Working with the new 2014 Manual Chris Tarver

Working with the “new” 2014 Manual Chris Tarver, DNP(c), RN, CNS September 11, 2014

Disclaimer I am sharing is what information I was given by various Program Analysts and personal experience this past spring. We have not heard yet about our documents; when I do, I will for sure pass along our learnings! Especially supplemental. Cheryl (CNO) conversation with Illinois CNO/Magnet Appraiser 2

3 rd Designation Documents • First time electronic submittal • Mailed May 30 for June 2 arrival • Blessing and Parade 3

Lessons…. • Use of new manual will lead to changes while you are writing… just need to let that go! • 3 rd time this happened to El Camino Hospital • So… • Ask lots of questions (no matter where you are in the journey…) • SAVE every email!! 4

Program Analyst Shuffle Maureen Lal Tina Joy Jan Moran 5

Online DDCT • Ask questions – especially about all the specialty nurses • Example: Where to put the CNLs? ? ? • Answer: Depends on how they are used… • Cyndy Hagstrom very responsive! • Save all emails 6

Online DDCT • Still maintain my own spreadsheet… • I update data in near real time 7

Not everyone is a writer… • HUGE lesson learned… • Only small percentage could write in scholarly voice, complete sentences, logically • Some would turn in bullets • Deadlines slipped dangerously – I needed to be stricter 8

Not everyone is a writer… (cont) Prompting… Pros: helped some to develop or find information needed Cons: Others would write one word non-descriptive answers to prompts – does humbleness get in the way? ? 9

Story Appointments • Need to dust off report writing skills • Non-writers would talk, and I would type as fast as possible • Will need editing but a great (albeit timeconsuming) method to enrich a story • As soon as possible, know the skills of key people 10

Graph-maker, graph-maker, make me a graph! • If you have a strong internal resource to make your graphs, especially for NSI, Patient Satisfaction and RN Satisfaction – make them your best friend! • Decide on your standard template & colors as early as possible & share with PI Teams. • Will unify the look of your graphs and save MPD time!! 11

Attachment Notebook • One of my “bibles” • Used to keep track of my 251 attachments • As well as being sure standard naming convention maintained • OO vs 00 12

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EO Attachments • Told by Tina Joy that we were absolutely not allowed to have any EO attachment other than our prescribed data graph with 3 points of data after the intervention occurred (to show sustainability) • This is NOT what others have been told • We followed Tina Joy’s instructions 14

Unique (? ) issues for El Camino • Definition of Nurse Leader • Fairly Flat Structure • Only 5 of us who fit definition • Recommend figuring out who in your organization meets the definition • TL 5 – lead thru change • TL 7 – resources for care delivery • TL 9 EO – influence change (2 of 3) 15

CNO Change • Documentation period included a change in CNO • Diana Russell retired July 1, 2013 • 11 months before documents due • Talked through with Maureen Lal • How our new CNO fit in for nurse leader vs CNO 16

NDNQI “Quality Intelligence Reports” • Unfortunately not “Magnet” intelligent! • Suggest visiting their booth at the conference 17

Patient Satisfaction • Our area of greatest struggle to find the best measures that most closely aligned with the Magnet Requirements and we met majority of units, majority of time… • In the end, one of our four measures was 50% (so not majority) 18

Questions? Chris Tarver Chris. Tarver@elcaminohospital. org THANK YOU!! 19