Quality
The Department of Nursing maintains an integrated quality program that is consistent with the hospitalŐs vision and strategic goals. The program compliments the NewYork-Presbyterian Quality Plan put forth by the Division of Quality and Patient Safety. The Nursing Quality Assurance and Performance Improvement Program measures outcomes of nursing performance, maintains systems for analysis and trending of data and communicates findings to appropriate executive nursing, hospital leadership and the Board of Trustees Committee on QPI.
Nursing sensitive indicators are selected by nursing leadership. The Department of Nursing monitors clinical indicators in an effort to continually improve the quality of care that is delivered to patients. Quality metrics are reported on an integrated scorecard across all inpatient sites and benchmark performance against external databases such as the National Database of Nursing Quality Indicators (NDNQI) and the Maryland Indicator Project as well as within the Hospital. Data are used for tracking and trending performance and monitoring results of implemented performance improvement strategies.
Various forums are used in reporting Nursing Quality Assurance and Performance Improvement data. Each campus has a Nursing Quality Council as part of the Shared Governance Structure and this is the forum in which data are discussed, analyzed, trended and recommendations for improvement made. The Nursing Quality Governing Council oversees, consults and guides the campus specific Nursing Quality Councils. The Nursing Quality Governing Council is co-chaired by Gina M. Bufe, RN, PhD, Director of Nursing Education, Quality and Research and Mary Quinn, MSN, RN, Director of Quality-Nursing Innovations.
