Providers

Nursing at WellSpan

Nursing at WellSpan

Performance Improvement Council

Vision: The PI Council's primary function is to educate and involve every nursing staff member in performance improvement activity to foster a commitment to excellent patient care. The PI Council goals include: improved patient outcomes, increased patient satisfaction, and an empowered nursing staff. The Council desires and expects: that YH will achieve recognition as the best community provider of patient care in PA, that YH will be awarded the distinction of the ANA's Magnet Hospital designation, and that YH will win the coveted US Government's Malcolm Baldrige Quality Award for Excellence in Health Care.
 
Mission: The PI Council of York Hospital is the arm of shared decision making (SDM) that coordinates, promotes, and evaluates nursing performance improvement activities at the hospital, service line, and unit levels. Its professional nursing members facilitate and validate excellent nursing practice(s) for our patients, our nursing staff, and for members of management and administration. The PI council serves to foster an environment that encourages performance improvement and improved patient outcomes. These activities incorporate the IOM's 6 aims of healthcare: safety, effectiveness, patient centeredness, timeliness, efficiency, and equity. 

2009 Performance Improvement Council

Jodi Collins, RN, BSN

Jodi Collins, RN, BSN

2009 Performance Improvement Council

2008 Performance Improvement Council

William Varnell, RN, BSN

William Varnell, RN, BSN

2008 Performance Improvement Council

Bill Varnell, RN, BSN is the first PI representative from the cardiovascular Lab and is in his third year on the council. Bill is a 21 year veteran of York Hospital and has previously served as chair of the Unit Based PI committee in the Heart Center as well as a Magnet Champion. Bill holds two bachelor degrees from York College, one in communications and one in nursing. Bill started working at York Hospital in 1987 as a patient transporter while working on his nursing degree. Upon graduation, Bill took a job on 3 South (open heart step down unit) and subsequently transferred to the cardiovascular lab recovery room in January 2001. Bill has had an article on nursing sensitive indicators published in the nursing newsletter, and has developed CBT's on nursing sensitive indicators and femoral artery hemostasis management. Bill also participated in a medical mission trip to Sendafa, Ethiopia in August 2007. Bill has recently been nominated to attend Lean Six Sigma training for his Green belt, which will be completed in June 2009. He was also nominated in the staff nurse leader category in the 2009 YH Excellence in Caring and Practice Awards.

Performance Improvement Council Accomplishments 2008-2009

  • Developed medication education and scripting for improved patient satisfaction, including the conducting of a pilot study on the 6 Main nursing unit followed by hospital-wide roll out
  • Provided education to the council members on trauma and OR clinical effectiveness team monitors
  • Expanded presentations by quality management on the YH Quarterly Core Measures Reports on pneumonia and CHF
  • Supported the Magnet journey through collection of evidence and documentation for Forces of Magnetism 6 and 7
  • Developed survey tool for Relationship Based Care metrics
  • Continued oversight of JC and DOH compliance measures and unit-specific action plans
  • Continued information sharing with two semiannual PI presentations sessions, where 33 of 34 nursing units presented their accomplishments
  • Designed a new layout for PI bulletin boards to standardize the display of Nursing Sensitive Indicators and hospital-wide and unit-specific PI measures
  • PI Council chair nominated for YH Excellence in Nursing Caring and Practice Award in the category of staff nurse leader

2007 Performance Improvement Council

Tracy Strawser
Tracy Strawser
2007 Performance Improvement Council

Tracy Strawser is the Chair of Performance Improvement Council. Strawser joined the Army Reserves in 1994, where she became an LPN through Lancaster County Career and Technology Center. In 1999, she began her employment at York Hospital on 4 Main, which since has moved to 6 South. After much encouragement she went back for her RN degree through Excelsior College, utilizing the WellSpan Health Forgivable Loan program. Strawser has been a Licensed RN since 2004 and reached the Clinical III level in 2007. Strawser serves on the Peer Review Council on 6 South and attends the York Hospital-wide Patient Safety Committee as well as the hospital-wide Performance Improvement Council meetings. Strawser is a member of the Transcultural Nursing Society. She has been on medical mission trips to Nicaragua and Guatemala.

2007 Performance Improvement Council Accomplishments

  • Developed and implemented a CBT for Nurse Sensitive Indicators. Published NSI story in the Nursing Newsletter. Results: 1,375 staff completed CBT.
  • Developed metrics for outcomes measurement for the Relationship Based Care Delivery initiative. Initiated baseline measurement and process for ongoing monitoring at the prescribed timeframes.
  • Expanded council to include the PI chairs from the Wave 1 RBC units.
  • Developed a Continuity of Care Measurement Tool in collaboration with Emig Research Center.
  • Continued growth with semi-annual PI presentations. 24/25 units presented.
  • Continued to strengthen the accountability and consultation model to assist non-compliant units to reach acceptable performance thresholds. Five units consulted with P1 Council and successfully achieved >90% pain reassessment compliance.
  • Designed and implemented first PI Bulletin Board Contest.

2006 Performance Improvement Council

Veronica Weaver
Veronica Weaver
2006 Performance Improvement Council

Veronica Weaver is Chair of the Performance Improvement Council and has worked at York Hospital for 10 years. She received her Associate degree in Nursing in Houston, Texas in 1993 and worked at Hermann Memorial Hospital and Shock Trauma. She is the chair of T2 PI council and is an active member of the CareDoc nursing informatics design team. Veronica is currently working on her BSN-MSN as an acute care practitioner and is a 3rd generation nurse.

2006 Performance Improvement Council Accomplishments

  1. Achieved >90% on overall hospital wide pain reassessment. For any area falling below 90% for 2 consecutive months, instituted an accountability measure that the unit rep would present their plan of action to the PI council for guidance.
  2. Added representatives to council membership from the Cath Lab and Nursing Informatics
  3. Initiated the Fall Prevention Task Force. Initiated new enhanced slipper socks. Successful sitter survey brought standardization of sitter education and validity of sitter cost.
  4. Presented a poster on Sitter survey results at the Quality Forum.
  5. Organized semi-annual presentations of unit-based PI initiatives. 23 of 24 departments participated.
  6. Collaborated with Pharmacy to create a practice change on the timing of Lasix secondary to the 5 Main PI study on falls r/t timing of Lasix administration.
  7. Collaborated with the Quality Management department in offering classes on PI planning, writing, creating an LMS CBT as well as a SLP on Hospital indicators.

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