By the end of year one, the nursing Evidence-Based Practice Committee will review evidence- based literature and choose the best nurse-to-patient communication strategy. By the end of year two, the Committee will have educated all nurses, as well as, implemented the new nurse-to-patient communication strategy. By the end of year three, the nurse-to-patient communication scores will improve by 40%. Attaining quality outcomes in patient care over next 3 years include :  Improved communication resulting in better patient outcomes and satisfaction  More informed patients, empowering them to be more involved in their care  Empowers patients with complex self- care Attaining quality outcomes in reimbursement over next 3 years include:  Improved patient experience (HCAHPS) survey scores will increase reimbursement  Reduction in hospital readmission rate will increase reimbursement  Decrease in infections will increase reimbursement Critical key points:  Enlightening patients of their part for safety will build awareness of self-care  Encourage patients to be active in their care  Improvement of nurse-to-patient communication tools will improve HCAHPS surveys which will increase reimbursement rates Marketing the key points:  Morning manager huddle to review updates  Unit staff meetings for each shift  Nursing share point on the intranet  Internal emails about new practice alerts Coordinating Informational Events:  Share current HCAHPS scores about Coordinating Educational Events:  Mandatory educational modules via

PRINCIPLES OF HEALTHCARE MANAGEMENT 4 patient experience related to communication on the hospital intranet  Q&A meetings about the new nurse-to- patient communication admission tool  Informational emails with the status of training sessions for the new nurse-to- patient communication admission tool  Surveys to the nursing staff to assess the current knowledge base of effective nursing communication as VBP HealthStream to learn how VBP impacts the hospital’s reimbursement  In-services on evidence-based practices for nurse-to-patient communication admission tools  Pilot program on one nursing unit with patient surveys on the tool and how it helps them to be mindful of their part of safety while in the hospital  Sharing the results of the patient surveys in Q&A meetings Department Two: Surgical Department (Safety domain) The surgical department role is the responsibility for knowing the patient’s history prior to any surgery. With this knowledge the surgeon can determine if the patient requires prophylactic antibiotics to prevent Surgical Site Infections (SSI). “A surgical site infection is defined as an infection that occurs at or near a surgical incision within 30 days of the procedure or within one year if an implant is left in place” (Salkind& Roa, 2011, p. 585). The surgical department’s assessment abilities play a very important role in safety and VBP.