Saturday, November 3, 2007

This presentation is part of : Promotion of Quality of Care
Care to Share: A Collaborative Clinical Integration Program that Promotes Quality
Deborah A. Jasovsky, PhD, RN, CNAA, BC, Nursing Administration, Raritan Bay Medical Center, Perth Amboy, NJ, USA, Lois M. Dornan, MSN, RN, CPHQ, Administration, Robert Wood Johnson Health Network, New Brunswick, NJ, USA, and Joan Gleason, PhD, RN, MA, Nursing, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA.
Learning Objective #1: define the RWJ Health Network's professional council governance structure and how it serves as the foundation for a collaborative model to improve outcomes.
Learning Objective #2: identify how the Network's Clinical Integration Program provides information to drive quality decisions and adoption of best practices.

Established in 1997, RWJ Health Network’s Clinical Integration Program provides nursing leaders with a robust database, containing outcome, process, safety and satisfaction data. ‘Shining the spotlight’ on successes and opportunities improves outcomes and care processes through multidisciplinary collaboration and strategic use of shared resources.  Trended, web-based information, disseminated from staff to Board members, drives performance improvement strategies and improved patient quality, safety and satisfaction. 

Clinical integration is accomplished through a governance structure consisting of executive councils of physicians, chief nursing executives, and chief executive officers.  Strategic plans, approved by the Network Board of Directors, are operationalized using multidisciplinary committees, whose collaborative efforts target activities such as innovations in critical care, patient safety, and evidence-based best practices.

Sub-committees of the Nurse Council are forums to advance nursing science, practice, and education through collaborative leadership and sharing best practices.  For instance, the Collaborative Research Model supports new research studies; educational forums develop nurse leadership; and sharing organizational policies improves patient satisfaction. These initiatives increase nursing knowledge and accelerate the application of evidence-based practice.  

The Network’s track record of multidisciplinary collaboration includes publication of its study on timely stroke care in Stroke, a Press Ganey grant to study the relationship between patient satisfaction and nurses’ satisfaction with their nurse manager, and new business ventures like StepOne©, a demographic data collection software for Magnet application submission, published in JONA.  Outreach to healthcare professionals locally, nationally and in Russia and South America extend collaborative boundaries.

Network hospitals are healthcare competitors, but improve clinical performance through a shared vision of healthcare excellence and commitment to collaboration and clinical integration.  Network hospital recognitions, such as ANCC Magnet Designation, the Malcolm Baldridge National Quality Award, The Quality NJ Award for Performance Excellence as well as consumer awards for clinical excellence confirm that leadership collaboration improves and sustains quality.