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The Voice of Nursing Community of Practice Forums (Co. P) Forums Northwest Kaiser Sunnyside The Voice of Nursing Community of Practice Forums (Co. P) Forums Northwest Kaiser Sunnyside Medical Center September 25, 2014 Lauren Bridge, CNO Janet Reeder, RN, Executive Consultant Nursing Operations (INTERNAL PATIENT NATIONALUSE ONLY) CARE SERVICES (INTERNAL USE ONLY)

Our Team Voice of Nursing Leaders • • • • Lauren Bridge, CNO Janet Our Team Voice of Nursing Leaders • • • • Lauren Bridge, CNO Janet Reeder, RN, Executive Consultant Nursing Operations Adrienne Enghouse, RN, Labor Partner Kris Becker, RN, ED and Critical Care Director (Infrastructure) Kathy Raven, RN, Med/Surg Director Jessica Alexander, RN, Director of Informatics Alison Reid, RN, Operating Room Director Melody Routley, RN, Acting Director for Nursing Professional Development (Education) Bethany Carey, Sr. Consultant for Service & Care Experience (Evaluation) Beth Parmenter, RN, Oncology Manager (Insipiration) Nurse Managers – all units Leslie Kilian, Sr. Consultant, Hospital Strategic Program Management Office (HSPMO) Sarah Bellamy, PI Consultant, HSPMO (INTERNAL PATIENT NATIONALUSE ONLY) CARE SERVICES (INTERNAL USE ONLY) 2

Voice of Nursing Current Work Inspiration • Nurse’s Week Activities • CNO Sunflower Awards Voice of Nursing Current Work Inspiration • Nurse’s Week Activities • CNO Sunflower Awards and Tea/Round Table • Nursing Salon • Book Club • RBC Roll-Out Infrastructure • Development of new Nursing Governance Structure • Revisiting participation and function of Nursing Councils • Embedding PPM elements into council charters • RBC Model of Care Education • Nursing Leadership • Nursing Councils • Charge Nurses • Champions • Ongoing Communication (INTERNAL PATIENT NATIONALUSE ONLY) CARE SERVICES (INTERNAL USE ONLY) Evaluation • Dyad Rounding Successes • HCAHPS Avatar data related to nursing • Use UBT structure to drive engagement with measurable outcomes 3

Results As 9/25/14 Our vision is coming to life! • Focus has been on Results As 9/25/14 Our vision is coming to life! • Focus has been on Inspiration and Infrastructure Outcomes: Dyad Rounding § Achieved house-wide goal of 80% “Grassroots” Engagement! • Book club • Nursing Salon • RBC Kick-Off • Increased curiosity/dialogue around PPM, research and EBP (INTERNAL PATIENT NATIONALUSE ONLY) CARE SERVICES (INTERNAL USE ONLY) 4

What We Have Learned…. Strategy: Slow and Steady • Principles of Implementation: • • What We Have Learned…. Strategy: Slow and Steady • Principles of Implementation: • • • Must speak to nurses – support for their passion for nursing Keep the dialogue open and the conversation interactive Nurses need to feel empowered to affect change in their practice “The key to successful implementation in our facility has been, and continues to be, early engagement of respected, formal and informal nursing leaders. ” – Adrienne Enghouse Labor Partner (INTERNAL PATIENT NATIONALUSE ONLY) CARE SERVICES (INTERNAL USE ONLY) 5

What We Need Help With… • Challenges: • • Time of uncertainty for both What We Need Help With… • Challenges: • • Time of uncertainty for both labor and management Initiative fatigue • Questions/Requests for Assistance: • • • Has anyone begun to embed PPM into job descriptions? How do we continue to provide inspiration for this work? Looking for creative ideas… Evaluation: Are we measuring correct outcomes to determine efficacy of the PPM? (INTERNAL PATIENT NATIONALUSE ONLY) CARE SERVICES (INTERNAL USE ONLY) 6

Q&A (INTERNAL PATIENT NATIONALUSE ONLY) CARE SERVICES (INTERNAL USE ONLY) 7 Q&A (INTERNAL PATIENT NATIONALUSE ONLY) CARE SERVICES (INTERNAL USE ONLY) 7