the RWJ grant.
13
Name of Report/Initiative Workforce Data Information Initiatives RWJ Partners in Nursing Grant Award Stakeholders Bingham Foundation, Maine Partners in Education and Practice Collaborative OMNE ANA-Me Focus 200,000 matching grant from Robert Wood Johnson Foundation Partners in Nursing Program. Maine project to partner nursing education and practice to adopt consistent core competencies for nursing education and entry into practice. Partnership Interface One Maine Health Collaborative is a funding supporter of the grant project. EMHS provides project coordinator support to the grant. MMC, Pen Bay Medical Center VPs for Nursing, UNE, USM, SMCC and St. Josephs College and UMO faculty serve on the grant leadership team. One Maine Health collaborative members and nursing education programs serve on the statewide Maine Partners in Education and Practice collaborative.
14
Name of Report/Initiative Workforce Data Information Initiatives University of Maine System Nursing Collaborative Stakeholders All University of Maine System Nursing programs UM USM UMFK UMA Focus Build relationships among nursing faculty staff across the UM Systems nursing programs create common processes to enable system nursing education programs to achieve economies of effort and scale develop a 3-5 year strategic plan for UMS nursing education develop needs assessment and curriculum for online MS in nursing education to utilize resources from all four campuses and meet the needs of the state for nursing faculty. Partnership Interface Reports and progress to be monitored my UMS BOT and Vice Chancellor. Funds obtained from UMS Strategic Investment Fund, established as part of the New Challenges, New Directions initiative to achieve long-term financial sustainability for the states public universities.
15
Name of Report/Initiative Workforce Data Information Initiatives Nursing Education Maine Health Partnership Stakeholders Maine Health hospitals and Home Health VNA and all academic partners Focus Work on operational issues that will impact recruitment and retention of new graduates. Also address some of the recommendations from the Future of Nursing Report from the IOM. Inventory all academic programs for programs offered. Identify opportunities for improving seamless transitions of education progression. Partnership Interface All Maine Health Hospitals and HHVAN and 14 academic partners that utilized those sites for student placement
16

• MPNEPs five priorities from Maine
• A set of core competencies to serve as a
  framework for the future of nursing education and
  practice.
• Redesign nursing education based on core
  competencies, a seamless curriculum,interdisciplin
  ary education, reflection of future patient
  needs, the development of clinical reasoning and
  the seamless and flexible transition across all
  levels of education.
• Increasing the number of joint appointments
  across the state.
• Involving and developing relationships with a
  broad base of stakeholders.
• Building bridges and partnerships between
  education and practice to develop models for
  entering and re-entering nursing practice.

17
Other Specific Nursing Initiatives of Maines
Credible Nurses Doing an Incredible Job

• The Quality Chasm series called for leadership in
• education, practice and research to drive needed
• change

18
IOM Vision All health professionals should be
educated to deliver patient centered care as
members of an interdisciplinary team ,
emphasizing evidence-based practice, quality
improvement approaches and informatics.
19
Transforming Care at the Bedside

• Joint effort by the Robert Wood Johnson
  Foundation and the Institute for Healthcare
  Improvement
• Addresses serious problems in
• health care quality highlighted by the
  Institute of Medicine
• (IOM) report, Crossing the Quality Chasm.

20
Transforming Care at the Bedside

• Goal is to increase the time nurses spend in
  direct patient care to
• 70 percent.
• Seeks to
• redesign processes to enhance the
• admission and discharge processes,
• improve handoffs
• Streamline documentation,
• Optimize routine
• care processes.

21
Transforming Care At The Bedside

• Maine TCAB leaders are designing state-of-the-
  art facilities and creating learning environments
  to give nurses more time at the bedside .
• Nurses at participating hospitals are now
  spending more than 60 percent of time directly
  caring for patients.

22
The Maine Magnet Collaborate

• The Magnet Recognition Program is based on
  quality indicators and standards of nursing
  practice.
• The Magnet designation process includes the
  appraisal of qualitative factors in nursing.
• These factors, referred to as "Forces of
  Magnetism.
• The full expression of the Forces embodies a
  professional environment guided by a strong
  visionary nursing leader who advocates and
  supports development and excellence in nursing
  practice. AACN
• Maine Medical Center, Acadia and Bruins
  hospitals are Magnet Centers.

23
New Magnet Model
Global Issues in Nursing Health Care
Structural Empowerment 2 Organizational
Structure 4 Personnel Policies Programs 10
Community Healthcare Org 12 Image of
Nursing 14 Professional Development
Empirical Outcomes 6 Quality of Care
Transformational Leadership 1 Quality of
Nursing Leadership 3 Management Style
Exemplary Professional Practice 5 Professional
Models of Care 8 Consultation Resources 9
Autonomy Force 11 Nurses as Teachers 13
Interdisciplinary Relationships
New Knowledge, Innovations Improvements 7
Quality Improvement
24
The Maine Magnet Collaborate

• The Magnet Nurses represent all levels and
  practice settings across the state and are
  raising the bar in Maine for
• Excellence in quality patient care and nursing
  practice
• Embracing the ANCC Magnet program as the evidence
  based model for success
• Supporting each member and their respective
  organizations throughout their Journey to
  Excellence.

25
The Maine Nursing Practice Consortium

• Established in response to the current healthcare
  needs and nursing practice changes.
• Dedicated to advancing excellence in nursing
  practice and embraces evidence-based practice as
  an approach to care that enhances the
  practitioners ability to provide safe and high
  quality care.
• Promotes evidence-based practice as the
  foundation for excellence in nursing practice
  that result in positive quality outcomes
  benefiting patients, families and the community.
• MNPC is comprised of nurse educators from many of
  the states healthcare and academic organizations
  in northern and central Maine.

26
If you want to move people, it has to be toward
a vision that is positive for them, that taps
important values, that gets them something they
desire, and it has to be presented in a
compelling way that they feel inspired to follow.
Martin Luther King
27

• Commit to action as Dr. Kirschling said earlier
  and remember if youre going to achieve success
  and survive in the future world it is through
  collaboration and connections building bridges.

28

We Can Celebrate Nursing Excellence as Maine
Nurses are Doing an Incredible Job
So...what is an RFIP? A Request for Innovative
Proposals.After the research phases of the
MPNEP work are completed, as described in the
Work Plan and minutes of our meetings (see
WorkPlan/Minutes Page), MPNEP will be issuing
RFIPs for proposals to put the core nursing
competencies for the Nurse of the Future to the
test. MPNEP is looking for artistic and
sustainable ways to improve nursing care in the
future. We want to give recognition for those who
are looking beyond the perimeters and reaching
far down the road. We will select 10-15
Innovations throughout Maine to receive a seed
money grant of 1,000 each. MPNEP is not looking
for huge, bulky processes we are looking for
exciting, innovative projects that will be a
source of pride and excitement to the school,
health care facility or individual who will be
awarded one of the grants. The written RFIPs
will be announced and available on this website
and through other means in May, including an
announcement of the submission date. Award
announcements will be in June 2011.Please keep
checking the website for updates!