1. NATIONAL PATIENT CARE SERVICES (INTERNAL USE ONLY) (INTERNAL USE ONLY) The Voice of Nursing Community of Practice Forums (CoP) Forums Kaiser Permanente Woodland Hills May 21 2015 Nancy Tankel, CNE & Mary Risinger, Ambulatory Practice Leader

2. NATIONAL PATIENT CARE SERVICES (INTERNAL USE ONLY) (INTERNAL USE ONLY) Our Team Voice of Nursing Implementation is lead by our Professional Practice Committee The team consists of Inpatient, Ambulatory and ED Clinical Staff, Educators and Leadership Championed by our CNE (Nancy Tankel) and Ambulatory Practice Lead (Mary Risinger) Sponsored by our Executive Team 2

3. NATIONAL PATIENT CARE SERVICES (INTERNAL USE ONLY) (INTERNAL USE ONLY) Professional Practice Model (The Voice of Nursing) Aligned with our Nursing Strategic Plan and Outcomes 3 Kaiser Permanente Woodland Hills Red=Transformational Leadership Purple-Exemplary Professional Practice Green-Structural Empowerment Blue-New Knowledge, Innovations, & Improvements Voice of Nursing PPM Elements Leadership Professional Development Research/ EBP Quality/Safety Caring & Healing Environment Collaborative Environment Healthy Communities/ Population Health/ Total Health PX & Discipline of Nursing KP WHMC Imperative (Inpatient; Ambulatory) Care Delivery/Quality Leadership Care Delivery/Quality Edu. & Training / Competencies / New Technologies Care Delivery/Quality Care Delivery/ Best Practices Care Delivery/Quality Patient Safety & Risk Care Experience/ Service Care Delivery /Best Practices People Workforce Planning Growing Membership; Affordability Care Delivery/Best Practices Care Delivery/Quality Compliance/Scope of Px Magnet SOE Categories Strategic Planning (TL1EO & TL2) Commitment to Professional Development (SE1EO – SE5) Research (NK1EO-NK2) Culture of Safety / Nurse Sensitive Clinical Indicator data (EP18EO,EP22EO) Teaching & Role Development (SE6-SE8) Interprofessional Care (EP12- EP13EO) Community Involvement (SE9- SE10EO) Professional Practice Model /RN Satisfaction (EP1-EP3EO) Staffing, Scheduling, and Budgeting Processes (EP9- EP11EO) Ethics, Privacy, Security, and Confidentiality (EP17) Quality Care Monitoring & Improvement/Pati ent Satisfaction (EP23EO0 Care Delivery System (EP4- EP8EO) Accountability, Competence, and Autonomy (EP14- EP16) Recognition of Nursing (SE11) Evidence-Based Practice (NK3) Visibility, Accessibility, & Communication (TL8-TL9EO) Advocacy & Influence (TL3EO- TL7) Innovation (NK 4EO-NK6EO) Outcomes Patient & Nursing Satisfaction Scores and Nursing Quality Indicators

4. NATIONAL PATIENT CARE SERVICES (INTERNAL USE ONLY) (INTERNAL USE ONLY) Voice of Nursing Current Work Nursing update/education focusing on VON. Value Trees (Every 2 months focus on one of the Values) Reward and recognition (Standardizing the Nursing Pin) ICCE – Aligning & operationalizing RBC with our Inpatient Care Experience Initiatives. PPM Logo in all nursing committees and meetings agendas, minutes and forms Online Voices Internal Website for VON Recognizing certified nurses New RN badges / Board Certified Nurses Badges with PPM Logo/ Nurse Leaders Badges Ambulatory RNs Offsite (VON, Magnet & Leadership) Nurses Week – Educational Fair, Professional Posters, Nurses Appreciation. 4

5. NATIONAL PATIENT CARE SERVICES (INTERNAL USE ONLY) (INTERNAL USE ONLY) Results As of Date 5 NDNQI Overall Nursing Satisfaction score compared Nationally to Magnet Organizations where in 2014 we are above the mean Nursing Job enjoyment score compared Nationally to Magnet Organizations, where we are above the mean and close to the 75th Pct.

6. NATIONAL PATIENT CARE SERVICES (INTERNAL USE ONLY) (INTERNAL USE ONLY) Results As of Date 6

7. NATIONAL PATIENT CARE SERVICES (INTERNAL USE ONLY) (INTERNAL USE ONLY) Results As of Date 7

8. NATIONAL PATIENT CARE SERVICES (INTERNAL USE ONLY) (INTERNAL USE ONLY) Results As of Date 8

9. NATIONAL PATIENT CARE SERVICES (INTERNAL USE ONLY) (INTERNAL USE ONLY) What We Have Learned…. DAs and Mangers need more attention and education about the voice of nursing. It is a continuous enculturation and can’t just be done once It is not easy to get the message to ambulatory nurses (Infrastructures in Progress) 9

10. NATIONAL PATIENT CARE SERVICES (INTERNAL USE ONLY) (INTERNAL USE ONLY) Future Plans Nursing new hire interview encompasses components of RBC & Voice of Nursing Nursing performance evaluation to have components of the model (Values) & RBC into it 10

11. NATIONAL PATIENT CARE SERVICES (INTERNAL USE ONLY) (INTERNAL USE ONLY) Q & A 11