Shared governance increased nurse retention

Shared
governance
Increased nurse
retention &
empowerment
Increased nurse
growth &
development
Increased nurse
competency
Increased patient
outcomes
Indicator Outcome:
Measure/Goal
Necessary
Processes
Drivers
B. Necessary Processes
Performance measure will be an improvement in the appointment scheduling by
coordinating communication between departments to stagger the patient registration time in 30-
minute intervals. The factors driving this change include improved patient satisfaction,

PRINCIPLES OF ORGANIZATIONAL PERFORMANCE MANAGEMENT
improved HCAHPS, improved nurse work flow, increased adherence to patient’s individualized
plan of care, resulting in improved patient treatment outcomes.
The Quality measure to be addressed will be an improvement of obtaining portable post-
procedure x-rays by addressing the timeliness of each x-ray order, requiring that it be taken
within 15 minutes of the orders being received. The factors driving this change include
improved patient outcomes, improved patient discharge time and improved patient satisfaction
The Patient safety outcome measure will be a reduction of patient falls by increasing the
Fall Risk assessment intervals to every 15 minutes post procedure with anesthesia. The
supporting factors driving this change is a decrease in the patient length of stay, a decrease in
patient mortality & morbidity. Also, an increase in patient safety by identifying at-risk patients
resulting in improved treatment outcomes.
Unit specific shared governance will address the employee engagement outcome
measure. The supporting factors driving this change are an increase in nurse retention and staff
empowerment which will result in an increase in patient satisfaction as perceived by favorable
HCAHPS.
B1. Additional Indicators
An additional performance indicator for a nurse leader is to monitor discharge times on a
regular basis which would be an improvement in length of stay for improved patient satisfaction
and better patient outcomes. The drivers will result in increased patient satisfaction with a timely
discharge post procedure, adherence to individualized patient care plan resulting in increased
HCAHPS for the facility and CMS reimbursement for services provided. Timely, appropriate
and attentive nursing skills are crucial for patient recovery from anesthesia with focus on safe

PRINCIPLES OF ORGANIZATIONAL PERFORMANCE MANAGEMENT
and high-quality patient care. Timely discharges can enhance patient satisfaction because
patient’s feel that their needs were properly met & are released from care in a timely manner.
Timely discharges can also improve the nurses work flow by ensuring availability of recovery
bed space for patients coming back from procedures.
C. Advantages of Performance Data Scorecard
There are distinct advantages with using a performance data scorecard within a healthcare
organization. First, the scorecard allows the organization to focus on strategies that facilitate,
monitor, and assess the implementation of a strategic plan.