Nursing Leadership Institute Update Ann Scanlon McGinity TMC Nursing Executives Council May 19, 2016
Mission and Vision Vision: Leading the world through excellence and innovation in nursing education and leadership Mission: We are committed to providing: • An exceptional learning experience for students, clinicians, communities • Leadership knowledge translation and education scholarship • National and global exposure to the latest evidence-based resources/faculty dedicated to transforming healthcare
Strategic Direction • Position Nursing Leadership Institute as program of choice for national and global students/leaders • Prepare learners to shape and influence the healthcare environment • Expand relationships with national/international academic centers • Expand presence in local/national nursing markets
Program Structure • 12 Days • Thursday/Friday full-day classes • Project Development • Project Presentation • Post-course Project Implementation
Program Content Areas • Personal Leadership Development • Organizational Values, Assessment and Governance • Strategic Planning and Implementation • Quality Measurement and Improvement Strategies (Clinical and Customer Experience) • Financial and Business Management – Finance 101 • Healthcare Reform and Its Impact on the Nursing Workforce • Financial and Business Management - Strategic Finance • Community and Population Health Management • Personnel Leadership and Management
Lecturers Name Title Institution Presentation Title Arrow Child & Family Finance and Business Liz Alhand, CPA, RN Chief Financial Officer Ministries Management Director of Case Dorothy "Dott" Andrew, DNP , Management and Social Houston Methodist Hospital Emerging Models RN, NE-BC, CCM Work Assistant Vice President - Robert Wood Johnson Overview Community and Paul Kuehnert, DNP Program Foundation Population Health Associate Professor of Bela Patel, MD, FCCP UTHealth, UT Physicians National Quality Initiatives Medicine George Delclos, MD, MPH, Professor UTHealth, SPH Ethics PhD Program Director, Fleming Strategies and Tools for Lee Revere, PhD, MHA Center for Healthcare UTHealth, SPH Process Improvements Management Professor and Dean, Lorraine Q. Frazier, PhD, RN, UTHealth School of UTHealth, SON Interprofessional Education FAAN Nursing Osama Mikhail, PhD Professor UTHealth, SPH Organizational Strategies Leadership Authenticity & Pegi Pung, RN, MA, NEA-BC Faculty Clinical Instructor UTHealth, SON Personal Engagement Professor, Director of the Kathleen R. Stevens, RN, BS, UT Health Science Center - Improvement Science Building a Team MS, EdD, ANEF, FAAN San Antonio Research Network Renee Miles, MBA Physician Satisfaction
Learners by Institution Number of Students by Institution 2015 2016 Institution Memorial Hermann 4 2 ê 3 Houston Methodist 5 é CHI/BCM 2 0 ê 2 2 = Texas Children’s VA Medical Center 2 1 ê 1 A&M 0 ê UTMB 1 0 ê MD Anderson 1 1 = 0 4 é The Harris Center for Mental Health and IDD Total 16 15
Learners • Current Participants’ Roles: • Associate Chief Nurse • Assistant VP • Nurse Executive • Nurse Manager • Nursing Supervisor • Director • Clinical Director of Nursing • Assistant Professor
Program Outcomes
Project Topics: Class of 2015 • Expansion of CV Holding Area * • Adding 24/HR Nurse Practitioner Coverage on the Medical/surgical Unit * • Clinical Decision Unit * • Optimizing In-patient Beds in a Busy Neuroscience Service Line * • Pathway to Excellence: Re-Designation * • Communication Boards * • Transport Center * • Nurse Manager Turnover * • RN Turnover * • Project Outpatient Apheresis Expansion Project • Increasing Patient Capacity: Positive Effects on Revenue and Patient Satisfaction • Nursing Retention & certification proposal • Expanding Critical Care Bed Capacity in the Medicine Service Line • Effective Management Orientation and Impact on System Strategies • Expanding the Nursing Workforce Through Increased Student Enrollment • Depression Screening for Heart Failure: Reducing Readmissions * Projects that were Implemented
Project Status Class of 2015 Project Status Implemented Amount Percent Y 9 56% Project Implementation by Institution 2015 Institution Amount (%) Houston Methodist Hospital 1 (33%) Memorial Hermann 2 (50%) Texas Children’s Hospital 2 (100%) VA 2 (100%) MD Anderson 1 (100%) CHI/BCM 1 (50%) A&M 0 (0%) UTMB 0 (0%)
Promotional Status Class of 2015 – 16 Members Promotional Status Role Amount Percent Promoted 7 47% • Types of Promotions • Interim CNO • VP/CNO • Assistant Dean, Assistant Professor • Baccalaureate Program Director • Assistant Vice-President
Project Topics Class of 2016 • Additional Intensivist/NP Support for Neuro ICU Holds • Beds in Motion – Neuroscience Service Line • Capturing OBS patients missing Blood Admin Charges in Outpatient Units • Managing the Cost of RN Turnover through Leadership • Pediatric Medical Obs Unit- New Cost Center • One to One sitters Reduction Program • Development of a Clinical Decision Unit • Improve Efficiency within Medical Oncology by decreasing Length of Stay Index • Implementation of a Maternal Transport Team • Integrated Team Approach to Patient Management • Improving the Patient Experience – Skill of the IV Starter/Vascular Access • Improve Quality of Clinical care for Individuals with Intellectual and Developmental Disorders
Program Evaluation • Feedback from 2015 Participants 5.50 • Additional Leadership Lectures • Additional Financial Lectures 5.0 5.00 • 4.78 Mentoring program during and after course • Make speakers more diverse; i.e. come from 4.50 different organizations 2015 • Learning from different organizations is beneficial 4.00 2016 • More inclusion of dashboards • More Human Resources 3.50 • Feedback from 2016 Participants • 3 students pursuing DNP’s 3.00 • Would love to have mentorship component Overall Rating • Course important to growth of nursing leadership, presence & impact
Program Evaluation • What did we cover that you were already using in practice before the course? • Dashboards • Quality control • Financials • Team building • Customer Service • What from the course have you already started using? • Dress for success • Strategic thinking • Project sell • Leadership and Change Management • What was the most useful content? • Establishing vision and setting stage for Excellence • Self-assessment • Presentation skills
Finances Class of 2015 • Total Revenue • $120,000 • Total Expenses • $115,717.54 • Net Income • $4,282.46
Changes in 2016 Course • Structure • NLI transitioned administratively to UT Fleming Center • Additional Financial Course
Future Focus: 2016 and Beyond • Suggested Additional Courses/Conferences • Population Health • Professionalism course • Financial course • Understanding ACO’s • Workforce Planning Strategies • Nurse Manager Course/Workshop for Middle-management • Informatics • Technology in Healthcare • Development of Strategic Marketing Plan • Development of Mentoring System • Inclusion of CME’s
Next Steps: June – September 2016 • Add in the timeline
NURSING LEADERSHIP COURSE YEAR 3; Fall 2016-Spring 2017 20-JunMarketing materials and applications distributed 15-AugDeadline for applications to be submitted 31-AugAccepted Applicants notified 20-OctStart NLI course October 20 and 21, 2016 November 3 and 4, 2016 December 15 and 16, 2016 January 19 and 20, 2017 February 16 and 17, 2017 March 30 and 31, 2017
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