WIHI Session: Nursing’s New Roadmap: Education, the Workforce, and Health Care Quality - Recording Now Available

Last week we had the pleasure of participating in the latest WIHI web series focusing on Nursing's new roadmap. This fascinating radio session discussed the importance of nurses realizing their full potential within the health care system. This session was hosted by Madge Kaplan and featured guest speakers: Donna Shalala (former US Secretary of Health and Human Services), Linda Burnes (Vice President for Nursing and Chief Nursing Officer at Cedars-Sinai Medical Center) and Patricia Benner (Senior Scholar at the Carnegie Foundation for the Advancement of Teaching).

Click here to listen a recording of the radio program.

Click here for supplemental documents discussed during the program.

RWJF's Voices of Quality

The November edition of the Robert Wood Johnson Foundation's monthly e-newsletter, "The Quality Report" features an audio clip of Larry Green, M.D. discussing how choices affect the quality of individuals' health. Dr. Green is the program director of the RWJF and the Agency for Healthcare Research and Quality (ARHQ) funded Prescription for Health: Promoting Healthy Behaviors in Primary Care Research Networks.

In this audio clip, Dr. Green explains how people are learning to make the right lifestyle decisions to prolong their lives.

If you would like to receive future editions of "The Quality Report" monthly e-newsletter, sign up here.

Happy Thanksgiving from the INQRI Program

Best wishes from everyone at INQRI for a wonderful Thanksgiving!

We will back with fresh blog posts on Monday.

Iowa Nurses Offered Incentive to Get Jobs as Instructors

Last week, Tony Leys of the Des Moines Register discussed how Iowa nurses are being offered incentives to not only pursue advanced degrees but to become nursing instructors as well. The incentive being offered by Iowa Student Loan, a private company, offers a $4,000 grant to nurses who are teaching nursing courses or plan to do so. This incentive falls directly in line with recommendations made by the Initiative on the Future of Nursing committee's report: "The Future of Nursing: Leading Change, Advancing Health".

Click here to read the article.

Web Offerings from the VA... Starting Off with Grantee Ciaran Phibbs

The U.S. Department of Veterans Affairs' Health Services Research & Development Service has released its list of upcoming web sessions... and we were pleased to see INQRI grantee Ciaran Phibbs leading the pack!

Wednesday, December 1, 2:00pm ET

HERC Econometrics Course: Right Hand Side Variables
by Ciaran Phibbs, PhD
Register now.

Ciaran Phibbs, PhD is the Assistant Director of HERC. Dr. Phibbs is a health economist at the Center for Health Care Evaluation and the Cooperative Studies Program Coordinating Center, a Consulting Associate Professor in the Department of Health Research and Policy, Stanford University School of Medicine, and a Research Associate, Center for Health Policy and Center for Primary Care and Outcomes Research, Stanford University. His own VA research projects have focused on the demand for VA healthcare and how travel distance and the availability of non-VA alternatives influence veterans use of VA care. In more general terms, his research focuses on the hospital costs and competition. Much of this work has looked at how travel distance effects hospitals, and methods for defining hospital markets. Dr. Phibbs also has a long standing interest in neonatal care.

Additional Events:

Monday, December 6, 1:00pm ET
VIReC Database and Methods Seminar: Measuring Veterans Health Services Use in Medicare (Part 2)
by Denise Hynes, PhD, RN
Register now.

Tuesday, December 7, 12:00pm ET
QUERI Implementation Research: Internet and My HealtheVet Use for Chronic Disease Self-Management
by Keith McInnes, ScD, MS
Register now.

Tuesday, December 14, 1:00pm ET
Spotlight on Evidence-based Synthesis Program: Systematic Literature Review on Women Veteran’s Research
by Bevanne Bean-Mayberry, MD, MHS
Isomi Miake-Lye, BA
Register now.

Wednesday, December 15, 2:00pm ET
HERC Econometrics Course: Research Design
by Jean Yoon, PhD
Register now.

Thursday, December 16, 12:00pm ET
Timely Topics of Interest: Using Evaluation to Improve our Work: A Resource Guide
by Michael Davies, MD
Joe Francis, MD, MPH
Dede Ordin, MD, MPH
Susanne Salem-Schatz, ScD
Register now.

Initiative on the Future of Nursing Launches New Web Site

The Intiative on the Future of Nursing has launched a brand new website. The new website features details on the research and data behind the recommendations from the Institute of Medicine (IOM) Future of Nursing report; ideas, action steps and resources for organizations to become involved; toolkits and template materials for leaders to advance the recommendations in their communities.

Click here to access the new website.

Challenges Facing the Nursing Workforce

Special thanks to INQRI grantees Nancy Dunton (National Database of Nursing Quality Indicators) and Patti Hamilton (Midwestern University) for their engaging presentations for Wednesday's webinar, "Challenges Facing the Nursing Workforce."

Click here to view the presentation on your desktop.
Download Nancy Dunton's slides.
Download Patti Hamilton's slides.

Our next webinar in the Health Reform and Future of Nursing series will be announced soon.

Click here for more details.

Nurses' Role in the Future of Health Care

In today's New York Times, Pauline Chen, M.D., takes a look at Nurses' Role in the Future of Health Care by explaining the incredible impact that nurses can have... especially in the era of health reform.  Dr. Chen discusses the report generated by the Initiative on the Future of Nursing committee: "The Future of Nursing: Leading Change, Advancing Health."  Dr. Chen presents INQRI director, Mary Naylor's work on the transitional care model as an exemplar of successful nursing-led services.

Click here to read the article.

National Patient Safety Foundation: Patient Safety Congress 2011 Call for Posters

On May 25-27, 2011 the National Patient Safety Foundation will be hosting a Patient Safety Congress at the Gaylord National Hotel in Washington, DC.

In 2011, the extraordinarily popular Learning and Simulation Center returns, plus a special plenary session on healthcare simulations led by Jeffrey B. Cooper, PhD, Executive Director, Center for Medical Simulation.

The call for Congress 2011 Posters is now open and can be submitted here.

Click here to register as an attendee.

The Effect of Off-Peak Hospital Environments on Nurses' Work: an Institutional Ethnography

This presentation was made by Patti Hamilton and Gretchen Gemeinhardt during the fifth annual meeting of the Interdisciplinary Nursing Quality Research Initiative regarding the completion of their project on off-peak hospital environments on nurses' work.

This project used Institutional Ethnography (IE) to situate nursing in the center of an interdisciplinary approach to learn how and why off-peak work environments are different, and how they affected nurses' work and patient care. Two types of data have been collected. Level I data is transcripts from individual and focus-group interviews. Level II included managerial policies, documents, and other texts, used to improve quality and efficiency by standardizing and controlling the work of nurses. This project has provided researchers with insight into how to account for temporal variations in nurses' work environment when specifying causal models linking nursing care to patient outcomes. The project also has provided stakeholders with materials that help them identify, evaluate, and anticipate effects of initiatives to improve efficiency, effectiveness, quality and cost on nursing care provided during off-peak periods.







This team is co-led by Patti Hamilton, PhD, RN, a nurse researcher, and Gretchen Gemeinhardt, PhD, MBA, a psychologist with a background in management and organizational behavior.

WIHI Session: Nursing’s New Roadmap: Education, the Workforce, and Health Care Quality

Thursday, November 18, 2010, 2:00 PM – 3:00 PM Eastern Time

The next WIHI session offered by the Institute for Healthcare Improvement features nursing leaders discussing the recommendations from the Initiative on the Future of Nursing report and a focus on developing the scope of knowledge which will allow nurses to take on more challenging roles.

Click here to register for this free event.

Guests:

Donna Shalala, PhD, former US Secretary of Health and Human Services; President, University of Miami; Chair, Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, Institute of Medicine

Linda Burnes Bolton, DrPH, RN, FAAN, Vice President for Nursing and Chief Nursing Officer, Cedars-Sinai Medical Center; Vice Chair, IOM Committee on the Future of Nursing

Patricia Benner, RN, PhD, FAAN, Senior Scholar, Carnegie Foundation for the Advancement of Teaching; Author, Educating Nurses: A Call for Radical Transformation and From Novice to Expert: Excellence and Power in Nursing

Small Troubles, Adaptive Responses [STAR]: Fostering a Quality Culture in Nursing

This presentation was made by Robert Ferrer and Kathleen Stevens during the fifth annual meeting of the Interdisciplinary Nursing Quality Research Initiative regarding the completion of their project on nursing workarounds.

This project aimed to improve nursing units' quality and efficiency. The research question was whether a program designed to identify and address small problems encountered by nurses in patient care occurring about once per hour per nurse and managed with workarounds in 95% of cases can lead organizational learning that will drive large improvements in safety, quality, and efficiency. The intervention, adapted from theoretically-based programs proved effective in other settings, combined a methodology for enhancing the underlying performance improvement capability of nursing units with a toolbox of quality improvement strategies relevant for tackling the small problems encountered in practice.

This team is co-led by Kathleen Stevens, EdD, RN, FAAN, a nurse researcher, and Robert Ferrer, MD, MPH, a medical doctor with a background in family medicine and biology.

Upcoming Webinar: Challenges Facing the Nursing Workforce

Next Wednesday, November 17, INQRI will host a conversation featuring INQRI grantees Nancy Dunton (National Database of Nursing Quality Indicators) and Patti Hamilton (Midwestern University) focused on challenges facing the nursing workforce.

The session will be held from 2pm - 3pm ET and will feature a question and answer period.

Click here to register.

Dr. Dunton was recently funded in collaboration with former INQRI grantee Susan Beck for the project, "Dissemination and Implementation of Evidence-Based Methods to Measure and Improve Pain Outcomes."  This project will disseminate and implement evidence-based approaches to measure and improve pain care and outcomes in a sample of 100 hospitals across the United States. The program is unique in forging a partnership with the National Database of Nursing Quality Indicators® (NDNQI). The research team will replicate the NDNQI data collection strategy for pressure ulcers and collect data regarding pain care and outcomes at the patient level across multiple hospitals and units on a given day. The team will finalize and implement a set of pain quality indicators (PQI) within the NDNQI based on their previous INQRI work to develop Pain Care Quality measures.

Dr. Hamilton and her team recently completed their INQRI project, "The Effect of Off-Peak Hospital Environments on Nurses' Work: an Institutional Ethnography."  This project used Institutional Ethnography (IE) to situate nursing in the center of an interdisciplinary approach to learn how and why off-peak work environments are different, and how they affect nurses' work and patient care. This project will provide researchers with insight into how to account for temporal variations in nurses' work environment when specifying causal models linking nursing care to patient outcomes. The project also will provide stakeholders with materials that help them identify, evaluate, and anticipate effects of initiatives to improve efficiency, effectiveness, quality and cost on nursing care provided during off-peak periods.  For more information, please visit their website.

Health Wonk Review Wishes You a Happy Veteran's Day

Happy Veteran's Day! On this day, we commemorate and thank those who have served our country, making incredible sacrifices to preserve those things we hold dear. We reflect upon their struggle, their dedication and their commitment to a greater purpose.

The bloggers who submitted posts for this week's Health Wonk Review have that same dedication and commitment to our nation, but in the health care arena. They reflected on the numerous changes and issues that we must address if we are to improve the health and health care of our nation. Most submissions focus on Initiative on the Future of Nursing report, the mid-term elections' effect on health reform and an old favorite - health care costs. Enjoy!

Future of Nursing Report

We will exercise our prerogative as the hosts of this week's edition, and suggest that you first check out the posts on INQRI's site! They begin with a blog carnival we hosted yesterday which features a selection of blog posts written by students with their reactions to the Future of Nursing report. I think you'll find their thoughts provocative, insightful and interesting.

Terri Schmitt at NurseStory was inspired by the IFN report to consider the "original purpose of nurses advancing their practice and how that purpose is just as relevant today as it was 40 years ago."

At the Disease Management Care Blog, Jaan Sidorov suggests that "dog whistle" politics (the use of rhetoric to signal deeper meaning to an attuned constituency) is behind the phrase "practice at the top of license" for non-physicians... A doctor who has decided (at least for the moment) to keep his thoughts about independently practicing nurses to himself, Sidorov encourages advocates for broadening scope of practice to be as clear as possible about what they mean.

Although she doesn't mention the Future of Nursing report in her post on the Nursing Staff Development blog, Teresa Heithaus does discuss in length one of its key points: the importance of lifelong learning and development for nurses. Her post details the challenges associated with research and publication from behind the "hospital firewall."

Mid-Term Elections and the Affordable Care Act (ACA)

Last week's mid-term elections have have spurred great debate among health wonks everywhere, including on the web, where many pondered the future of the Affordable Care Act...

In advance of the overwhelming GOP victory last Tuesday, Joe Paduda at Managed Care Matters wrote about his anticipations for big Republican wins.

HealthInsurance.org/blog editor Steve Anderson discussed possible changes to the funding for health reform. At the same site, Chuck Smith-Dewey pondered then-candidate and now-Senator Rand Paul's idea of requiring that seniors pick up of the first $2,000 of medical expenses that are currently paid for by Medicare.

Over at The Lucidicus Project, Jared Rhoads provides all the reasons that the Republican party has gained themselves a new voter.

Over at the Health Business Blog, David E. Williams (cofounder of MedPharma Partners and blog author) provides the transcript of his conversation with Dan Mendelson (President and CEO of Avalere Health, a health care business and policy advisory firm) one day after the mid-term elections about the impact on health reform.

Over at Insureblog, Henry Stern shares a recent conversation with a physician regarding his profession's view on accountable care organizations.

David Harlow at HealthBlawg, discusses the Office of Inspector General's new Roadmap for New Physicians, while explaining that it will probably need to be revised once provisions for accountable care organizations change under the ACA.

On the Health Affairs blog, Linda Berthgold questions what an "essential benefit" looks like under the ACA.

Health Care Costs

One of the Incidental Economists, Austin Frakt, discusses the range of ideas on controlling health care costs.

NCPA President John Goodman says the real problem in health care is not now, and never has been, prices. It is the suppression of real markets.

And in other news...

At her blog, On Your Meds: Straight Talk about Medication Safety, Barbara Olson discusses a new study in the New England Journal of Medicine and provides tips regarding the "hunt for safe prescribing practices." (FYI: this blog is on Medscape which requires that you create a free account to log in.)

Verna Dutton at @nursingpins Amplified, writes an open letter to the Nevada State Board of Nursing regarding the case of two nurses accused of intentionally harming patients.

The Healthcare Economist, Jason Shafrin, explains that although pay-for-performance (P4P) is one of the primary tools used to support healthcare delivery reform, there is a lack of uniformity in the development and implementation of P4P.

On the HealthNewsReview Blog, Gary Schwitzer assesses eight mainstream news media outlets' stories on the National Lung Screening Trial and finds that most of them... excepting NPR... were lacking in their coverage.

At Healthcare Technology News, Rich Elmore wonders what will happen to quality of care and patient outcomes if electronic health records are unequally deployed.

Over at his Healthcare IT Blog, Neil Versel suggests that patients be empowered to enter their own medical information, putting quality controls in the hands of the consumer.

One patient who is indeed empowered is Jonathan Morgan, who chronicles his own healthcare journey at his Spondylosis Treatment blog. Check out his tips for strengthening exercises.

Patient Safety: What Does the Evidence Tell Us?

Special thanks to INQRI grantee Michele Balas (University of Nebraska) who served as the moderator for yesterday's webinar, "Patient Safety: What Does the Evidence Tell Us?" as well as her fellow grantee presenters: Patricia Dykes (Brigham and Women's Hospital), Susan Letvak (University of North Carolina Greensboro) and Linda Flynn (Rutgers).

If you missed the session, you can view the materials online:

• Click here to view the presentation from your desktop.
• Download Patricia Dykes' slides.
• Download Susan Letvak's slides.
• Download Linda Flynn's slides.

Next up in our webinar series:

Challenges Facing the Nursing Workforce
Wednesday, November 17, 2pm - 3pm ET

A Conversation featuring INQRI grantees Nancy Dunton (National Database of Nursing Quality Indicators) and Patti Hamilton (Midwestern University).

Click here to register.

Nursing Students on the Future of Nursing Report

The INQRI program is pleased to host an impromptu "blogging carnival" featuring the thoughts of several nursing students regarding the Initiative on the Future of Nursing report.  Educator Terri Schmitt of Nurse Story, a blog that is full of thoughts on nursing, nurse practitioners, service to others and life in general, requires all of the students in her nursing informatics class to create and maintain blogs. We are so thrilled that so many of her students chose to write about this important report.  The committee would be pleased to know that most of these students will be contributing to their recommended increase in the proportion of nurses with BSN degree to 80% by 2020, as almost all of these bloggers are in an RN to BSN program.

• In fact, in her post, Meaghan Boland provides support to that very recommendation, explaining that her own BSN classes have allowed her to prepare to serve a more diverse group of patients.
• Todd MacDonald refutes the AMA's response to the report with some figures of his own.
• Marcia Howard ponders the committee's recommendation about nurses practicing to the full extent of their education, sharing a story about a recent interaction she shared with a neurologist.
• Tina Fulbright gives an "older new nurse's" perspective on the recommendations.
• Cassidy White discusses the importance of nationwide standards for scope of practice and the continuing education of nurses. 
• Amy Hopkins considers what her own role might entail in the future of nursing.
• Lori Vanderpool writes about the responsibility that nurses have to become involved at all levels of decision-making.
• ASN student Julia Cruzan provides her support to the committee's report.

Terri Schmitt is a nurse practitioner who is currently finishing up her PhD at the University of Missouri-Kansas City (UMKC).

Submit NOW for Thursday's Health Wonk Review

Just a reminder that the INQRI blog is hosting this week's edition of Health Wonk Review on Thursday.  Please submit your entries now via Blog Carnival.  Do you have reactions to the Future of Nursing report, the mid-term elections or anything else health wonky?  We're sure you do!

Submissions are due by Wednesday at 9amET.

INQRI Grantee Presents as Part of Health Policy Seminar Series

INQRI grantee Doug Wholey recently presented the results of his INQRI project, "Multidisciplinary Organization and Outcomes for Chronic Heart Failure Patients in the VA" during the University of Minnesota's Health Policy and Management Seminar and Lecture Series.

Wholey co-led a team with Joanne Disch to test a theory of the effect of nurse-physician co-leadership, the effective modeling by nurses and physicians of individual role behaviors and a strong shared inter-professional relationship, in chronic heart failure (CHF) care groups in Veterans Health Administration (VHA) medical centers. The outcomes were waste in care processes, patient outcomes of receiving dietary and medication instructions at discharge, adult smoking cessation advice/counseling, and readmissions and provider outcomes of nurse burnout and CHF knowledge.

Click here to watch the presentation.

Register NOW for Tomorrow's Webinar

Patient Safety: What Does the Evidence Tell Us?

A Panel Presentation, facilitated by new INQRI grantee Michele Balas (University of Nebraska) and featuring fellow grantees: Patricia Dykes (Brigham and Women's Hospital), Linda Flynn (Rutgers), Marita Titler (University of Michigan) and Susan Letvak (University of North Carolina Greensboro).

Tuesday, November 9
2pm - 3:30pm ET
Click here to register.

RWJF Adds to Library of Interventions Tested at Hospitals to Increase Quality, Reduce Disparities

The Robert Wood Johnson Foundation (RWJF) is releasing new “Promising Practices” stories describing how six hospitals took simple steps to reduce cardiac readmissions, improve language services or reduce disparities. The six new stories augment RWJF’s extensive library of Promising Practices that chronicle successful interventions hospitals nationwide implemented while participating in the Foundation’s collaborative quality improvement programs. These simple online summaries provide "how-to" guides for nurses, doctors and other hospital-based staff who want to lift the overall quality of care.

 

Check out the new stories:

• Minnesota: Improving Care Coordination by Streamlining Patient Referrals
• Tennessee: Educating and Motivating the Community to Reduce Disparities
• Maine: Ensuring Interpreter Qualifications and Standards Through Vendor Contracts
• Michigan: Ensuring Race/Ethnicity/Language (REL) Data Collection with the Use of a Post-Discharge Survey Tool
• Michigan: Modifying the Registration System to Accurately and Efficiently Capture Patient Language Preference
• Tennessee: Modifying the Admission Process to Improve the Collection and Accuracy of REL Data Collection

Browse the entire free library of 142 Promising Practices. It includes video and audio files that bring these hospital interventions to life, as well as downloadable tools that can be easily adapted by other institutions.

 

Access the RWJF Promising Practices library.

 

Nurse Understaffing Leads to Failures in Patient Safety

This week, the largest nurses union in the U.S. asked the Washington, D.C. Health Department to investigate nurse understaffing at Washington Hospital Center. The union believes that this understaffing is jeopardizing patient care.

Click here to read Lena Sun's article in The Washington Post.

INQRI researchers at the University of California know that the composition of hospital nurses matter when it comes to preventing costly complications for patients.  Led by Mary Blegen and Tom Vaughn, the team examined the extent to which nurse staffing levels affected the incidence of complications and the failure to rescue from those complications, (i.e. death following complications). Their examination showed that nursing hours per patient day were strongly associated with lower rates of pressure ulcers and hospital acquired infections, and fewer deaths from complications. Further, more RN hours in the mix had additional benefit with still lower rates of failure to rescue and hospital acquired infections. Their work shows that higher levels of nursing hours per patient day and RN skill mix in intensive care units and in general units will lead to better patient outcomes, information that can guide states considering regulation of nurse-patient staffing ratios to address patient safety gaps.

Use of INQRI Team's Fall Prevention Tool Kit Reduces Rate of Falls

Yesterday, INQRI researcher Patricia C. Dykes, R.N., D.N.Sc. (Partners HealthCare System, Brigham and Women's Hospital and Harvard Medical School, Boston) presented on "How to Reduce the Risk of Falls for Older Patients in Hospitals" at the National Press Club as part of a Journal of the American Medical Association (JAMA) Theme Issue Media Briefing on Aging.  Dykes and her team were published in today's edition of JAMA with their paper, "Fall Prevention in Acute Care Hospitals: A Randomized Trial."

The team's INQRI project addressed gaps in knowledge by establishing linkages between nursing fall risk assessment, risk communication and tailored interventions to prevent falls. The goal of this study was to prevent patient falls by translating an individual patient's fall risk assessment into a decision support intervention. This innovative intervention communicates fall risk status and creates a tailored evidence-based plan of care that is accessible to interdisciplinary team members, paraprofessionals, patients and family members.

As noted in the JAMA article, the team found that "the use of a fall prevention tool kit in hospital units compared with usual care significantly reduced rate of falls."

Click here to access the article on JAMA's website.
Click here to read a news article about the study on the e!ScienceNews website.

Health Reform and the Future of Nursing - New Webinar Series

The focus on nursing in the Affordable Care Act paired with the recommendations put forth by the Initiative on the Future of Nursing Committee provides a unique and important opportunity for nurses, hospitals and health care systems. There is a great body of research that shows that when nurses take greater leadership roles in health care, not only does the quality of that care improve, but so do patient outcomes. This is the time to share and promote that research and to identify processes and practices that can be replicated.

To that end, INQRI is pleased to announce the first two webinars in our new series:

Patient Safety: What Does the Evidence Tell Us?

A Panel Presentation, facilitated by new INQRI grantee Michele Balas (University of Nebraska) and featuring fellow grantees: Patricia Dykes (Brigham and Women's Hospital), Linda Flynn (Rutgers), Marita Titler (University of Michigan) and Susan Letvak (University of North Carolina Greensboro).

Tuesday, November 9
2pm - 3:30pm ET
Click here to register.


Challenges Facing the Nursing Workforce

A Conversation featuring INQRI grantees Nancy Dunton (National Database of Nursing Quality Indicators) and Patti Hamilton (Midwestern University).

Wednesday, November 17
2pm - 3pm ET
Click here to register.

Cohort 5 Projects Start TODAY

We are pleased to announce that our six newly-funded research projects begin today.

Over the past four years, INQRI grants have supported research to establish links between nursing and the quality of care delivered to people within and across a variety of health care settings. This year’s grants will support studies that focus on disseminating and implementing programs that have proven effective. Each new  team receives an 18-month grant of up to $300,000 to support a project that explores the relationship between nursing and health care with a focus on developing evidence on how to disseminate and implement programs that are known to work. INQRI will share the results of this research with policy-makers, hospital administrators and others who make decisions about how nursing resources are distributed to improve quality and patient outcomes.

Click here to learn about these teams:

Michele Balas, Ph.D., R.N., A.P.R.N.-N.P., C.C.R.N., University of Nebraska Medical Center and William Burke, M.D., University of Nebraska Medical Center, principal investigators, Implementation and Dissemination of an Interdisciplinary Nurse-Led Plan to Manage Delirium in Critically Ill Adults;

Susan Beck, Ph.D., A.P.R.N., F.A.A.N., University of Utah and Nancy Dunton, Ph.D., Kansas University Medical Center, principal investigators, Dissemination and Implementation of Evidence-Based Methods to Measure and Improve Pain Outcomes;

Linda Flynn, Ph.D., Rutgers, The State University of New Jersey and Joel Cantor, Sc.D., Center for State Health Policy at Rutgers, The State University of New Jersey, principal investigators, Creation of a Nurse Manager Development Program to Increase Patient Safety;

Nancy Hanrahan, Ph.D., R.N., University of Pennsylvania and Phyllis Solomon, Ph.D., University of Pennsylvania, principal investigators, Translation of a Transitional Care Nursing Intervention for People with Serious Mental Illness;

Robin Newhouse, Ph.D., M.S., M.G.A., University of Maryland, Baltimore and Bonnie Spring, Ph.D., A.B.P.P., Northwestern University, principal investigators, Nurse-Led Intervention to Improve Screening and Treatment for Substance Abuse: An RCT of Hospitals; and

Maria Titler, Ph.D., R.N., F.A.A.N., University of Michigan School of Nursing and Paul Conlon, Pharm.D., J.D., Trinity Health, principal investigators, Implementation of a Risk Specific Fall Prevention Bundle to Reduce Falls in Hospitals.