Transcription
INOVA2019NURSINGREPORT
Letter from the Chief Nurse ExecutiveLeading Through ChangeIt is a great privilege to share Inova Health System’s 2019 Nursing Annual Report,which highlights innovations and advancements in nursing practice, research andoutcomes across our health system.2019 was a year of unprecedented success for Inova Nursing. We built on ourstrong foundation of professional practice to achieve even greater levels of patientcare excellence. Inova was the only large health system in the nation with everyhospital rated five stars by the Centers for Medicare & Medicaid Services, andall five hospitals also earned a Leapfrog Hospital Safety Grade of A—the highestpossible ranking in the D.C. metro area and nationwide. None of which would be possible without thededication and commitment of our highly specialized nursing team. Nurses are key partners in Inova’s newtriad leadership structure, working with physicians and administrators to advance our mission and create aseamless, high-reliability system of care.And now, amid a global pandemic—unlike anything we’ve ever experienced before—I am more confidentthan ever of our ability to thrive regardless of the challenges we face. Our nurses are innovative problemsolvers who remain compassionate care partners for all patients who walk through our doors. They exemplifyour mission to provide world-class healthcare—every time, every touch—to each person we have theprivilege to serve. I have even greater clarity on what that privilege means during such challenging times.I know that the future is bright for nursing at Inova as we continue to learn, grow, excel, lead and innovate.Our journey is just beginning and I’m excited to see where it takes us. Meanwhile, I offer a heartfelt thankyou to Inova’s 5,000 dedicated nurses for the exceptional work they do on behalf of our patients every day,especially during these unprecedented times.I’m proud to be an Inova nurse.Sincerely,Maureen E. Sintich, DNP, MBA, RN, WHNP-BC, NEA-BCChief Nurse ExecutiveInova Health System2019 NURSING REPORT I I N O V A3
Table of Contents42Inova Mission, Vision, Values3Welcome letter5Inova Nursing Professional Practice Model6Inova Nursing Purpose and Aspiration7Inova Nursing Strategic Plan8Inova Nursing at a Glance9Inova Chief Nursing Officers10Inova Alexandria Hospital16Inova Fairfax Hospital30Inova Fair Oaks Hospital36Inova Loudoun Hospital44Inova Mount Vernon Hospital50Inova Medical Group52Inova System OfficeI N O V A I NURSING REPORT 2019
Inova’s Nursing ProfessionalPractice Model2019 NURSING REPORT I I N O V A5
Inova Nursing PurposeInova’s NursingAspiration and PurposeAt Inova, our nursing practiceis grounded in connection,caring, compassion, andexcellence throughinnovation, and the bestevidence, in service to ourpatients, their families, ourcommunities, and each other.Inova Nursing AspirationInova nurses are the mosttrusted nurses in the nation.IFOH NRP Escape Room builders team, Left to Right: Laura McNicholl, MS, RN, RN-BC, CCNS; Inga Rollins, BSN, RN, MPH, NPD-BC,CPN; Priscilla Trewertha, BSN, RN6I N O V A I NURSING REPORT 2019
Inova Nursing Strategic Plan2018 – 2020GOAL 1: Stabilize and Enhance the Nurse Practice Environment1A. Establish a multi-faceted approach to bi-directional communication betweennurses. Including Shared Decision Making Framework1B. Implement Unit Based Staffing/Scheduling Committees1C. Evaluate Existing Shared Decision Making Structures (system, hospital and unit)1D. Re-evaluate Professional Practice Model1E. Implement Peer Feedback Process across all nursing positions1F. Continue to Pursue BSN by 20201G. Continue to support national board certification1H. Implement Nurse Residency Program across all Hospitals1I. Develop and implement Advanced Practice Provider residency programGOAL 2: Develop Current and Future Leaders2A. Expand opportunities for Interprofessional Collaboration2B. Develop formal Succession Planning Program for aspiring and currentnurse leaders2C. Expand RNUS education and mentoring program2D. Develop formal leadership mentoring program for existing and aspiring nurseleaders at all levelsGOAL 3: Achieve Top Decile Performance in All We Do3A. Ensure that Care Delivery Model is supported by Professional Practice Model.3B. Set Nurse Engagement targets to exceed benchmark based upon Magnetcriteria in advance of document submission3C. Meet or exceed all Quality GoalsGOAL 4: Eliminate Waste4A. Identify workflow/top of license challenges in model of care for all membersof the care team4B. Implement identified changes to ensure top of license*All above goals are consistent with maintaining and achieving Magnet status throughout all facilities2019 NURSING REPORT I I N O V A7
Inova Nursing at a Glance 20195Hospitals136 Primary and Specialty Care Practices18,685Employees5,742Registered Nurses84.5% BSN in 2019131 new RN3s167 new RN4s2983436New ADVANCEpromotionsDaisy Award WinnersNursing ExcellenceAward Winners1,11827 Community Clinics14 Rehab Centers1,800 Licensed beds 1,066,899for scholarships and continuing education programshosted at Inova in 2019 through generous philanthropic support 76,857Raised by Inova nurses for community outreach andorganizations like March of Dimes, American HeartAssociation, and American Cancer Society582 Nurses participating in ADVANCEFacilityIAHIFMCIFOHILHIMVHSystem TotalRN329163674238339RN422215398824388Nursing265 NewDegrees:4 New DNPs, 230 New BSNs29 New MSNs, 1 New MSN-NP1 New MSHINurses contributed to research, qualityimprovement or EBP publications or presentations407New Certifications8I N O V A I NURSING REPORT 2019Total5137810613062727145Trained inHealing Touch37.1%with SpecialtyCertification
2019 Inova Chief Nursing OfficersLeft to right:Patricia E. Hill, MSN, RN, NEA-BC, CENPVP, Chief Nursing OfficerInova Fairfax Medical CampusDeborah Fulbrook, EdM, MHS, BSN, RN,NEA-BCVP, Nursing, Musculoskeletal Service LineChief Nursing OfficerInova Fair Oaks HospitalAlquietta Brown, PhD, MHSA, BSN, RN,NEA-BCVP, Chief Nursing OfficerInova Mount Vernon HospitalMarissa B. Jamarik DNP, RN, NEA-BCVP, Nursing,Inova Heart and Vascular Service LineChief Nursing OfficerInova Loudoun HospitalFadia Feghali, MS, BSN, RN, NE-BCVP, Nursing,Inova Neurosciences Service LineChief Nursing OfficerInova Alexandria HospitalMaureen E. Sintich, DNP, MBA, RN,WHNP-BC, NEA-BCEVP, Chief Nursing ExecutiveInova Health SystemNancy J. Loeffler, MHA, BSN, ACM,CCMVP, Chief Nursing OfficerInova Physician EnterpriseMarguerite Swietlik, DNP, NEA-BC,RN-BC, CPHIMSVP, Chief Nursing Informatics OfficerInova Health System2019 NURSING REPORT I I N O V A9
Inova Alexandria HospitalMagnet ComponentsTransformational LeadershipPromoting a culture that embraces transformationalleadership begins with a transformational chief nursingofficer who creates a safe environment for her team.Inova Alexandria Hospital’s chief nursing officer (CNO),Fadia Feghali, MS, BSN, RN, NE-BC communicatesa clear vision to her team that focuses on prioritizingand rewarding staff development as well as patientoutcomes. Results from the National Database ofNursing Quality Indicators (NDNQI) nurse satisfactionsurvey in 2019 demonstrated scores well beyond themean for the questions pertaining to CNO visibilityand accessibility, as well as equivalent power andauthority to other top-level hospital executives. Feghaliis the biggest advocate for nursing at Inova AlexandriaHospital (IAH). She promotes nursing evidence-basedpractice (EBP) and has supported numerous EBP projectsamong her other contributions to nursing practice.10I N O V A I NURSING REPORT 2019Inova Alexandria’s CNO, senior directors and clinicaldirectors are advocates for their own teams, many ofwhom are active participants in career coaching, mentoringand succession planning. Change is a constant within thehealthcare industry. Inova Alexandria Hospital’s nursingleadership exemplifies leading with a clear mission, vision,values and strategic plan that aligns with the organization’spriorities.Structural EmpowermentInova Alexandria Hospital is continually evolving instructural empowerment. Along with all Inova hospitals,Inova Alexandria Hospital participated in a Nursing SharedGovernance study to evaluate our internal degree of sharedgovernance. Results from this study will help us improveand strengthen our Shared Governance decision-makingstructures and processes. In 2019, the Strategic NursingInitiative Group, commonly known as the “SING” group,restructured the Shared Governance meeting design.The most notable change to the hospital’s nursing
Inova Alexandria Hospital is proud to have aculture that promotes safety, high-quality careand continual quality improvement.Shared Governance model was the transition to an all-dayShared Governance monthly event. As part of the monthlymeeting, individual units meet in their respective clinicalpractice council (CPC) groups followed by a hospital-wideShared Governance meeting that includes the chairs andco-chairs of all CPCs. Within the hospital-wide SharedGovernance meeting, breakout sessions focus on variousareas of nursing interest.Supporting nurses’ professional development is animportant aspect of structural empowerment. In InovaAlexandria Hospital’s 2019 NDNQI survey, “professionaldevelopment opportunity” and “professional developmentaccess” were two of the highest performing measuresrelative to the national NDNQI mean. A dedicated androbust nursing professional development team, bothwithin Inova Alexandria Hospital and throughout Inova,contribute to the development opportunities nurses at InovaAlexandria Hospital value.Inova provides a nursing residency program supportedby Vizient. In 2019, 50 new nurses completed the residency.Exemplary Professional PracticeInova Alexandria Hospital is proud to have a culture thatpromotes safety, high-quality care and continual qualityimprovement. We achieve this through collaboration withall disciplines, both within the hospital walls and beyond.Nurses analyze data submitted to externally manageddatabases including NDNQI, Press Ganey, Vermont Oxfordand others in order to benchmark outcomes and makesustainable improvements. One example of a nursing bestpractice that Inova Alexandria Hospital has embraced is thePatient and Family Advisory Council (PFAC). Partnershipswith patients and families resulting from work within thePFAC have driven efforts to focus on patient-centered careand have promoted interprofessional collaborative practice.An example that highlights how nurses participatewith an interprofessional team to achieve exemplaryprofessional practice is a recent effort in the operatingroom to demonstrate a safe and thorough time out priorto a procedure. One of Inova Alexandria Hospital’s nurseresidents sought to empower new team members to2019 Nursing Research and EBP Symposium, Left to Right: Olivia Hwang, BSN, RN; Emily Hagedorn, BSN, RN, CCRN;Fadia Feghali, MS, BSN, RN, NE-BC; Y-nhi Nguyen, BSN, RN, CEN, CCRN; Erin Reynolds BSN, RN, CCRN, CNML2019 NURSING REPORT I I N O V A11
adhere to a proper and regimentedtime out. She worked with theperioperative clinical mentor, physicianand nursing leadership, and mediaservices to create and disseminatea best practice video. Empoweringnurses across all levels to act on bestpractice recommendations is a centraltenet of nursing practice at InovaAlexandria Hospital.New Knowledge andInnovationInova Alexandria Hospital supportsnursing research and EBPimplementation in numerous ways.Each month, the Inova AlexandriaHospital nursing team facilitatesa research and EBP meeting. Allnurses are welcome to attendthese meetings, and those seekingpublication or presentation of researchor EBP are required to attend. TheVizient nurse residency program isanother venue for nurses to practicetheir research and EBP skills. As partof the nurse residency program, allnew graduate nurses work on anEBP project within a small group toguide best practice within the hospital.Nurse resident EBP projects are notprescribed to the residents. Rather,they are guided by the resident’sown interest and identified needs.Resident EBP projects at IAH haveincluded technology implementationto enhance patient experience and12I N O V A I NURSING REPORT 2019nursing practice and also focused onworkflow improvements to improveefficiencies in care. Nurse residentperspectives are particularly helpful inidentifying improvement opportunities,because new staff bring an objectiveperspective.and supplement active learning. Thisis an example of nursing innovation inaction at Inova Alexandria Hospital.For example, after reviewing theAugust 2019 Hospital ConsumerAssessment of Healthcare Providersand Systems (HCAHPS) scoresfor a medical-surgical unit at InovaAlexandria Hospital, nurses identifiedan opportunity to improve theway staff explains to patients whatmedications are used for and theirpossible side effects. A group ofnursing residents sought to improveHCAHPS scores by using medicationeducation stickers applied to thereusable patient water bottles. Afterpartnering with the hospital pharmacy,medication stickers for the mostcommonly prescribed medicationswere created and disseminatedto the unit. To supplement routinemedication education provided bythe nursing staff, stickers were placedon patients’ drink containers. Thischange resulted in a remarkableimprovement in HCAHPS scores.Scores improved on the two questionsrelated to medication education 23rdand 4th percentile to the 97th and45th percentile, respectively, in onlyone month. The nursing team foundthese stickers to be an effectivemethod to drive mediation educationNursing Excellence AwardsAwards andRecognitionMelissa Bauer, BSN, RN –Exemplary Professional PracticeMary Elizabeth Clouse, BSN, RN –Rising StarY-Nhi Nguyen, BSN, RN –New Knowledge, Innovation andImprovementSarah Rose, BSN, RN, CMSRN –Structural EmpowermentSuh Yang, BSN, RN –Exemplary Professional PracticeRobbin Young, MSN, RN, NEA-BC –Transformational LeadershipCultural Leader of the MonthJasmine James, BSN, RNDAISY AwardsVictoria Jia, BSN, RNCharity James, BSN, RNKeylin Mejia, BSN, RNFirst Place for EBP Posterat Inova’s Nursing Researchand Evidence-Based PracticeSymposiumEmily Hagedorn, BSN, RN, CCRNHealth Quality InnovatorsCourtney-Sue Santora, BSN, RN,RN-BC
HCAHPS scores on two medication related questions improved from the 23rdand 4th percentile to the 97th and 45th percentile, in only one month after nursesfound a creative way to explain medication usage to their patients.Nursing Stars Unit RecognitionUnit 21 – Medical OncologyUnit 26 – Twig Surgical CenterUnit 27 – CVNICUUnit 28 – TwigPresentationsA Caring Start to Professional Practice:Using Intentional Caring BehaviorsThroughout New Graduate NurseOnboarding [Podium]Jennifer Drake, DNP, RN, NPD-BC,ONC, Caritas Coach. 40th AnnualInternational Association for HumanCaring Conference. Greenville, SC,May 30 – June 2, 2019.Caring for Your New Nurses: UsingHuman Caring to Onboard Your NewNurses [Podium]Jennifer Drake, DNP, RN, NPD-BC,ONC, Caritas Coach. 39th NationalAssociation of Orthopaedic NursesAnnual Congress. Atlanta, GA,May 18 – 21, 2019.Down and Dirty Labs andHypertension in Pregnancy [Poster]Ruth Cerullo, RNC-OB, C-EFM,RN4. AWHONN Morbidity MortalityConference. Silver Spring, MD,April 1, 2019.Inova Critical Care SymposiumPanel on Managing Patients in ICUwho Are Experiencing Delirium[Panel Moderator]Mary Elizabeth Clouse, BSN, RN.Inova Critical Care Symposium.Falls Church, VA, Oct. 18, 2019.National Association of OrthopaedicNursing Review Course forCertification [Podium]Jennifer Drake, DNP, RN, NPD-BC,ONC, Caritas Coach. NAON ReviewCourse for Certification. Miami, FL, Jan.25, 2019; NAON Review Course forCertification. Birmingham, AL,Feb. 2, 2019; NAON Review Coursefor Certification. Falls Church, VA,Feb. 15, 2019; NAON Review Coursefor Certification. Lake City, FL,Aug. 1, 2019.Peanut Ball for Laboring Women[Poster]Erin Andrew, MS, RN3, CNL, C-CEFM.AWHONN Regional Conference. SilverSpring, MD, April 1, 2019.The Future is Here! Using Technologyto Onboard Millennials andGeneration Z [Poster]Emily Hagedorn, BSN, RN, CCRN;Ashley Rosteck, BSN, RN.Inova Nursing Research and EvidenceBased Practice Symposium. FallsChurch, VA, Dec. 6, 2019.2019 IAH Nurse Leader Transition Into Practice Graduates, Left to Right: Lisa Hawksworth, MSN, RN, NEA-BC; Kate Theissen,BSN, RN, CEN, NE-BC; Jackie Gonzalez MSN, MHA, RN; Cami Thomas MSN, RN NA-BC; Fadia Feghali, MS, BSN, RN, NE-BC;Ruth Lee, DNP, MS, MBA, RN, NEA-BC; Zach Wotherspoon, DNP, APRN, FNP-BC, RN, CEN, CPEN2019 NURSING REPORT I I N O V A13
Empowering nurses across all levels to act on best practicerecommendations is a central tenet of nursing practice atInova Alexandria Hospital.2019 Nursing Excellence Awards, Left to Right: Rina Bansal, MD, MBA; Fadia Feghali, MS, RN, NE-BC; Sarah Rose, BSN, RN,CMSRN; Robbin Young, MSN, RN, CCRN; Mary Clouse, BSN, RN; Melissa Bauer, BSN, RN; Suh Yang, BSN, RN, CCRN;Maureen E. Sintich, DNP, MBA, RN, WHNP-BC, NEA-BCWill the Use of Adhesive MedicationEducation Stickers on Patient WaterPitchers Help to Increase HCAHPSScores? [Poster]Mary Elizabeth Clouse, BSN, RN;Linda Nguyen, BSN, RN; ChristinaBochicchio, BSN, RN; NaceDentonhurst, BSN, RN; SangyaShrestha, BSN, RN. Inova NursingResearch and Evidence-BasedPractice Symposium. Falls Church, VA,Dec. 6, 2019.Too Wet or Too Dry? Passive LegRaise as Noninvasive Assessmentof Fluid Overload in Septic ShockPatients [Podium]Emily Hagedorn, BSN, RN, CCRN;Y-nhi Nguyen, BSN, RN, CEN,14I N O V A I NURSING REPORT 2019CCRN; Olivia Hwang, BSN, RN; ErinReynolds, BSN, RN, CCRN, CNML.Inova Nursing Research and EvidenceBased Practice Symposium. FallsChurch, VA, Dec. 6, 2019PublicationsTheresa Davis, PhD, RN, NE-BC,FAAN; Mary Ann Friesen, PhD, RN,CPHQ; Robin R. Jackson, MSN,RN-BC, CCRN, CCNS, CHTP; LilianaSuchicital, BSN, RN, CNB, CHTP,ONC; Diane Swengros, MSN, RN,NPD-BC, CHTP/I. (2019) Inova NursesMiracles & Mysteries in J. Watson (Ed.),Miracles and Mysteries: Witnessed byNurses, (pp.55-56, 54, 57-58, 56-57,pp.54-55); Great Britain: Lotus Library.New DegreesBachelors of Science inNursingMiranda Baylor, BSN, RNMingo Boards, BSN, RNRena Hooper, BSN, RNAmanda Jacobs, BSN, RN, CCRNLinda Pfeiffer, BSN, RNTatiana Semeniuk, BSN, RN, CMSRNScholarshipsBSN ScholarsRobbin Young, BSN, RN, NE-BC,CCRN – TwigJacyln LoBue, BSN, RN, CEN, TNCC,NREMT-P – IAH Medical Staff ClinicalAdvancement Scholarship in Memoryof Jessica Tisak
Ahmad Clemmons, BSN, RN –Rydell Family Clinical ScholarshipSadia Iman, BSN, RN, CMSRN –McKinley Oncology AdvancementScholarshipMichelle Abdala, BSN, RN –Speck AwardsArya Pretlow, BSN, RN, C-EFM,IBCLC-RLC – Speck AwardsMSN ScholarsRobin R. Jackson, MSN, RN-BC,CCRN, CCNS, CHTP – Shih NursingConference ScholarshipCertificationsCardiac Medicine(Subspecialty) CertifiedChristine Rolfes, BSN, CCRN, CMC,TNCCCertified AmbulatoryPerianesthesia NurseRhiannon Armstrong, RN, CAPACertified Emergency NurseEden Berhane, BSN, CENJennifer Byerly, BSN, CENPatricia Molseed, BSN, CENKathryn O’Leary, BSN, CENDanielle Thompson, BSN, CENCertified GastrointestinalRegistered NurseShalonda B. Covington, MSN, RN,FNP-BC, CGRNCertified in Medical-SurgicalRegistered NurseYoung McCollum, BSN, RN, CMSNCertified Pediatric EmergencyNurseIrenious Suglo, BSN, RN, CEN, CPENCertified PediatricHematology Oncology NurseBrooke Bowers, BSN, RN, CPHONCertified Surgical ServicesManager CredentialGianfranco J. Villar, MS, RN, CSSM,CNOR, CSTCritical Care RegisteredNurseAmanda Jacobs, BSN, RN, CCRNChristine Rolfes, BSN, CMC, TNCC,CCRNElectronic Fetal MonitorErin Andrew, MS, CNL, C-CEFMCatherine Cicchetto, BSN, RN,C-EFMAmalia Richards, BSN, RN, C-EFMMelissa Testa, BSN, RN, C-EFMErika Fox, BSN, RN, C-EFMKelly Hof, BSN, RN, C-EFMMaternal Newborn NursingBrandy Hashbarger, BSN, RN, RNCMNNNurse ExecutiveKate Theissen, BSN, RN, CEN,NE-BCNursing Professional DevelopmentGretchen Teel, MA, BSN, NPD
Inova provides a nursing residency program supported . by Vizient. In 2019, 50 new nurses completed the residency. Exemplary Professional Practice Inova Alexandria Hospital is proud to have a culture that . promotes safety, high-quality care and continual quality improvement. We achieve this through collaboration with
