letter of quality and professional development€¦ · 14/07/2014 · 1 medical center proposal...

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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.

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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

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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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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

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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


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

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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

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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 ntifÌ¡-and Deeu m e nt Evid e n ee Base*PraetieeXffi

X

X

Eval+¡a+¡en X X

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X

X

gg\re+nån€eX

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letter of quality and professional development€¦ · 14/07/2014 · 1 medical center proposal...

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