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Third Edition


NWONE Quarterly Newsletter

August 7, 2012

This is our third edition of the Northwest Organization of Nurse Executives (NWONE) Quarterly Newsletter. We are excited to share updates with you about upcoming NWONE events and member news. Past newsletters can be found on the NWONE website under the "newsletter" tab.

Sincerely,

Your NWONE Team


Board of Directors' News


2012 NWONE Board

We would like to welcome three new members to the NWONE Board of Directors: Jo Lynn Wallace, Lori Murray, and Theresa Brock.  Jo Lynn is the Vice President of Patient Care Services at Rogue Valley Medical Center and will be serving as your NWONE Southern Oregon Council Representative. Lori Murray is the Vice President of Nursing Services at Yakima Valley Memorial Hospital and will be serving as your NWONE South Central Washington Council Representative.  Theresa Brock is the Vice President of Nursing at Good Shepherd Healthcare System and will be serving as your NWONE Eastern Council Representative.  We are delighted to have Jo Lynn, Lori, and Theresa joining the board!  For a complete listing of NWONE Board Members and Council Chairs please see the board roster.

We would like to thank Anne Shevlin, Winnie Warren, Joanne Warner and Julie Zarn for their service and dedication to NWONE. Anne Shevlin stepped down down as your NWONE Southern Oregon Council Representative at the end of May.  Winnie Warren stepped down as your NWONE South Central Washington Council Representative.  Joanne Warner stepped down as your Academic Representative to the NWONE Board.  Julie Zarn stepped down as the Washington Chair of the Health Care Policy Commission.  We have greatly enjoyed having Anne, Winnie, Joanne, and Julie as members of the board. 

Anne Shevlin's PhotoWinnie Warren Joanne WarnerJulie Zarn

Thank you to Anne, Winnie, Joanne, and Julie for your service to the NWONE Board. 

Board Elections

NWONE is holding elections for the following positions: President Elect, Chair for the Membership Services Commission, and Chair for the Nursing Practice Commission.  The Nominating Committee, chaired by Immediate Past President, Patty Cochrell, has developed the slate of candidates, from which you can make your leadership choices.  This year, for the first time, our election process is being conducted on-line.  To review these candidates and cast your ballots please visit the NWONE website and use nwone2013 as the passoword to access the members only site.  Voting will be open through 11:40 pm, August 20, 2012.  Results of the election will be announced at the 2012 Fall Program Membership Meeting that will be held on Friday, Spetember 14th at the Hilton Seattle Airport Hotel & Conference Center. Enjoy your opportunity to give voice to the future of NWONE by voting for the candidates of your choice.  

2010-2011 Biannual Report

We are excited to announce the completion of the 2010-2011 NWONE Biannual Report.  This report gives a great overview of what your association has accomplished over the last two years.  If you have not received a copy of the biannual report please notify Mary Hazuka at maryhaz@wsha.org.

Philanthropy Taskforce

Over the last two years NWONE's Philanthropy efforts have been led by Karen McHenry.  The taskforce has worked to not only increase the visibility of NWONE in our community, but to also increase community understanding of the roles and contributions of nurse leaders.  One of the actions taken to accomplish these goals was the creation of a NWONE video on nursing leadership.  This video was debuted at the NWONE 2012 Spring Program and Awards Dinner and can be viewed on the NWONE website

So far the NWONE Philanthropy Taskforce has raised $11,361.36 in 2012 to support educational programming and educational scholarships.  The taskforce leads the annual November "Thanks-Give-athon" and our annual Spring Awards Fundraiser Dinner.  To participate in our fundraising activities please visit the NWONE website.     


Upcoming Events


2012 Fall Program

Fall Program Pic 1Fall Program Pic 2Fall Program Pic 3

The 2012 Fall Program: Being the Change You Want to See in Health Care will take place September 12-14 at the Hilton Seattle Airport Hotel and Conference Center in Seattle, Washington.  This program will include the following:

  • Fifth Annual Legislative Boot-Camp
  • A preconference by Alison Zecha, Executive Coach and Leadership Expert, on "Self-Leadership: Discovering the Leader Within"
  • A presentation from the newly formed Northwest Ambulatory Care Consortium on their work to define the "Unique Contribution of Nursing to Ambulatory Care"
  • An update from our state project on Transforming Inpatient Care and Culture (TICC), with representation and presentations from several of our local hospitals
  • Representatives from Poudre Valley Medical Center team to share their work on their Baldridge journey and to speak about how they are managing chronic illness through a community based care model
  • Sharing of a "Families as Faculty" patient focused innovation project from the MultiCare Health System
  • Barbara Mackoff will present her research and field work on developing a leadership laboratory for nurse managers
  • The Valley Medical Center team will tell their story of "Nurse Driven Staffing", a demonstration project on fully empowering a hospital staffing committee, and
  • Our regularly scheduled NWONE Meeting of the Membership where Cheryl Nester Wolfe, the NWONE President will share the work of your organization

Please plan to attend and encourage your co-workers to also join us for this event.  Registration is open.  Please visit the NWONE website to register online or complete the registration form and mail it to 300 Elliott Ave. W., Suite 300, Seattle, WA 98119.  We hope to see you in September!

Pre-Fall Program Event

In addition to the fall program, we are planning a first ever pre-fall program event: Nurturing the Nurse: A Health and Healing Retreat Personal to Global.  NWONE is co-sponsoring this event at Harmony Hill Retreat Center located in Union, Washington on September 10-12.  It is our hope that those who are able would attend this retreat and then continue your renewal by attending our fall program.  Please refer to the brochure for more event information and registration details.

Emerging Nurse Leader Series

NWONE received several requests from members to develop education specifically for emerging nurse leaders. From these suggestions, we have created an Emerging Nurse Leader Clinical Summit Series. This eight-part series is modeled after the American Organization of Nurse Executives Essentials for Nursing Leadership and is organized to complement and address the IOM recommendations for the Future of Nursing.  The topics are targeted to enhance the knowledge and growth of emerging nurse leaders. We have held five of the eight workshops scheduled for this year, and the speakers have received rave reviews.  The remaining workshops in the series include:

  • Regulatory Legislative Compliance presented by Gladys Campbell & State Nursing Commission Leaders
  • Clinical Ethics and the Creation of Just Culture presented by Kate Payne
  • Creating a Professional Practice Environment presented by Cathy Whitaker

There is still room in each of the remaining workshops for those interested in attending. If you are an experienced nurse leader, we ask that you encourage your emerging nurse leaders to attend.  For registration information and additional details please visit the NWONE website.    

For 2013, NWONE plans to change the name of our program to the Emerging Clinical Leader to embrace clinical leaders from all disciplines, and to expand the series to include a workshop on Communication and Conflict Management.  Additionally, we are in dialogue with Portland State University to potentially offer graduate credit hours to those who complete the full series.

2012 Spring Program and Awards Ceremony & Fundraiser Dinner

Spring Program Pic 1Spring Program Pic 2Spring Program Pic 3

The 2012 Spring Program: Bending the Arc of Our Thinking - Challenging Our Mental Models took place on March 15-16, 2012 at the Portland Marriott Downtown Waterfront in Portland, OR.  The conference began with the NWONE Awards Ceremony and Fundraiser Dinner.  The keynote speaker for the dinner was Lee Woodruff, wife of news correspondent Bob Woodruff, who was seriously injured in Iraq.  She eloquently spoke about her husband's recovery and the critical role nurses played during this difficult process.  After Lee's presentation, we honored thirteen nurses from Washington and Oregon through the NWONE Awards Program.  The NWONE Awards Program began in 2008 with one award category and has expanded to five award categories which include: Authentic Leadership, Distinguished Career, Transformational Pioneer, Excellence in Health Care and/or Nursing Advocacy, and Excellence in Emerging Nurse Leader.  This year we celebrated the following individuals:     

 Pam Smith
Pamela Smith
Authentic Leadership

"She is known as a leader who reaches out to individuals and groups with curiosity and interest to hear all sides of an issue before proposing solutions."

Madlyn Murrey 
Madlyn Murrey
Authentic Leadership

"She is known as a dedicated, accessible, and compassionate leader, nurse, and mother who has an enthusiastic spirit that enables her to make a difference and affect change."

Angela ThompsonAngela Thompson
Authentic Leadership

"Angela is viewed as constantly striving for excellence, which has led her to pioneer many improvement projects."

 Frankie Manning
Frankie Manning
Distinguished Career

"She is someone who always has a smile on her face, is quick to laugh, and encourages others while making a change. She is able to 'make things happen' with a spirit of joy so that the burden is light."

 Lucille Kelley
Lucille Kelley
Distinguished Career

"What sets Dr. Kelley apart from others is her compassion, her ability to see the potential in each person and to bring out the best in those she interacts with. She doesn't sound her own horn, but shouts from the roof top for others."

 Estrella Pillar
Estrella Pillar
Distinguished Career

 "Always an encourager and supporter of pursuing new ideas and dreams, Estrella has pushed her colleagues to reach leadership levels both within the hospital and out in the community."

 Lucas Hopkins
Lucas Hopkins
Excellence in an
Emerging Nurse Leader

"He is a thoughtful decision maker, a clinical expert, one who motivates and encourages others, a forward thinking leader who is always looking to improve himself and the clinical area he leads."

 Julie Ostrom
Julie Ostrom
Excellence in an
Emerging Nurse Leader

"Julie is mature beyond her years. She is a role model to her peers and has much to offer the profession of nursing as she continues her leadership journey."

 Kerry Stewart
Kerry Stewart
Excellence in an
Emerging Nurse Leader

"Kerry is quick to recognize others and is open and authentic in her communications. She has a reputation as a nurse who is passionate about providing the best possible care to patients."

 Meredith Gould
Meredith Gould
Excellence in Healthcare
and/or Nursing Advocacy

"Meredith has encouraged all nurse leaders to be active, aware, and responsible citizens and participants in public policy."

Linda Tieman
Linda Tieman
Transformational Pioneer

"As a pioneer for the state of Washington, Linda has assured that Washington has a strong national voice on workforce issues. The many accomplishments and the national stature of the Washington Center for Nursing could not have been possible without Linda's leadership and courage."

 Elizabeth McNamara
Elizabeth McNamara
Transformational Pioneer

"Elizabeth's expertise, commitment, and ability to contribute to positive patient outcomes have been well recognized locally and nationally. Her work has more than improved health outcomes for her patients, she has literally saved lives through a significant reducation in hospital acquired infections."

 Gretchen Schodde
Gretchen Schodde
Transformational Pioneer
and Distinguished Career

"Harmony Hill Retreat Center, which has served as a safe haven for thousands of patients, family members, and nurses, is the result of the selfless vision of one person and the hard work, courage, and wisdom of that visionary."

 

Congratulations again to these remarkable nurses and thank you to the individuals who submitted nominations!

 Nursing Salons

The salon concept is an Italian invention of the 16th century that flourished in France and is often credited to the French.  Salons are considered to be an important place for the exchange of ideas, a literary gathering, or a safe place for egalitarian conversation.  In 2008, Marie Manthy, a national leader in nursing from the state of Minnesota, shared her experience with the creation of nursing salons.  Since that time, nurse leaders in both Washington and Oregon have volunteered to be salon leaders following a conversational model crafted by Marie.  Salons occur in the homes of our members and begin with a simple question - "What's on your mind about nursing today?"  With this introduction, conversation about a shared area of interest ensues and the salon is then ended with the question - "What's on your mind about nursing now?"  These simple questions provide thought provoking and energizing conversation about nursing. Marie encourages salon hosts to invite a diverse group of people to participate. She says, "It is the diversity of experience, education, and interest that makes these salons among the richest conversation any of us have ever experienced." If you are interested in hosting a nursing salon or would like more information, please contact Mary Hazuka at maryhaz@wsha.org or (206) 577-1825.  For more information about nursing salons please visit Marie Manthey's blog.

Upcoming Seattle Salons Dates

  • October 8, 2012 from 5:30-7:30pm at Gladys Campbell's Queen Anne Townhouse
  • December 10, 2012 from 5:30-7:30pm at Gladys Campbell's Queen Anne Townhouse

Please RSVP to Mary Hazuka at maryhaz@wsha.org.

Please refer to the NWONE Calendar of Events for a complete listing of events


Oregon and Washington Nursing Action Committees


In 2011 the Institute of Medicine (IOM) released the "Future of Nursing" Report. Work groups to address the report's recommendation have formed in Oregon and Washington. The Oregon Nursing Leadership Collaborative (ONLC) and the Washington Center for Nursing (WCN) are leading this work in their respective states. NWONE has representation on both Oregon's and Washington's work groups. We look forward to sharing the work of these groups.


2013 Legislative Session


The 2013 legislative session will begin this upcoming January and there are four likely areas of concern for nursing:
  • Nursing Ratios
  • Strengethening Staffing Committees
  • Ensuring Meal and Rest Breaks
  • Judicious use of On-Call

NWONE supports a non-legislative approach to address these issues and encourages our members to take the following steps:

  • Breaks and Rest Periods
    • Collect reliable data so that you can know if your staff are routinely getting rest periods and meal breaks.  If breaks are not provided such that they can be "uninterrupted", check with your staff to see if the degree of interruption is unacceptable
    • Support staffing patterns where all breaks are taken
    • Be active, vocal, and visible in your support for breaks
    • Assure that breaks are a routine agenda item for discussion at staffing committee meetings
  • The use of On-Call, Fatigue risk
    • Collect reliable data on patient utilization patterns in those areas where you use on-call.  Do you have routine staffing for the hours when patients are most consistently in your care area… or are you using on-call to fill part of this staffing need?   Do you need to readdress the routine hours of operation for some procedural or diagnostic areas?
    • How often are your staff called in?   Does your level of "call-in" create a fatigue or safety risk for your staff?
    • Collect reliable data on total hours worked for individual employees and the amount of on-call and over time accrued.  Does this data indicate that your staff are at risk for fatigue?
    • Create organizational policy on amount of total hours any employee can work in one 24 hour period and in an one pay period
  • Strengthening your Staffing Committees
    • Participate in your staffing committee - be visible and supportive
    • Assess your committee to make sure that it meets legislative requirements in terms of both membership and the work that is being done
    • Ensure that there is a true spirit of participative leadership in your staffing committee.  Are staff fully engaged in the creation of staffing plans and addressing staffing concerns?  Are the staffing committees involved if untoward changes in financial margin or health care service provision occur that require a modification of an existing staffing plan?
  • Staffing Ratios
    • Make sure your staff understand why we oppose staffing ratios for Washington State
      • Staffing ratios imply that a nurse is a nurse is a nurse, and that a patient is a patient, is a patient   
      • We believe that nurse staffing is not as simple as a number.  The unique characteristics and abilities of a nurse need to be matched to the specific needs of a patient to provide best care
      • Washington State data on nurse sensitive patient outcomes and staffing standards show that our outcomes are statistically equivalent to California, the one state in the nation that has legislated staffing ratios.  If ratios improved care this would not be true. 
      • Staffing ratios, meant to be "the floor", quickly become the ceiling.  For many of our hospitals staffing could be reduced if ratios were legislated

Additionally, J.C. released an alert on the dangers of fatigue. NWONE encourages our members to take responsive operational actions to make sure this issue is addressed in your organizations.


Pacific Northwest Ambulatory Care Consortium


During the NWONE 2011 Spring Program, there was great discussion around embracing non-hospital centric leaders, as the focus of health care shifts to the entire care continuum. This discussion sparked the creation of a special interest group for ambulatory care. This group, called the Pacific Northwest Ambulatory Care Consortium, holds monthly meetings to discuss the unique contribution of ambulatory care. This group will be presenting their work at the upcoming 2012 NWONE Fall Program.  Nurse leaders from Ambulatory Care are welcome to join these meetings.


Transforming Inpatient Care and Culture Project


In March of 2007 Washington State hospital CEOs and CNEs came together to address the need for reform in health care financing incentives and health care delivery processes.  Understanding that finance incentives would be addressed at the federal level, the group focused on improving the systems and process of hospital care delivery.  Transformation was necessary to address care costs, the predicted health care workforce shortage, and to achieve more efficiency and effectiveness.   The Transforming Inpatient Care and Culture (TICC) project was proposed and approved by the boards of the Washington State Hospital Association and the Northwest Organization of Nurse Executives.            

The purpose of the TICC project is to engage front line care providers across a variety of rural and urban hospitals in Washington State in:

  • defining barriers to best care practice, and best care delivery systems,
  • to assist providers in the definition and formal testing of interventions to improve both care delivery and care processes,
  • to measure improvement success, 
  • to share outcomes across the state to advance and spread effective change interventions,
  • to formally test common and successful interventions in multi-hospital demonstration projects or research
  • to formalize research based findings as evidence of best practice, and
  • to use a participative management approach in this improvement work to increase the engagement levels of front line clinicians, in their work environments

The TICC work started by conducting hospital specific projects that were championed by front line staff.  The following hospitals have engaged in site specific TICC work:

  • Ferry County Public Hospital District
  • Klickitat Valley Hospital
  • St. Elizabeth Hospital
  • Mark Reed Hospital
  • Mason General Hospital
  • Othello Community Hospital
  • St. Clare Hospital
  • Skagit Valley Hospital
  • Sunnyside Community Hospital
  • Whitman Hospital and Medical Center
  • University of Washington Medical Center

Four of the eleven hospital specific projects focused on improving patient discharge processes and reducing readmission at 30 days.  One site saw a 30-50% reduction in heart failure readmission rates.  As the TICC worked moved from site specific projects to a multi-site demonstration project, these projects inspired a demonstration project also focused on reducing readmissions.  In 2012, work on the demonstration project began which focused on reducing readmissions in heart failure patients.  The following hospitals are participating in this work:

  • University of Washington Medical Center
  • Whitman Hospital and Medical Center
  • St. Clare Hospital
  • St. Joseph Medical Center
  • St. Elizabeth Hospital
  • Sunnyside Community Hospital      

 This group of hospitals meets regularly to define interventions and share data outcomes.  This group developed a heart failure patient teaching tool.  This is used to help patients identify potentially serious symptoms if left untreated by a primary care physician.  The goal of this tool is to educate patients about when to visit their primary care physician in order to keep them from being readmitted to the hospital.  At the 2012 NWONE Fall Program, you will have the opportunity to hear from the front line care providers regarding the outcomes of their TICC site specific projects and the multi-site demonstration project.  We hope you will join us! 


NWONE Joins LinkedIn


NWONE recently created a company page on LinkedIn to provide our members with another avenue to network and get connected. We hope that you will look up and follow NWONE on LinkedIn.

Membership News


New Members

We are excited to have 72 new members to NWONE.  We would like to welcome the following individuals:

Stacey Aggaboa Denise Flower Cassandra Krumpelmann Jessica Quinlan
Karen Allen Gaeden Betty Sheri Krupla Eunice Rech
Diane Allie Julie Gardner Dana Kyles Jan Schurman
Heidi Anderson Kevin Gilbert Diana Leback Rebecca Schwartz
Lois Anderson Claire Glover Scott Malone Sarah Schwen
Sarah Armstrong Sara Hoheshelt Teresa Marcoulier Janet Seibold
Cynthia Artico-Carson Justin Hendricks Laura Martin Kevin Severson
Bette Barlond Nancee Hofmeister Mary McFadden Lind Stewart
Laura Barrett Rhonda Holden Mary Mentele Kerry Stewart
Carolyn Blayney Heather Hopkins Malathi Michael Jill Strauch
D'enne Boles Rebecca Hopper Pamela Mitchell Chris Tanner
Theresa Braungardt Joseph Hubert Jennifer More Linda Torres
Lauren Bridge Mary Rita Hurley Sharon Mow Marie Wiehle
Amy Bueler Suzanne Huttenstine Mary Murphy Sandra Viscon
Nancy Carosso Terri Imbach Debbie Neal Sara Williamson
Denise Clapp Lori James-Nielsen Laura Nelson Wendy Wilson
Tim Eixenberger LaDora Kempff Julie Ostrom Jeanette Wood
Ann Evans Amy Karsten Monica Potts Debbie Young

 

Welcome! We are so glad you have joined NWONE and we look forward to meeting you.

Kimberly McNally to Chair AHA's Committee on Governance

We are excited to announce that NWONE member, Kimberly McNally, will serve as the chair for the American Hospital Association's (AHA) 2012 Committee on Governance.  This committee is responsible for leading effective involvement of the nation's hospital trustees in grassroots advocacy, providing input into the AHA's policy development, enhancing communication with and involvement of trustees in the AHA, and providing advice on AHA's trustee initiatives. 

Kimberly Mcnally

Congratulations Kimberly! 


Regional Council News


NWONE relies on the council representative and chair to voice the specific needs of each region at the NWONE board meetings. The information that is shared by the council representatives is used to shape the strategic direction of NWONE. Each council representative and chair is responsible for hosting regular council meetings. Below please find a list of all upcoming council meetings and the council representative's and chair's contact information:


Northwest Council (WA) - Spetember 7 and December 7, 2012 from 10:00am-2:00pm. Meeting Location is TBD. Please check the NWONE website for updated location information.

Pierce/Kitsap Council (WA)- October 26, 2012 from 12:00N-2:00pm. Meeting location varies please check the NWONE website for location information.

Seattle Council (WA) - November 2, 2012 from 1:00pm-3:00pm. Meetings will be located at the Swedish Cherry Hill Campus.

South Central Council (WA) - Please contact your representative or chair for dates.

Southeast Council (WA) - Please contact your representative or chair for dates.

Southwest Council (WA) - The representative and chair position for this council is currently vacant. If you are interested, please contact Mary Hazuka at maryhaz@wsha.org.

  • Representative & Chair: Vacant

Central Council (OR) - Please contact your representative or chair for dates.

Eastern Council (OR) - Please contact your representative or chair for dates.

Portland Council (OR) - Third Friday of each month from 7:00am-8:00am at Besaw Restaurant.

Southern Council (OR) - Please contact your representative or chair for dates.

Willamette Council (OR) - Please contact your representative or chair for dates.


Career Center


Please visit the NWONE Career Center located on our website. We frequently get new postings so be sure to take a look. If you are interested in posting an open position, please contact Wendy Ray at wendyr@wsha.org.


Volunteer Opportunities


If you are interested in volunteering for any of the following commissions, committees, taskforces or as the ONLC Representative, we invite you to contact Mary Hazuka at maryhaz@wsha.org for more information.

  • Education and Practice Commissions: This commission is co-chaired by Tracey Kasnic and Jennifer Graves. They hold monthly conference calls from 8:00am-9:00am on the first Friday of every month. They discuss practice concerns and plan NWONE educational events.
  • Membership Support Commission: This commission is chaired by Jan Iverson and holds monthly conference calls from 12:00N-1:00pm on the third Tuesday of every month. They discuss ways to further engage members through council meetings and NWONE events.
  • Health Care Policy Commission: This commission is co-chaired by Pam Steinke, from Oregon, and Julie Zarn, from Washington. They hold monthly conference calls from 11:00am-12:00N on the third Thursday of each month. This commission discusses current legislative action in Oregon and Washington and plans the NWONE annual Legislative Bootcamp that takes place at our Fall Program in September.
  • Finance Committee: This commission is chaired by Thom Hightower the NWONE Secretary/Treasurer. They hold monthly conference calls from 11:00am-12:00N on the second Thursday of each month. This committee reviews the NWONE monthly finance reports and other organizational financial decisions. If you are interested in this committee, we ask that you serve a minimum of one year to ensure continuity.
  • Philanthropy Taskforce: This group is chaired by Karen McHenry and they meet throughout the year to discuss ways to engage the NWONE membership and others in philanthropic giving.
  • ONLC Representative: NWONE currently has three representative positions on the Oregon Nursing Leadership Collaboration with one of those positions open to an interested volunteer.  If you would like to fill this vacancy, please contact Gladys Campbell at gladysc@wsha.org.

NWONE_Logo_Newsletter

Northwest Organization of Nurse Executives
300 Elliott Avenue West, Suite 300
Seattle, WA 98119

Phone: (206) 285-0102
Fax: (206) 283-6122
Website: www.nwone.org

Please send questions and comments to: Mary Hazuka at maryhaz@wsha.org