NDNQI INTEGRIS Baptist Medical Center 091010.pdf - Using Nursing Sensitive Data to Improve Patient Outcome Pam Hinshaw MSN RN CCM NDNQI Account

NDNQI INTEGRIS Baptist Medical Center 091010.pdf - Using...

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Using Nursing Sensitive Data to Improve Patient OutcomePam Hinshaw MSN, RN, CCMNDNQI®Account RepresentativeINTEGRIS Baptist Medical CenterSeptember 10, 20101
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ObjectivesDescribe nursing-sensitive measurementDiscuss findings in NDNQI researchList ways hospitals have used NDNQI to improve patient outcomes3
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Defining Quality―The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge‖Institute of Medicine4
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IOM report: To Err is Human, Crossing the Quality Chasm 10 years have passed since IOM identified errors in healthcare90% of errors due to system failure, not active individual failuresUnderstaffingFatigueLack of educationTraining on how to identify a rescue situationDozens of recommendations for change5Institute of Medicine: To Err Is Human: Building a Safer Health System. Washington, DC: The National Academies Press: 2001
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IOM: Keeping Patients Safe: Transforming the Work Environment of NursesTypical work environment of nurses is characterized by inefficiencies and distractionsFront line nurses must be involved in the process of creating a safer work environmentFocus error reduction onSurveillanceof patient health statusPatient transfers and handoffsComplex care processesReduce non-value-added RN activities6
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Policy Responsesto IOM ReportsDefine and Collect Quality IndicatorsPublic ReportingFinancial IncentivesPay for performance, e.g., LeapfrogNonpayment for poor performance, e.g., CMSCMS2011 IPPS RuleProposed participation in nursing quality registry7
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Nursing Quality InitiativesANA’s Quality & Safety Initiative –NCNQ®• ANCC’s Magnet®programRobert Wood Johnson’s Interdisciplinary Nursing Quality Research Initiative (INQRI)National Quality Forum (NQF)nursing-sensitive measures National Priority Partners (NPP)8
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NDNQIOnly national, nursing quality measurement program providing hospitals with unit-level performance reports with national, state and regional comparisonsOver 1600 hospitals, over 1-out-of-4 in the nation participate 9
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History of NDNQI1994: ANA launched the Patient Safety & Quality InitiativeIdentify linkages between nurse staffing and patient outcomesThe National Center for Nursing Quality was established along with the National Database of Nursing Quality Indicators in 1998Owned by ANAHoused at the University of Kansas School of Nursing under contract to ANA11
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NDNQI’s MissionTo aid the Registered Nurse in patient safety and qualityimprovement efforts by providing research-based national comparative data on nursing care and the relationship to patient outcomes.
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  • Summer '15
  • Nursing, NDNQI, National Quality Forum, nursing quality

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