HCA CHARGE NURSE LEADERSHIP PROGRAM East Florida Division 2019 - - - PowerPoint PPT Presentation

hca charge nurse
SMART_READER_LITE
LIVE PREVIEW

HCA CHARGE NURSE LEADERSHIP PROGRAM East Florida Division 2019 - - - PowerPoint PPT Presentation

HCA CHARGE NURSE LEADERSHIP PROGRAM East Florida Division 2019 - 2020 Lear Learning Objectiv ning Objectives es At the conclusion of the presentation, participants will be able to articulate the need for leadership development programs


slide-1
SLIDE 1

HCA CHARGE NURSE LEADERSHIP PROGRAM

East Florida Division 2019 - 2020

slide-2
SLIDE 2

Lear Learning Objectiv ning Objectives es

At the conclusion of the presentation, participants will be able to articulate the need for leadership development programs for nursing leaders, identify the elements of a successful program including curriculum and delivery model, and provide evidence based results.

slide-3
SLIDE 3

Ov Over erview view

1) The Need for Leadership Development 2) Elements of an Effective Program: Charge Nurse Leadership Certification program (Curriculum) 3) Adjunct Faculty Strategy and Delivery Model 4) Evidence Based Results 5) Summary

Our Mission: Above all else, we are committed to the care and improvement of human life!

slide-4
SLIDE 4

The Need he Need for

  • r Leader

Leadership ship De Development elopment

  • Nursing leaders are faced with managing within an

increasingly complex industry made even more challenging by a growing nurse shortage and increased pressures

  • When a leader turns over, and there is an absent or weak

pipeline, a gap can emerge that places key performance indicators and patient safety at risk

  • With an estimated 75% of nursing leaders expected to retire
  • ver the next few years, it is critical that there are accelerated

efforts to develop the next generation of nursing leaders and prepare them to effectively drive the nursing impact on health care’s future state!

slide-5
SLIDE 5

HCA Healthcare’s Leadership Framework

4 Dimensions of Leadership

Strategic Leadership

(From Vision to Action)

Team Leadership

(From Self-management to Results through Others)

HCA Healthcare’s Strategy, Culture, and Values Personal Leadership

(From Self Awareness to Model Leader)

Operational Leadership

(From Ideas to Execution)

HCA Healthcare’s Leadership Institute is about building leaders who embrace our culture, grow our business, and lead the industry.

slide-6
SLIDE 6

Leader Leadership & O ship & Organiza ganizatio tional nal De Developmen elopment t

Por

  • rtf

tfolio

  • lio 2019

2019 - 2020 2020 Leadership Institute

Change Management

Organizational Development Professional Development Signature Series

Executive Development Program for ACNO, ACFO, ACOO Executive Residency Program Director Development Program for ER/SS Leadership Excellence Program for Service Lines & Corp. Talent Review & Succession Planning Performance Management Leader Onboarding & Orientation Leadership Foundations Healthcare Financial Management Association (HFMA) & Bersin Physician Leadership Academy for CMOs Executive Transitions (includes CNO & CMO Orientation) Competency Models Employee Engagement Action Planning Leadership Institute Academy Harvard Manage Mentor & SPARK LDI & Division Specific Offerings DCNE Development Workdays CxO Forums, Summits, Collaboratives Assessments & 360 Feedback Executive Coaching Patient Experience Tools & Techniques Charge Nurse Leadership Certificate

= Online Experience

ACNO Advanced Leadership Program

slide-7
SLIDE 7

Elements of Effective Program: Charge Nurse Leadership Certificate (CNLC)

CNLC Program Outcomes:

  • Understand the business
  • Develop skills to successfully lead teams which

provide exceptional patient care

  • Contribute to positive business outcomes
  • Understand individual leadership strengths

and development opportunities Results:

  • Leadership skills that have an impact on

business results and patient experience

  • Common language and experience across HCA

Charge Nurses

  • Improve employee engagement and retention

Target Audience:

  • Charge Nurses or equivalent

Total Hours 32.5

Learners Earn CEUs

slide-8
SLIDE 8

Leadership Fundamentals Supervisory Skills Critical Thinking Coaching for Excellence Leadership Fundamentals

  • utlines strategies to

transition from staff nurse to charge nurse and explores the qualities of successful

  • leadership. Participants

analyze the patient care and financial implications for hospital value-based

  • purchasing. Participants

identify challenges and

  • pportunities for leadership

in their role to strengthen their leadership skills. Supervisory Skills helps participants identify communication strategies, understand a collaborative approach to conflict management, explore time management strategies, and demonstrate how to delegate while maintaining

  • accountability. In addition,

participants explore strategies to reduce hospital-acquired conditions. Critical Thinking allows participants to differentiate decision making from critical thinking, recognize the traits of critical thinking skills, and demonstrate the application of critical thinking techniques. Coaching is one of the most effective techniques business leaders and managers can employ to enhance individual and team

  • performance. Coaching

for Excellence is specifically designed to enable charge nurses to immediately coach their direct reports to higher levels of performance in order to achieve critical business objectives. This practical, hands-on course provides participants with the opportunity to practice coaching skills and learn how to apply a strategic process for moving their team’s overall performance forward.

CNLC CURRICULUM

slide-9
SLIDE 9

Leading Change CN

Crucial Conversations Care Experience Business Acumen Friday Night in the ER Leading Change allows participants to recognize the drivers in the health care system, interpret reactions to change, implement strategies to improve staff productivity, and utilize change

  • management. Participants

practice collaborative leadership skills during change-related transitions. Crucial Conversations teaches skills for creating alignment and agreement by fostering open dialogue around high-stakes, emotional, or risky topics— at all levels of the

  • rganization. By learning

how to speak and be heard (and encouraging others to do the same), participants will surface the best ideas, make the highest-quality decisions, and then act on decisions with unity and commitment. Charge Nurses learn to implement best practices in patient care experience, including hourly and nurse leader rounding. Explore how to track and analyze data in HCA. After completing this course Charge Nurses recognize these tools and interpret productivity and other key metrics.

Online Module - HCA Vitals for Charge Nurses - HCA Vitals provides a "pulse check" into HCA's culture, values, vision and brand. This course introduces the "why and how" that differentiates HCA from other hospital companies. Participants learn about HCA's vision for the future from executive leaders themselves, as well as learn about initiatives designed to deliver the highest quality of care and provide an exceptional patient experience.

CNLC CURRICULUM

slide-10
SLIDE 10

Elements of an Effective Program Delivery Model: East Florida Division Adjunct Faculty and Cohort Strategy

Method and Purpose

  • The Adjunct Faculty strategy deploys high performing nursing leaders from each hospital as trained facilitators for

program delivery by market.

  • This strategy enhances credibility, maximizes program effectiveness, and promotes systems thinking.

Process and Support

  • Adjunct candidates must meet a set of minimum criteria to be considered for the role (next slide). This is a

developmental opportunity for high performing nurse leaders.

  • Adjuncts confirmed by Nursing Executive will attend certification workshops to become the Subject Matter Expert

(SME) for one or two modules.

  • Each Adjunct Faculty member will deliver their module within their market to established, pre-scheduled cohorts.
  • An experienced Training Specialist will coordinate logistics, provide classroom assistance, and serve as a back-up

facilitator.

Cohorts

  • Participants attend the course in assigned, pre-established cohorts to ensure maximum

learning support, and to foster networking and leadership support among CNs.

  • Cohorts are rolled out in phases within each market, so faculty and facilities are not
  • verwhelmed.
slide-11
SLIDE 11

Elements of Effective Program: Engagement of Key Stakeholders/Sponsors

Stakeholder Position or Area of Expertise Role Silvia Stradi Division Nursing – DCNE Division champion and owner Joseph St. Jean Division Nursing – VP Nursing Operations CNO liaison, support and communications Ben Bittner Division HR – RVPHR HRVP inclusion and communications Russ Young Division Finance - DCFO Division financial support Rose Amberson Division L&OD - Director Program manager, measurement and reporting Keisha Shand Division Training Specialist Partner in training delivery and recording Diane Rudd Nashville L&OD Program management and implementation

slide-12
SLIDE 12

Results of Pilot Implementation of Charge Nurse Leadership Certificate Program

slide-13
SLIDE 13
  • As the health care environment rapidly changes, the presence of strong and agile nursing

leaders is critical. The development of nursing leaders to be readily available for transitions is vital in the progression of nursing strategy and nursing care.

  • The Charge Nurse Certificate Program shows the value that can be captured by building

programs based directly on the voice of the nurses. HCA nurses spoke to nursing leadership and expressed their perspectives, and that information formed the foundation

  • f this program and underlies its success.
  • The success of the Charge Nurse Certificate Program will be celebrated with the

participants and will inspire future iterations of this program. The incredible engagement of the frontline leaders observed as a result of this program has provided a glimpse into the how this next generation of nursing leaders will reshape the future of nursing!

Summary

slide-14
SLIDE 14
slide-15
SLIDE 15
slide-16
SLIDE 16
slide-17
SLIDE 17
slide-18
SLIDE 18
slide-19
SLIDE 19
slide-20
SLIDE 20

System Total of 61% (Range from 50 – 68%) System Total of 67% (Range from 64% - 89%)

slide-21
SLIDE 21
slide-22
SLIDE 22
slide-23
SLIDE 23

MH MHS S Men Mentor torship ship Pr Prog

  • gram

ram

Clinical nical Ma Mana nagement gement Dev evelopment elopment

slide-24
SLIDE 24

MH MHS S Men Mentorship torship Pr Program

  • gram Obj

bjective ective

  • Retain new hires in their early tenure

✓Provide emotional support ✓Guidance on professional and clinical skills ✓Career Advice

  • Improve short term retention and jumpstart new hire loyalty to the
  • rganization
  • Increase employee retention of experienced nurses as Mentors to Novice

RNs

slide-25
SLIDE 25

MH MHS S Men Mentorship torship Pr Program

  • gram As

Asse sessment ssment

  • Review of Nurse Leader Time – approximately 0.2 FTE to be dedicated in
  • wning and overseeing the Mentorship Program
  • Designation of Mentor Coordinator – Roles and Responsibilities
  • Mentor Pool – highly-motivated, tenured employees
  • Are there at least 8 to 10 new hires who would participate in the program?
  • Scheduling accommodation for one-hour monthly mentor meetings with all

new nurses on each unit

  • Financial resources availability – fund mentor project time and retention

activities

slide-26
SLIDE 26

MH MHS S Men Mentorship torship Pr Program

  • gram As

Asse sessment ssment

  • Review of current MHS Succession Planning Strategies and Tools available and utilize

model for high performing RNs to help develop Leadership Pathway

  • Clinical Ladder Program – Clinical Expertise and Professional Development as Mentors?
  • Awards and Recognitions for Mentor Program Milestones?
slide-27
SLIDE 27

MH MHS S Men Mentorship torship Pr Program

  • gram
  • Structuring Mentor Program and Cohort
  • Leading Meaningful Monthly Cohort Debriefing Sessions
  • Evaluation and Assessment of Mentor Program
slide-28
SLIDE 28

Mentor Program

“Speed Mentoring Event”

For Clinical Managers

slide-29
SLIDE 29

This is an inaugural event in that we’ve never tried this before either! Many of us haven’t even tried speed dating!

  • Rather than meeting a potential future spouse, you are meeting future

potential mentors and protégées, allies and sources of information to help you make the most of your career at Memorial Healthcare.

  • The purpose of speed mentoring is to provide a quick hit of information

in the form of a discussion or your mentoring strengths and professional challenges (and we all have both!), an efficient way to rapidly build your campus network, and a methodical way to “try-on” a number of mentoring relationships to see which one you might want to pursue later.

What hat is s Spe peed ed Me Mentori ntoring?

slide-30
SLIDE 30
  • We have provided you with some questions (on your table)
  • You will be timed- only 8 minutes to interview with your potential

Mentor/Mentee

  • Then you switch to the next table to your right
  • Time limits are important – must meet with everyone
  • At the end of the event you will be asked to pick your top 3 choices

How

  • w do

does es it t wo work? k?

slide-31
SLIDE 31

MHS CLINICAL MANAGER

PROGRAM

MENTORSHIP

More info to follow

You have been MATCHED!

MHS Nursing Engagement Team

slide-32
SLIDE 32

Program Components:

▪ Mentors / Mentees must sign a one year Commitment Agreement ▪ 6 Didactic Educational Classes ▪ Weekly Virtual meeting (Email, Phone, Text) ▪ Monthly face /face meeting ▪ Tour of Mentee Unit / Facility ▪ Tour of Mentor Unit / Facility ▪ Monthly Feedback to NET ▪ Program Evaluation from Mentees at 6 month and then again at the end of program.

slide-33
SLIDE 33

Developing Nurse Leaders for the ‘C’ Suites: Experiences of an Academic Health System

Mary A. Hooshmand, PhD, MS, RN Elizabeth L. Vieto-Smith, DNP, RN Greta M. Vladinov, DNP, ARPRN, CRNA, CHSE

slide-34
SLIDE 34

OBJECTIVES

OBJECTIVES

slide-35
SLIDE 35

Objective #1

Identify critical knowledge, skills, and abilities required for nurse leaders at the ‘C suite’/ executive level.

slide-36
SLIDE 36

AACN Task Force Report August 2015

Provides ‘roadmap’ for DNP Distinction between research & practice focused scholarship Doctorate Generate new knowledge through innovation of practice change Translation of evidence Implementation of QI processes Importance of strong foundational collaborative partnerships between academia and practice

slide-37
SLIDE 37

DNP Essentials

slide-38
SLIDE 38

AONE Nurse Executive Competencies

Core set of competency domains for health care leadership – Communication and relationship management – Knowledge of the health care environment – Leadership – Professionalism – Business skills and principles

slide-39
SLIDE 39

Objective #2

Identify potential nurse leaders for future executive level

  • pportunities across health system
slide-40
SLIDE 40

UHealth Clinical Administrative Ladder

slide-41
SLIDE 41

Triad Model for Coaching and Mentoring Future Leaders

CNO

SONHS

Identified Leader

slide-42
SLIDE 42

Objective #3

Develop plan for organization specific ‘magic sauce’ for successful nursing leadership at the executive levels.

slide-43
SLIDE 43

UM SONHS DNP Leadership Practice Immersion (PI) Projects

slide-44
SLIDE 44

The DNP Student

Experience

Students identify learning needs & preferred practice experiences from ‘menu’

  • f pre-identified practice immersion options or choose their own

Responsible to identify & negotiate key project elements, student specific learning objectives Opportunity to meet and develop professional relationships with nursing and healthcare leaders

slide-45
SLIDE 45

PI Examples & DNP Essentials

Project Name Project Purpose Key Elements DNP Essentials Magnet Model Components Patient Safety/ CLABSI Project Collaboration UHTower & Sylvester Comprehensive Cancer Center Identification and implementation of strategies and process improvement for sustained reduction of CLABSI rates within SCCC

  • Coordinate and work with nursing leadership

and established CLABSI taskforce to review current strategies

  • Review published best practices and evidence-

based literature on CLABSI rate reduction.

  • Review PI data from previous quarters, to

identify potential trends and contributing factors.

  • Review current policies and observe current

clinical practice on central line access and maintenance to identify potential contributing factors.

  • Develop and submit report with

recommendations and suggested strategies based on findings. I ,II, III, IV, V, VI, VIII TL, SE, EPP, NKI, EO

slide-46
SLIDE 46

Today ….

✓Multiple partners across the UHealth system…. ✓Collaboration ✓Interprofessional ✓Preconceived, real-life practice improvement projects across health care system addressing mutually agreed upon practice issues in communities

slide-47
SLIDE 47

Development of administrative clinical ladder to promote nurses from within the organization into the leadership roles Strengthen current & build new partnerships…South Florida and beyond Further integrate partners into didactic components Coaching sessions & mentoring Ongoing program evaluation and development

Moving Forward…

slide-48
SLIDE 48

Questions ???