Advancing Gerontological and PACE Nursing for Improved Care of the Elderly

Saturday, 29 October 2011

Karen A. Madden, RN, BS, MPH
Administration, Providence ElderPlace, Portland, OR

Learning Objective 1: The learner will be able to describe the nursing care delivery models and utilization of nursing staff within PACE organizations.

Learning Objective 2: The learner will be able to describe nurse sensitive quality outcome measures and proposed benchmarks in PACE.

A partnership between the John A. Hartford Foundation and Sigma Theta Tau International, the Geriatric Nurse Leadership Academy (GNLA) provides fellowship opportunities for emerging nurse leaders to develop skills within three domains:  individual leadership, advancement of Gerontological nursing practice and expansion of organizational influence. This poster is the result of one GNLA Fellow practicing in a managerial position at Providence ElderPlace - Portland, Oregon.  ElderPlace is a Program of All-inclusive Care for the Elderly (PACE) organization serving frail elders in community settings.  Providence Health & Services, a mission inspired entity serving in five Western States, provides sponsorship for the work of ElderPlace.  With GNLA mentorship, a strategic action plan was designed to advance leadership skills and performance of the Fellow.  A compelling vision of the future of nursing at ElderPlace was generated through brainstorming and priority setting sessions with staff nurses, multiple stakeholder meetings and an organizational needs assessment. The Fellow guided an interdisciplinary project team through the research and development of a redesigned nursing care delivery model at ElderPlace that increases efficiencies; improves care coordination and promotes quality nursing outcomes in geriatric care.  An exploratory descriptive study of nursing practice  involving focused interviews and a structured survey, designed by the project team, was conducted with leaders in PACE provider organizations throughout the United States.  Quality benchmark targets for nurse sensitive outome measures among PACE sites were created.   Within the timeframe of the GNLA, the Fellow was appointed to leadership positions in ElderPlace, the Providence Health System and with the Oregon State Board of Nursing; became actively involved in the creation of a National PACE Association Nursing Consortium; helped establish a Nurse Gerontology committee for the Oregon Center of Nursing; and was a co-chair of a task force focused on developing Gerontological Nurse Residency programs in Oregon.