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Pittsburgh, PA 15213 412-623-2345 Pittsburgh, PA 15213 412-623-2345 https://www.upmc.com/locations/hospitals/presbyterian 1 2 Letter from CNO…………………………………………………………………………………………………………………………………………… 1 About UPMC Presbyterian……………………………………………………………………………………………………………………………. 2 Nursing Strategic Plan……………………………………………………………………………………………………………………………………. 3 Magnet Journey Update…………………………………………………………………………………………………………………………………. 4 COVID-19 Caregivers…………………………………………………………………………………………………………………………………….. 5-6 How to Prevent COVID-19……………………………………………………………………………………………………………………………. 7 Linking Living Donors During COVID-19 Crisis…………………………………………………………………………………………… 8 Exemplary Professional Practice…………………………………………………………………………………………………... 9-10 Sustained Achievement of Bedside Shift Report Practices……………………………………………………………………. 9 Improved Compliance with Hourly Rounding………………………………………………………………………………………… 10 Structural Empowerment………………….………………………………………………………………………………………….. 11-21 Nursing Certifications……………………………………………………………………………………………………………………………….. 11 Nursing Degrees………………………………………………………………………………………………………………………………………… 12 Panel Presentations…………………………………………………………………………………………………………………………………… 13 Podium Presentations………………….……………………………………………………………………………………………………………. 13 Poster Presentations…………………………………………………………………………………………………………………………………. 13-14 Leadership Positions in Professional Organizations………………………………………………………………………………. 14 Cameos of Caring Recipients/Nominees………………………………………………………………………………………………... 15 Above and Beyond Recipients………………………………………………………………………………………………………………….. 16 ACES Recipients…………………………………………………………………………………………………………………………………………. 17 DAISY Award Recipients…………………………………………………………………………………………………………………………… 18 BEACON Award…………………………………………………………………………………………………………………………………………. 19 Motivating Kids to Move to a Healthy Lifestyle………………………………………………………………………………………. 20 Expanding our Shared Leadership to Procedural and Ambulatory Departments……………………………….. 21 New Knowledge and Innovation…………………………………………………………………………………………………... 22-24 Creating a Nurse-Focused Technology Checklist…………………………………………………………………………………… 22 Literature Leads to Change………………………………………………………………………………………………………………………. 23-24 Transformational Leadership……………………………………………………………………………………………………….. 25-27 Exemplary Practice Lead to Improved Patient Satisfaction…………………………………………………………………... 25 Improving the Patient Experience……………………………………………………………………………………………………………. 26 Patient Care Services Nursing Division Leaders…………………………………………………………………………………… 27 LETTER FROM CHIEF NURSING OFFICER SANDY RADER DNP, MSA, RN, NEA-BC CHIEF OPERATING OFFICER, CHIEF NURSING OFFICER, VICE PRESIDENT PATIENT CARE SERVICES UPMC PRESBYTERIAN SHADYSIDE This annual report is the perfect time capsule for the outstanding work we have accomplished at UPMC Presbyterian in the last year. 2020 has been a year like no other in our lifetime with the COVID-19 pandemic. We at UPMC Presbyterian played an integral role in the pandemic as we cared for our patients, participated in the trial for a vaccine for COVID-19, and helped keep the community informed of any developments of the disease. As “essential workers”, we were faced with many challenges and difficult decisions, yet we were able to lean in and stay focused on providing each of our patients the care they needed. The community outpouring of support was humbling and kept us motivated during this time. We did not let this pandemic slow down our progress with the UPMC Experience. At the start of our UPMC Experience work in 2017 our Rate the Hospital percentile rank was at the 26th percentile. In less than three years, we have improved significantly — exceeding the 78th percentile rank as of July 2020! This success is made possible because of each of your contributions through our Shared Leadership structure. We had the Professional Practice and Development Council hardwire our Bedside Shift Report and our Quality and Safety Council lead the way with Hourly Rounding. When UPMC Presbyterian nurses identify an opportunity for improvement, we lead the way. The Evidence-based Research and Practice Council did just that when they identified an opportunity with patient falls which led them to develop TUMBLE. The Informatics and Technology Council saw a need for nurse-focused maintenance of technology and developed a maintenance checklist. The success of many of these projects is made possible through the support and guidance of our Transformational Leadership Council. This year we expanded our Shared Leadership structure with the addition of our Procedural Ambulatory Council. This council brings nurses together from the various ambulatory and procedural settings to share best practices and collaborate on initiatives. Our Clinicians and Charge Nurses implemented post discharge calls, giving us the opportunity to close the loop on the patients’ experience while they were with us. Lastly, our UPMC Experience work included the introduction of the HEARD model, which is used to de-escalate an individual who appears to be upset or dissatisfied. The HEARD Model is: Hear them Out Empathize Apologize Resolve Decide Our Magnet® Journey is well underway. We have been tracking Patient Satisfaction outcomes and Nurse Sensitive Indicator Outcomes. Our BSN and greater rate is currently at 70.1%, and our certification rate currently is at 30.5%. We took part for the first time in the Press Ganey Nurse Excellence Survey. The 2019 participation rate was an outstanding 87%! Presby will be participating in the Press Ganey Nurse Excellence Survey again in September, 2020. The results from the 2020 survey will further define our next steps on our Magnet Journey! I would like to welcome Denise Abernethy, Senior Director, Emergency Services and Ruth Hall, Clinical Director, Cardiovascular Service line to our Nurse Executive team. I greatly appreciate each of you that serve on one of our Shared Leadership Councils and continue to lead the UPMC Experience work, and lean in during challenging times. Your commitment to our nursing profession inspires me as your Chief Nursing Officer. Let’s continue to celebrate our wins and I look forward to our bright vision ahead for UPMC Presbyterian. Sandy Rader, DNP, MSA, RN, NEA-BC Chief Operating Officer, Chief Nursing Officer, Vice President Patient Care Services UPMC Presbyterian Shadyside 1 The 4th Annual UPMC Presbyterian All Council Conference was held on September 13, 2019 at the Herberman Conference Center located on the UPMC Shadyside campus. The objective for the conference was to re-evaluate the nursing Mission, Vision and Values and Strategic Plan for 2020-2025. The conference included a series of exercises to encourage contributions from the 175+ council representatives in attendance. The contributions included words identified to consider incorporating into the updated nursing Mission, Vision, and Values. The Steering Council, which is the overarching Shared Leadership Council at UPMC Presbyterian, spent several meetings following the All Council Conference examining the contributions and began formulating the recommendations for the Mission, Vision, and Values. Then each council chair and co-chair would present the recommendations to each of their councils and then the Steering Council modify and then approve the changes. 2 NURSING STRATEGIC PLAN LAUREN CHRISTY, PhD, MSN, RN, NEA- BC MAGNET PROGRAM DIRECTOR, UPMC PRESBYTERIAN SHADYSIDE Our strategic plan is our roadmap of where we are and where we want to go. The purpose of creating a strategic plan gives us a direction when making decisions and allocating resources in pursuit of our direction. This also ensure we are all working in the same direction, together to achieve common goals. At UPMC, our overall organization develops a strategic plan that cascades down to the business units, and then the various divisions. The overall UPMC strategic plan has four pillars: Service People Quality Finance UPMC Presbyterian nurses consistently strive for excellence. We encompass past successes with future endeavors in our strategic plan. We have cleared defined our pathway for 2020-2025. The nursing strategic plan was developed from our Shared Leadership representatives at our 2019 All Council Conference. That conference had over 150 attendees participating in various exercises to develop updates to our Mission, Vision, and Strategic Plan. After the conference, the responses to the exercises were collated and quickly themes began to be identified. Patient Experience New Ideas/Innovations Staff Experience/Well-Being Nurses impact on the bottom line (finances) This strategic plan will serve as our lantern/guiding light for nursing for the next five years. We may need to make revisions as needed, but this defines where we want our nursing practice in 2025. Thank you to those that participated in the 2019 All Council Conference this will forever be part of your legacy at UPMC Presbyterian. 3 MAGNET® JOURNEY UPDATE LAUREN CHRISTY, PhD, MSN, RN, NEA-BC MAGNET PROGRAM DIRECTOR, UPMC PRESBYTERIAN SHADYSIDE 4 COVID-19 CAREGIVERS MELANIE SMITH-FORTNEY, MSN, RN, NEA-BC DIRECTOR OF NURSING, UPMC PRESBYTERIAN When I think back on the Pandemic of 2020, many things run through my mind. At the top of those various things is pride. I am so proud to lead such an amazing workforce of nurses and health care professionals through such a complex and very fluid situation. Collectively we have cried together, problem-solved together, and ultimately grew together all in a very short period. The Pandemic of 2020 is commonly referred to as Coronavirus (SARS-CoV-2). The disease
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