Thursday, January 28, 2010
Check it out here.
For information on the upcoming NPSF Annual Conference, click here.
Wednesday, January 27, 2010
The American Society of Health-System Pharmacists recently published an article focusing on the growth opportunities available to the field of pharmacy by the endorsement of Safe Practice 18. Hayley Burgess, Pharm.D., BCPP, one of the writers of the standard, believes that this is a "call to action" for pharmacists to take on larger leadership roles.
INQRI agrees that pharmacists have an important role to play in ensuring effective medication management. In 2007, we funded a nurse-pharmacist team to conduct a project at Johns Hopkins Hospital. In their project, "Nursing-Pharmacy Collaboration on Medication Reconciliation: A Novel Approach to Information Management," Drs. Linda Costa (a nurse) and Robert Feroli (a pharmacist) examined how to economically support direct care providers in medication reconciliation in order to facilitate safe transition to and from hospital and community. Costa and Feroli believe that deficits in communication across the continuum of care in regards to medication use can place patients at serious risk for harm. The team evaluated the effectiveness of a nurse-pharmacist clinical information coordination team in improving drug information management on admission and discharge, quantified potential harm due to reconciliation failures, and determined cost-benefit related to averted harm.
Check out a recent webinar presented by Dr. Costa about this collaboration.
Tuesday, January 26, 2010
JW Marriott, Washington, D.C.
The National Health Policy Conference (NHPC), hosted by AcademyHealth and Health Affairs, provides clarity on the critical health care issues and priorities for the upcoming year. Now in its tenth year, the NHPC continues to deliver a program with insider perspectives from health policy leaders to an audience of more than 800 that includes researchers, policy experts, and advocates, who all share your concerns and interests.
Click here to read the agenda.
Click here for information on adjunct meetings.
Click here to register.
Monday, January 25, 2010
- Findings vs. Message
- Practical Tips to Influence Policy and Change the World
- To receive the Connect Manual, please email Heather Kelley
Implementing the Transitional Care Model
Speakers: Mary Naylor, Ph.D., R.N., FAAN, University of Pennsylvania and Randall Krakauer, M.D., Aetna
Date: March 2, 2010: 4:00 p.m. - 5:00 p.m. EST
Click here to register.
Diffusion of New Ideas - What Works?
Speaker: Elizabeth Bradley, Ph.D., Yale University
Date: April 7, 2010: 12:00 p.m. - 1:00 p.m. EST
Click here to register.
Implementation Science and QUERI
Speaker: Brian Mittman, Ph.D., VA Quality Enhancement Research Initiative (QUERI)
Date: April 20, 2010: 2:00 p.m. - 3:00 p.m. EST
Click here to register.
January 20, 2010
California's largest health insurer is teaming with hospitals and doctors throughout the state to better share ways to improve patient safety and cut costs, leaders of the initiative said Tuesday.
Doctors, nurses and other health professionals at California hospitals will meet quarterly in person or over the Internet during the next three years to compare their practices and data for reducing medical problems such as hospital-borne infections. Woodland Hills-based Anthem Blue Cross is contributing $6 million toward the effort.
"When it comes to patient safety, we must do better," Leslie Margolin, Anthem's president, said at a news conference Tuesday at Ronald Reagan UCLA Medical Center. "We will take real, meaningful costs out of the system and we will save lives."
Click here to read the rest of the article.
Friday, January 22, 2010
If you are wondering about how to reach policy makers and how to encourage evidence-based decision-making, tune in next Monday for the first INQRI-Donaghue webinar:
Thursday, January 21, 2010
Groundbreaking New Survey Finds that Diverse Opinion Leaders Say Nurses Should Have More Influence on Health Systems and Services
Opinion Leaders Trust Nurses, but Cite Barriers to Nursing Leadership
Princeton, NJ: From reducing medical errors, to increasing the quality of care, to promoting wellness, to improving efficiency and reducing costs, a new survey finds that an overwhelming majority of opinion leaders say nurses should have more influence. But these opinion leaders—including insurance, corporate, health services, government and industry thought leaders as well as university faculty—see significant barriers that prevent nurses from fully participating as leaders in health and health care. Those are key findings from a first-of-its-kind survey, Nursing Leadership from Bedside to Boardroom: Opinion Leaders’ Perceptions, conducted by Gallup on behalf of the Robert Wood Johnson Foundation. Gallup interviewed 1,504 opinion leaders across key roles and industries for the survey, which was conducted Aug 18-Oct 30, 2009.Check out more information about the report here.
Gallup historically has found nursing ranked among the most ethical and honest professions by the nation’s adults. This new survey finds that opinion leaders also view nurses as one of the most trusted sources of health information, but see nurses as having less influence on health care reform than government, insurance and pharmaceutical executives and others. Yet a strong majority of respondents say nurses should have more influence than they do now on health policy, planning and management.
“Nurses are highly trusted sources of health care information, but as we look to reform our health system, our nation is not taking advantage of all that nurses have to offer,” said Risa Lavizzo-Mourey, M.D. M.B.A., president and CEO of the Robert Wood Johnson Foundation. “This survey shows that opinion leaders recognize that we are squandering opportunities to learn from nurses and implement their ideas. We must build on the widespread trust of nurses’ expertise as an essential component in leading and implementing reform.”
Opinion leaders identify as major barriers to increased influence for nurses that nurses are not perceived as important decision makers or revenue generators compared with doctors, and do not have a single voice on national issues. Opinion leaders rank nurses behind six other stakeholders when it comes to influencing health reform over the next five to ten years.
“It is obvious that nurses have the expertise, experience, knowledge and skills necessary to improve health care delivery and the health of individuals,” said Reed V. Tuckson, M.D., F.A.C.P., executive vice president and chief of medical affairs for UnitedHealth Group. “Every day, I see nurses exercise their clinical judgment and leadership skills to make important and much-needed changes that increase access to and improve the quality and affordability of health care. Therefore, it is essential that we do more to support nurses in taking on leadership positions and ensure that they have a place and a voice at decision-making tables.”
Other key findings from the new Gallup survey:
§ Opinion leaders feel that nurses' primary areas of influence are reducing medical errors (51%), improving quality of care (50%), and coordinating patient care in the health care system (40%).
§ Large majorities of opinion leaders said they would like to see nurses have more influence in a large number of areas, including reducing medical errors and improving patient safety (90%); improving quality of care (89%); promoting wellness and expanding preventive care (86%); improving health care efficiency and reducing costs (84%); coordinating care through the health care system (83%); helping the health care system adapt to an aging population (83%); and increasing access to health care (74%).
§ Seventy-five percent of opinion leaders say government officials will have a great deal of influence in health reform in the next five to ten years, compared to 56% for insurance executives, 46% for pharmaceutical executives, 46% for healthcare executives, 37% for doctors, 20% for patients and 14% for nurses.
§ Opinion leaders identified the top barriers to nurses’ increased influence and leadership as not being perceived as important decision makers (69%) or revenue generators (68%) compared with doctors; nurses’ focus on primary rather than preventive care (62%); and nursing not having a single voice in speaking on national issues (56%).
Methodology—The survey was conducted by Gallup on behalf of the Robert Wood Johnson Foundation. Results are based on telephone interviews with 1,504 national opinion leaders, (aggregating samples of several types of leaders) conducted Aug 18-Oct 30 2009. For results based on a random a sample of this size, one can say with 95% confidence that the maximum margin of sampling error is ±3 percentage points. In addition to sampling error, and the specified representation of different types of opinion leaders interviewed, question wording and practical difficulties in conducting surveys can introduce error or bias into the findings of public opinion polls.
Wednesday, January 20, 2010
Yesterday's Webinar: "Nursing-Pharmacy Collaboration on Medication Reconciliation: A Novel Approach to Information Management"
Tuesday, January 19, 2010
To register for the live webcast visit www.visualwebcaster.com/nursing-leadership and fill in information as prompted. You can also opt to perform a system check to confirm that your computer is able to receive live streaming media. Once you are registered you will simply need to click on the URL above and you will be connected to the live feed on the day of the event.
When: Wednesday, January 20, 2010
Time: 9-11 a.m. ET
Contact: Lauren Musiol at email@example.com or 202-745-5051 with any questions.
Monday, January 18, 2010
Saturday, January 16, 2010
Presented by INQRI grantee Linda Costa
January 19 from 2:00 p.m. - 3:00 p.m. EST
Please click here to register.
This session is part of our Medication Management series
Friday, January 15, 2010
This week, the INQRI program released its fifth call for proposals (CFP). On Tuesday, January 19 at 3pm EST, INQRI's program director, Mary Naylor, will host an informational conference call to discuss the new CFP. If you are interested in this funding opportunity, please contact Heather Kelley for information.
More details and how to apply for this round of founding.
Hospitals are striving for--and hitting--many outcome improvements, the Joint Commission reports. National improvement on 12 outcomes, reflecting best evidence-based treatments for heart attacks, heart failure and pneumonia, rose between 4.9 percent and 58.8 percent between 2002 to 2008, according to Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2009.
"In addition to saving lives and improving health, improved quality reduces healthcare costs by eliminating preventable complications," said Mark Chassin, the accreditor's president. Hospital improvements included:
- Overall heart failure care results improving so that evidence-based treatments were given 91.6 percent of the time, up from 59.7 percent in 2002.
- Evidence-based treatments being given 92.9 percent of the time in pneumonia cases in 2008, up from 72.3 percent in 2002.The report presents scientific evidence of improvement and how it relates to common medical conditions and procedures. The Joint Commission measures 31 outcomes, including several for children's care. More than 3,000 Joint Commission-accredited hospitals contributed data.
Thursday, January 14, 2010
Although nursing administrators and other health care leaders have placed a strong emphasis on quality improvement, many new nurses enter the profession feeling "poorly" or "very poorly" prepared by their nursing education programs to implement quality improvement measures, according to new research findings. In fact, 12.6 percent reported never having heard of the widely-used term now at the forefront of health reform discussions.Click here to read the entire story.
Christine Kovner, PhD, RN, FAAN, said she was surprised by the number of new nurses who felt unprepared to participate in quality improvement initiatives."I see this as a wake-up call and a piece of evidence," said Christine Kovner, Ph.D., RN, FAAN, a professor at New York University's College of Nursing and lead author of a study published in the January 2010 issue of The Joint Commission Journal on Quality and Patient Safety.
Wednesday, January 13, 2010
Click here to read the Call for Proposals.
We plan to award up to eight 18-month grants of up to $300,000 each will be awarded in 2010. Here are the key dates for this round of INQRI funding:
February 17, 2010 (3 p.m. ET)—Deadline for receipt of brief proposals.All brief proposals must be submitted electronically. Click here to begin your online application.
April 27, 2010—Applicants notified if invited to submit a full proposal.
June 1, 2010 (3 p.m. ET)—Deadline for receipt of full proposals (by invitation).
August 16, 2010—Grantees notified of funding decisions.
September 15–16, 2010—INQRI annual meeting (attendance required). Each selected team must be represented at the meeting by the two project directors who are scholars from nursing and another discipline. The meeting will be held at the Robert Wood Johnson Foundation in Princeton, N.J.
November 1, 2010—Research grants start.
Contact Heather Kelley with any questions.
Tuesday, January 12, 2010
Click here to read the article.
In February 2003, the National Quality Forum undertook a 14-month project to study the relationship between nursing personnel and quality, and the degree to which national voluntary consensus standards for nursing-sensitive care could be established. The 15 indicators of nurse-sensitive care endorsed by NQF represented the first set of nationally standardized performance measures designed to assess how nurses in acute care hospitals contribute to health care quality, patient safety, and a professional and safe work environment.
This work greatly informed the development of the first INQRI call for proposals in 2005 which focused on measurement. The teams selected via that call began their work in August 2006 and completed their work in fall 2008. The nine research projects covered three major areas: (1) investigating the link between the work of nurses and the quality of care provided in hospitals; (2) producing and validating measures that capture nurses' contributions to quality care in hospitals; and (3) evaluating the impact of innovative nurse-led initiatives on patient outcomes.
To read more about the nine teams in INQRI's first cohort, please click here.
Monday, January 11, 2010
Diane Sieg, RN, BSN, CYT, CSP, an emergency room nurse with more than 20 years experience, has written an excellent piece, "What Nursing Leaders Know: Seven Truths from Top Health Care Professionals" for Sigma Theta Tau's website "Reflections on Nurse Leadership." Sieg interviewed top nurse leaders including CEOs, CNOs and nurse educators to get their unique take on the challenges facing nurses in today's health care system.
From the nursing shortage to health care costs to the value of Magnet designation, nurses weighed in on issues all across the spectrum. Click here to learn the "Seven Truths."
Click here to learn more about Sigma Theta Tau International.
Friday, January 8, 2010
Read the article here.
Read the studies:
"Preventing Surgical-Site Infections in Nasal Carriers of Staphylococcus aureus"
"Chlorhexidine–Alcohol versus Povidone–Iodine for Surgical-Site Antisepsis"
Thursday, January 7, 2010
The survey will be released at a news briefing from 9 a.m. – 10 a.m. at the National Press Club in Washington, DC, immediately followed by a one-hour discussion of the results by a panel of local and national experts, and Robert Wood Johnson Foundation leaders and nurses. Speakers will include:
- Risa Lavizzo-Mourey, president and CEO of the Robert Wood Johnson Foundation
- Frank Newport, editor-in-chief of The Gallup Poll.
- Mary Naylor, professor at the University of Pennsylvania School of Nursing, director of NewCourtland Center for Transitions and Health and program director of RWJF's Interdisciplinary Nursing Quality Research Initiative
- Patricia Gerrity, associate dean at Drexel University’s College of Nursing and Health Professions, director of 11th Street Family Health Services and RWJF Executive Nurse Fellow
- Richard Hader, chief nursing officer of Meridian Health at the Jersey Shore University Medical Center
- Beverly Malone, CEO of the National League for Nursing and National Advisory Council Member for RWJF’s Nurse Faculty Scholars program
Wednesday, January 6, 2010
The Institute for Healthcare Improvement’s (IHI’s) innovative, scientifically-based Managing Hospital Operations program begins this February. This five-month program provides a highly individualized opportunity to address inefficiencies in health care organizations, potentially resulting in multimillion dollar savings, increased revenue, and enhanced overall quality.
Tuesday, January 5, 2010
Key findings from the report include: care management improves quality, but it may take time to see results; care management programs targeting the hospital-to-home transition are the most successful in reducing costs; successful care management programs include specially trained nurse care managers, in-person encounters and physician involvement; and current payment policies do not support the adoption of care management.
Read the research report and policy brief.
Monday, January 4, 2010
Recently, INQRI's senior program officer, Lori Melichar published a post on RWJF's Pioneer blog about ARCHeS, a web-based platform which allows policy-makers and other leaders to use the Archimedes model to run virtual trials. Dr. David Eddy, founder of Archimedes, recently visited the Foundation to present about ARCHeS, which is supported by the Pioneer program.
"What struck me about ARCHeS was the opportunity it presented to make evidence-based policy decisions about nurse practitioners’ scope of practice that could potentially result in significant savings."