Using Nursing Sensitive Data to Improve Patient OutcomePam Hinshaw MSN, RN, CCMNDNQI®Account RepresentativeINTEGRIS Baptist Medical CenterSeptember 10, 20101
Objectives•Describe nursing-sensitive measurement•Discuss findings in NDNQI research•List ways hospitals have used NDNQI to improve patient outcomes3
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
IOM report: To Err is Human, Crossing the Quality Chasm •10 years have passed since IOM identified errors in healthcare•90% of errors due to system failure, not active individual failures–Understaffing–Fatigue–Lack of education–Training on how to identify a rescue situation•Dozens of recommendations for change5Institute of Medicine: To Err Is Human: Building a Safer Health System. Washington, DC: The National Academies Press: 2001
IOM: Keeping Patients Safe: Transforming the Work Environment of Nurses•Typical work environment of nurses is characterized by inefficiencies and distractions•Front line nurses must be involved in the process of creating a safer work environment•Focus error reduction on–Surveillanceof patient health status–Patient transfers and handoffs–Complex care processes–Reduce non-value-added RN activities6
Policy Responsesto IOM Reports•Define and Collect Quality Indicators•Public Reporting•Financial Incentives–Pay for performance, e.g., Leapfrog–Nonpayment for poor performance, e.g., CMS•CMS2011 IPPS Rule–Proposed participation in nursing quality registry7
Nursing Quality Initiatives•ANA’s Quality & Safety Initiative –NCNQ®• ANCC’s Magnet®program•Robert Wood Johnson’s Interdisciplinary Nursing Quality Research Initiative (INQRI)•National Quality Forum (NQF)nursing-sensitive measures •National Priority Partners (NPP)8
NDNQI•Only national, nursing quality measurement program providing hospitals with unit-level performance reports with national, state and regional comparisons•Over 1600 hospitals, over 1-out-of-4 in the nation participate 9
History of NDNQI•1994: ANA launched the Patient Safety & Quality Initiative–Identify linkages between nurse staffing and patient outcomes•The National Center for Nursing Quality was established along with the National Database of Nursing Quality Indicators in 1998•Owned by ANA•Housed at the University of Kansas School of Nursing under contract to ANA11
NDNQI’s Mission•To 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