The overarching theme of the nursing strategic plan is to promise our patients that we will keep them safe, that we will provide reliable quality care and patient experience tailored to their individual needs. The Department of Nursing Strategic Plan outlines three goals to achieve these outcomes.

Improve Patient Experience

• Every patient encounter begins with “What matters most to the patient and/or family during this shift?”
• Every patient feels that they are treated with courtesy and respect
• Every patient feels they are listened carefully to
• Every patient feels that they understand nurses’ explanations
• Every patient with pain is identified and each encounter includes a discussion of pain and pain management

Build a Culture of Safety and Quality through Teaming

• Every encounter includes a holistic approach: “rounding for outcomes”
• Every patient with delirium is identified and provided with targeted interventions 
• Every patient encounter addresses mobility. This is included in the PHR hourly check in
• Every patient and/or caregiver understands elements of medication adherence including side-effects

Value Based Care

• Transdisciplinary teams that are reliable, proactive, and responsive, and that reward and recognize staff provide foundation that ensures sustainable valued based care
• Every patient receives the right care at the right time, by the right team, in the right setting at the right cost
• The value of stewardship is practiced by eliminating avoidable overtime

Clinical Quality and Patient Safety

Mount Sinai Nursing quality and safety goals and initiatives for 2018, and the principles and processes guiding Mount Sinai’s commitment to quality and safety are outlined in the Clinical Quality and Patient Safety Performance Improvement Plan. Aligned with the Organization’s Clinical Quality and Patient Safety Performance Improvement Plan is the Department of Nursing (DON) Safety, Quality, & Performance Improvement Plan.

Patient Safety Rounds

Patient Safety Rounds is a structured rounding program designed to deliver important safety lessens by leadership to the staff. It allows staff the opportunity to bring forward any patient safety concerns they may have to leadership for review and follow-up.

Great Catch Program

The Great Catch Program celebrates the near misses reported by staff members. The Great Catches help to identify areas where opportunities of improvement may be identified.

Purposeful Hourly Rounds (Rounding for Safety Quality Outcomes)

The Department of Nursing will continue to promote safety, quality, and patient satisfaction with purposeful rounding for pain, toileting, position, and possessions using the tenets of Relationship-Centered Care in all interactions.

Department of Nursing Safety, Quality, & Performance Improvement Plan

Safety

Patient safety is defined as “the prevention of harm to patients.” The Department of Nursing Safety, Quality, & Performance Improvement is responsible for the oversight of efforts to prevent nursing-related adverse outcomes and plans to address and remediate adverse outcomes when they do occur

Safety Priorities

• Improvement of the Nursing Peer Review process to enhance efficiency and efficacy
• Ensure nursing accountability through all phases of the adverse event response cascade by having nursing leadership representation in every step of the process

Quality

• Improve and standardize the dissemination of quality data to all nursing staff
• Implement improvements to our practice validation methods

Performance Improvement

• Improve pain management through consistent nursing communication with patients about their pain goals and compliance with pain screening, assessment, and reassessment
• Improve the prevention of HACs through standardized measurement of both incidence and prevalence, effective reporting, and enhanced nursing practices
• Enhance the capacity of nursing staff at all levels to lead and participate in performance improvement initiatives using the Lean for Healthcare model. A structured training, coaching, and mentorship model will be developed in partnership with the Office of Strategic Operations & Implementation method and strategies