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Medical Center Proposal3:30 p.m., 7-14-14
LETTER OF AGREEMENT: NURSING QUALITYAND PROFESSIONAL DEVELOPMENT COUNCIL
Between Oregon Nurses AssociationAnd
Providence St. Vincent Medical Center
Providence St. Vincent Medical Center ("the Medical Center") and Oregon NursesAssociation ("Association") hereby adopt the Nursing Quality and ProfessionalDevelopment Program ("the Program") and the following terms in connection with saidProgram:
Nurses covered by the parties' Collective Bargaining Agreement ("Agreement"),and who have not received any disciplinary action in the previous twelve (12)months, are eligible to participate in the Program, in accordance with theProgram's terms.
Nothing in the Program is subject to the grievance procedure set forth in theAgreement.
The Program will be governed by its Council, which will operate consistent withits Charter. The Council will be a collaborative body consisting of seven (7)direct care nurses and seven (7) representatives of the Medical Center. TheCouncil will be led by two (2) co-chairs, one nursing administrator and one directcare nurse.
The Program will consist of two tracks: the Practice Development track and theProfessional Development track. Nurses may participate in either or both tracks.
A pool of $750,000 will be set aside each year for the Practice Developmenttrack. Participating nurses must be certified in his or her area of specialty. Eachnurse who completes his or her projects on the Practice Development track mayreceive from that pool up to $1,150 per calendar year, based on a point structureto be developed by the Program Council. The Council will develop a projectapproval process, and will ensure that the Council will not approve any additionalprojects once the pool is exhausted. (The parties acknowledge that these dollarsare allocated based on a calendaÍ yeaf and, ifnot used in a calendar year, thefunds will not rollover into the next year.)
Participation in the Professional Development track is limited to 75 nurses, on afirst-come, first-served basis. Participating nurses must have a BSN degree andcertification in his or her area of specialty. The Council will develop a
Professional Development application process that will award participation on afirst-come, first-served basis until the limit of 75 nurses is reached. A Nurse whohas been approved for, and is participating in the Professional Development trackunder the Program will receive an increase in her/his Appendix A, Section A,hourly rate of pay under the Agreement, equal to $3.50 per hour.
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Medical Center Proposal3:30 p.m., 7-14-14
In addition to the above-listed increase in hourly rate of pay, Nurses approved forand participating in the Professional Development track shall be eligible for:
a. 8 hours additional paid educational leave annually (the parties
acknowledge that these hours are allocated based on a calendar year and,
if not used in a calendar year, the hours will not rollover into the nextyear); and
b. up to five hundred dollars (5500.00), in addition to whatever expense
reimbursements they may otherwise qualify for, to defray the cost ofregistration and attendance in connection with the additional paid
educational leave set forth in paragraph 5a. (The parties acknowledge that
these dollars are allocated based on a calendar year and, if not used in acalendar year, the funds will not rollover into the next year.)
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The parties recognize that the purpose of the Program is to advance nursingpractice and to support the clinical goals of the Medical Center. To that end, the
Program's Council shall prepare the agenda and keep minutes of the meetings,
copies of which shall be provided to the Chief Nurse Executive and Associationwithin two (2) weeks of each Council meeting.
The Program replaces the current Clinical Ladder program effective January 1,
2015. The Clinical Ladder Board will not accept new Clinical Ladder
applications after September 2014. Nurses currently participating in the ClinicalLadder program will continue to receive the benefits of such participation throughJanuary 7,2015, except that nurses whose application packets are approved inJune 2014 will continue to receive the benefits of such participation through May
3I,2015, and nurses who application packets are approved in September 2014will continue to receive the benefits of such participation through August 3 1,
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The Program will remain in effect as currently agreed upon, except as modifiedby this Letter of Agreement or by subsequent agreement of the parties'
Notwithstanding this provision, if the Program Council determines additionalrevisions to the Program requirements (non-economic terms) are appropriate, the
Council may request that the Medical Center and Association meet to review the
Council's proposed changes. If the Association and the Medical Center mutuallyagree, the parties may modifr the Program packet requirements to July 1,2016.
The Program will begin on January 1,2015 and continue in effect, in accordance
with this Letter of Agreement, until July I ,2016.It will remain in effect frornyear to year thereafter unless either party notifies the other of its desire to
terminate or modify it, by giving at least ninety (90) days written notice oftermination to the other party and at least sixty (60) days written notice oftermination to the Federal Mediation and Conciliation Service. Whether or not
such notice is given, all provisions of the parties' Agreement, including its NoStrike^{o Lockout article will remain in full force and effect in accordance withthe terms of the Agreement.
Medical Center Proposal3:30 p.m.,7-14-14
12. Transition neriod. N the other nrovisions of the NOPDC
aid in the imnlementation of the The followins nrovisions willannlv onlv to that neriod. as follows:
^.For a six-month period (from Januarv 2015 through June 2015), onlvthe seven l7l rlirect care staffN PDC mem bers will have votinøauthoritv. The full NOPDC. s the Nursing Administrationmembers. will have voting authoritv beginning in July 2015.
b. For the initial six months of the Ithroush June 30.2015). allProsram annlicants and staff NO narticinants mav narticinate inthe Prosram certification. Startins Julv 1.2015- certificationwill be a prerequisite for such participation.For the initial twelve months of the Program (throush December 31,201$. all Prosram aonlicants staff NOPDC narticioants mav
are activelv enrolled in a ISN program. Starting Januarv 1.2016.havins a BSN will be a uisite for narticination.
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Medical Center Proposal1400 p.m., 07-14-14
pæ-*t! IDENcESt. VincentMedicaI Center
f NlT¡At DATE CHARTERED: May 20,201.4Approved by PSVMC Nursing Quality and Professional Development Council (NQPDC) on XXXXXXXX
SPONSOR: Chief Nursing Officer
PURPOSE & GOAL:
Providence St. Vincent Medical Cente¡'s NQPDC exists to recognize the expertise of nurses who improve care at thebedside, provide clinical leadership in their department and across the ministry, as well as on regional and/or nationallevels. Through this expertise nurses have the unique ability to advocate for inítiatives that promote quality, safety, andengagement of both our patients and nursing staff. The NQPDC provides leadership that includes the identification ofqualityimprovementprojectsfromNDNQl,TJCandothernursesensitiveindicatorstobeaddressed. Thegoalofthiscouncil is to identify the strategic priorities, weight their significance and associated empirical outcomes as they relate topatient safety, patient satisfaction, professional development and nurse engagernent.
TIMELINE:
The NQPDC will determine how often it will meet to achíeve it duties, but not less than quarterly
ATTENDANCE:
Attendanceisrequiredatallmeetings. lfamembercannotattendtheymustnot¡fythechairperson/co-chair. lfamember misses > 25% of the annual meetings, the member is asked to reconsider their ability to remain on the Council.
PSVMC NQPDC ROLE:
PSVMC NQPDC willserve as approval body for all initial requests, applications, and approvalof the professional portfolioand or unit process/quality improvement projects. They NQPDC council members serve as coaches, mentors and reviewpanel adhering to the professional standards of practice, excellence and innovation. The council will create the "pick"list based on nurse sensitive indicators, NDNQI, TJC (national patient safety goals), CMS, other Medical Center objectivesetc, +ha ¡^ Àl¡'l h¡c I lnnrnrrr I oftha tt ni¡lt çf /rontcnt< Tho l^Nô will base his or her ânnrrìvâ lof the "oick list"
. Thecouncil will update the list no less than once/year.o The NQPDC will develop a plan and strategy to educate nurses on its role and responsibilitieso The NQPDC will develop a template for the professional portfolio
o The NQPDC will validate or modifu the proiect update/reportins plan
o The NOPDC has the autho to consider adiustine or modifuine the ooint scorine on the proiect submission
a
form
A communication process will be used by the PSVMC NQPDC and should include, but not be limited to thefollowing:
o Monthly Updates to CPC
o Maintenance of the information on the nursing newsletter
o Report project status quarterly to the staff, CNO, Leadership and post on the nursine intraneto Call for "abstracts" or staff to respond to quality improvement, and or nurse sensitive indicator needs
Consideration the following will occur when reviewing applications or portfolios:
o Specíalized qualifications and competencies required are met.
Page I of8
a
Medical Center Proposal1400 p.m.,07"14-14
o Degree of supervision required.o National standards and benchmarking data. lnput from other nursing units for "like" situations to reference
TEAM CO-LEADS & COUNCIL €€MM+F+E SELECTION:
Co-Leader Chairs:o The NQPDC will have co-leader chairs; one from Nursing Administration and one direct care registered nurse, The
use of a third party facilitator should be agreed upon by both co-chairs if needed.
Selection/Mem bership:,. The Council €€Jnm¡++€e shall include equal numbers of direct care nurses and nurse leaders
o The Council €emmit*ee will consist of 7 direct care bedside registered nurses. For council membership in the first. ln subsequent
development status and have their certification and BSN.
er lrefessbnal-Ðevelepment status After thejirst year all staff must partieipate with either the lraetiee er Staff
will recuse themselves from review of their own materials, The subiect matter expert members of the council y¿Ù!
R Direetor of Nursi
o The direct care nurses will select their own representatives for the Council €emmittee from the following specialty
areas (one each):
o Medical/Surgicalo lP Psychiatryo Surgical Services
o CriticalCareo MaternalChildo Emergency Services
o Member at large or Ad Hoco The direct care nurses will initiate a hespi+af+*ide voting process for selecting representatives from each of these
areas by applying the following process.
o The staff in the division will receive a communication by e-mail or other means announcing a vacancy
o The staff will be asked to nominate a peer and have 14 days to do so
o The staff will vote on the candidates (by e-mail, ballot etc.) and have L4 days to do so
o The unit/division leadership will notify the co-chairs of the NQPDC of the new attendeelf they are unable to select their representatives in a timely manner, then the Medical Center may assist them. Notice ofvacancies on the Counc¡l €€'içmi++€e and the time frame for nomination selection, and the election/approval process
will be provided to the association as a standing task force agenda item by the co-chairs when identified.. Any process for selection of direct care nurses should consider the following criteria:
o Any direct care nurse without current corrective (in the prior'J,2 months) action.o Any nurse will have a reasonable opportun¡ty to participate in the selection process of the nurse who will
represent them.o Ample time will be allowed for to become knowledgeabie oi the nominees and consider who would best
represent them.o Documentation of the selection process and the documentat¡on to be maintained at the unit or specialty
area level.
TERM OF SERVICE:
o Co-leaders will serye a two year term and aiternate on opposite years.
o The staff co-chair will rotate every two years and will be elected by the NQPDC at the end of the respective rotationo Direct care staff will serve a three year term
r
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Medical Center Proposal1400 p.m., 07-14-14
a The Subject Matter Experts*eam (SME'sl will be modified based on the needs of the ministry
NQPDC CHARTER & DECISION MAKING IS BASED ON THE FOLLWING:o Core Values and Strategic Visiono The Joint Commission, CMS, National Patient Safety Goals and Nurse Sensitive lndicatorso Magnet Principles (Transformational Leadership, Structural Empowerment, New Knowledge and lnnovation, and
Empirical Quality Outcomes)o Decision Making Process will be by consensus, where consensus is not possible a decision will be made by majority
rule. Robert's Rules of order will serve as the standard used in the meetings
AGENDA:¡ The NQPDC co-chairs shall develop the agenda collaborativelv and disseminate the agenda to the Council
€€rmrqi++€e members at least one week in advance of the meetingr Council €e,m.çi++ee members may recommend additional items for the agenda but the co-chairs retain the authority
to set priorities and order the agenda items
MEETINGS:r The annual schedule of meetings will be set in advance, available for review by nurse on the nursing intranet page,
o The Counc¡l€€rmmi++€e may invite participation by non- Council€emmi++ee members in Counc¡l€€'inlç¡t+€ediscussions and decisions as deemed appropriate and necessary by the Counc¡l €€rqiçitt€e
o
Cernmittee members, Meeting cancellation notices must be made at least 24 hours in advance. lf less than 24
hours, Counc¡l €€qm1çit+ee members are to be notified by a personal phone messageo While other direct care nurses mav attend meetines. onlv the 7 direct care staff members will be paid for 4
month. lf there are other events r within m h
from the 4 hours/month allocation
QUORUM:o A quorum for a vote efi-an+;s{re is 50% of both the staff and the Subject Matter Experts respectively
IMPASSE OR LACK OF AGREEMENT:
Procedures for resolving disagreement shall include, but not be limited to, seeking additional information, seekingconsultation from a broader group of hospital staff members, straw votes, testing competing alternatives and third partyfacilitatio n
MINUTES:
Minutes will be taken and a draft version available for review by all nurses at the medical center on the nursing intranetpage within a month following the meeting after the members have had an opportunity for review 7 days after themeeting. The minutes will be approved at the next NQPD meet¡ng as a standing agenda item
COMMUNICATION:o lf there is a delay in a decision, the delay is to be communicated to the staff member and a projected date for a
decision or response by either co-chair and reflected in the minutes accordingly.o Council €e,m.mi++ee members are responsible for communicating relevant information to their alternates in the area
that they represent.
' NQPD€ prevides quarterly summary ef prejeets te CNO
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Medical Center Proposal1400 p.m., 07-14-14
TRACKING: RESEARCH & QUALITY:The PSVMC NQPDCwill maintain hospitalwide research and quality initiativesfor nursing services. These plans will
clearly delineate the decision making tools and techniques for each team/individual to ensure the delivery of safe and
effective patient care. The NQPDC will develop, monitor, evaluate, and modify the hospital ongoing quality
improvements of staff in consultation with participants and leadership. The NQPDC will account for all Magnet elements
to ensure each have a sufficient quantity of evidence. They NQPDC will solicit or "call for abstracts" to encourage broad
staff participation. The NQPDC will contribute to the annual nursing report, support staff presenting as local/national
conferences and disseminate the contributions of nursing.
ln addition, the research or ongoing quality improvement plan shall:
o Be based on an accurate description of individual and aggregate patient needs
o Perform the analysis and development of staff generated ideas and vision in alignment with areas of focus
. Ee_A+e consistent with nationally recognized evidence-based standards when they exist and or guidelines
established by professional nursing specialty organizations
Process Steps
L. Staff has idea
2. Review pick list(s) and selects topic
3. Confirm strategic initiative, alisnment with Triple Aim/Clinical Excellence
medium or low)
+ Writes /completes project submission tcol
5. Presents or Submits to NQPDC for review
6. NQPDC
a. Approves:
i, Validates methodology
ii. Ensures explicit milestones/measurements
ii¡. Determines Futu+e reporting (lRB etc)
t. Supports the application and submission if needed
iv. Ensures alignment of proiect to outcomes and staff-identified outcomes from pick list e{++€€rÊes
{¿*ine+w¡+e¡-ene4
Page 4 of8
lne io ritization
Magnet Program DirectorNursing Research
Nursing QualityNurse Educator/CNS
Nurse ManagerStatistical/Data Expert
Director of Nursing
Critical Care & Cardiologv Unit- StaffSurgical Services - StafflP Psychiatry - StaffMaternal/Child - StaffMed ical/Surgical - StaffEmergency Services - StaffMember at Large (ad hoc)- Staff
Medical Center Proposal1400 p.m., 07-14-14
v. NQPDC catalogs project type with organizational need
vi. Seeks work to fill in the gaps a-la i.e "call for abstracts"
b. Denies:
¡. NQPDC clarifies what is needed to complete process/remediate
¡i, Deploys appropriate mentor/resource
iii. Schedulesre-review
7.
B. NQPDC defines measurement and or approves data collection tools/systems
9'NQPDcdeterminesprojectoutcomesandthattheyalignwithstrategicprioritiesi@10. NQPDC determines subsequent reporting intervals (monthly, quarterly etc)
L1. NQPDC supports the applicant(s) in submitting to local, regional or national conferences and the mentoring to
be successful in doing so
Pract¡ce devel id eãot
or Teamselect outcome from
Strategic Priorities
- -"Pick l¡st" _ -
_aStaffÆeam completes
pro¡ect submiss¡on tool andsubm¡ts to NQPDC
Po¡nts: Approved
schedules projectcompletion reviewDetermines interimreport¡ng dates, ¡f any
Not EnouBhPo¡nts:Den¡ed
NQPDC:. spec¡fies what is needed for
approval. Offers to deploy appropriate
mentor, expert or re5ource toprepare revrsron
. Schedules re-review
Rev ewsand 5cores
tNot Enough
Po¡nts:Denied
Specifies what is needed for approvalOffers to deploy appropriate mentor, expert or resourceto prepare revis¡onSchedules re-rev¡ew
NQPDC olso:. Mo¡ntø¡ns hosp¡tol wide research ond quality ínitiotíves for nurs¡ng seN¡ces. cotologs project types ond occounts Íor oll Mognet elements. Sol¡c¡ts or "colls Íor obstrocts" to encouroge brood stoff port¡cîpot¡on and oddress gops/needs. Contr¡butes to the onnuol nurs¡ng repoft. supports stolfneoms ¡n subm¡tt¡ng lo profess¡onøl eventskonferences/iournols
NqPDC Rev¡ewsand scores
completesinter¡m reporting (¡f
and completed projecttool. Submits to
EnouBhPoints:
Approved
StaffÆeam
status
or profess¡onaldevelopment
Page 5 of8
Medical Center Proposal1400 p.m., 07-14-14
a
Participant Requirements & Definitions:
Practice Development :
o A discrete, evidence based, episodic change that measurably improves an element of the practice
environment or experience of care
Components Point Structure/Req uirementsRequired:Certification
20 Points (maximum)
Each item is worth 5 pointsActive Participation:¡ Council€emmittee - unit/hospital or
professiona I orga n ization
D Council - hospital or professional
organization
! Peer review publication (within 3 vears)
! Presentation (podium or poster) within
last vear
tr Award recipient within last vear
D Education - activelv working on BSN
Proiect Prioritization:¡ Hieh Prioritv (below tareet)
D Medium (at target)
! Low (top decile)
30 Points
tr Hish=30 points
f] Medium=20 points
tr Low=10 points
20 PointsEach item is worth 5 points
Elements:
! Literature Review with evidence table
from peer reviewed sources
! Abstract/Summarv
D Goal and Problem Statement
tr Scope and lntervention
30 PointsCompletion:¡ Summarize intervention and describe
impact graphicallv
Points required at time of application toapprove þroposal=50Total Points required at time of completionfor practice development= 80
Total points available= 100At time of application= 70When completed = 30
Professiona I Development:
o A transformative innovation that advances multiple aspects of the practice environment or experience of
care across disciplines/settings
Components Point Structu relRequirementsRequiredBSN & Certification
a
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Medical Center Proposal1400 p.m., 07-14-14
Components Point Structu relReq uirementsActive Participation:
! Council €emmittee - unit/hospital or
professional orea nization
tr Council - hospital or professional
organization
! Peer review publication (within 3 vears)
! Presentation (podium or poster) within
last vear
! Award recipient within last vear
! Education - have or working on Master
deeree in Nursing or related field
50 Points (maximum)
Each item is worth 10 points
Proiect Prioritization:! Hieh Prioritv (below tarset)
! Medium (at tarset)
tr Low (top decile)
50 Points
tr Hish=SO points
tr Medium=20 points
! Low=l-O points
Elements:
tr Literature Review with evidence table
from peer reviewed sources
tr Abstract/Summarv
! Goal and Problem Statement
I Scope and lntervention
¡ Monitor/response after implementation
50 PointsEach item is worth 10 points
Completion:! Summarize intervention and describe
impact graphicallv
tr Define future
opportu nitv/recom mendations
50 Points
Total points available= 200At time of application= 150When completed = 50
Points required at time of application toapprove proposal=110
Points required at time o[çompletion forprofessional develoBment = 160
*eq*ircmen+s Praetiee Prefessienal
€ertifieatien X X
BSSI X
Xlde ntif̡-and Deeu m e nt Evid e n ee Base*PraetieeXffi
X
X
Eval+¡a+¡en X X
Page 7 of 8
Medical Center Proposal1400 p.m., 07-14-14
X
X
gg\re+nån€eX
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