Sheila Stern, MSP/I-O, Senior Director, Clinical Leadership Development

One Ascension Nursing Workforce Optimization Regional Onboarding Centers Plan

9/13/2016

2 Care Excellence

First Last Title Ministry State Subcommittee

Erin Addison Simulation Lab Coordinator St. Vincent's Health System AL Job Descriptions

Marilyn Cito Director St. John Providence Health System MI Competency Reviews

Amanda Ellis Director, Care Excellence Ascension Health System Office MO None

Alisha Harter Director, National Simulation Programs St. Vincent Health IN Regional Onboarding

Centers Teri Jennings Clinical Education St. John Health System OK None

Tracie Jones Project Manager Ascension Health System Office MO Regional Onboarding

Centers

Margie LaBarge Vice President Education and Development Ministry Health Care WI Job Descriptions

Cyndi Lepley Nursing Administration St. John Health System OK None

Wendy Miller Clinical Education Coordinator Sacred Heart Health System FL Clinical Curriculum

Laura Petri Director, Nursing Education and Research Saint Agnes Healthcare ND Job Descriptions

Antoinette Rowin Sr. Director, Nursing Clinical Education Seton Healthcare Systems TX None

Sheila Stern Senior Director, Care Excellence Ascension Health System Office TN Regional Onboarding

Centers

Kim Story Director, National Clinical Education Delivery Saint Thomas Health TN None

JoAnn Weinfurter Manager, Clinical Education Ministry Health Care WI Clinical Curriculum

Derek Wooldridge Manager, Technology Ascension Health System Office MO Regional Onboarding

Centers

Clinical Education Advisory Council • 15 CEAC Members • 45 Clinical Education

Subcommittee Members

This graphic shows that the Mission, Vision and Values of Ascension Health surround all that we do to provide “Healthcare That Is Safe” within a High Reliability Organization. We achieve these results within “A Just Culture,” using a variety of tools, including AIM4Excellence and Communicate Openly. Resolve Early. (CORE)™, and by applying High Reliability Principles. We strive for associate, provider and person engagement to provide high-quality, low-cost care with improved health outcomes. At our very core is the goal of personalized care. This is how we fulfill our calling: Exceptional Care. Our Calling.™

Mission, Vision, Values

4 Care Excellence

Nurse Onboarding Program Schedule

5 Care Excellence

Nurse Experience Level Timeline Theme Experience

Nurses LPNs UAPs Every Day: Common-to-all Our Mission, Vision, & Values HRO CORE A Just Culture Clinical applications & EHR Simulation experiences Holistic Concepts & Principles Core Competencies

Day 1 Ministry Welcome Me HR Ascension onboarding

Day 2 Welcome Me Teamwork Activity Simulation Intro Smart Moves, EHR

Day 3 Respect Me

HRO, Communication Glucometer, F/C, Simulations

Day 4 Include Me Pain Management, PIV, IV Pumps, Simulations, EHR

Day 5 Person-Centered Care

Central Line Care, Blood Admin, Rhythm recognition 1, EHR, Sim Week 1: Learner Assessment

Nurses LPNs UAPs Every Day: Common-to-all Our Mission, Vision, & Values HRO CORE A Just Culture Clinical applications & EHR Simulation experiences Holistic Concepts & Principles Core Competencies

Day 6 Engage Me Rhythm Recognition 2, Restraints, Sim, HER

Day 7 Protect Me Rhythm Recog 3 & 4, O2 therapy, Sim,

Day 8 Connect Me Pt Code, Chest Tube, Defibrillator/Code Cart, EHR, Sim

Day 9 Comfort Me Palliative Care/EOL, Sim, EHR, Wound Care,

Day 10 Person-Centered Care

Celebrations Week 2: Learner Assessment

Person

Engagement

Includes: Lecture Clinical Apps Skills & Hands-on Simulation

Includes: Lecture Clinical Apps Skills & Hands-on Simulation

V a l ues

Assessmen t

Measures of Effectiveness

Program Design • Evidence-based education practice and design • 1 Faculty/8 New Nurses • 5 New Roles

o Clinical Educator o Simulation Educator o Simulation Technician o Project Coordinator o Director of Simulation (National)

Analytics • Time to competency

o Time from Day 1 on Unit to solo personalized care delivery

o Preceptor program baseline data by unit • New nurse retention

o Program Learner Impact: Reaction, Learning, Behavior, & Results

o Tracking 0 – 12 months/13 – 24 months o Ascension Values Assessment

• Satisfaction measures o New nurse o Faculty o Unit hiring manager o Preceptor

6 Care Excellence

HR Foundational Metrics: RN turnover and retention by Ministry ~ Voluntary/involuntary turnover ~ Number of open positions ~ Time to fill positions ~ New associate

satisfaction with pre-boarding program ~ Hiring manager satisfaction with hiring process ~ Performance reviews conducted

- Baseline data for preceptor program and orientation collected - Video production final stages - ROC messaging embedded in local nurse recruiting campaign - Faculty development --- VitalSmarts Crucial Conversations

- New nurse Cohort 1 launch - New nurse recruiting Open House event this month - ROC messaging embedded in local recruiting campaign

- New ROC readiness assessment discussions - Analytics --- 30 day project coordinator orientation --- 90 day baseline data reports --- Preceptor engagement - ROC Curriculum & Program: --- 100 day program survey --- 120 day program improvement cycle

- Educating Educators

Regional Onboarding Centers: What’s New & What’s Next

7 Care Excellence

St John, Tulsa St John Providence, Detroit ROC National Planning

1 2 NEXT

Detroit Regional Onboarding Center Launch September 13, 2016

Day 1 Detroit & Tulsa Collaboration Planning

Day 2 Welcome New Nurses Nursing Engagement Plan

Teamwork

9 Care Excellence