Saturday, July 14, 2007
This presentation is part of : Outcome Measurements
A Transdisciplinary Multifaceted Approach to Evidence-Based Performance Improvement
Mary L. Shepherd, RN, MS, CNAA1, Ann M. Scanlon McGinity, PhD, RN2, Nena M. Bonuel, MSN, RN, CCRN1, and Luzviminda Palad, BSN, RN3. (1) Center for Professional Excellence NB1-087, The Methodist Hospital, Houston, TX, USA, (2) Chief Nurse Executive, The Methodist Hospital, Houston, TX, USA, (3) Nursing, The Methodist Hospital, Houston, TX, USA
Learning Objective #1: describe a unique transdisciplinary strategy aimed at improving patient outcomes.
Learning Objective #2: discuss the Nursing Dashboard and the leadership role of the bedside nurse in driving patient outcomes.

The current state of the healthcare industry mandates that all health professionals work collaboratively to optimize patient outcomes.  In this academic, tertiary setting, nursing leaders have worked collaboratively with other organizational leaders to establish the expectation and strategic plans to align and manage hospital, nursing and transdisciplinary performance improvement while using evidence-based processes to design, measure, assess, improve and maintain performance.   Sharing of a common commitment to serving the patient has brought together all disciplines through a common dialogue as the organization works toward the ideal health of each patient. 


Structures that support the hospital’s mission of delivering high quality, safe and cost effective care include, but are not limited to an Associate Chief of Nursing dedicated to overseeing nursing practice and a state of the art automated Nursing Dashboard created in collaboration with eleven disciplines/departments that supports the hospital’s and nursing’s strategic priorities.  The Nursing Dashboard generates quarterly multivariate nursing quality indicator data benchmarked at the highest level possible for 72 clinical areas.  Unit-based, multidisciplinary governance councils led mostly by clinical mentors, the third level in our clinical ladder, develop action plans, which are reviewed by a house wide, multidisciplinary Quality and Patient Safety Council.  The actions of the governance councils are supplemented by house wide multidisciplinary clinical safety squads, who collaborate with nursing to initiate evidence-based performance improvement initiatives, which ultimately optimize patient outcomes.


Clinical mentors complete six modules of instruction on performance improvement, evidence-based practice, resource management, professional development, communication and meeting management acquiring the leadership skills to drive clinical quality.  Classes are taught collaboratively by hospital directors, a clinical nurse specialist, an organizational development specialist and performance improvement coordinator.