Provide one example, with supporting evidence, of the CNO's involvement in the organization's decision-making (not involving technology).
AND
Provide one example, with supporting evidence, of the CNO's involvement in the organization's technology decision-making
Hazel Robertshaw PhD, RN, CENP, Vice President of Patient Care Services and CNO is an integral part of the organization's decision making structures. She is a member of a number of committees that have decision making responsibilities including:
In addition, Hazel routinely attends the System Finance and System Board meetings and a variety of medical staff committee meetings including; the Medical Executive Committee, Department of Medicine, Surgery, and Anesthesia Committee meetings.
Example One-Organizational Decision Making (not involving technology)-Strategic Planning
In 2014 we commenced a new strategic planning cycle. This was two years later than originally planned due to the affiliation with the University of Rochester Medical Center (URMC). The affiliation afforded us the opportunity to position ourselves for the changes associated with health care reform. URMC began its new strategic planning at the end of 2012. Thompson leadership decided to wait in developing the new strategic plan to ensure that it was in alignment with URMC's plan. The URMC plan was presented to the Thompson Board on December 20th 2013 and subsequently Thompson's strategic planning process was commenced.
A Strategic Planning committee was formed with representation from the Executive Team, Medical Staff and Board Members. Five members from each of the three groups were chosen as representatives of their respective teams. The CNO was chosen as one of the representatives of the executive team. A consulting firm was engaged with to lead the sub- committee through the strategic planning process. The role of the sub-committee was:
Table TL4.1 Overview of the Planning Process
The new strategic plan was presented and approved by the Board of Directors on August 7th 2014 (see exhibit TL4.2-Strategic Plan August 7th Board Meeting). The plan will be rolled out to all associates over the next few months and implementation will begin in January 2015.
Exhibit TL4.2 - Strategic Plan Presentation
Exhibit TL4.2 Strategic Plan August 7 Bd Mtg.pdf
Example Two: CNO's involvement in the organization's technology decision-making
Organizational Information Technology (IT) decision-making Hazel Robertshaw, PhD, RN, CENP is a voting member of the IT Steering Committee. This group of professionals from across the system meets on a monthly basis to review status of IT projects, make decisions about new products and insure that the resources necessary, both financial and personnel are available to complete any new projects in the proposed time frame. The strategic intent of the committee is described below. Thompson Health Statement of IT Strategic Intent Mission Statement To recommend, deploy and support the efficient use of patient care and business technologies that fulfill the health system mission. The following core principles are considered equal in weight and integral to the success of IT at Thompson Health. Core Principles We will… · Support a patient centric approach to technology that promotes safety, quality care and efficient use of organizational resources · Implement & maintain technology that helps to meet regulatory requirements and maximize incentives · Promulgate an integrated versus best of breed approach · Reduce complexity and redundancy of IT systems from a user and IT perspective · Employ technology for the value it brings to our business and not for the sake of technology itself · Enforce technology standards and selection criteria for all information system procurements and implementation to reduce total cost of ownership · Actively prioritize, solicit and evaluate existing system for fit with the above core principles · Foster a culture that promotes stakeholder buy-in and boosts the probability of adoption · Live within our means Strategies Promote a culture of quality, safety and patient satisfaction. · Provide a technology environment that will facilitate and expedite communication among health system providers and patients in a cost effective manner. · Support IT expenditures that assist in the achievement of Strategic Aims goals including: · Decrease preventable mortality rate · Decrease patient harm · Decrease preventable infections by 100% · Decrease readmissions · Increase patient satisfaction · Support the communication of the organization’s goals to both internal and external audiences. Optimize resources to sustain the health system · Maintain each application system at current or appropriate release level · Prudent upgrade of infrastructure hardware and software · Implement infrastructure and internal systems that maximize the efficiency of the health system Engage and embrace technology and processes that achieve meaningful use and promotes community health outcomes over volume. To bring a proposal to the IT steering committee individuals must prepared a detailed Business Unit Proposal and financial analysis (see Exhibit TL4.3- Ecommerce Business Unit Proposal and eCommerce Cost summary sheet). The proposal is reviewed by the committee members and the individual proposing the purchase is invited to attend the meeting to discuss the proposal in detail. At the end of the presentation there are two options: · The proposal is brought to a vote and approved or rejected · The sponsor is asked to provide more information to address any areas of concern that the committee may have. In April 2014, FF Thompson Hospital transitioned to a new group purchasing vendor, MedAssets. The materials management department identified an opportunity to streamline their processes using a product called MedAssets eCommerce. They completed the required business unit proposal and financial analysis (Exhibit TL4.4). The information was presented at the May IT steering committee. As a member of the committee Hazel reviewed the information provided and she seconded the motion to approve the introduction of this product to the system (Exhibit TL5.5).
Exhibit TL4.3
eCommerce Business Unit Proposal.pdf
Exhibit TL4.4
eCommerce 5.14 IT_Cost_Summary_Sheet.pdf
Exhibit TL5.5
IT Steering Committee Meeting Minutes