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Professional Practice Model EP2EO Present all eligible RN satisfaction data (inpatient care, ambulatory/outpatient, and administrative settings) and include all nursing levels collected and benchmarked by the vendor at the unit- and clinical-level to demonstrate outperformance of the mean, median or other measure of central tendency (benchmark provided by the vendor’s national database). Submit results of most recent survey completed within the thirty months prior to document submission. Provide overall participation rate. Select only four of the seven categories and present data for each unit. The four categories must be consistent across the organization (inpatient and outpatient). o Autonomy o Professional development (education, resources, etc.) o Leadership access and responsiveness (includes nursing administration/CNO) o Interprofessional relationships (includes all disciplines) o Fundamentals of quality nursing care o Adequacy of resources and staffing o RN-to-RN teamwork and collaboration NOTE: The vendor must provide a comparative measure of central tendency for the category as a whole, not for the individual questions that comprise the category. For Magnet purposes, the applicant organization must provide their data for the category compared to the vendor supplied measure of central tendency. RECOMMENDATION: If available, use vendor-provided graphs for nurse satisfaction. Graphs must meet Magnet specifications. Date Presentation Requirements: Display each unit of clinic using the guidance provided on page 46 or 2019 Magnet Application Manual. Most recent survey within the thirty months prior to documentation submission. Categories and subscales o Select four of seven categories noted above o Refer to vendor to align survey with categories o Four categories must be consistent across the organization (inpatient and outpatient). Unit-or clinic-level data. If data are not available at the unit or clinic level, present at the next aggregated level if available from the vendor (e.g. clinic groups). o Explain units or clinics within aggregated data o Explain any units not included. Benchmark statistic. o Use of mean, median or other measure of central tendency provided by the vendor’s national database benchmark. Comparison Group or Cohort
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Page 1: Professional Practice Model EP2EO · Cary Cath Lab 2 4 50% Cath Lab 4 100% CPU 4 100% 3A 4 100% 3B 4 100% 3E 4 100% 6A 3 4 75% CV Educators 4 100% RRT/CB/CVRT 4 100% CVT/PV 0 4 0%

Professional Practice Model EP2EO

➢ Present all eligible RN satisfaction data (inpatient care, ambulatory/outpatient, and administrative settings) and include all nursing levels collected and benchmarked by the vendor at the unit- and clinical-level to demonstrate outperformance of the mean, median or other measure of central tendency (benchmark provided by the vendor’s national database). Submit results of most recent survey completed within the thirty months prior to document submission.

➢ Provide overall participation rate. ➢ Select only four of the seven categories and present data for each unit. The four

categories must be consistent across the organization (inpatient and outpatient). o Autonomy o Professional development (education, resources, etc.) o Leadership access and responsiveness (includes nursing

administration/CNO) o Interprofessional relationships (includes all disciplines) o Fundamentals of quality nursing care o Adequacy of resources and staffing o RN-to-RN teamwork and collaboration

NOTE: The vendor must provide a comparative measure of central tendency for the category as a whole, not for the individual questions that comprise the category. For Magnet purposes, the applicant organization must provide their data for the category compared to the vendor supplied measure of central tendency. RECOMMENDATION: If available, use vendor-provided graphs for nurse satisfaction. Graphs must meet Magnet specifications. Date Presentation Requirements:

➢ Display each unit of clinic using the guidance provided on page 46 or 2019 Magnet Application Manual.

➢ Most recent survey within the thirty months prior to documentation submission. ➢ Categories and subscales

o Select four of seven categories noted above o Refer to vendor to align survey with categories o Four categories must be consistent across the organization (inpatient and

outpatient). ➢ Unit-or clinic-level data. If data are not available at the unit or clinic level, present

at the next aggregated level if available from the vendor (e.g. clinic groups). o Explain units or clinics within aggregated data o Explain any units not included.

➢ Benchmark statistic. o Use of mean, median or other measure of central tendency provided by

the vendor’s national database benchmark. ➢ Comparison Group or Cohort

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o Use of an appropriate comparison group may change between units or clinics.

o Comparison group label must be depicted on table and graph. ➢ Graph presentation/

o Up to four units or clinics may be presented on one graph o If the two or more units are displayed on one graph, all units must have

the same comparison benchmark and cohort. o Single unit or clinic presentation o A different mean or median may be used for each graph.

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Table for Performance

Self Assessment of Performance WakeMed Health & Hospitals

Unit (as listed on DDCT when possible)

Categories outperformed

# of categories

Percent Outperformance

Apex ED 4 4 100%

Brier Creek ED 1 4 25%

Garner ED 4 4 100%

Mobile Critical Care 4 4 100%

Cary ED 1 4 25%

North ED 1 4 25%

Adult ED 3 4 75%

Children’s ED 4 4 100%

2W CVIC 1 4 25%

1East CEA 3 4 75%

1A CEA 1 4 25%

Chest Pain Center 4 4 100%

Cary Cath Lab 2 4 50%

Cath Lab 4 4 100%

CPU 4 4 100%

3A 4 4 100%

3B 4 4 100%

3E 4 4 100%

6A 3 4 75%

CV Educators 4 4 100%

RRT/CB/CVRT 4 4 100%

CVT/PV 0 4 0%

HCPPPC 4 4 100%

Invasive Cardiology 1 4 25%

2E CVICU 1 4 25%

CICU A 2 4 50%

CICU B 4 4 100%

CTICU 4 4 100%

Overall Percentage of outperformance

EP2EO, Self-Assessment of Outperformance Key: * = Vendor unable to provide benchmark due to ‘n’ too small,

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Table for Performance

Self Assessment of Performance WakeMed Health & Hospitals

Unit (as listed on DDCT when possible)

Categories outperformed

# of categories

Percent Outperformance

eICU 1 4 25%

MICU 4 4 100%

Neuro ICU 3 4 75%

STICU 4 4 100%

Cary ICU 4 4 100%

5A Med/Surg 3 4 75%

5B 2 4 50%

5C 4 4 100%

6B 1 4 25%

2E Med/Surg 4 4 100%

3W Med/Surg 1 4 25%

6C Surgery and Trauma 4 4 100%

2C Rehab 4 4 100%

2D Rehab 4 4 100%

3C Rehab 4 4 100%

6B Neuro Care Rehab 2 4 50%

Staffing Pool 4 4 100%

Raleigh L&D 4 4 100%

Cary WPBP L&D 0 0 0%

North L&D 4 4 100%

Cary WPBP SCN/Nursery 4 4 100%

North SCN/Newborn Nursery 3 4 75%

Neonatal ICU 4 4 100%

Raleigh Newborn Nursery 4 4 100%

Cary Mother/Baby 0 4 0%

North Mother/Baby 4 4 100%

North OB/GYN 4 4 100%

4C Mother/Baby & Lactation 4 4 100%

Overall Percentage of outperformance

EP2EO, Self-Assessment of Outperformance Key: * = Vendor unable to provide benchmark due to ‘n’ too small,

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Table for Performance

Self Assessment of Performance WakeMed Health & Hospitals

Unit (as listed on DDCT when possible)

Categories outperformed

# of categories

Percent Outperformance

Cary PACU 2 4 50%

Cary PAT 4 4 100%

Raleigh PACU A & B 0 4 0%

Raleigh PAT 4 4 100%

Cary OR 3 4 75%

North OR 0 4 0%

Raleigh OR 4 4 100%

Cary Pre-Op 3 4 75%

Raleigh Day Surgery Pre-Op 0 4 0%

Raleigh Endoscopy 4 4 100%

Imaging Services - Cary 4 4 100%

Imaging Services - Raleigh 4 4 100%

HOPD Clinics 2 4 50%

4E Pediatrics 4 4 100%

PICU 3 4 75%

2W MSIC 4 4 100%

Cary Case Management 4 4 100%

Case Management 3 4 75%

Home Health 3 4 75%

1D CEA 4 4 100%

Advanced Placement Nurses 4 4 100%

ED Auditors 4 4 100%

Heart Failure Program 4 4 100%

Infection Prevention & Control 3 4 75%

Overall Percentage of outperformance

EP2EO, Self-Assessment of Outperformance Key: * = Vendor unable to provide benchmark due to ‘n’ too small,

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WakeMed Health & Hospitals administered the Advisory Board Nursing Engagement Survey from March 18 to April 16, 2018. Units were compared to like units (ED, General Telemetry, Cardiology, Critical Care, Medical/Surgical, Float Pool/PRN, L&D, Nursery/NICU, OB/GYN, OR/Perioperative, Outpatient, Pediatrics/PICU, Psychiatric, Rehab, Stepdown Unit, Other nursing, Nursing Administration). The benchmark used was the Advisory Board Nurse Engagement Overall Hospital mean. WakeMed’s overall participation rate in the 2018 Nursing Engagement Survey was 85.6% or 2,773 nurses. The Risk Management department does not have data due to the “n” being too small.

Table for Performance

Self Assessment of Performance WakeMed Health & Hospitals

Unit (as listed on DDCT when possible)

Categories outperformed

# of categories

Percent Outperformance

Nursing Education 4 4 100%

Occupational Health 3 4 75%

Patient Placement 4 4 100%

Clinical Administrators 4 4 100%

Quality Reporting 4 4 100%

Rehab admin – Cardiac/day treatment/admit

4 4 100%

WOCN/Adult Asthma/Diabetes Management

3 4 75%

Information Services 0 4 0%

Nursing Administration 4 4 100%

Risk Management * *

Overall Percentage of outperformance

66 units outperform

89 total units

74.2%

EP2EO, Self-Assessment of Outperformance Key: * = Vendor unable to provide benchmark due to ‘n’ too small,

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Emergency Department

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General Telemetry

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Cardiology

AutonomyProf

DevelopmentLeadership

AccessInterprof

Relationships

Chest Pain Center 5.3 5.51 4.7 5.34

Cary Cath Lab 5.38 4.8 4.42 5.03

Cath Lab 5.61 5.51 5.45 5.78

Chest Pain Unit 5.25 4.97 4.71 5.2

Advisory Board, Cardiology,Mean

5.09 4.79 4.44 5.1

01234567M

ean

WakeMed Health & Hospitals RN Satisfaction April 2018

CardiologyChest Pain Center, Cary Cath Lab, Cath Lab,

Chest Pain Unit

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Critical Care

AutonomyProf

DevelopmentLeadership

AccessInterprof

Relationships

eICU 5.29 4.63 4.11 4.9

MICU 5.08 4.92 4.59 5.3

Neuro ICU 4.86 4.96 4.35 5.09

STICU 5.04 5.22 5.03 5.23

Advisory Board, Critical Care,Mean

5.03 4.7 4.28 4.99

0123456

Me

an

WakeMed Health & Hospitals RN Satisfaction April 2018

Critical CareeICU, MICU, Neuro ICU, STICU

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Medical/Surgical

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Staffing Pool/PRN

Page 16: Professional Practice Model EP2EO · Cary Cath Lab 2 4 50% Cath Lab 4 100% CPU 4 100% 3A 4 100% 3B 4 100% 3E 4 100% 6A 3 4 75% CV Educators 4 100% RRT/CB/CVRT 4 100% CVT/PV 0 4 0%

L&D

Page 17: Professional Practice Model EP2EO · Cary Cath Lab 2 4 50% Cath Lab 4 100% CPU 4 100% 3A 4 100% 3B 4 100% 3E 4 100% 6A 3 4 75% CV Educators 4 100% RRT/CB/CVRT 4 100% CVT/PV 0 4 0%

Nursery/NICU

Page 18: Professional Practice Model EP2EO · Cary Cath Lab 2 4 50% Cath Lab 4 100% CPU 4 100% 3A 4 100% 3B 4 100% 3E 4 100% 6A 3 4 75% CV Educators 4 100% RRT/CB/CVRT 4 100% CVT/PV 0 4 0%

OB/GYN

Page 19: Professional Practice Model EP2EO · Cary Cath Lab 2 4 50% Cath Lab 4 100% CPU 4 100% 3A 4 100% 3B 4 100% 3E 4 100% 6A 3 4 75% CV Educators 4 100% RRT/CB/CVRT 4 100% CVT/PV 0 4 0%

OR/Perioperative

Page 20: Professional Practice Model EP2EO · Cary Cath Lab 2 4 50% Cath Lab 4 100% CPU 4 100% 3A 4 100% 3B 4 100% 3E 4 100% 6A 3 4 75% CV Educators 4 100% RRT/CB/CVRT 4 100% CVT/PV 0 4 0%
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Outpatient

Page 22: Professional Practice Model EP2EO · Cary Cath Lab 2 4 50% Cath Lab 4 100% CPU 4 100% 3A 4 100% 3B 4 100% 3E 4 100% 6A 3 4 75% CV Educators 4 100% RRT/CB/CVRT 4 100% CVT/PV 0 4 0%

Pediatrics/PICU

Page 23: Professional Practice Model EP2EO · Cary Cath Lab 2 4 50% Cath Lab 4 100% CPU 4 100% 3A 4 100% 3B 4 100% 3E 4 100% 6A 3 4 75% CV Educators 4 100% RRT/CB/CVRT 4 100% CVT/PV 0 4 0%

Stepdown

Page 24: Professional Practice Model EP2EO · Cary Cath Lab 2 4 50% Cath Lab 4 100% CPU 4 100% 3A 4 100% 3B 4 100% 3E 4 100% 6A 3 4 75% CV Educators 4 100% RRT/CB/CVRT 4 100% CVT/PV 0 4 0%

Other Nursing

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Nursing Administration


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