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.



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



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



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:
|

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

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
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
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
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
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
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
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
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
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
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.
The 2013 legislative session will
begin this upcoming January and there are four likely areas of
concern for nursing:
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.

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.

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