Dedicated to excellence.IU Health Adult Academic Health Center PROFESSIONAL PRESENTATIONS AND...

Nursing Annual Report | 2018

Dedicated to excellence.

All FAA Part 135 aviation services provided by Metro Aviation, Inc., which maintains exclusive operational control over all aircraft.

©2019 IUHealth

Indiana University Health Nursing Annual Report | 2018

IU Health Nursing: Who we areWe are a dedicated team of 9,000 nurses delivering care at more than 800 sites systemwide.

Magnet designated

Pathway to Excellence designated

WE ARE NATIONALLY RECOGNIZED

IU Health Bedford Hospital

IU Health Morgan

IU Health Paoli Hospital

IU Health Tipton Hospital

IU Health Arnett Hospital

IU Health Ball Memorial Hospital

IU Health Bloomington Hospital

IU Health Methodist Hospital

IU Health North Hospital

IU Health University Hospital

IU Health West Hospital

Riley Hospital for Children at IU Health

8

4

At the end of 2018, 73% of IU Health hospitals were either Magnet or Pathway to Excellence designated,

compared to just 11% of hospitals nationwide.

IU Health is on track to meet its goal of 100% of

hospitals achieving Magnet or Pathway to Excellence

designation by 2020.

WE BUILD SYSTEMNESS AND PROMOTE SHARED LEADERSHIP

9 councils

120 members

6,400 clinical nurse leadership hoursM

ore

than

System shared leadership:

RNs come together from across the state to advance our strategic priorities:

Creating a destination for nursing

Redesigning care delivery

Enhancing the voice of nurses

Developing systemness

©2019 IUHealth


WE ARE HIGHLY SKILLED AND PROFESSIONALLY ENGAGED

WE PROVIDE EXCELLENT PATIENT CARE

WE ADVANCE THE PROFESSION

Nursing-led research

SBIRT StudyRNs at 14 IU Health facilities are leading research to improve care for patients with substance abuse disorders. These RNs are developing a process through SBIRT (Screening, Brief Intervention, Referral to Treatment) that supports early intervention and referral to treatment.

Workforce StudyFocused on understanding referral to treatment patterns and availability of treatment services for people at risk for alcohol and drug use, this study also develops and tests a web-based resource that will provide information regarding local referral networks.

8 OUT OF 10

patients would recommend IU Health to a friend or family member

Recognizing our RNs: 109+ IU Health RNs earned Daisy or Nurse Excellence awards for leadership in advancing professional practice and patient-centered care

We are committed to patient safety and reducing harm

CLABSI C. diff

32% 24%

Graduate Degrees

27%Certified RNs

1,802

Bachelor of Science in Nursing

60%

What makes an IU Health nurse?

is professionally

engaged

has a spirit of inquiry

fosters relationships

embraceslearning

possesses clinical

expertise ?

Increased tuition reimbursement funding inspired 812 RNs to pursue advanced education in 2018—a 400% increase

IN 2018:

■■ 2,900 RNs found their next professional nursing role at IU Health

■■ 35% increase in RNs who want to work at IU Health

©2019 IUHealth

EDUCATION AND SPECIALTY CERTIFICATION


IU Health Adult Academic Health Center

PROFESSIONAL PRESENTATIONS AND PUBLICATIONS

26 conference presentations

11 journal publications

NURSING-LED RESEARCH

4 research studies

3 evidence-based practice projects

NURSING AWARDS AND RECOGNITION

Graduate Degrees

4%Certified RNs

31%


75%Associate of Science

in Nursing

21%

* American Association of Critical Care Nurses** American Organization of Nurse Executives

Clinical nurses

Licensed beds

Inpatient admissions

Outpatient visits

Emergency department visits

1,995 1,100 38,812

287,727 90,347

PATIENT CARE QUALITY

25% reduction in harm events

■■ AACN* Silver Beacon Unit Award

■■ AACN Gold Beacon Unit Award

■■ AACN Circle of Excellence

■■ AONE** Nurse Manager Fellow

■■ AONE Nurse Director Fellow

SERVING THE COMMUNITY

729 volunteer hours by 212 active RN volunteers

■■ 2 AONE Young Professional Voices honorees

■■ Indianapolis Patient Safety Coalition Hero Award

280 RNs receiving tuition reimbursement

SHARED LEADERSHIP

161 10,626 RNs involved hours of in 6 councils participation

©2019 IUHealth



IU Health Arnett Hospital


0 HAIs** in August and October

12 fewer harm events than 2017


■■ Dana Record Nurse Preceptor of the Year

■■ Arnett Nurse Excellence Award

■■ Office of the Secretary of Defense “Patriotic Employer”

■■ 14 Daisy Award winners

SERVING THE COMMUNTY

5 RNs earned American Red Cross pins for more than 100 volunteer hours

Graduate Degrees

7%Certified RNs

24%



in Nursing

31%

* Association for Professionals in Infection Control and Epidemiology** Hospital-Acquired Infection

Clinical nurses

Licensed beds


Outpatient visits

Emergency department visits Deliveries

476 191 11,395

101,170 42,332 1,588

DESTINATION FOR NURSING

149 new RN team members welcomed



5 journal publications

1 book published: “Infection Preventionist’s Guide to the OR (APIC* Implementation Guide)”

©2019 IUHealth



IU Health Ball Memorial Hospital


29 conference presentations by 26+ RNs

5 journal publications | 6 grants


Earned first Magnet designation in 2018

INTERPROFESSIONAL PARTNERSHIPS

Implemented Team-based Acuity Adaptable Model (TBAAM) resulting in:

■■ Decreased length of stay by 1.5 days

■■ 50% reduction in harm events

■■ Improved patient experience


19 RNs volunteered 450+ hours through the American Red Cross

Graduate Degrees

9%Certified RNs

31%



in Nursing

30%

Clinical nurses

Licensed beds


Outpatient visits


639 379 17,282

260,036 56,128 1,253

* Institutional Review Board

SHARED LEADERSHIP

Over 150 RNs involved in councils

More than 5,000 hours of participation


9 active IRB*-approved research studies

7 units/sites with evidence-based practice resource RNs

National Reset Study participant (redesigning hospital care delivery system)

©2019 IUHealth



IU Health Bedford Hospital


Reduced harm events by 33%


2 Daisy Award winners

1 Partner in Care Award winner


RNs are actively involved in community service through:

Graduate Degrees

11%Certified RNs

13%



in Nursing

46%

Clinical nurses

Licensed beds


Outpatient visits


98 25 1,109

80,742 14,856

SHARED LEADERSHIP

288 hours of participation

American Red Cross

School and community

events

Health fairs



1 abstract accepted

©2019 IUHealth

ADVANCING EDUCATION

8 RNs completed BSNs in 2018 resulting in a

160% increase in BSN-prepared RNs



IU Health Blackford Hospital

SHARED LEADERSHIP

8 190+ RNs involved hours of in councils participation


115 days without a fall in the Emergency Department

QUALITY IMPROVEMENT

Reduced “left without being seen” rate from 6.15% to

.56%


4 RNs volunteered 37 hours through the American Red Cross

Graduate Degrees

3%Certified RNs

31%



in Nursing

56%

Clinical nurses

Licensed beds


Outpatient visits


33 15 431

38,121 7,728

On Journey to ANCC

Pathway to Excellence


Nurses developed a peer-to-peer program to assist nursing colleagues transitioning into the organization

©2019 IUHealth



IU Health Bloomington Hospital


Nursing was a key partner in achieving the following accreditations for breast cancer treatment:

■■ American College of Radiology

■■ Commission on Cancer

■■ National Accreditation Program for Breast Centers


29 Excellence in Caring Awards presented by IU Health Foundation, South Central Region


59 RNs volunteered more than 712 hours for the American Red Cross Home Fire Campaign and the Nurse Honor Guard

Graduate Degrees

3%Certified RNs

25%



in Nursing

38%

* Hospital-Acquired Pressure Injury

Clinical nurses

Licensed beds


Outpatient visits


616 355 12,936

219,705 50,101 1,968



28% reduction in Stage 2 or above HAPIs*


13 research studies

©2019 IUHealth



IU Health Frankfort


CAUTI*

CLABSI**

PROFESSIONAL ORGANIZATIONS AND BOARDS

12 RNs serving




94 RN volunteer hours through American Red Cross and community events

Graduate Degrees

10%Certified RNs

9%



in Nursing

45%

Clinical nurses

Licensed beds


Outpatient visits


34 25 404

20,453 9,422


On Journey to ANCC


SHARED LEADERSHIP

4 RNs and 384+ hours

of participation

0



1 Values Leadership Award winner

*Catheter-Associated Urinary Tract Infection** Central Line-Associated Blood Stream Infection

©2019 IUHealth



IU Health Jay


5 fewer harm events in 2018


Daisy Award winner

Nurse Excellence Award winner


RNs lead teams focused on:

■■ Interdisciplinary Rounds

■■ Patient Care (safety)

Graduate Degrees

5%Certified RNs

2%



in Nursing

46%

Note: Based on 10 months, March-December 2018

Clinical nurses

Licensed beds


Outpatient visits


65 25 870

70,998 7,457 72



SHARED LEADERSHIP

10 RNs participating

240+ hours of participation

©2019 IUHealth



IU Health MorganIU Health Morgan is an outpatient facility.


0 harm events

17% reduction in ED length of stay

Average ED door-to-doctor time is 22 minutes—

3 minutes less than national average


Earned first Pathway to Excellence designation in March 2018


159 American Red Cross

volunteer hours by 11 RNs

Graduate Degrees

9%Certified RNs

41%



in Nursing

48%

Clinical nurses

Outpatient visits

33 36,613



SHARED LEADERSHIP

12 RNs involved in 1 council



13,166

©2019 IUHealth



IU Health North Hospital


Reduction in inpatient falls on two units

by 30% and 40%


9 RNs earned American Red Cross pins

for more than 180 volunteer hours


AONE* Young Professional Voices honoree

SHARED LEADERSHIP

45 RNs involved in 3 councils


Graduate Degrees

9%Certified RNs

36%



in Nursing

20%

Clinical nurses

Licensed beds


Outpatient visits


334 170 9,628

102,293 20,518 2,263

EXCELLENT PATIENT CARE

8 OUT OF 10 patients are likely to recommend IU Health North Hospital

* American Organization of Nurse Executives



©2019 IUHealth



IU Health Paoli Hospital


deficiencies in 2018 Joint Commission survey

surgical site infections

falls with injury

all cause readmissions

HAI*:


2 RNs earned American Red Cross pins

for more than 40 volunteer hours

Certified RNs

29%4 RNs

receiving tuition

reimbursement



in Nursing

52%

Clinical nurses

Licensed beds


Outpatient visits


55 25 373

25,236 10,008 121



0

* Hospital-Acquired Infection** Catheter-Associated Urinary Tract Infection

† Central Line-Associated Blood Stream Infection†† Clostridium Difficile


Nurse Excellence Award winner



CAUTI**

0 2015-2018

CLABSI†

02015-2018

C. diff††

02015-2018

©2019 IUHealth



IU Health Saxony Hospital


17% reduction in harm events


1 conference presentation


28 American Red Cross volunteers

SHARED LEADERSHIP



Graduate Degrees

4%Certified RNs

34%



in Nursing

15%

Clinical nurses

Licensed beds


Outpatient visits


119 42 1,927

45,018 8,504

On Journey to ANCC



8 OUT OF 10 patients are likely to recommend IU Health Saxony Hospital


©2019 IUHealth



IU Health Tipton Hospital

Graduate Degrees

5%Certified RNs

22%



in Nursing

17%

Clinical nurses

Licensed beds


Outpatient visits


68 25 783

39,486 6,151


0 harm events


Earned Pathway to Excellence designation in 2018



1 conference presentation


2 RNs earned American Red Cross pins for 40 volunteer hours


Top-performing critical access hospital:

8 out of 10 patients are likely to recommend IU Health Tipton Hospital



SHARED LEADERSHIP



©2019 IUHealth



IU Health West Hospital


12% reduction

in harm events (CAUTI*, CLABSI**, C. diff†)


5 2 conference journal presentations publications


Graduate Degrees

6%Certified RNs

23%



in Nursing

28%

Clinical nurses

Licensed beds


Outpatient visits


386 127 7,857

242,414 43,657 865



* Catheter-Associated Urinary Tract Infection** Central Line-Associated Blood Stream Infection

† Clostridium difficile

3 research studies

3 evidence-based

practice projects


©2019 IUHealth



IU Health White Memorial Hospital

Certified RNs

38%



in Nursing

45%

Clinical nurses

Licensed beds


Outpatient visits


43 25 609

40,859 14,300


clinical deficiencies in 2018 Joint Commission survey

falls with injury

medication errors

surgical site infections

HAI**:

74% reduction in readmission rate

0CLABSI†

0 for past 16 years

CAUTI††

0in 47 of

the past 48 months

C. diff†††

0in 11 of 12 months in

2018


5 RNs earned American Red Cross volunteer pins

* American Organization of Nurse Executives** Hospital-Acquired Infection

† Central Line-Associated Blood Stream Infection†† Catheter-Associated Urinary Tract Infection

††† Clostridium Difficile

EVIDENCE-BASED PRACTICE

Reduced nosocomial infection markers (NIMs) to 0 and maintained through year-end



AONE* Young Professional Voices winner

On Journey to ANCC


©2019 IUHealth



Riley Hospital for Children at Indiana University Health


Total HAIs* CAUTI** CLABSI†

39% 33% 47% HAPI†† Infant falls/ (Stage II and above) drops

33% 50%

SHARED LEADERSHIP


1,710 hours of participation

Graduate Degrees

9%Certified RNs

25%



in Nursing

13%

* Hospital-Acquired Infection** Catheter-Associated Urinary Tract Infection

† Central Line-Associated Blood Stream Infection†† Hospital-Acquired Pressure Injury

Clinical nurses

Licensed beds


Outpatient visits


1,275 456 15,200

233,842 47,665 3,200


277 RN and 61 patient care

assistant team members welcomed


18 4 conference journal presentations publications

©2019 IUHealth



IU Health Physicians

Graduate Degrees

5%Certified RNs

12%



in Nursing

34%

Clinical nurses

Licensed practical nurses

Advanced practice RNs

Practice locations

Outpatient visits

326 85 420

175 1,308,500


70 RN and 18 LPN

team members welcomed

8 OUT OF 10 patients are likely

to recommend IU Health Physicians


19% below target for harm events in 2018

26,227 RN-MANAGED ACTIONS

1st

chief nursing officer named

in 2018

LPN

Triage calls 11,236Triage pool messages 736Medication refills 7,559Cardiology referrals 119Pediatric referrals 1,658Maternal Fetal Medicine referrals 2,428Neurology referrals 1,458

Counties with practice locations

SHARED LEADERSHIP

6 RNs on Nurse Leader Council and Ambulatory Task Force


1st shared leadership council for IU Health Physicians

©2019 IUHealth


IU Health System Clinical Services


Graduate Degrees

12%Certified RNs

13%



in Nursing

1%

Clinical nurses

Licensed practical nurses

Surgeries/ procedures

Apheresis procedures

Home visits

Critical care transports

720 34 75,920

2,280 139,667 4,244

LPN


The Lafayette IU Health home health team was named “Best in Home Care” in the Lafayette Journal & Courier Readers’ Choice Awards

2 Values Leadership Awards

Apheresis nursing team was part of the first clinical team to bring CAR T-Cell therapy to Indiana


RNs volunteer for:

Charity events

Gleaners Food Bank

Holiday meal delivery for hospice

patients


9 OUT OF 10 patients are likely to recommend IU Health Business Solutions

IU Health System Clinical Services includes:

Hospice

Sleep

Infusion Pharmacy

Home Health

Enteral Nutrition

Expressions

LifeLine

Virtual Care

Urgent Care

Business Solutions

Precision Genomics

Laboratory Services

Counties served by IU Health System Clinical Services

Dedicated to excellence.IU Health Adult Academic Health Center PROFESSIONAL PRESENTATIONS AND...

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