Nursing Support Program I (NSP I):
Development of Annual Report Tool
PHASE Internship Presentation 05/08/2015
Madhavi Naik...
HSCRC
• Maryland is the only state that regulates
hospital rates and provides funding for
Nursing Support Programs (NSP).
...
NSP I
• A non-competitive grant to hospitals to fund
projects that address needs of the hospitals
related to nurse recruit...
Goals and objectives of NSP I
The goals of the NSP I are adopted based
on IOM recommendations:
• Implement nurse residency...
The goals and the objectives of
the internship
• Assist in the development of a new online
data collection tool, to collec...
Methodology
• A brief literature review was conducted
o Nursing excellence patient outcomes,
nurse turnover, and nurse sat...
Metrics framework: 5 areas
S. No Area Sub-Area Metric
1 Education
and Career
Advancem
ent
Residency/ Orientation/
Transiti...
Metrics framework: areas & sub areas
S. No Area Sub area
1 Education and
Career
Advancement
Residency/ Orientation/ Transi...
Online survey tool
Methodology cont.
• Pre-test – 10 hospitals
• Feedback - survey tool and metrics – revised
• The final online survey tool ...
NSP I Site visit - Anne Arundel Medical
Center (AAMC)
Presentation by NSP I coordinator and nursing
staff, 2 of which were...
Next steps
• More NSP I site visits
• Data analysis
• Quantitative data analysis - the indicators
• Qualitative analysis o...
Thank you!
Questions ?
of 13

Naik_Madhavi_PHASE Internship Presentation

Published on: Mar 3, 2016
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Transcripts - Naik_Madhavi_PHASE Internship Presentation

  • 1. Nursing Support Program I (NSP I): Development of Annual Report Tool PHASE Internship Presentation 05/08/2015 Madhavi Naik MPH Candidate 2015 Preceptors: Oscar Ibarra, Chief, Information Management and Program Administration and Claudine Williams, Associate Director, Policy Analysis Maryland Health Services Cost Johns Hopkins Bloomberg Review Commission School Of Public Health
  • 2. HSCRC • Maryland is the only state that regulates hospital rates and provides funding for Nursing Support Programs (NSP). • HSCRC is responsible for setting rates for services provided by acute care hospitals in Maryland. • Provides funds in hospital rates for programs to support bedside nurse recruitment and retention at Maryland hospitals.
  • 3. NSP I • A non-competitive grant to hospitals to fund projects that address needs of the hospitals related to nurse recruitment and retention. • 2010 IOM report ‘The Future of Nursing: Leading Change Advancing Health’ for assessing and transforming nursing profession. • New metrics and data submission tool to align with the (IOM) recommendations
  • 4. Goals and objectives of NSP I The goals of the NSP I are adopted based on IOM recommendations: • Implement nurse residency programs • Increase the proportion of nurses with a baccalaureate degree to 80 % by 2020 • Ensure that nurses engage in lifelong learning and • Prepare and enable nurses to lead change to advance health
  • 5. The goals and the objectives of the internship • Assist in the development of a new online data collection tool, to collect aggregate nursing data for FY 2013 and 2014. • Assist staff with answering questions and coordinating the review and revision of the tool • Accompany staff on site visits to hospitals across the state.
  • 6. Methodology • A brief literature review was conducted o Nursing excellence patient outcomes, nurse turnover, and nurse satisfaction o Increased RN vacancy rates new graduates assigned to high acuity cases o Extended orientation and support programs for new nurse graduates • The online survey tool was based on the metrics and guidelines developed by the NSP I Steering Committee.
  • 7. Metrics framework: 5 areas S. No Area Sub-Area Metric 1 Education and Career Advancem ent Residency/ Orientation/ Transitional Programs Residency for new nurse graduates Orientation for areas of critical- need Transitional (Nurse Refresher) Scholarships/Tuition Reimbursement Tuition funding for nurses Tuition funding for nursing students Professional Certifications Type of certifications offered using NSP I funds Leadership/ Succession Planning/ Continuing Education Continuing Educational offerings Internal Offerings External Offerings
  • 8. Metrics framework: areas & sub areas S. No Area Sub area 1 Education and Career Advancement Residency/ Orientation/ Transitional Programs, Scholarships/Tuition Reimbursement, Professional Certifications, and Leadership/ Succession Planning/ Continuing Education 2 Advancing the Practice of Nurses Magnet® designation, Shared governance, and Research 3 Patient Quality and Satisfaction Hospital Care Quality Information from the Consumer Perspective Scores, and Maryland Hospital Acquired Conditions Scores 4 Registered Nurses (RN) specific metrics Vacancy for all RNs, Turnover for all RNs, Retention for all RNs, and Agency Nurses Usage 5 Best Practice Qualitative Metric Best Practices and Barriers
  • 9. Online survey tool
  • 10. Methodology cont. • Pre-test – 10 hospitals • Feedback - survey tool and metrics – revised • The final online survey tool was administered to 50 hospitals in Baltimore, MD. • Data collected for FY 2013 and 2014 • The survey contains 58 questions divided into 8 sections.
  • 11. NSP I Site visit - Anne Arundel Medical Center (AAMC) Presentation by NSP I coordinator and nursing staff, 2 of which were the beneficiaries Key findings • Low nurse turnover • Twice a year opportunity to apply for funds • Mentoring program • Flexibility in work schedule • Large batch of cohorts in the nurse residency • Decreased use of agency nurses
  • 12. Next steps • More NSP I site visits • Data analysis • Quantitative data analysis - the indicators • Qualitative analysis of best practices and successes of the program as well as barriers to implementation of the program • Draft report • Submit findings to the Commission Findings - To review the funding mechanism and improve monitoring and oversight of NSP I
  • 13. Thank you! Questions ?

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