2015 Nursing Annual Report extraordinary As Senior Vice Caring is what drives every nurse at Inova This past year our success has in large part President and as the privilege to serve goes beyond the been driven by using our data to provide Chief Nurse walls of our hospitals and clinics. Nurses in insight into how to improve our processes. Executive for all roles from bedside caregiver, specialty This is evidenced by the number of nurses Inova, I am proud nurse, advance practice, or nurse leader who have participated in the development to share with play a critical role in achieving outcomes. of A3s on their units. We are fortunate you another to work in an organization that supports year of great Evidence-based practice is a systematic excellence in nursing, and provides us the achievements approach to problem solving using the support to march forward. from our nurses best available research evidence, clinical at Inova. Your expertise, dedication and expertise and patient preferences. This Thank you for your care and compassion compassion do not go unnoticed, and past year we had 10 evidence-based and your role in providing clinical is recognized locally, regionally, and projects across the health system driven excellence, quality, and safety to our nationally. I am very proud to share some by nurses who partnered with patients, patients and their families. of these extraordinary highlights in this families and other health team members to year’s annual report. improve clinical outcomes. Many of these projects were highlighted at our annual Nurse Research Symposium.

Maureen Swick, PhD, MSN, RN, NEA-BC Senior Vice President Chief Nurse Executive Inova

“When you’re a nurse you know that every day you will touch a life or a life will touch yours.” —Author Unknown Inova Nursing Annual Report 2015 | 5

Inova’s Patient Experience Model

Nursing at Inova is centered on an inpatient care- Check out this simple graphic representation of the Inova Care Delivery Model delivery model that calls for nurses, along with care-delivery model. physicians and clinical technicians, to function as a • The core caring circle is centered on the team and engage in specific practices that promote PATIENT and represents our intentional shift and sustain partnerships with patients and their toward patient centered care. families. In 2015, Inova began the transition from an • The middle circle depicts the hand clasps of inpatient care-delivery model to a patient experience caregiver and patient and identifies specific care-delivery model. The new model will reflect activities that require us to actively engage and Inova’s strategic goals and include the outpatient PARTNER with the patient and their family. experience as well as inpatient care • The outer circle identifies those organizational activities we perform to support and SUSTAIN those partnerships with patients.

Inova nurses have a passion for caring that cannot be contained by hospital or clinic walls. every touch 6 | Inova Nursing Annual Report 2015 Inova Nursing Annual Report 2015 | 7

Caring

Inova’s promise is to seek every opportunity to meet Some causes hit close to home for Inova nurses, for the Leukemia and Lymphoma society’s annual Light the Several Inova nurses were able to participate in medical mission the unique needs of each person we are privileged to example, the creation of a healing garden at Inova Night Walk. Jennifer Drake served in the first-aid tent trips in 2015. “I spent a week in an extremely impoverished village serve – every time, every touch. This promise defines Fair Oaks Hospital dedicated to July Fan, RN. Nurses for the Annual Race for Hope supporting the National outside of Port Au Prince, Haiti. The first day we walked around the village and spent time with the villagers to promote our clinic. the core of our patient experience model: Caring. also coordinate popular patient “reunion” events such Brain Tumor Society and Accelerate Brain Cancer Cure. as the Neonatal Intensive Care Reunion, which gives The following two days we hosted a clinic at a church with no water Serving Our Patients and Our patients and families the opportunity to return to the or electricity. We were able to treat and give medication to more Community hospital to visit their nurses. than 100 people during this time! Truly one of the most amazing and humbling experiences of my life,” shared Melissa Hewitt. Inova nurses have a passion for caring that extends The American Heart Association’s Annual Heart Walk Kofi Koduah participated in a mission in Belize; Berhane Zalalem outside our hospital or clinic walls. Our nurses are was a major event for Inova nurses in 2015. Nurses like $38,000 served in Ethiopia; and Nilda Wiman provided health screenings involved with local causes such as raising money for Amy Brown, Kimberly Krakowski, Patricia Mook and in Ayacucho Pauza, Peru. These nurses provided vital health care uninsured women in the City of Alexandria to receive Julie Menefee served as co-captains for more than nine services to underserved populations. mammograms. Zee Bryant and Jeannine Summons teams, showcasing their creativity with team names like participated in back-to-school physicals for the Mount “Heart-a-Tech” and “Stents and Sensibility.” Together, Vernon community, and Rebecca Tomas and Mary Rose these teams raised more than $38,000 dollars for the Hull provided community blood pressure screenings American Heart Association. “I spent a week in an extremely impoverished and stroke education. Biruk Tessema volunteers village outside of Port Au Prince, Haiti. We March for Babies was another popular event for nurses monthly at the Arlington Free Clinic. Susan Breisch were able to treat and give medication to more in May of 2015. Inova Loudoun Hospital raised $16,000 has been a volunteer for the Greater Springfield Fire than 100 people...one of the most amazing and more than $26,000 in partnership with our family Department for more than 30 years. experiences of my life.” and former patient teams. Nurses also participated in Melissa Hewitt, RN

Erica Vaughan served a mission trip in Peña Blanca, a remote village in Honduras. The annual trip brings health clinics where children and their families can receive vitamins, medications, dental and vision care, as well as screening for conditions that might require compassion follow up care or referrals. 8 | Inova Nursing Annual Report 2015 Inova Nursing Annual Report 2015 | 9

Growing to Meet Unique Needs advances in personalized medicine through genomics. at no cost. “Our hope is we will grow exponentially Preparing to Provide Care Inova embraces predictive and personalized medicine and be able to provide more services to the Fair Oaks Nurses at Inova now have expanded opportunities as significant components to the future of health. The community with this new designated space,” says Sage Inova nurses prepare and train for unique situations and events for caring due to the acquisition, development and new campus will provide space and resources to Bolte, PhD, Director, Life with Cancer. “Having our own that may cause disruption to our organization. Unexpected expansion of Inova facilities and programs in 2015. achieve Inova’s goal of creating a unique, internationally space means we can create and maintain consistent situations range from Ebola readiness to active shooter These programs and buildings are designed with prominent center for genomic research, personalized programming and support for the community.” The new containment to weather-related preparation. In 2015, our the patient in mind, creating a comfortable healing healthcare and associated life science commercial 2,900-square-foot location offers space for counseling emergency management team enriched our communications by environment while leveraging state-of-the-art development. and nurse navigator support, support groups, and implementing a text alert system. When an event happens, a text technology. exercise and education classes. Bolte hopes to grow will go to registered employees’ mobile phones, with information Inova Fairfax Medical Campus opened the Inova the program to provide more programs that focus on and, if needed, the action they should take. Inova acquired the 117-acre ExxonMobil campus as Melanoma and Skin Cancer Center in February, the survivorship and wellness. Inova HealthPlex – Ashburn the site for our Inova Center for Personalized Health. region’s only multispecialty skin cancer program. The In May, Inova acknowledged a $50 million gift from program provides screening, detection and treatment of The Inova Loudoun Hospital Wound Healing Center has The new Inova HealthPlex – Ashburn opened in October with a 24- developer and philanthropist Dwight Schar, launching Greg Brison and Maureen Swick present a plaque to the Fairfax melanoma in its early and advanced stages. The team relocated and expanded to the hospital’s main campus. hour emergency room (ER) with board-certified emergency medicine County Police in recognition of their partnership with Inova. the Inova Dwight and Martha Schar Cancer Institute also plans to establish a high-risk cancer screening clinic The new space is double in size and occupies 3,000 physicians and emergency nurses trained in Advanced Cardiac Life (ISCI). The Inova Translational Medicine Institute for organ transplant recipients. Among the programming square-feet of space consisting of six private treatment Support (ACLS). Free patient ambulance transport is provided to Inova (ITMI) and the ISCI will anchor the new site, providing at the center is a weekly skin cancer screening clinic bays and a conference room. Loudoun Hospital when needed for emergency hospital admission. The a platform for the development and application of called Mole Monday. The Center provides state-of-the-art advanced wound staff and facility are prepared to address all emergencies from minor care In 2015, the Cancer Center at care for people of all ages. The team of physicians, to life-threatening conditions. The ER has 17 private rooms including a Inova Fair Oaks Medical Campus including the only board-certified wound specialist two bay trauma room, a room designed for mental health patients, one opened a new satellite Life with physician in Loudoun County, and nurses provide care gynecology room and an isolation room. Cancer® program on the lower that is customized for people with chronic non-healing level, next to Radiation Oncology. wounds. The Inova Wound Healing Center – Loudoun Life with Cancer provides has been treating patients for more than eight years and education and support to people is one-of-a-kind in Loudoun County. with cancer and their families, “Our hope is we will grow exponentially and be able to provide more services to the Fair Oaks community with this new designated space.”

Sage Bolte, PhD, Director, Life with Cancer® Inova Center for Personalized Health Inova Nursing Annual Report 2015 | 11

Partnering The Council is chaired by Mary Ann Friesen, By partnering with the patient and family, Inova nurses The Evidence-Based Practice PhD, RN, CPHQ. The 2015 Council chairs for are able to involve patients and their family members Fellows Program each location were: in the healing process. This goes beyond basic care • Christine Althoff, MSN, RN, AOCNS and sometimes results in exciting innovations. While Nurses involved in direct patient care can have a significant Inova Fairfax Medical Campus these innovations earn awards and recognition for our impact on the care-delivery process. A clear understanding • Suzy Fehr, PhD, RNC Inova Alexandria Hospital nurses from outside organizations, the true value is in the of evidence-based practice (EBP) impacts a direct care • Laura Shanks, MSN, MHA, RN-BC, provider’s work and patient relationships. experience it offers for the patients and families. ACNS-BC, NE-BC Inova Mount Vernon Hospital What is evidence-based practice? Evidence-based practice Nursing Research and • Debra Stanger, MSN, RN, NE-BC is a systematic approach to problem solving using the best Evidence-Based Practice Inova Loudoun Hospital available research evidence, clinical expertise and patient • Frances Collins, MSN, RN Nurses at Inova have the opportunity to participate in preferences. Inova Fair Oaks Hospital a flourishing nursing research and evidence-based • Patricia Mook, MSN, RN, NE-BC, Following the successful pilot study implementing the CAHIMS practice program that focuses on translating research into Johns Hopkins Nursing Evidence-Based Practice Model at Nursing Informatics practice. With six location-based councils that meet on Inova in 2014, the Professional Practice team launched the a monthly basis, there is always a new way for nurses to Inova Evidence-Based Practice Fellows Program in 2015. make an impact on patient care. A system-level council The program offered the opportunity for 10 nurse-led, inter- offers oversight and support to each hospital, offering the professional teams to implement projects translating EBP opportunity to share innovations and create synergy across into patient interventions. Grant funding allowed clinical the system. nurses to be compensated for their time spent working as EBP Fellows.

A critical and unique component of the EBP Fellows program was the involvement of a former patient and/or a family member on each project team. This empowered each team to thoughtfully address the needs of patients Evidence-based practice is a systematic and families as they worked together to implement their approach to problem solving using the best available research evidence, clinical patient interventions. expertise and patient preferences.

Elizabeth Senese, Kara Meglasson and Heribert Bacareza shared their evidence-based practice project. 12 | Inova Nursing Annual Report 2015 Inova Nursing Annual Report 2015 | 13

2015 EBP Fellowship Projects Team Steps to Early Mobility and Clarity An Evidence-Based Practice Team Approach to Health An 2015 EBP Fellowship Projects Implementing an Evidence-Based Practice Approach to patients who fit the inclusion criteria. A worksheet was Implementing an Evidence-Based Practice Approach to Team lead: Evelyn Irani, RN, MSN, CCRN Evidence-Based Practice Team Approach to Health Failure Containing Catheter-Associated Urinary Tract Infections Improve Patient Pain Management in the Medical and created to remind nurses of what interventions were to be Improve Perception of Nurse-Patient Communication at Inova Fair Oaks Hospital Patient Education through Evidence-Based Practice Obstetrical Patient Population done and to record interventions used. the Bedside With the persistent and focused attention of a multi- Team lead: Sharri Robinson, BSN, RN-BC Team lead: Kara Meglasson, BSN, RN, CEN, CCRN Team lead: Laura McNicholl, MS, RN-BC, CNS-BC Effectiveness of Video Discharge Instructions in the Team lead: Lyn Zehner, MN, RN, AOCN, AOCNS disciplinary team, the percentage of patients who Inova Fairfax Medical Campus Inova Fairfax Medical Campus Inova Fair Oaks Hospital Inova Alexandria Hospital This project expanded the scope of the Ask 3 Teach 3 Audits were conducted by trained staff each shift A personalized pain plan was developed and staff Pediatric Emergency Department: A Nurse-led Evidence- received the appropriate level of assisted mobility Based Practice Project The team collaborated to develop strategies for EBP pilot in 2014. The Cardiac Telemetry Unit - North to visually assess adherence to current institutional education was provided to all Medical/ Obstetrical increased significantly over a 6 month period. Team lead: Gina Harrison, MSN, RN improving communication and incorporated suggestions made great improvements in their HCAHPS scores, and practices; stabilization device use and prevention of Bust a Move: Progressive Mobility in the ICU Nursing staff regarding the utilization of the tool and Inova Loudoun Hospital from the patient advisors. The interventions consisted this project will allow those improvements to be sustained dependent tubing loops to reduce urine backflow. Team lead: Amanda Golino, MSN, RN-BC, CCRN, CCNS incorporating aspects of compassionate care into their A multi-disciplinary team reviewed the available evidence of sitting at the bedside, utilizing body language, and in a consistent manner with every patient, every day. Auditors additionally conducted chart reviews to assess Inova Loudoun Hospital practice. The implementation of the personalized pain and created Video Discharge Instructions (VDI) for increasing attention to eye contact when using equipment Through this project, gains extend next to improvement compliance with 2% chlorhexidine bathing and perineal/ Initially, the staff approached progressive mobility with plan allows for patient and nurse engagement and the three most common pediatric diagnoses. At the or the white board. Implementation of the new strategy in a reduction in readmissions for the heart failure patient catheter care. A strategy employing multiple components hesitation, but over the course of the project mobility ongoing dialogue regarding pain management sets conclusion of their visit, participating caregivers received contributed to improvement in patient satisfaction. population. to address CAUTI reduction is essential. A comprehensive became widely accepted. In some cases, nurses who expectations and provides standardization of care. either verbal and written discharge instructions, or the rigorous ongoing campaign focused on reinforcing Moving on Up: Incorporating a Progressive Mobility were initially skeptical became our biggest champions of VDI with verbal and written instructions. Outcomes from established chlorhexidine bathing and perineal/catheter Implementing an Evidence- Based Practice Sleep Protocol Protocol from the ICU to the Medical/Surgical Unit this project support that adding VDI to standard discharge mobility as a standard on the unit. We attribute this culture to Improve Quality of Sleep in Post-Operative Cardiac Team lead: Robin Jackson MSN, RN-BC, CCRN, CCNS care is necessary to prevent CAUTIs. change to the “seeing is believing” concept. For our Surgery Patients instructions is an effective way to provide enhanced Inova Alexandria Hospital team, the change in culture and embrace of Progressive Improving Patient Transitions from Acute Care Hospitals Team lead: Katie Hummer, BSN, RN, CCRN-CSC discharge instructions that will improve a caregiver’s The EBP team focused on implementing progressive Mobility is our greatest achievement. to Inova Mount Vernon Hospital Inpatient Rehabilitation Inova Fairfax Medical Campus knowledge about their child’s diagnosis, treatment, illness mobility using a multidisciplinary team. The team recom- Facility The interventions identified in the literature focused duration and when to seek further medical care. mends a multidisciplinary approach as each area of Team lead: Jennifer Kyte, DNP, RN, ACNS-BC on: clustering nighttime nursing care, expertise identifies different successes and barriers to The true value of any innovation Inova Mount Vernon Hospital lies in the eperience offered to the decreasing the number of discussions patient mobilization to provide the best outcomes for the While no statistical significance was reported related to patients and families. and lowering voices outside patient patient. project goals, an unanticipated finding of improvement in rooms, encouraging activity during nurses’ ability to receive handoff occurred. The revised the day with a daily afternoon rest rehab handoff tool, if used consistently, will promote an period, and utilizing patient bedtime improved handoff process for clinicians receiving report. preferences. Staff nurses received Implementation of the rehab handoff tool will promote a education on how to implement the more standardized, clear, and thorough, handoff process. excellence protocol and then were asked to involve 14 | Inova Nursing Annual Report 2015 Inova Nursing Annual Report 2015 | 15

Nursing Research Symposium: The EBP Fellows Program teams were the highlight of There are currently a number of research studies on Award-Winning Nurses the event, presenting their preliminary findings through Healing Touch in progress at Inova. In 2015, the American From Simulation to Outcomes Nurse.com GEM Awards DAISY Awards podium and poster presentations. Nurses Foundation awarded a grant to the multisite study, Five Inova nurses were honored as regional finalists for the The DAISY Award reconizes nurses with excellent The Annual Nursing Research Symposium provides a “The Effects of Healing Touch on the Vital Signs of Critical 2015 Nurse.com Giving Excellence Meaning (GEM) Awards. clinical skills and critical thinking who also venue for Inova nurses to share their work in research, Care Patients” led by principal investigator, Theresa demonstrate compassion, professionalism, excellent evidence-based practice and quality improvement. The Healing Touch Davis. The study was intended to assess the feasibility These annual awards honor superior nurses across the country. Nurses are nominated by their peers and selected interpersonal skills, a positive “can do” attitude and one-day event is open to the community and welcomes Inova continues to develop a program around the use of of delivering Healing Touch in a critical care setting and guest presenters from other organizations, including by a panel of nurse leaders. an ability to problem solve unusual and/or complex the holistic modality, Healing Touch. Since the program determine the effects of Healing Touch on vital signs, pain Inova Fairfax Medical Campus Nursing Excellence Winners Reston Hospital Center and Sentara Healthcare. patient or family needs. was established in 2012, more than 250 registered nurses scores and levels of agitation/sedation. Two Inova nurses were selected as regional winners: The 2015 symposium featured a nationally known expert across Inova have attended the first level of Healing The 2015 DAISY Award winners were: Kimberly Krakowski, Patient and Staff Management in simulation, KT Waxman DNP, MBA, RN, CNL, CENP, Touch training. Sigma Theta Tau International Epsilon Zeta Daniel Ampomah, Volunteerism and Service Yemi Addisu Gesila Mogol Chapter Award FAAN. Dr Waxman is on the faculty at the University of The Healing Touch program is guided by a steering Katie Becraft Outpatient Infusion Team Vicki Lindgren was recognized by the Epsilon Zeta San Francisco (USF), and she serves as the Director of committee of Inova nurses, with guidance and support Inova had three other finalists honored in 2015: Ann Chopivsky Nazarina Phommachanh Chapter for demonstrating that she has made a the Executive Leader Doctor of Nursing Practice and the from Dr. Joel G. Anderson of the University of Virginia and Edward Crowley Sarah Robinson Master Degree in Health Care Simulation programs and Theresa Davis, Advancing and Leading the Profession significant impact in the delivery of health care and a Lucrezia Mangione of Handcrafted Health. Sheryl Deguzman Erin Rovelli Stephanie Boese, Clinical Nursing Inpatient long-term commitment to service either in the local or Director of the California Simulation Alliance (CSA) at the Lindsey Dunham Rebecca Serra Kristina Presgrave, Patient and Staff Management California Institute for Nursing & Health Care. Cathy Edwards Emily Sharp regional community, nationally or globally.

LouEllen Fulk Lauren Smith David Greer Sarah Stinson Kiri Kelly Janis Tandy Inova continues to develop a program around Margaret Lynch Susan Twyman the use of the holistic modality, Healing Touch.

The DAISY Award recognizes nurses with excellent clinical and critical thinking skills.

In 2015 Inova nurses had the opportunity to attend a Healing Touch panel discussion during the Annual Edelman Celebration. The panel highlighted Healing Touch at Inova and offered insight Inova Alexandria Hospital into the expansion of the program. Nursing Excellence Winners 16 | Inova Nursing Annual Report 2015 Inova Nursing Annual Report 2015 | 17

Inova Nursing Excellence Awards Inova Loudoun Hospital Nicole Price, Advancing and Leading the Profession Our annual Nursing Excellence Awards honor Bailey Bentz, Clinical Nursing Inova nurses who are nominated by their peers in 6 Marissa Caulker, Education and Mentorship categories. These nurses have gone above and beyond Jackie McDonald, Patient and Staff Management Kelli Arrington, Volunteerism and Service in their efforts to provide excellent patient care. Justin Hawkins, Rising Star Award 2015 Winners Inova Alexandria Hospital Inova Mount Vernon Hospital Inova Fair Oaks Hospital Nursing Excellence Winners Tracey Hartman, Advancing and Leading the Profession Michelle Caycedo, Advancing and Leading the Mary Brandenburg, Clinical Nursing Profession Rachel Cathey, Education and Mentorship Roger Kinneburg, Clinical Nursing Sara Rose, Patient and Staff Management Sarah Poole, Education and Mentorship Joanna Sampson, Volunteerism and Service Irene Leke, Patient and Staff Management Brittany Cook, Rising Star Award Maryrose Hull, Volunteerism and Service Patricia Msuka, Rising Star Award Inova Fairfax Medical Campus Matthew Starr, Advancing and Leading the Profession Inova System Office Laila Bailey, Clinical Nursing Patricia Mook, Advancing and Leading the Profession Polly McConnell, Education and Mentorship Virginia Kreienbrink, Clinical Nursing Corinne MacDonald, Patient and Staff Management Dana Lowry, Education and Mentorship Inova System Office Nursing Excellence Winners Jamie Langdon, Volunteerism and Service Cindy Hack, Patient and Staff Management Becky Petros, Rising Star Award Jennifer Lunde, Volunteerism and Service Ashley Vincent, Rising Star Award Inova Fair Oaks Hospital Debra Nelson, Advancing and Leading the Profession Lynne Quigley, Clinical Nursing Janice LeBeau, Education and Mentorship Emily Swedo, Rising Star Award

Inova Mount Vernon Hospital Nursing Excellence Winners 18 | Inova Nursing Annual Report 2015 Inova Nursing Annual Report 2015 | 19

Sustaining The Future of Health BSN by 2020 Inova Nursing Excellence Scholarships The Inova Nurse Residency Program expands the To maintain excellence in healthcare delivery and in nursing orientation process for nurses who have just keeping with the national trend in nursing education, Scholarships were available for Inova nurses pursing completed their nursing degree. Inova Staffing Solutions, Inova joins with leading nursing organizations to a BSN or doctorate-level nursing degree thanks to the Claude Moore Foundation, John and Nina Toups, Inova’s internal staffing agency, oversees the residency recommend that the minimum educational credential Mr. and Mrs. David Karlgaard, Wes and Natalie Bush, and program. Staffing Solutions nurses average 10 years of for nursing practice be the baccalaureate (BSN) degree. The Twig at Inova Alexandria Hospital. nursing experience in a variety of specialties and have In 2014, Inova implemented the requirement that all strong clinical backgrounds, making them uniquely registered nurses who have not reached 20 years of BSN Scholars qualified to serve as preceptors for the new graduate experience must achieve their BSN by the close of 2019. Rubina Ali-Ahmed Mulumebet Harris nurses. Juliana Asare Kyoungho Kim To support this requirement, Inova’s tuition reim- Setphanie Bassler Joan Ostertag The following nurses were selected for and successfully bursement benefit increased to the maximum $5,250 Maribeth Crooks Erin Rovelli completed the Nurse Residency Program in 2015: for qualified employees. Two additional programs are in Marisol Escriba Catherine Sharp place to provide financial assistance to nurses who must Stephanie Fitch Joshua Sines Bianca Albertini Emelina McKelvey Laura Fox Young Suh Brittany Bascope Zaida Parra achieve a BSN: the Inova Nursing Excellence Scholarship Mekdalwit Haile Saijal Valecruz Margaret Boateng Katherine Putnam Program and the new Jump Start Award program. Stacey Haney Rebecca Whitacre Paula Conner Sarah Robbins Anna Grimberg Shauna Smith DNP Scholars Alicia Hoerle Jean Taylor Joan Manning Mahdi Kashoofy Jody Wilbanks Regina Masters Alexandra Willey

Scholarship recipients are honored at an annual reception where they are invited to share their stories. 20 | Inova Nursing Annual Report 2015 Inova Nursing Annual Report 2015 | 21

The Jump Start Award Program New Degree Crystal Corfman Osila Medi Master of Science The Inova Edelman Center for Nursing Julie Costanzo Christopher Miller in Nursing Completions Christine Bloom Because Inova’s tuition benefit is paid as a Tracy Cross Amanda Nick In 2015, the Edelman Center supported more than 830 on Healing Touch. Nurses could opt to attend the Clarence Byrd The following nurses Dominique Dibacco John Owusu nurses in their professional development endeavors. Healing Touch sessions or attend sessions focused reimbursement at the close of a semester, Inova Muskuda Deen Diana Duarte Parminder Pandher These nurses represented Inova at 30 different events on other professional development opportunities and created the Jump Start award program in 2014 completed academic Francine Dehaan Christie Duckett Lauren Payne across the country, returning to share the knowledge experiences. to reduce the financial impact of starting school nursing degrees in 2015: Courtney Elliott Peace Peters Narges Ghodsimaab Isatu Nabie they gained with their coworkers to innovate practice for those nurses required to achieve their BSN. Bachelor of Science Amelia Emerson Ashley Richardson Shelley Cohen, MSN, RN, CEN started the program by in Nursing Katherine Fajardo Madeline Rilko Ansanus Obizuo on their units and drive change throughout Inova. Some Jump Start scholarships were awarded to highly- encouraging the nurses to find something from each Faith Roberts delivers an insightful keynote address Shelli Paul nurses received awards to cover the cost of renewing Aaiza Abbas Rachel Fasiang Vickie Robinette presentation they would be able to implement right away. on generational differences in the workplace. motivated nurses entering the first semester of a Srijana Acharya Amber Fuller Theodora Robinson Subi Siwakoti their board certifications, a mark of distinction indicating Her message focused on changing the image of nursing BSN program before July 2015. Andreya Adams Emily Garth Shamil Roman Sarah Stanmyre expertise in a specialty practice area. to reflect the current role of nurses as professionals. Bianca Albertini Rosy Gautam Lauren Rudy Lucrezia Mangione, MA, CHTP/I offered an introduction 136 nurses received 2015 Jump Start awards Lindsey Amoriello Daisy Georgestone Jeannine Ann Simmons Doctorate of Nursing Practice The Annual Edelman Nursing Faith Roberts, MSN, RN delivered an entertaining totaling more than $400,000. Lauren Archer Erin Gillespie Susan Sleezer to Healing Touch session for Inova nurses who were Maureen Fowler Celebration keynote presentation titled, “From Wedding Rings to Elsa Asghedom Elizabeth Haggerty Helen Stevens interested in learning more about this holistic modality. Bethann Mendez Nose Rings…Generational Differences in the Workplace.” Jennifer Basinger Megan Hazel Karen Stukey The Annual Edelman Celebration was held in May Lucrezia was also part of the Healing Touch Panel Helen Stacks Her observations made a lasting impact on the nurses Jennifer Beck Kelsea Hough Irenious Suglo following Nurses’ Week 2015. Five hundred nurses discussion, joining Joel G Anderson, PhD, CHTP from Yenewud Belay Gianna Jarrett Molly Swain who attended and they continue to request this attended this inspirational event offered as a gift for Inova the University of Virginia, Diane Swengros, MSN, RN, Samantha Belhumeur Fabiola Jean Bart Rachel Taylor presentation to share with their colleagues. nurses from Ric and Jean Edelman. Theresa Davis, PhD, RN and Mary Ann Friesen, PhD, Khadija Bendu Stephanie Johnson Michelle Tibbitts $400,000 Francie Bernier, PhD, RN shared her research on her from Inova in sharing their experiences with Healing Alexandra Bichler Andrian Jones Lauren Trapeni RN Total Jump Start awards in 2015 Based on feedback from the nurses, the Celebration mother’s experience as a nurse serving in the United Touch. Brittany Bishop Marian Keiselbach Jane Uperti offered two breakout sessions focusing entirely Deanna Bova Tamara Kennedy Gabrielle Vanderpoel States Army at the 156th Evacuation Hospital in Ie New York Times Best Selling Author, Jon Acuff closed the Cynthia Brooks Catherine Kilroy Katherine Vandyke Shima during World War II. The nurses who served event with a heavy dose of humor, encouraging nurses to Shilvone Bryson Jung Ran Kim Carina Velasquez in WWII made incredible contributions to the nursing Kelly Buckley Seong Kim Jenelle Victory look for “Do Over” opportunities – chances to take a new profession, including the development of procedures Lindsay Callahan Rachel Lambert Rachel Ward perspective or approach. By embracing change, nurses such as triage. Elizabeth Capeless Anastasia Lanahan Lisa White can reinvent their work and never feel stuck. Stephanei Casady Robert Laninger Keisha White Patricia Seifert, MSN, RN, encouraged her fellow Inova Brittany Caudle Lucie Lavarn Theresa Williams nursing colleagues to develop a professional nursing Darla Ceppi Leteace Lee Ramute Wilson practice and offered practical strategies for how to get Avelina Cerezo Sarah Lewis Sarah Wohld Chidinma Chukwuani Jessica Liggon Natalie Wright involved in nursing organizations, publish articles and Blair Coen Carolyn Lopez Mikurab Yilma take an active role in defining the profession. Colleen Connolly Ashley Marinacci Heather Young 22 | Inova Nursing Annual Report 2015 Inova Nursing Annual Report 2015 | 23

Promotions Specialty Certifications Certified Nurse Operating Room Inpatient Obstetric Katherine Heister Emergency Nursing Nursing Administration Trauma Nurse Epic Decision Support Epic Reporting John Stuntz Nursing Mariam Jalloh Jesse Bjerke Deborah Fulbrook Specialists Madonna Dailo Workbench, Radar and The ADVANCE program promotes clinical leadership, While all nurses must be licensed, board ASAP Noelle Kuchler Allison Klein Alexandria Daniel Joan Manning Dayna Dumont accountability and autonomous nursing practice on the units. certified nurses have met a level of distinction Eugenia “Jean” Certified Pediatric Emergency Nursing Sue Ohlstrom Karen Lodronio Amy Dennis Maggie McCright Sondra Fleming Epic MyChart Program participation is elective and requires nurses to meet and knowledge indicating professional nursing Shapiro Matthews Courtney Brown Kristal Parker Dina Raguindin Kaitlyn Derentz Laura Shanks Jessica Greenwalt Lorraine Stoudt certain benchmarks annually. Nurses can progress on the practice. Certification is the official recognition of Louellen Klein Jaimie Robinson Tatiana Semeniuk Aubrey Dewey Megan Harvey Epic Clinical Content Epic Clinical ADVANCE scale by demonstrating superior clinical expertise; achievement, expertise and clinical judgment. Serena McReynolds Jennifer Stroud Gerontological Nursing (Quigley) Builder Kimberly Dillon Documentation, Kimbrely Mason completing a combination of continuing education courses, Craig Philhower Maternal Newborn Jennifer Downey John Owusu Phoenix and Inpatient Parul Patel Nurses who achieve and maintain certification Joyce Pueblo Low-Risk Neonatal Nursing Loverly Pleayo Federico Pedreira Order Transmittal advanced training or professional certification; participating Dayna Dumont Epic Ambulatory and have mastered skills in a particular specialty and Nursing Aurora Newcomer Jennifer Slabik Gina Tocio Jennifer Faaborg Ashley Cranford Vale Stork in research; and exhibiting continued development in clinical Karla Cox demonstrate their ongoing dedication to learning Brain Injury Specialist Rachel Ward Neonatal Intensive Megan Gabriel Certification Epic ICD-10 Deanna Springer practice. In 2015, more than 450 nurses were recognized as RN3 Nurse Practitioner Michelle Lopez Michael Yoder and professional development as well as their Care Erin Gollehon Kimberly Caban- Kathy Roche or RN4 on the ADVANCE clinical ladder. Laura Sykes Certified Associate Aaiza Abbas Tarahn Hagen respect for the discipline. Certification gives Medical/Surgical Torres Mandarin Medical Health Information Carol Gavin Nursing Registered Nurse 3 Leslie Macquilliam Amy Gillam consumers a benchmark to measure the level of Michelle Alexander Megan Harvey Selam Hadege Interpretation Epic Reporting Management Systems Deacons Aquino Certificate Workbench, Radar and Rubina Ali Ahmed Rebecca McCoy Stephanie Keen Oncology Nursing Monica An Marian Keiselbach Susan Weatherbee care they can expect to receive at Inova. Rehabilitation Nursing Clinical Research Deborah Ludeman Maria Cachafeiro- Jennifer Basinger Kimbrely Mason Rui Guan Jennifer Basinger Tiffany Meakins Betsy Pickett Chris Czajkowski Kathryn Myers Cavadas Margaret Schubert Certified Professional Jesse Bjerke Trinh Nguyen The following nurses achieved board certification Helina Williams Lindsay Caspari Lisa Ncneil Perianesthesia Nursing Anne O’Brien Stephen Chua Jennifer Catton Emily Neigh Health Information Mary Bradenberg Yvonne Peon in the noted specialty area(s) of practice: Non-Invasive Epic Case Delores Rivera Patrick Cooke Joanna Sampson Management Systems Amy Braun Madeline Rilko Advanced Oncology Nursing Stephanie Conerly Sarah Poole Cardiology Management Jackie Rommell Monica Bartlett Critical Care Registered Nurse Eileen McCormack Aisha Fielding Shannon Denham Brooke Powell Charlie Guy Lindsay Caspari Zinna Roberts Rebecca Serra Margaret Coleman Vascular Access Christine Czajkowski Kristen Bischoff Mulumebet Harris Rachel Foard Shannon Sabanosh Rachel Cathey Jeannine Ann Zhenxia Shuai Nursing Frances Collins Madonna Dailo Simmons Progressive Critical Care Nursing Lindy Frodign Julia Shin Stroke Nursing Epic Radar Ann Chopivsky Adriene Simms Eunhee Park Matthew Tibbs Rosy Gautam Alison Griffith Melissa Bautista Daniel Emery Surakshya Shrestha Deborah Smith Theresa Hottinger Jennifer Slabik Janet Otieno Stefanie Jennings Antionette Hart Carolyn Lopez Kimberly Dillion Emma Staller Emme Tate Sarah Jackson Erica Tawney Seunghyun Park Epic Reporting SCRUM Master Courtney Leopold Julianne Kim Workbench and Radar Alexandra Daniel Kelly Vornadore Kristelle Toone Liddy Kelly Katherine Theissen Nadine Gallo Lauren Yoder Christina Lepore Lucie Lavarn Float Pool Lauren Boyce Epic Orders Laura Domen Katherine Waltz Hayley Rumbarger Susan Twyman Patti Purser Ryann Musser Ha Le James Suga Andrea Bustos Michelle Brahaney Laurie Douthwaite Megan Scanlan Samantha Wade Registered Nurse 4 Serki Tesafye Alyssa Lewis Jess Czelusniak Susan Gleason Debbie Smith Katherine Waltz Epic Clinical Content Stephanie Boese Psychiatric and Mental Season Majors Inga Woods Junmar Pasaylo Catherine-Mary Rachel Ward Builder Erin Gollehon Cindy Brooks Health Nursing Dee Wright Todd Rockwell Steenstra Shelley Owens Lindsey Greenwell Cortney Brown Julie Weinstein Liza Lobrin Susan Weatherbee Jamie Ulrich Anne Verna Laura Wenger Tarahn Hagen Sum Chan Epic Reporting Elizabeth Harding Joyce Connor Renee Wardzinski Michael Yoder Trauma Nursing Workbench Margaret Lynch Shelly Coppock 450 Janet Woods Kara Bauman Carlos Borges Jennifer Faaborg RN3 or RN4 on ADVANCE Hannah Davis Stacey Marsh clinical ladder Leslie Kerns Inova Nursing Annual Report 2015 | 25

Development Of An Evidence-Based Algorithm For The Effects of Healing Touch on the Vital Signs of Critical Presentations and Management Of Perioperative Obstructive Sleep Apnea Care Patients. Publications Joni Brady, Mireille Malkoun, Jennifer Camacho, Cheri Theresa Davis, Mary Ann Friesen, Vicki Lindgren, Grubbs, Joanna Sampson, Karen Schaeffer, Rebecca Amanda Golino, Robin Jackson, R., Hicks, Jennifer Kyte, Serra Diane Swengros, Anna Herbst, Maria Obeid, Lucrezia Bust a Move: Progressive Mobility in the ICU Presented: 3rd International Conference for Mangione, Joel Anderson, Amanda Golino, Catherine Williams, Kristen Bischoff PeriAnaesthesia Nurses, Copenhagen, Denmark Presented: Inova Nursing Research Symposium, October Presented: Inova Nursing Research Symposium, October 16, Falls Church, VA 16, Falls Church, VA Driving Organizational Performance with Predictive Virginia Nurses Association Fall Conference, November Analytics 20-21, Richmond, VA Certification Test Prep; The Devil Is In The Details. Kimberly Krakowski GWAC 30th AACN Spotlight on Critical Care, November Carol Rauen, Nicole Gendron-Trainer, Melanie Muller Presented: Institute for Healthcare Technology 21, Silver Spring, MD (Best Research Poster) Published: Critical Care Nurse. 35(5) 68-72 Transformation (IHT2) Health Summit, Washington, DC Effect Of Manual And Automatic Blood Pressure Monitoring Clinical Informatics: Create, Cultivate, Motivate and Effectiveness of Video Discharge Instructions in the Methods On Administration Of Cardiac Medication N Demonstrate Pediatric Emergency Department: A Nurse-led Evidence- Hospitalized Patients With Atrial Fibrillation Patricia Mook, Kimberly Krakowski Based Practice Project Jollybird Gusto, Marietta Salisbury, Karen Speroni, Debra Stanger, Mary Ann Friesen, Renee Milligan Presented: Mississippi Healthcare Information Elyssa B. Wood, Gina Harrison, Serena McReynolds, Management Systems Society, Jackson, MS Lauren Nassr, Kristina Presgrave, Erin Rovelli, Sarah Presented: 11th Annual Spring into Nursing Research Stinson, Barbara J. McCabe, Eugenie Charles Conference, May 8, Reston, VA Containing Catheter-Associated Urinary Tract Infections Presented: Inova Nursing Research Symposium, October Enhanced Recovery in a Minimally Invasive thoracic through Evidence-Based Practice 16, Falls Church, VA Surgery Program Kara Meglasson, Heribert Bacareza, Marcia Depolo, Virginia Nurses Association Fall Conference, November Maheder Hailermariam, Leah Harley, Siu Ma, Kathryn 20-21, Richmond, VA Christy Schatz Rebers, Elizabeth Senese, Jessica Schlener, Jessica Shea, Published: AORN 102, 482-492. Presented: Inova Nursing Research Symposium, October The Effects of Healing Touch on Pain, Nausea and Anxiety 16, Falls Church, VA Following Bariatric Surgery: A Pilot Study Liliana Suchicital, Maria Lang, Mary Ann Friesen, Joel G. Designing highly reliable adverse-event detecting system Anderson, Lucrezia Mangione, Jennifer Fabian, Azra Kukic to predict subsequent claims Presented: 11th Annual Spring into Nursing Research Lorens Helmchen, Maureen Burke, Janusz Wojtusiak Conference, May 8, Reston, VA Virginia Nurses Association Fall Conference, November Published: Journal of Healthcare Risk Management. 34 20-21, Richmond, VA (4), 7-17. Published:creative Explore. 11 (3), 208-216. 26 | Inova Nursing Annual Report 2015 Inova Nursing Annual Report 2015 | 27

Presentations and Publications

Evaluation of an Education with Mentoring Program for a Examination of the Use of Healing Touch by Registered Leading The Journey: Engaging Staff In Process Moving on Up: Incorporating a Progressive Mobility A Pilot Study Exploring Patient Perceptions of Race and Multihospital System Implementation of a Nursing Evidence- Nurses in the Acute Care Setting Improvement Through Visual Management Protocol from the ICU to the Medical/Surgical Unit Ethnicity in a Community Hospital. Based Practice Model Joel Anderson, Mary Ann Friesen, Diane Swengros, Shirley Cahill, Rebecca Jackson Robin Jackson, Rachel Smigelski-Theiss, Suzy Fehr, Nazaneen Nassiry, Monique Sandoval, Debra Stanger, Joni Brady, Renee Milligan, Carol Urban, Mary Ann Friesen Anna Herbst, Lucrezia Mangione Published: American Nurse Today. April 2015 No. 4 Rachel Cathey, Nazarina Phommachanh, Minna Mary Ann Friesen Presented: Spring Forum Nursing Leadership, George Presented: Virginia Nurses Association Fall Conference, Kabteyimer, Mary Brandenburg, Sarah Nanna Laryea, Presented: Inova Nursing Research Symposium, October Mason University, May 5, Fairfax, VA (First Place for Poster November 20-21, Richmond, VA Improving Patient Transitions from Acute Care Hospitals Dianna Gregory, Srilekha Palle, Jacqueline Vance, Tamara 16, Falls Church, VA Presentation) to Inova Mount Vernon Hospital Inpatient Rehabilitation Brown, Kathy Brierly, Andrea Bustos, Karen Hicks, Roger Virginia Nurses Association Fall Conference, November 11th Annual Spring into Nursing Research Conference, Healthcare IT and Data Implementing an Evidence-Based Practice Approach to Facility Chinery 20-21, Richmond, VA May 8, Reston, VA Patricia Mook Improve Patient Pain Management in the Medical and Jennifer Kyte, Katherine Miller, Lauren Shapiro, Patricia Presented: Inova Nursing Research Symposium, October Obstetrical Patient Population 16, Falls Church, VA Institute for Healthcare Technology Transformation (IHT2) Msuka, Maria Aurora Gutierrez, Kalpana Satyal, Laura A Program for Sustaining Improvements in Acute Stroke An Evidence-Based Practice Team Approach to Health Health Summit, Washington, DC Laura McNicholl, Jennifer McCaughey, Katie Hile, Tracy Glaub, Samuel Osae, Sherry Gibbemeyer, Tera Jenkins, Treatment Failure Patient Education Shen, Mary Gibbons, Jessica Harasek, Amber Schroeder, Zaid Kelib-Kidane Optimizing Management of Sepsis in the Emergency Jalil Bentaleb, Lewis Eberly, Robin Jackson, Larisa Stephanie Davila, Julie Hudtloff; Carina Rosslee, Melissa Department Sharri Robinson, Alicia Young, Catherine Wied, Gussie The Impact of the Hospital Elder Life Program on Patient, Presented: Virginia Nurses Association Fall Conference, Golding Martin Assam, Bhruga Shah, Christopher May, Lois Culler, Kerry Operations and Staff Outcomes. November 20-21, Richmond, VA Freddica Brubaker, Jessica MacPhail, Mary Vanessa Presented: International Stroke Conference, Nashville, TN Presented: Virginia Nurses Association Fall Conference, Johnson, Phyllis Hashemi, Martin Brown Dhakal, Melinda Byrns, Heather Hunn, Leslie Kronz, Elyse Marie Duffy, Laura Shanks. Susan Heisey, Mary Ann November 20-21, Richmond, VA Kouri Friesen, Kathy McNamara, Sara Phillippe, Michael Informatics- Yesterday, Today and Tomorrow Presented: Inova Nursing Research Symposium, October Refining utilization of the WHO checklist to improve safety Presented: Inova Nursing Research Symposium, October Sheridan, Beverly Middle, Ae-Jin Choi Patricia Mook, Kimberly Krakowski 16, Falls Church, VA and efficiency in surgery and optimize communication in Implementing an Evidence-Based Practice Approach to 16, Falls Church, VA Presented: 2015 HELP Conference, March 26-27, Presented: Healthcare Information Management the operating room. Improve Perception of Nurse-Patient Communication at the Southeastern Pennsylvania Organization of Nurse Leaders Pittsburgh, PA Systems Society Webinar Optimizing the use of 2%CHG cloth baths to reduce SSI Paula Graling, Amber Williams Trickey, Jeffery Wright, Bedside Fall Conference. Malvern, PA NICHE Annual Conference, April 15, Orlando, FL Paula Graling Holly Gallimore, Fran Vasaly, Moira Crosby, Johnathan Lyn Zehner, Rachel Watson, Kimberley George-Shields, Spring Forum Nursing Leadership, George Mason Introduction to Simulation in the Perioperative Presented: AORN Executive Leadership Series at EXPO, Dort Sandy Danquah, Carrie Friedman, Samantha Pitterson, University, May 5, Fairfax, VA Environments March, Denver, CO Presented: Virginia Patient Safety Summit, January 29, Jacob Ninan 11th Annual Spring into Nursing Research Conference, Paula Graling Richmond VA Presented: Virginia Nurses Association Fall Conference, May 8, Reston, VA Presented: AORN of Northern Virginia, Chapter meeting, Pain Management Plan: .Hurt November 20-21, Richmond, VA Inova Nursing Research Symposium, October 16, Falls February, Falls Church, VA Victoria Bamsey, Amanda Golino, Jacqueline Harmon, Church, VA Cindy O’Hara, Sarah Oliver, Alison Smolsky Implementing an Evidence- Based Practice Sleep Protocol Virginia Nurses Association Fall Conference, November Making Continuing Medical Education Convenient, Fast Presented: Virginia Nurses Association Fall Conference, to Improve Quality of Sleep in Post Operative Cardiac 20-21, Richmond, VA and Fun- Inova Fairfax Medical Center’s Formula for November 20-21, Richmond, VA Surgery Patients Success Katie Hummer, Peggy Canales, Jeremy Bartholomew, Paula Graling Perceptions of a Nursing Innovation Using Healing Touch Kari Coleman, Jessica Cash, Brittany Sines, Maggie Hill, in a Health Care System: A Pilot Study Matthew Van Tine, Jason Vourlekis, Shanti Chang, Christie Presented: Qstream® Webinar Series, March 2015 Mary Ann Friesen, Joel Anderson, Diane Swengros, Lang Anna Herbst, Lucrezia Mangione, Jennifer Fabian Presented: Inova Nursing Research Symposium, October Presented: 11th Annual Spring into Nursing Research 16, Falls Church, VA Conference, May 8, Reston, VA. 28 | Inova Nursing Annual Report 2015 Inova Nursing Annual Report 2015 | 29

Presentations and Publications Awards and Recognition The Relationship Between Nursing Informatics Competency Tools That Measure Caring Systematic Literature U.S. News & World Report Baby Friendly Designation Beacon Award Holders and Evidence-Based Competency Review Of Caring Susanne Fehr Jennifer Drake All five of Inova’s hospitals have been Inova Alexandria Hospital is proud to announce that it The Beacon Award for Excellence lauds Presented: Nursing Management Congress, Orlando, FL Presented: Virginia Nurses Association Fall recognized with either regional or national has received prestigious international recognition as a North American hospital units that employ Conference, November 20-21, Richmond, VA achievement by U.S. News & World Report Baby-Friendly birth facility by Baby-Friendly USA, Inc. evidence-based practices to improve patient The Role of the Clinical Informaticists in Quality in at least one specialty or common core Inova Alexandria is the first Inova hospital to receive this and family outcomes. Recipients of a Gold Patricia Mook, Kimberly Krakowski Tele-ICU Today: Connecting Care Through ranking. To be nationally ranked, a hospital designation and one of only six in Virginia. Beacon Award demonstrate excellence in Innovation must excel across a range of complex sustained unit performance and patient outcomes. Silver- Presented: Symposium for Leaders in Healthcare Quality- Baby-Friendly, USA is the U.S. authority for the cases within a given specialty. According level recipients demonstrate continuous learning and American Hospital Association Webinar Theresa Davis, Carol Olff implementation of the Baby-Friendly Hospital Initiative to U.S. News, researchers analyze nearly 5,000 hospitals effective systems to achieve optimal patient care. Published: Nursing 2015 Critical Care. 10 (5) 15-17 Utilizing Simulation for Professional Education (BFHI) — a global program of the World Health nationwide to determine the list of Best Hospitals. RN/MD Standard Work- the Great Discharge Paula Graling Organization (WHO) and the United Nations Children’s Two Inova hospitals currently hold Beacon Awards: Carolyn Lopez, Patricia Mook Tuned in: Informatics Presented: Washington Regional Transplant Consortium Fund (UNICEF). The initiative encourages and recognizes Joint Commission Accreditation Gold: Envision eICU at Inova Fairfax Hospital Presented: Virginia Nurses Association Fall Conference, Patricia Mook, Kimberly Krakowski Annual Board Retreat, October, St. Michaels, MD hospitals that provide the optimal level of care for mothers November 20-21, Richmond, VA Presented: Epic Users Group Meeting, August 31-Sept. 3, The purpose of the Joint Commission on Accreditation and their breastfeeding newborns. Based on the Ten Silver: Intensive Care Unit and Progressive Care Unit Verona, WI Winning the War on Sepsis through Interdisciplinary of Healthcare Organization survey and Steps to Successful Breastfeeding, this prestigious award at Inova Loudoun Hospital Spaced Education for Safety Excellence Collaboration accreditation process is to evaluate facilities’ recognizes facilities that offer the mothers information, Paula Graling Using an Interprofessional Simulation Activity to Improve Courtney Elliott, Kristin Marge, Michelle Le, Sarah compliance with nationally established Joint confidence and skills needed to successfully initiate and Presented: AORN EXPO and Congress, March, Denver, Knowledge Retention and Decrease Incidence of Catheter Stanmyre, Rett Embrey Commission standards that relate to quality continue breastfeeding their babies. CO Associated Urinary Tract Infections (CAUTI) Presented: Emergency Nurses Association, October 2, and safety of care. The Joint Commission Paula Graling, Jeffery Wright, Heather Prentice, Emily Orlando, FL is one of the nation’s most respected 2015-2018 Lantern Award Jones, Patricia Seifert, Karen Graham, and Jonathan Dort accrediting agencies. Achieving The Joint Commission’s Team Steps to Early Mobility and Clarity The Inova Loudoun Hospital Emergency Presented: Virginia Patient Safety Summit, January 29, demanding standards ensures that our performance and Evelyn Irani, Emily Swedo, Jeanine Kolman, Charuta Department received a 2015-2018 Lantern Richmond VA improvement is held to the highest standards nationwide. Moharir, Elissa Wolf, Vicki Lindgren, George Barkema, Award from the Emergency Nurses Lawrence Lepler R By meeting The Joint Commission on Accreditation of ec 018 Association (ENA). The Lantern Award is ipient 2015-2 Presented: Inova Nursing Research Symposium, October Using Simulation to Develop Safe Surgical Teams Healthcare Organization’s national standards for healthcare a recognition award given to emergency 16, Falls Church, VA Paula Graling quality and safety, Inova hospitals have received multiple departments that exemplify exceptional practice and Presented: Virginia Association of Nurse Anesthetists, Gold Seals of Approval®. innovative performance in the core areas of leadership, District 2 Spring Meeting, March, Ashburn, VA practice, education, advocacy and research. The award is a visible symbol of an emergency department’s commitment to quality, presence of a healthy work environment and accomplishment in incorporating evidence-based practice achievement and innovation into emergency care. 30 | Inova Nursing Annual Report 2015 Inova Nursing Annual Report 2015 | 31

Inova Nursing Strategic Plan 2014-2016 Nursing Strategic Plan The 2015 Chief Nurse Council Inova Nursing Strategic Plan 2014-2016 Our strategic plan illustrates a vision for nursing Inova Nursing Goals Inova Nursing Objectives • RN vacancy rate of <5.1% and lists the goals Inova nurses would like to • RN participation of 80% for Engagement engagement survey accomplish in the coming years. Nurse leaders • Develop nurse leader • Create an image of nursing to onboarding program and from across Inova participated in a one day retreat be the Employer of Choice implement Q4 2014 within the region for nursing to create the strategic plan for 2014-2016. These • Meet 100% Productivity (total Maureen Swick, PhD, MSN, RN, NEA-BC paid hours) Inova Health System Vision • leaders were able to share feedback and ideas for To optimize the health and Affordability Implement new scheduling Senior Vice President, Chief Nurse Executive system (Kronos) capturing well-being of each individual improving patient care by strengthening nursing we serve. • Flex Staffing to Demand nursing workload in real time Inova Department in Q4 2015 • practice in several key areas. Model of Care Model of Care to be fully Inova Health System (Service & Affordability) operationalized by Q3 2015 Mission • New roles will be To improve the health of the • Operationalize all components implemented by Q1 2015 (i.e. diverse community we serve of the Model of Care TCM, Navigator, Expansion through excellence in patient • Design and define new roles of CT2) care, education and th within the Care Delivery Model • HCAHPS score to be at 50 research. percentile in 8 domains

• Increase tuition Inova Nursing Vision Professional Development reimbursement by Q3 2014 Create a world class nursing (Quality) • Increase the number of BSN environment of global • Encourage and support prepared RNs by 3.5% distinction where service, degrees yearly, to a total goal of 80% community, compassion, and • Develop a formal leadership BSN prepared RNs by 2020 innovation foster excellence program for aspiring and • Develop a nursing in nursing practice, education current leaders philanthropy plan by Q2 2015 and research. • Create an effective • Develop draft for leadership communication infrastructure program by Q3 2014; Lisa Dugan, PhD, RN, NEA-BC Cheri Goll, MSN, RN, NE-BC Fadia Feghali, MS, RN, NE-BC Patricia Mook, MSN, RN, Ann Marie Madden, RN, MS, for disseminating Best Implementation by Q1 2015 Inova Nursing Mission Practices within nursing • Focus group to review Chief Nursing Officer Chief Nursing Officer Chief Nursing Officer NEA-BC, CAHIMS CCRN, NEA-BC To provide our community • Revise and market ADVANCE program by Q3 with the best nursing professional development 2014; Increase number of Inova Loudoun Hospital Inova Fair Oaks Hospital Inova Alexandria Hospital Chief Nursing Information Officer Chief Nursing Officer practice, education and programs (i.e. ADVANCE) certified RNS by 3% research in the world. • Develop systemwide Nursing Inova Inova Fairfax Medical Campus Peer Review Program and Nursing Research and implement Q3 2015 Evidence-Based Practice • Translate research and evidence-based practice • Incorporate strategic plan findings into nursing initiatives into research processes related to patient studies/EBP projects safety, quality, experience and affordability • Research studies and evidence-based practice projects align with True North and nursing strategic plan initiatives leadership Inova Nursing 8110 Gatehouse Road, Ste 200W Falls Church, VA 22042 inovanursing.org

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