Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert...

21
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, research- related, and evidence-based nursing materials. Take credit for all your work, not just books and journal articles. To learn more, visit www.nursingrepository.org Item type Presentation Format Text-based Document Title Transforming Care by Engaging Nurses in Innovation Authors Clipper, Bonnie Downloaded 13-May-2018 15:55:28 Link to item http://hdl.handle.net/10755/622834

Transcript of Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert...

Page 1: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

The Henderson Repository is a free resource of the HonorSociety of Nursing, Sigma Theta Tau International. It isdedicated to the dissemination of nursing research, research-related, and evidence-based nursing materials. Take credit for allyour work, not just books and journal articles. To learn more,visit www.nursingrepository.org

Item type Presentation

Format Text-based Document

Title Transforming Care by Engaging Nurses in Innovation

Authors Clipper, Bonnie

Downloaded 13-May-2018 15:55:28

Link to item http://hdl.handle.net/10755/622834

Page 2: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Transforming Care by Engaging Nurses in Innovation

Bonnie Clipper, DNP, RN, MA, MBA, CENP, FACHERobert Wood Johnson Foundation Executive Nurse Fellow

ASU/AONE Executive Fellow in Health Care Innovation Leadership Alum

Page 3: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Objectives • Identify characteristics and barriers to innovation.• Demonstrate techniques to increase creativity

within their organizations.• Describe how to build cross-functional,

interdisciplinary innovation teams.

• Nothing to disclose.Disclosure

Bonnie Clipper, VP, Practice & Innovation, American Nurses Association

Page 4: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

(Melnyk & Davidson, 2009)

Defining Innovation

Putting new ideas into practice or using existing ideas in new ways.

A novel set of behaviors, routines and ways of working that are directed at improving health outcomes, administrative efficiency, cost-effectiveness, or users’ experience and that are implemented by planned and coordinatedaction.

(Greenhalgh, et al., 2004, p. 582)

Page 5: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Improvement vs. Innovation Mental Models

IMPROVEMENT INNOVATION

Elimination, remove existing system faults.

Creation, remake the system.

Known Unknown

Faults (Laderman, Institute for Healthcare Improvement, 2017)

Page 6: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what
Page 7: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what
Page 8: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

(Pixibay, 2016)

Page 9: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what
Page 10: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Three “types” of Innovation

• Buying and using health care (models of care/care delivery).

• Health Technology: creating new products/treatments to improve care.

• Business models: focusing on access, supply chain, infrastructure and integration.

(Herzlinger, 2006)

Page 11: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Leadership• Provide opportunities for innovation, from incremental or

disruptive type innovation.

• Identify mentors that can cultivate innovators among leaders and staff.

• Talk about it – ask about it.

• Publically reward innovative ideas.

• Model innovation.

Page 12: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Integrate the Expectation

• Not an initiative, has to become the culture

• Doesn’t compete with current process improvement

• Build a framework

Page 13: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Barriers

• Players• Policy• Resources• Accountability

Page 14: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Empowerment Overcomes Barriers

• Encourage nurses to do what they do best…solve problems• Provide support and resources• Encourage divergent thinking• Employ novel solutions• Engage nurses in the process• Celebrate innovation in real time• Learn from failure

Page 15: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Creativity Exercises (tomwujec.com)

Page 16: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Creativity Exercises (mindmeister.com)

Page 17: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Cross Functional Teams

• Populate teams with energetic participants

• Incorporate variety of disciplines

• Incorporate a variety of experience & skill levels

Page 18: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Start tomorrow…

• Start small, identify one project/problem• Use a dedicated committee/council (or carve out time in existing)• Cross-functional/interdisciplinary teams• Drive out fear• Create an innovative culture with fun• Embrace failure• Think differently• Reward innovation

Page 19: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Helpful Resources• MakerNurse.com• Innovationexcellence.com• CMS Innovation Center

innovation.cms.gov/index.html• AHRQ Innovation Center innovations.ahrq.gov• Brigham Innovation Hub disruptingmedicine.org• Kaiser Permanente, Garfield Innovation Center

garfieldcenter.kaiserpermanente.org• MindMeister.com

Page 20: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

Thank you

Page 21: Transforming Care by Engaging Nurses in Innovation Clipper, DNP, RN, MA, MBA, CENP, FACHE. Robert Wood Johnson Foundation Executive Nurse Fellow. ... • Encourage nurses to do what

The Innovation Road Map: A Guide for Nurse Leaders. Cianelli, R., Clipper, B., Freeman, R., Goldstein, J., & Wyatt, T. (2016).

• Infographic: http://bit.ly/2bRm5wl• English version: http://bit.ly/2byOeaL• Spanish version: http://bit.ly/2b608dZ

AcknowledgementRobert Wood Johnson Foundation Executive Nurse FellowsThe Innovation Roadmap: The Nurse Leaders Guide©2016 InnovationWorks. Rosina Cianelli, PhD, RN, MPH, IBCLC, FAANRebecca Freeman, PhD, RN, PMPJill Goldstein, MS, RN, MA Tami H. Wyatt, PhD, RN, CNE, CHSE, ANEF, FAANSponsor: Dr. Roy L. Simpson, Vice President, Nursing Informatics Cerner Corp.