RetuRN to Care R2C & TCAB ARMC Nursing Retreat Annelle Beall & James Shrum August 28, 2008.

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Presentation transcript:

retuRN to Care R2C & TCAB ARMC Nursing Retreat Annelle Beall & James Shrum August 28, 2008

retuRN to Care TM aka R2C Overview Annelle Beall August 28, 2008

Focused work speeds implementation of leading practices that: improve medical-surgical patient care improve nursing and patient satisfaction increase the time that nurses have for direct patient care resulting in better patient outcomes What is retuRN to Care™?

Our Goal with retuRN to Care: Make medical – surgical inpatient care safer, more reliable, and more focused on the patient.

VHA identifies the best way to deliver care and replicates it five thousand times.

A VHA Rapid Adoption Network… 8 Steps Make a Difference

Participation in a VHA RAN It must be supported by the CEO to assure senior leadership support All CEOs in VHA Ga. have signed off on R2C Mr. Drew in full support RetuRN to Care must have CNO support -- VHA Ga. CNO Council supported at January 2008 meeting -- Here today! A Blueprint is available on the Leading Practice Portal (LPP). -- ARMC selects a model. A Gap Analysis exists on the LPP to determine improvement priorities. ARMC will have to do the gap analysis. In addition to Blueprint info, hospital specific CORE Measure or National Patient Safety Goal addressed. These are available now.

Return to Care™ Components aligned with VHA national clinical strategy Access Blueprints on Portal, Work Independently Participate in Educational Series and National Coaching Calls, Work Independently Participate in a Rapid Adoption Network for Sharing, Work Collaboratively Access to the Leading Practice Portal Blueprints Internet networking capability on the LPP Linkage to National Experts Online Forum for Peer Interaction Online Benchmarking of Quarterly Performance Indicators Gap Analysis VHA TV Series – no additional costs Pre Consult with Hospital Face to Face Fact Finding Meeting Coaching Calls Action Planning Performance Measurement Customized reports Member to member blended studies Member to member networking/sharing Collaborate for improvement

Return to Care™ VHA TV Series & Conference Calls The Business Case for Nursing Wednesday, March 26 12:30 – 1:30 p.m. ET Return to Care™: Leadership and Culture Better Practices Tuesday, April 15 12:30 – 1:30 p.m. ET Return to Care™: Med-Surg Better Practices Wednesday, May 28 12:30 – 1:30 p.m. ET Return to Care™ Straight Talk call #1 Wednesday, June 11 12:30 – 1:30 p.m. ET Return to Care™: Patient Satisfaction Wednesday, August 20 12:30 – 1:30 p.m. ET Facilitating Change at the Bedside: Making it Happen Wednesday, September 24 12:30 – 1:30 p.m. ET Return to Care™ Straight Talk call #3 Wednesday, October 1 12:30 – 1:30 p.m. ET

Leading practices with proven results for enhancing medical-surgical nursing care: The Blueprints

Relationship-Based Care Relationship-Based Care is a delivery system in which the patient and family are the central focus. The nurse and other members of the health care team strive to understand what is most important to the individual patient, and actively engage them in all aspects of care It is a culture that supports caring & healing Based on PRIMARY Nursing (not simply “total patient care”)

R2C Top Enablers Front Line Staff Drive Change ●●●●●●●●●●● Overarching Quality Strategic Plan ●●●●●● Hourly Nursing Rounds ●●●● MD/RN Unit Team Collaboration ●●● Streamlined Documentation ●●● Quality Process is Multi-Disciplinary e.g. IT, HR, Finance, Facilities, Nursing, Ancillary Areas ●● Nurses Realize More Time With the Patient Reduces Adverse Events ●● Cell Phones for Physician Callbacks ● Organization Pushes Envelope For Quality ● Relentless Attention to Patient Care ● Strong Medical Leadership & Code of Conduct Enforced ● Shared Governance ● Ownership & Accountability at the Front Line Level ●

Implementation Selection of model Pilot the model on Nephrology unit VHA Georgia planning meeting in November –units throughout the state come together PDAs used to collect data from nurses –Each nurse carries PDA that alarms at pre- determined intervals –Nurse selects what function is being done at that moment

Implementation (continued) Data collected for one year –Sustainability demonstrated Rolls out to other med/surg units –No time line for implementation throughout the Med/Surg service line

Thank You Lillee Gelinas RN, MSN, FAAN Vice President and Chief Nursing Officer, VHA Inc. Karen Dunn RN, MBA

Are you ready to make a difference in medical surgical care?