The American Nurses Association (ANA) created the NDNQI for patient safety and quality improvement. The NDNQI provides “research-based, national, comparative data on nursing care and the relationship of this care to patient outcomes” (Montalvo, 2007). The database is built upon nursing-sensitive indicators that relate to nursing care, the steps involved in providing care and how they relate to patient outcomes. Participating facilities are trained in proper data reporting. In turn, these facilities download quarterly reports that generate data based on the size of the facility, individual units and indicators for which they have submitted data. This data can then be compared to the national standards. Because the reports are generated quarterly, every three months the facility can measure improvement in outcomes. Analyzing the data reported by the NDNQI and how each of the chosen indicators ranks compared to other facilities provides measurable information. The facility can identify areas requiring attention to improve specific patient outcomes, nursing care, and the processes for providing care. Multidisciplinary Team Members, Roles and Cultural Diversity [PFCA Lead] The PFCA Lead is a hospital employee, preferably upper management. This leader is the anchor for the Council – the main person for all members to contact. The Lead ensures that the feedback generated from the Council meetings is implemented in a manner that is considerate of both the staff and patients/families. [Administrative Liaison] This liaison holds a current administrative role within the hospital. The Administrative Liaison has knowledge of the hospital’s policies and procedures as well as current quality and risk management initiatives. The Liaison also ensures that the Patient/Family Champions represent the diverse served at St. Thomas Midtown. As part of their
ORGANIZATIONAL LEADERSHIP 11 commitment to serve their community, Ascension St. Thomas publishes a Community Health Needs Assessment. The results of this study guide their mission focus in the community. Using the current 2019 results, the Liaison will have a general knowledge of the population ratios served in Davidson County and those that should be represented on the PFAC (Community Health Needs Assessment, 2019). According to the 2019 Community Health Needs Assessment, Davidson County demographics are approximately 56% white, 27% black, 10% Hispanic and 4% Asian. The median age is 34 and 11.4% of the population are senior citizens. It’s important to provide cultural diversity within the team to ensure our patient’s health beliefs, values and practices are represented (Schriefer, n.d.). Truly patient-centered takes into consideration each individual patient’s beliefs and values. As a team, diverse representation will ensure that PFCC initiatives represent our patients “social, cultural and linguistic needs” ("Becoming a Culturally Competent Health Care Organization | AHA", n.d.).
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