retuRN to Care R2C & TCAB ARMC Nursing Retreat Annelle Beall
& James Shrum August 28, 2008 Slide 2 retuRN to Care TM aka R2C
Overview Annelle Beall August 28, 2008 Slide 3 Focused work speeds
implementation of leading practices that: improve medical-surgical
patient care improve nursing and patient satisfaction increase the
time that nurses have for direct patient care resulting in better
patient outcomes What is retuRN to Care? Slide 4 Our Goal with
retuRN to Care: Make medical surgical inpatient care safer, more
reliable, and more focused on the patient. Slide 5 VHA identifies
the best way to deliver care and replicates it five thousand times.
Slide 6 A VHA Rapid Adoption Network 8 Steps Make a Difference
Slide 7 Participation in a VHA RAN It must be supported by the CEO
to assure senior leadership support All CEOs in VHA Ga. have signed
off on R2C Mr. Drew in full support RetuRN to Care must have CNO
support -- VHA Ga. CNO Council supported at January 2008 meeting --
Here today! A Blueprint is available on the Leading Practice Portal
(LPP). -- ARMC selects a model. A Gap Analysis exists on the LPP to
determine improvement priorities. ARMC will have to do the gap
analysis. In addition to Blueprint info, hospital specific CORE
Measure or National Patient Safety Goal addressed. These are
available now. Slide 8 Return to Care Components aligned with VHA
national clinical strategy Access Blueprints on Portal, Work
Independently Participate in Educational Series and National
Coaching Calls, Work Independently Participate in a Rapid Adoption
Network for Sharing, Work Collaboratively Access to the Leading
Practice Portal Blueprints Internet networking capability on the
LPP Linkage to National Experts Online Forum for Peer Interaction
Online Benchmarking of Quarterly Performance Indicators Gap
Analysis VHA TV Series no additional costs Pre Consult with
Hospital Face to Face Fact Finding Meeting Coaching Calls Action
Planning Performance Measurement Customized reports Member to
member blended studies Member to member networking/sharing
Collaborate for improvement Slide 9 Return to Care VHA TV Series
& Conference Calls The Business Case for Nursing Wednesday,
March 26 12:30 1:30 p.m. ET Return to Care: Leadership and Culture
Better Practices Tuesday, April 15 12:30 1:30 p.m. ET Return to
Care: Med-Surg Better Practices Wednesday, May 28 12:30 1:30 p.m.
ET Return to Care Straight Talk call #1 Wednesday, June 11 12:30
1:30 p.m. ET Return to Care: Patient Satisfaction Wednesday, August
20 12:30 1:30 p.m. ET Facilitating Change at the Bedside: Making it
Happen Wednesday, September 24 12:30 1:30 p.m. ET Return to Care
Straight Talk call #3 Wednesday, October 1 12:30 1:30 p.m. ET Slide
10 Leading practices with proven results for enhancing
medical-surgical nursing care: The Blueprints Slide 11 Slide 12
Slide 13 Relationship-Based Care Relationship-Based Care is a
delivery system in which the patient and family are the central
focus. The nurse and other members of the health care team strive
to understand what is most important to the individual patient, and
actively engage them in all aspects of care It is a culture that
supports caring & healing Based on PRIMARY Nursing (not simply
total patient care) Slide 14 Slide 15 R2C Top Enablers Front Line
Staff Drive Change Overarching Quality Strategic Plan Hourly
Nursing Rounds MD/RN Unit Team Collaboration Streamlined
Documentation Quality Process is Multi-Disciplinary e.g. IT, HR,
Finance, Facilities, Nursing, Ancillary Areas Nurses Realize More
Time With the Patient Reduces Adverse Events Cell Phones for
Physician Callbacks Organization Pushes Envelope For Quality
Relentless Attention to Patient Care Strong Medical Leadership
& Code of Conduct Enforced Shared Governance Ownership &
Accountability at the Front Line Level Slide 16 Implementation
Selection of model Pilot the model on Nephrology unit VHA Georgia
planning meeting in November units throughout the state come
together PDAs used to collect data from nurses Each nurse carries
PDA that alarms at pre- determined intervals Nurse selects what
function is being done at that moment Slide 17 Implementation
(continued) Data collected for one year Sustainability demonstrated
Rolls out to other med/surg units No time line for implementation
throughout the Med/Surg service line Slide 18 Thank You Lillee
Gelinas RN, MSN, FAAN Vice President and Chief Nursing Officer, VHA
Inc. Karen Dunn RN, MBA Slide 19 Are you ready to make a difference
in medical surgical care?
