Harnessing Nursing Excellence: A Joint Magnet - Pathway to Excellence Council Deanna L. Reising, PhD, RN, ACNS-BC, FNAP, ANEF Brenda Davis, MSM, BSN, RN Andrea Kessler

Objectives: Identify core commonalities among Magnet and Pathway to Excellence programs that can be leveraged to inform leadership strategies. Describe structures and processes that lead to successful Magnet and Pathway to Excellence designations

Indiana University Health: 17 Hospitals IUH Arnett Hospital IUH Ball Memorial Hospital IUH Bedford Hospital IUH Blackford Hospital IUH Bloomington Hospital IUH Frankfort Hospital IUH Jay Hospital IUH Methodist Hospital IUH Morgan IUH North Hospital IUH Paoli Hospital IUH Saxony Hospital IUH Tipton Hospital IUH University Hospital IUH West Hospital IUH White Memorial Hospital Riley Hospital for Children at IUH Indiana University Health: 17 Hospitals

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Our Nursing Strategic Priorities

The Attributes of an IUH Health Nurse

Magnet – Pathway Designated IUH Arnett – Magnet IUH Ball – Magnet IUH Bloomington – Magnet IUH Methodist – Magnet IUH North – Magnet IUH Riley- Magnet IUH University - Magnet IUH Bedford – Pathway to Excellence IUH Morgan – Pathway to Excellence IUH Paoli – Pathway to Excellence IUH Tipton –Pathway to Excellence

How We Got Started System nursing strategy for 100% ANCC designation, support from CNE Dr. Michelle Janney Magnet and Pathway to Excellence Council charter developed- 2016 Initial work completed: Set goals and objectives for the council Aligned Job Descriptions with ANCC Role Categorization Cross walk between Magnet and PTE Developed timeline for all facilities to obtain designation/redesignation Process for new Magnet and Pathway to Excellence leader orientation and development

Structure Members: Chair - Lead council to achieve purpose and goals Co-Chair – Partners with chair to achieve goals Facilitator - Ensure alignment of council across the system and among the CNOs Member – Responsible for actively engaging in in the council and effectively championing initiatives within their facility; helping to facilitate CNO engagement and alignment Purpose: Ensure facility readiness for Magnet or Pathways to Excellence designation and/or redesignation Develop and share best practices for engaging nurses and team members in Magnet and Pathway to Excellence Partner with CNOs to assure alignment Assure consistent representation of IUH and IUH brand Perform quarterly data reviews and conduct gap assessments

Processes Started with meetings every other month, then quarterly, and now break out sessions Facilitator is linkage to senior nursing leadership Goals and objectives are developed annually

Goals 2018 Develop plan for submission of appropriate outpatient data for nurse sensitive indicators, where applicable. Implement plan for supporting documentation skills development for written submissions, including methods for capturing data for documentation. Progress to 7 Magnet designated facilities and 4 Pathway to Excellence facilities. Submit minimum of 1 Magnet or 1 Pathway to Excellence abstract per eligible facility.

Our Most Recent Agenda Time Topic Leader 1000-1015 Introductions Welcome to Melora and Nikki D. Reising/B. Davis   1015-1100 Updates Pathway updates—Celebrations! Magnet updates—Celebrations! Council organization updates Abstract submissions (IONE, AONE, ICN, ANA, APNA, IUHH Research Conference, others) (Goal 4) Update timelines and leaders B. Davis D. Reising M. Ferren All 1100-1130 Follow up NRC Website interface Phone call issues Sufficient data around Magnet questions (** Pre-Work: Analyze your data) 1130-1145 Employee Engagement Updates 1145-1200 Update Transition to Practice Program (Goal 2) (accreditation decision update/templates) 1200-1215 Agenda Items for 4Q18 Meeting Needs around Goal 1 Assessment of 2018 goal attainment 2019 Goals 1215-1245 Lunch 1245-1400 Breakout Work (Goals 2 & 3) Magnet (FS6010) Templates for 2019 Manual Support for upcoming Magnet applications Attendance/dinner at conference Pathway (FS6009) Templates for 2017 Manual Support for upcoming PTE applications D. Reising/K. Roush Our Most Recent Agenda

Achievements Onboarding toolkit for new Magnet and Pathway to Excellence for new directors/leader Share point site with templates, resources and Toolkit Structure for data collection for DDCT & ODF 7 IUH Health facilitates are Magnet and 4 are Pathway to Excellence 3 Magnet appraisers in the IUH system On track for all IUH facilities to be Magnet/Pathway to Excellence designated by 2020

IUH Health Ball Celebrates Magnet Designation - 2018

IUH Health Morgan celebrates Pathway to Excellence - 2018

Next Steps Continuing to leverage our collective voice System council – bidirectional communication Facilitation of system nursing research 2019 Magnet and Pathway to Excellence Council goals-DRAFT NRC optimization Employee engagement Centralization of documents that are easily viewed Standardization of DDCT Document submissions for 2019 (2020 designation)

Brenda Davis : bdavis14@iuhealth.org QUESTIONS Brenda Davis : bdavis14@iuhealth.org Deanna Reising: dreising@iuhealth.org