Transcription
2019Nursing ProgramAnnual Report
CHI Memorial’s MissionAs CommonSpirit Health, we make the healing presence of God known in our worldby improving the health of the people we serve, especially those who are vulnerable,while we advance social justice for all.Nursing VisionWe are engaged and innovative individuals providing exceptional care, passionateprofessionals grounded in evidence-based practice, compassionate caregivers healingin a faith-based environment.ON THE COVERAccredited since 2017, CHI Memorial’s RN Residency Program was the first in Tennessee to achieve accreditation.Nearly 500 new graduate nurses have completed the residency since our first cohort in July 2015 when theprogram was reestablished. New nurses gain exposure to different areas, find a department that’s a great fit forboth the nurse and their team and feel comfortable in their new roles as they strive to grow in their careers.2
Awards and HonorsCHI Memorial is honored to be recognized for the superior care we provide to our patients.Best Regional HospitalCHI Memorial is once again the onlyhospital in the Chattanooga area to benamed a Best Regional Hospital by U.S.News & World Report. CHI Memorial isalso recognized as ‘high performing’ in eight surgicalprocedures and chronic conditions evaluated by U.S.News: colon cancer surgery, lung cancer surgery,COPD, heart failure, heart bypass surgery, abdominalaortic aneurysm repair, knee replacement and hipreplacement.Top 100 inConsumer LoyaltyCHI Memorial was named in the 2019NRC Health Top 100 Consumer Loyaltylist. The health system is recognized byNRC Health as one of the top healthcare organizationsin the country, garnering extraordinary loyalty fromits patient populations as identified and rated bymore than 300,000 U.S. consumers.100 Great HospitalsBecker’s Healthcare has recognized CHI Memorial asone of 100 Great Hospitals in America for excellencein clinical care, patient outcomes, and staff andphysician satisfaction. This list includes industryleaders that have achieved advanced accreditationand certification in several specialties and areinnovators that have sparked trends in healthcaretechnology, hospital management and patientsatisfaction. Becker’s selected hospitals based onanalysis of ranking and award agencies, including U.S.News & World Report’s 2018-2019 rankings, CareChex,Healthgrades, CMS star ratings, Leapfrog grades andIBM Watson Health top hospitals.4 Star RatingCHI Memorial has onceagain received a four-star rating from the Centersfor Medicare and Medicaid Services (CMS). Themost common overall hospital quality star rating isthree stars out of a possible five stars, with only 24percent of the 4,573 hospitals included in the surveyreceiving a four-star rating. CHI Memorial scored at orbetter than the national average in mortality, patientexperience, and effectiveness of care.3
FacilitiesCHI Memorial Hospital – Chattanooga2525 deSales AvenueChattanooga, TN(423) 495-2525Licensed Beds: 349Percent Occupancy: 73.3CHI Memorial Hospital – Hixson100 Gross Crescent CircleFt. Oglethorpe, GA(706) 858-2000Licensed Beds: 17936 operatingPercent Occupancy: 11.1CHI Memorial Ooltewah Imaging Center2051 Hamill RoadHixson, TN(423) 495-71006401 Mountain View RoadOoltewah, TN(423) 495-5900Licensed Beds: 74Percent Occupancy: 70Comprehensive,technologically advanceddiagnostic outpatientimaging servicesCHI Memorial – Atrium Medical CenterCHI Memorial – Parkway4700 Battlefield ParkwayRinggold, GAMulti-specialty clinic forcancer, heart, breast,urology, surgery, lung care,family medicine, pediatricmedicine, imaging centerand MaryEllen Locher BreastCenter.CHI Memorial Community Health3905 Hixson PikeChattanooga, TN(423) 756-1506Primary care forunderserved teens andadults, well-woman care,physicals, screenings,and chronic diseasemanagement4CHI Memorial Hospital – Georgia1949 Gunbarrel RoadChattanooga, TN(423) 498-5980Convenient care, primaryand pediatric care, cardiac,sleep center, imaging,corporate home health, andMemorial Health ServicesCHI Memorial Child Care Center2525 deSales AvenueChattanooga, TN(423) 495-2525556 children havegraduated from the SuperStars Pre-K class175 children enrolled with33 professional caregivers
Kathy Davis, RN, CMSRNBED COUNTBed ical2876436Intensive Care62Clinical 8,3584,02743922,824Total Surgeries19,0723,5167222,66010Total ER Visits42,86730,52422,16195,5526Total OP Visits300,22674,34530,266404,837*Not included in licensed bed count.Physician VisitsCase Mix629,2782.131.481.001.99WORKFORCE DEMOGRAPHICS#EmployeesRN (PatientCare Only)CHI Memorial HospitalChattanooga2,726811CHI Memorial HospitalHixson392163Mountain Management81720CHI Memorial MedicalGroup2760Chattanooga HeartInstitute28642CHI Memorial HospitalGeorgia24464TOTAL # EMPLOYEES4,7411,100CHI MEMORIAL PAYOR MIX 61.4% Medicare 1.2% Commercial 5.3% Medicaid 4.1% Self-pay 27.4% Managed Care 0.6% Other5
TransformationalLeadershipRhonda Hatfield, BSN, MBA, RN, CCRNRegional Chief Nursing Officer, Senior Vice President Patient Care ServicesGreetings!What a wonderful year 2019 was for Nursing at CHIMemorial. Each year I find myself thinking, “Wow! Howcan we accomplish anything more?” Then this teamjust outdoes themselves again! First, CHI Memorialcompleted the merger with Dignity Health, creatingCommonSpirit Health, the largest Catholic not-forprofit ministry in the United States. This is no smallfeat. It is a little staggering to stop and think that onein four Americans will receive care in a CommonSpiritministry.As if that was not enough, CHI Memorial acute carefacilities replaced our Meditech charting system withEPIC electronic health record. This required more thana year of planning, application builds, coordinationwith our Texas market, as well as hours of trainingand practice by our clinicians. Giving up paperdocumentation is scary, much like riding without thetraining wheels on your bike. However, the ability forour medical record to work for both the clinician andpatient within EPIC is exponential. Electronic healthrecords will also increase interoperability withinour health care community and office practices.Continuous optimization helps us to expand ourfuture data collection and efficiency.CHI Memorial nursing continues to be devotedto the advancement of specialty certificationand nursing education. In 2019 we committed toincreasing bedside nurses acquiring certification in6their specialty. This commitment is followed withon-site training seminars, educational allowance,and annual celebrations for these nurses committedto being subject matter experts and leaders intheir departments. In addition to certification, CHIMemorial began a loan forgiveness program tosupport the RNs returning to school to advance theireducation. Nine nursing scholarships were awardedinternally to employees pursuing nursing degreesand for RNs advancing their degrees in nursing.CHI Memorial proudly supports partnerships withBrainerd High Explorers program and the FutureReady Program of Hixson High school helping to buildthe future of healthcare in our secondary educationprograms. Recognizing the importance of investing inour next generation of healthcare is a great passion ofmine.Finally, we updated our Nursing Vision which you willsee later in this report. CHI Memorial is known for itsmission-based health care. Our nurses are central tothis mission. So much so, that we believe our visionmust be the foundation of how we practice. We mustbe the face that represents CHI Memorial and thelegacy of our founding Sisters. We are excited to carrythis vision into 2021. What an honor it is to care forour community!
Kaitlyn Darby, RNNursing Strategic Plan: To Infinity and BeyondEnergized CommunityDistinctive ValueCHI Memorial will collaborate with associates andcommunity partners to improve livelihood anddiminish disparities in care.CHI Memorial will provide efficient and effectivemodels of care by enhancing health system operationand care innovation.Nursing Goal #1: Registered Nurses will choose CHIMemorial as the health system of choice to practicenursing in the Southeast.Vibrant MinistryNursing Goal #2. Nursing will be recognized asleaders improving patient outcomes and process byparticipating in decision making and opportunitiesimpacting their work environment and nursingpractice.CHI Memorial will lead the market in access and easeof- use to support consumer choice.Exceptional CareSupport standards for being a highly-reliableorganization with top-tier performance.Nursing Goal #3 Nursing will create partnerships withproviders and other interdisciplinary team membersand community programs to improve the overallquality of health care provided to all patients.7
Leadership Engagement – Visibility,Accessibility and CommunicationAs part of an ongoing effort to increasecommunication between nurse leaders and clinicalnurses performing direct patient care, the chief nurseexecutive reaches out in several ways. Forums withthe nursing leadership team are designed to obtainfeedback on nursing processes. The CNE also worksdirectly with CHI Memorial’s Professional NursePractice Council and the Clinical Operations Councilthroughout the year to discuss clinical care concernsand opportunities, as well as share best practices andprovide updates.Through their clinical knowledge, influence andvision, nurse leaders use creative energy to solveproblems and develop innovative ideas. At CHIMemorial, the Chief Nurse Executive maintainsresponsibility for professional nursing practicethroughout the organization. These areas arerepresented in our nursing leadership teams includingacute care, outpatient, service excellence, surgery andquality.Nursing LeadershipFront L – R: Kristin Powell, MSN, RN-BC, Market Director of Nursing Professional Practice and Education; Petra Green, BSN, RN,NE-BC Market Director, Nursing Operations (Chattanooga); Karen Frank, DNP, MSHA, RN, CPPS, Director of Quality /PatientSafety Officer; Anna Greene, BSN, RN, CNOR, Director of Surgical Services (Chattanooga);Back L – R: Jorge Bolanos, MSN, MBA, RN, CMSRN, Director of Clinical Operations-Patient Intake ; Rebecca Jones, BSN, RN,CEN, Market Director of Clinical Operations - Emergency Services; Jennifer Bryan, BSN, RN, Director of Clinical Operations(North Georgia); Lisa Ellis, BSN, MS, RN, CPHQ, Director of Case ManagementNot pictured: Kim Shank, BSN, RN, OCN, Oncology Clinical Services Director; Brandon Martenn, BSN, RN, CNOR, Director ofSurgical Services (Hixson)8
Nursing LeadershipDiona Brown, BSN,MSHSA, RN, NE-BCVice President/ServiceLine Administrator –CardiovascularSherry Fusco, BSN,MSHSA, RN, CNORSenior Vice President,Surgical and AmbulatoryServicesDeb Moore, MSN, RNService LineAdministrator – OncologyServices and Administrator,CHI MemorialHospital HixsonJeannie Smith, MSN,RN, MSHSA, CNORService Line Administrator –Surgical ServicesRhonda Hatfield, BSN, MBA, RN, CCRN, Regional Chief Nursing Officer, Senior Vice President Patient Care Services andLarry Schumacher, RN, FAAN, Senior Vice President of Operations, Southeast Division, CommonSpirit Health, talk with TeresaBrown, RN, Nurse Manager, 400 South9
Jessica Turner, BSN, RNStructural EmpowermentNursing Strategy – People at the CenterPeopleCommunity Communication is transparent, timely andstructured for optimal patient care outcomes,teamwork and professional collaborativerelationship Promote clinical excellence by encouragingand supporting advanced nursing education,continuing education and professionalcertificationQuality Recognize nurses as leaders – creatingopportunities for leadership development,decision-making and participationStewardship/GrowthEmbrace the CHI Memorial ministry to extendthe healing ministry of Christ by utilizing ourknowledge, skill and compassion as we createhealthier communities Use unit level dashboards to enable and promoteprocess improvement and the advancement ofnursing practice Incorporate evidence-based practice into nursingguidelines and protocols Create and promote a culture of patient safety Achieve productivity goals while consistentlyachieving staff targets for number and skill level ofcompetent nursing care providers Leverage technology with Nurse ProfessionalPractice Council (NPPC) involvement to provide anenvironment of safety Improve efficiencies and productivitymanagement through LEAN projects andinitiatives Outperform national benchmarks (NDNQI) fornursing sensitive quality indicators Meet and exceed the expectations of the patientsand families we serve Contribute to the body of nursing knowledgethrough research and use those findings in nursingpractice10
2019 Bruce Dodd/People’sHome Equity SponsoredNursing Scholarship winnersPetra Green, BSN, RN, NEC andRebekah Gilman, BSN, RN, BCCHI Memorial Promotes and SupportsNursing EducationThe Christine and Henry Little Endowed NursingScholarship is awarded to a CHI Memorial nursefocusing on cardiovascular nursing who is pursuing abachelor of science degree in nursing at the Universityof Tennessee at Chattanooga. One scholarshipof 1,000 is given annually. Our 2019 scholarshiprecipient was Erica Dunbar, BSN, RN, CEN.The Bruce Dodd/People’s Home Equity SponsoredNursing Scholarships are awarded to current CHIMemorial registered nurses pursuing an advanceddegree in nursing. In line with CHI Memorial’sProfessional Practice Model for Nursing, Benner’sfrom Novice to Expert, and the CHI Memorial nursingprofessional career ladder program, the three BruceDodd/PHE Scholarships of 1,000 each are offeredthrough the professional nursing tracks (clinical,education and management) with the clinicalscholarship focusing on orthopedic nursing. Our 2019scholarship recipients were Valerie Daniels, MSN, RN,CVRN-BC, Rebekah Gilman, BSN, RN-BC and PetraGreen, BSN, RN, NE.The Friends of Memorial Nursing Scholarshipsare awarded to current CHI Memorial associatesachieving a first-time degree as a registered nurseor a registered nurse who is pursuing an advanceddegree in nursing. Four scholarships of 2,500 eachare awarded annually based on financial need anddedication to CHI Memorial and its mission andvalues. Our 2019 scholarship recipients were ChristineDoyle, PCT, DeWayne Tudor, NT, Brittany Frizzell,PCT and Diana Taylor, BSN, RN, PCCN. The Friendsof Memorial also sponsor a diversity scholarship inpartnership with Chattanooga State CommunityCollege which was awarded to Belen Vergara.The Schumacher Nursing Scholarship of 2,500annually is awarded to a current CHI Memorialassociate achieving a first-time degree as a registerednurse or a registered nurse pursuing an advanceddegree in nursing. Scholarships are awarded basedon financial need, hard work and dedication to CHIMemorial and its mission and values. Communityinvolvement and civic contributions, as well asacademic achievement and long-term career goals,are also considered. The 2019 scholarship recipientwas James Tillman, BSN, RN.11
Tye Springer, RNNurses Advancing DegreesCHI Memorial nurses receiving advanced degrees are recognized annually by the Nurse ProfessionalDevelopment and Recognition Council and by the Chief Nursing Officer.Licensed Practical NurseSamantha Cannon, LPN – Emergency DepartmentAssociates of Science in NursingDaniel Blevins, RN – 100 SouthJulianna Mott, RN – 6 NorthBrian Smith, RN – Emergency DepartmentBachelors of Science in NursingAmanda Bowman, BSN, RN – Clinical Decision UnitAlex Donesky, BSN, RN – Cardiac Care UnitSarah Evatt, BSN, RN – Cardiovascular Intensive CareUnitCharissa Goosey, BSN, RN – Cardiac Care UnitKrystal Greene, BSN, RN – 400 EastAgnes Haveman, BSN, RN – 300 SouthAshley Hubbard, BSN, RN – Outpatient WoundSusan Johnson, BSN, RN – 400 EastRachel Jordan, BSN, RN – Cardiovascular Intensive CareUnitMasters of Science in NursingStacey Dill, MSN, RN – Emergency DepartmentChristel Hancock, MSN, RN – Emergency Department,Hixson12Shiane Stockwell, RN – 100 SouthLaura Sutton, RN – Emergency DepartmentKaylee Lajpop, BSN, RN – 5 NorthNick Laney, BSN, RN – Cardiac Care UnitAmanda Lawrence, BSN, RN – Cardiac Care UnitSheri Ridge, BSN, RN – Medical Intensive Care UnitRahima Selimoic, BSN, RN – 100 SouthDakota Smith, BSN, RN – Cardiovascular Intensive CareUnitMary Tew, BSN, RN – IV TeamJessica Turning, BSN, RN – 400 EastAshton Watts, BSN, RN – Cardiac Care UnitShelby Willard, BSN, RN – Cardiac Care UnitRolla Jilbra, MSN, RN – Clinical Decision UnitKristin Powell, MSN, RN, BC – Nursing AdministrationLaura Shockley, MSN, RN – Medical Intensive Care Unit
Nursing Professional Career LadderProviding safe and reliable care for patients withqualified, competent staff is a priority for CHIMemorial leaders. Support and guidance from ournursing education team is imperative in makingclinical decisions that impact the direction of clinicalpractice and patient outcomes. Built upon PatriciaBenner’s Conceptual Nursing Model from Novice toExpert, CHI Memorial’s nursing professional careerladder recognizes the professional growth andadvancement of all nurses in the following areas: Professional Development Leadership Community Service CompetencyNational Board CertifiedNursesCertification validates expertise, specializedknowledge, and enables nurses to maintain aninnovative edge in their career. Certification isimportant because it demonstrates that they havethe knowledge, skills, and attitudes to provide highquality care to patients and their families. A certifiednurse is a lifelong learner who cares about the qualityof care they deliver and feels more confident that thecare they are delivering is based on the most up-todate evidence.Not only should they be proud of their achievement,certified nurses are role models for nurses and otherhealth care professionals. Certification shows thatnursing is a profession that cares about safety, quality,and excellence of health care delivery.CHI Memorial is proud of our 386 national boardcertified nurses who receive 400 each fiscal yearas reimbursement for monies spent on professionaldevelopment such as: Joining a professional nursing organization Subscribing to a nursing professional journal Attending a local or national nursing conference Nursing books, webinars, or continuing educationmodulesFront (L – R) Jamie Elliot, Recruiter, Tim Yonts, Recruitment and Retention Manager, Rebecca Sylar, BSN, RN, NE-BC, HouseAdministrator – Hixson Back (L – R) Ken Blevins, BSN, RN, CVRN-BC, Cardiac Division Educator, Melissa Davis, BSN, RN, CMSRN, CVRNBC, Stroke Navigator, Sherry Baierl, BSN, RN, e-Learning Administrator, Kellen Gubbins, Recruiter, Abby O’Rear, Recruiter, Jim Boyle,SN, RN, CVRN-BC, Clinical Nurse-SSU13
Jacob Clark, RNShared Governance at CHI MemorialEffective nursing communication is a key componentto consistent, high-quality care. It should betransparent, timely, and designed to supportand improve patient outcomes, teamwork andprofessional collaborative outcomes. CHI Memorialfosters an environment of concentrated andconcerted effort through the Nurse ProfessionalPractice Council, which assists with establishing,evaluating and revising the standards of nursingpractice and patient care policies.nurses who are working in their respective roles anddepartments. In 2019, the council addressed CAUTIrates within CHI Memorial and created a CAUTIcommittee to perform a root cause analysis. Changesincluded introducing a pericare station to CNA skillsdays, consistently communicating the importanceof CAUTI prevention, and initiating a “Back to Basics”campaign that focused on establishing clinical criteriafor inserting a foley catheter, proper documentationand a nurse-driven removal protocol, among others.“The primary goal of the NPPC is to improve patientoutcomes – through enhanced collaboration andshared decision making,” says Ella Breese, RN, nurseprofessional practice council chair. “When we allunderstand the expectations and
Nursing Program Annual Report. 2 CHI Memorial’s Mission . Accredited since 2017, CHI Memorial’s RN Residency Program was the first in Tennessee to achieve accreditation. . 2525 deSales Avenue Chattanooga, TN (423) 495-2525 556 children have graduated from the Super
