Professional Governance: The First Steps Speakers Speakers Ann

Professional Governance: The First Steps Speakers Speakers  Ann

Professional Governance: The First Steps Speakers Speakers Ann Bindra MSN, RN Gina Maltase, BSN, RN Alexis Fitten, BSN, RN, CCRN Mary Lawanson-Nichols, MSN, RN, NP, CNS, CCRN Bindu Kumar, MSN, RN, BMTCN Jordan Sugar, BSN, RN, OCN Rebecca Lahr, BSN, RN, CCRN, NE-BC

Yesenia Valle, BSN, RN, OCN Maria Madden, BSN, RN Coleen Wilson, MSN, RN, NE-BC Administrative Support: Kissy Vasquez Administrative Support: Kelli Obazee Agenda and Housekeeping Items 0800-1200 Group activities and iPads Please silence pagers, cell phones Downloadable handouts online Learning Objectives Understanding of the nursing strategic plan at UCLA Health

Describe Transformational Leadership Responsibility Authority Accountability Model (RAA) and expectations Describe how Relationship-Based Care is used as a care delivery model and an operational framework to improve patient outcomes and patient/staff satisfaction. Explain UPC structure, process and reporting outcomes.

Relate structure and purpose of a UPC Meeting. Articulate steps of a successful UPC meeting Explain professional governance restructuring, facility and system councils. Identify the necessary steps for practice council project development Tableau, project submission

Pre-Course Quiz onlinepoll.ucla.edu/polls/2051 Professional Governance Vision Nursing excellence is at the forefront of UCLA Health's outstanding patient care. UCLA Health Nursing empowers the professional nurse to recognize their unique gifts, to give voice to ideals, to strive for personal, professional, and academic excellence, and to accept the challenge of the human experience. UCLA Health Empowered U We are empowered through established structures and processes to achieve higher levels of professional development, participate in decision-making, teach and develop others, and contribute to the community.

Alignment of Models Relationship-Based Care 10 Relationship-Based Care Review of the Team www.chcm.com Professional Governance Structure NEW 2018 Model Shared Governance is Professional Governance

Professional governance is a structure and process. Team Members participate fully in all activities that have an impact on their work. Each members performance becomes the obligation of peers. Ownership and responsibility for patient care and patient outcomes are now team processes. Koloroutis, M. (Ed.). (2004). Relationship-based care: A model for transforming practice. Minneapolis, MN: Creative Health Care Management. 14 Professional Governance Model Coordinating Council System Councils Facility Councils Outcomes Council Practice

Unit Practice Councils Outcomes Council er ad e L Pra cti tio ne Patient Family

Community Tra n Kn sfer ow or l ed of ge Professional Development Professional Development S Practice r

t tis n e ci Nursing Practice Research & Innovation Nursing Practice Research & Innovation Professional Governance Unit Practice Councils Coordinating Council System Councils Facility Councils Unit Practice Councils

er ad e L Pra cti tio ne Patient Family Community Tra n Kn sfer ow or

l ed of ge S r t tis n e ci Unit Practice Councils Structure and Charter Purpose The primary purpose of the Unit Practice Council is to plan, implement, and continuously improve the unit/department-specific

Relationship-Based Care (RBC) delivery model and related outcomes. Focus is patient and family centered care. Scope Promoting the professional practice of nursing as an intellectual discipline by continuously improving patient outcomes and patient safety. What is the Purpose of the Practice Council? Improve patient/staff outcomes and patient safety through: EMPOWERING frontline leaders DEVELOPING

plans based departments needs and goals LEADING plans through consensus-based decision-making process that includes communication with 100% of staff and supported by leadership. Koloroutis, M. (Ed.). (2004). Relationship-based care: A model for transforming practice. Minneapolis, MN: Creative Healthcare Management. Practice Council Composition Staff from all levels of care and shifts RNs, CCPs/ Technicians, ACP/ACCP, Unit Director/ANII, Clinical Nurse Specialist/Educator, health care team, PT/OT, Outpatient provides, techs should representative of 10% staff

UCLA Health RBC Leads: Ann Bindra: Nursing Professional Development Specialist Maria Madden: Relationship-Based Care Educator Koloroutis, M. (Ed.). (2004). Relationship-based care: A model for transforming practice. Minneapolis, MN: Creative Healthcare Management. Unit Practice Councils Membership Terms Commitment 2-year minimum 4-year maximum* Opportunity to reapply and serve beyond 4-year commitment allowed if roles not fulfilled Succession Plan Exiting officers mentor oncoming officers Chair will serve as mentor to Co-Chair Chair will transition to Facilitator role

Unit Practice Councils Meeting Structure UPC Meetings Monthly in the work environment Maximum of 4 hours All meetings are working meetings consisting of: First part of meeting Approval of minutes/review agenda (template on Website) Report feedback from staff Review ongoing projects Second part of meeting

Divide into workgroups Third part of meeting Report back to UPC group about progress Unit Practice Councils Roles Chair Co-Chair Facilitator Recorder The above 4 roles must be filled by a Nurse

Member (with potential lead Social Communicator Researcher Quality Improvement role) Unit Practice Councils Roles and Responsibilities Chair and Co-Chair Serves as a member on New Transformational Leadership Councils Organizes and disseminates meeting agendas Keeps UPC focused on assessing unit needs, developing and implementing action plans and meeting strategic goals Meets with Unit Director and plan agendas *Extra hours may be given to members to work on projects

as needed during the month. Unit Practice Councils Roles and Responsibilities Recorder Record minutes Record decisions in the minutes template Maintain parking lot items Ensures minutes are emailed to the Unit Staff, Unit/Department Director, and Clinical Nurse Specialist/Educator Facilitator

Keeps group on track/time keeper Encourages input from all members, reinforces behavioral expectations Makes suggestions to Chair about group process Assists group to reach consensus Suggests use of parking lot when appropriate Chair will transition to this role Unit Practice Councils Roles and Responsibilities Research Officer Explore evidence-based practice and ways to improve patient care. All RNs will have access to Tableau.

Quality Improvement Officer Report out on monthly data HCAHPS scores, Tableau, Unit Dashboard (sepsis, falls, pain satisfaction scores, etc.) Unit Practice Councils Roles and Responsibilities Social Responsible for planning special events Recognizing staff who have obtained their certifications

Provide support to those staff members who may be experiencing undue hardship Foster positive relationships amongst staff Communicator Update UPC bulletin board Ensure communication tree is updated and topics sent out each month Unit Practice Councils Roles and Responsibilities Member

Learns about Relationship-Based Care Maintains communication with assigned communication network (tree) Offers ideas from colleagues in communication network Unit Practice Councils Roles and Responsibilities Unit Leadership Provides guidance and support by attending all UPC meetings Serve 2 year term on a system or facility council Develops a shared vision for RBC with UPC and staff Solves unit systems issues that are beyond the scope of the UPC Provides time for UPC to meet by adjusting the schedule to cover meeting times Provides guidance and reviews content of presentations,

posters/abstracts and reports for completeness Follows up with attendance and accountability concerns Unit Practice Councils Roles and Responsibilities Unit Leadership Mentor Council members to foster understanding of UCLA Health nursing standards, application to practice, and their role in professional governance Assist with dissemination of information from Council Assist

Council members with organization-wide practice changes that affect patient outcomes Empower staff to become nursing leaders Facilitate interprofessional collaboration when needed Remove barriers to the Councils success Guiding Structures

Bylaws Charter https://www.uclahealth.org/nursing/professional-governa nce-resource-toolkit Unit Practice Council: Accountability The Council is accountable for the outcomes and must review and evaluate the effectiveness of the implementation Key Points: 1. Why is this important to me? 2. Establish a baseline

3. Track and trend the data. 4. Collect a minimum of 3 data points post-interventions 5. Reassess and implement changes as needed. 6. Repeat this process until it becomes part of the unit culture. 7.

Celebrate successes Wessel, S., Evens, M., & Person, C. (2011). Implementation Guide for Relationship-Based Care. Minneapolis, MN: Creative Health Care Management. Practice Councils have Level 3 Authority RAA = Responsibility, Authority & Accountability Creative Health Care Management. (2011). Relationship-based care: Implementation guide (3rd ed.). Minneapolis, MN: Creative Health Care Management. Four Levels of Authority. Level I Collect Data Level 2 Collect Data, analyze, make recommendations Level 3 Collect data, analyze determine actions, PAUSE to communicate, act Level 4

Assess and act, informing others after taking actions Practice Practice Councils Councils Authority Authority S. W., M. E., & C. P. (2011). Relationship-Based Care Implementation Guide. Minneapolis, MN: Creative Health Care Management 37 Practice Councils have Level 3 Authority RAA = Responsibility, Authority & Accountability When and what decisions can we make? Data has been used to identify a need for change. Examples: quality indicators, core measures, surveys, audits

A two-way communication process has been established with 100% of the staff. A consensus-based decision process was utilized in determining the action plans. Collaborative planning has occurred among DPC/UPC, staff and leadership. As a group, the UPC has been given the authority to make changes on issues that affect the patient and nursing practice but may be limited by budget constraints.

Creative Health Care Management. (2011). Relationship-based care: Implementation guide (3rd ed.). Minneapolis, MN: Creative Health Care Management. Transformational Leadership Cycle: Model The Way Learn by doing & reflection Begin Where You Are Lead with Purpose Inspire a shared vision

Go with the energy Create Awareness Koloroutis, M. (Ed.). (2004). Relationship-based care: A model for transforming practice. Minneapolis, MN: Creative Healthcare Management. 40 Lewins Stage Model of Change Hartzell, S. (2014). Lewin stage model of change. Retrieved from https://www.youtube.com/watch? v=kerDFvln7hU PHASES OF Practice Council WORK

Prepare Know the RBC Principles and your units/Departments vision Read Relationship-Based Care (book) Model RBC at all times RBC Principles and reflective Questions Structure Organize the Practice Council assign Chair, Co-Chair, etc Create Mutual Agreements, review PG By-Laws and Charter Create Communication Network Discuss Meeting Management Planning Group Development Use of Communication Network

Relationship-Based Care Principles* Questions to Guide Unit-Specific Plans- Tableau Wessel, S., Evens, M., & Person, C. (2011). Implementation Guide for Relationship-Based Care. Minneapolis, MN: Creative Health Care Management. 42 PHASES OF Practice Council WORK Review/ Support Implement Continuous Evaluation Time to pause and review Practice Council work Successes and challenges Relationship of unit leadership, clinical staff and UPC

Consult with Unit leadership Choose a day to begin implementation and announce it Continuous learning and development, not perfection Periodic reviews and status checks are carried out Gather information about what works Promote continued development Celebrate successes Problem-solve related issues Refresh Practice Council membership (charter) Wessel, S., Evens, M., & Person, C. (2011). Implementation Guide for Relationship-Based Care. Minneapolis, MN: Creative Health Care Management. 43 DEVELOPING ACTION PLANS Assessment

Record baseline Incorporate staff recs Choose project Educate staff on proposed action plan Form action plan Discuss with UD/CNS/Educator Conduct literature

review Share with everyone Creative Health Care Management. (2011). Relationship-based care: Implementation guide (3rd ed.). Minneapolis, MN: Creative Health Care Management. 44 Unit Practice Councils Meeting Structure UPC Meetings Monthly in the work environment Maximum of 4 hours All meetings are working meetings consisting of: First part of meeting

Approval of minutes/review agenda (template on Website) Report feedback from staff Review ongoing projects Second part of meeting Divide into workgroups Third part of meeting Report back to UPC group about progress NECESSARY MEETING ITEMS

Agenda Sent by chair/cochair in advance Follows set template Includes items that follow strategic goals and scope of council (charter) Minutes Sign in sheet Taken by designated council member Edited and sent

out by Recorder (same day) to staff and uploaded to BOX Sample Revised Minute template Reflects names of current council members with credentials by unit Serves as source for attendance tracking Displays representation from all roles

46 SAMPLE AGENDA WITH MINUTES Meeting: Purpose: Chair: Santa Monica Transformational Leadership Council TL5 How nursing leasers guide unplanned changes Ann Bindra, MSN, RN Clear purpose of meeting linked to RBC element Topic Reporting Date:

4/5/2018 Location: Boardroom Co-Chair Maria Madden, BSN, RN Start: 7:45A Finish: Agenda

Commitment / Progress Discussion Summary + Minutes (Action, Status, Outcome) Review/Approve Minutes (5 min) Maria Madden 9:15AM Review and approve minutes from March meeting Accountable

(Who / When) Brief review and approval of minutes from previous meeting. Exemplary Professional Practice - Subcommittees: Nursing Pharmacy, Falls, Pain and HCAHPS Magnet Council and General Updates (25 min) Ann Bindra Designated time limit for each topic Structural Empowerment - Nurses week - Demographic Information Form (all staff required to updated and submit form w/current degree/certifications New Knowledge, Innovation and Improvements

- Next meeting on Tuesday, April 17th Magnet Newsletter and Website update Member Magnet Newsletter Title - Vote on top three Newsletter choices o Chronicles of Nursing Excellence o SM-UCLA Nursing Network Newsletter o SM-UCLA Nurses Post TL members voted and elected Chronicles of Nursing Excellence as our newsletter name. The newsletter is aimed to strengthen communication between nurses at all levels. (TL 2) SM-UCLA Magnet Website in production. Tentative launch: May 2012. Committees and UPCs will be able to post recent activities Minutes are documented below each topic in slant font.

information/projects on the intranet and discussion forums. It will also allow staff to view Magnet documents as they are uploaded. This shows transparency and clear communication within the system. Secure access will be via a bruin login. (TL 3) SAMPLE AGENDA WITH MINUTES Workgroup Follow-up 1. TL5 (Subcommittee: List all members) F/U Items: a) Assignment of specific content Analyses and documentation of the transitional move exemplifies how direct care nurses provide input to nursing leaders for the purpose of improving patient care areas and work environment. Sharing this information demonstrates clear visibility, accessibility and open communication channels between direct care staff and nursing leaders. (TL 10 EO) Workgroups (40 min)

List staff members involved in each project. 2. TL6 (Subcommittee: List all members names ) F/U Items: a) Flyers, b) Program UPC summit will facilitate leadership development, mentoring activities and performance management. UPC Chairs from all the units collaborated to form a list of topics defining knowledge needed to improve effectiveness Ann Bindra and efficiencies of UPCs. Nursings mission, vision and health system plans will form the foundation of the workshops. (TL 3 EO). Summit will take place on May 1, 2012. The contents of workshops have been finalized, and the final program will be emailed. Participants will be the Purpose of working group linked to RBC element UPC chair, co-chair, two additional staff members, CNS and UD. UPCs are expected to submit a poster for the poster exhibit, present poster to the nursing leadership operation group and contribute cards for the Ring of

Knowledge. Four CE units will be awarded. Due date for forwarding poster template to Jodie is April 23. Posters will be professionally printed and therefore no late submissions will be accepted. 3. Group Picture Next Meeting Jill Scherrey Subcommittee to upkeep quarterly newsletter: Planning and assignments for May distribution F/U Items: a) Outline of content; b) Featured units for this edition, c) Templates for articles Jill will be taking a group picture of the TL Council Numerous group pictures were taken and will be used in the near future for the Magnet website and the Chronicles of Nursing Excellence newsletter.

Next meeting: Thursday, May 3, 2018. Next meeting date, time and location is stated. Location: Boardroom Ronald Reagan-8-ICU UPC Communication Board Ronald Reagan- 6-ICU UPC Board 51 Communication How will you communicate to your staff? What solutions do you have ? Let's Talk more about Communication !! Email Distribution Lists for the Facility and System Level

councils UPC's should create an outlook group contact Contact Marina Lawson for support with creating an email group Unit Practice Councils Reporting Outcomes Reporting Outcomes World Caf Event End of Fiscal year, prior to new members selection New member selection begins in May and new members will start in July. This will allow unit goals and projects to align with UCLA Health fiscal year goals. Professional Governance U Guide Innovation- Tool Change Request Workflow

Staffmember has a practice change idea to submit Goes to Nursing page on Mednet Home page. Clicks on U Guide Innovation Enters information into Survey Gizmo form Survey Gizmo report data used to create Tableau report

Automatic email to requester acknowledging submission and to Coordinating Repository members notifying them of request Coordinating Repository reviews request using rubric and routes it appropriately. Sends email to requester with status Workgroup reviews and prioritizes request. Completes project Disseminates

information to staff , educates as needed Coordinating Council Review Rubric Lets Talk about Outcomes UNIT & HOSPITAL LEVEL OUTCOMES Outcomes help us understand if our results are: Patient Satisfaction Quality Indicators

RN Satisfaction Other Metrics Identified by your Practice Area above average or below average 58 HEALTH SYSTEM EXECUTIVE TEAM ORGANIZATIONAL GOALS OVERSIGHT TEAM REDUCING RISK-ADJUSTED MORTALITY CLINICAL

Oversight Team PM: Cheryl LeHuquet PC: Anahat Dhillon, MD O PE RA TI O N AL Sepsis Hospice/Palliative Care Rapid Mortality Review

Code Blue Team Rapid Response Team IMPROVING PROCESS AND OUTCOMES MEASURES IMPLEMENTING VALUE-BASED REDESIGN ENHANCING THE PATIENT EXPERIENCE REDUCING

PREVENTALBE READMISSIONS STRENGTHENING PATIENT SAFETY Oversight Team PM: Robert Martin, PsyD PC: Roger Lee, MD BO: Sherry Watson Oversight Team PM: Christine Ahn PC: Eric Esrailian, MD BO: Laura Yost

Oversight Team PM: Namgyal Kyulo, DrPH PC: Rick Harrison, MD BO: Ellen Wilson Oversight Team PM: Cheryl LeHuquet PC: Chris Cooper, MD Oversight Team PM: Robert Martin, PsyD PC: Zach Rubin, MD BO: Brenda Clemens CMS Core Measures Population-Based MSSP Quality

Gate Measures ValU Leadership Team Value Quotient TDABC Nurse Communication Pain Management Discharge Information Ambulatory Staff CMS Readmission Indicators AMI, Pneumonia, HF, COPD

Transitions of Care Home Health SNF AHRQ PSIs VTE CLABSI Iatrogenic PTX CAUTI SSI Decub Ulcers Selected Service Line Optimizations Performance Excellence Data Analytics (Crimson, Cogito)

Physician Quality Officers CLINICAL O PE RA TI O N AL Nursing Alignment (Magnet) Clinical Documentation Improvement Page 59

Link to O/C Templates 59 Unit Dashboard 60 How to initiate a Project From the Mednet homepage in the center column View Analytics OHIA portal Capacity | MOVERS | Tableau server A database for all current and ongoing projects All nursing and UPC members to have access Contact

Tracy Guy and Bryant Duong if you do not have access How to initiate a Project https://www.uclahealth.org/nursing/2018-world-cafe From the By-Laws appendices Lean Quality Improvement Tools A3 Lean Quality Improvement Tools A4 Hybrid EBO QI Tool A3 EBP Focus PDCA PG Council Meeting Minutes Templates Sweet steps for UPC success Resources for Strengthening Leadership Skills CORE http://www.uclahealthtraining.org/CORE/ Human Health Human Resources (leadership courses) http://hr.uclahealth.org/

Advisory Board Frontline nurse leaders Leadership Academy Leadership assessments Free personality test Annual self-appraisals and peer feedback Association of California Nurse Leaders http://www.acnl.org/ Harvard Business Leadership Assessment https://hbr.org/2015/06/assessment-whats-your-leadership-style 64 Never doubt that a small group of thoughtful committed citizens can change the world; indeed, its

the only thing that ever has. Margaret Mead Professional Governance Model Coordinating Council System Councils Facility Councils Outcomes Council Practice Unit Practice Practice; 25; 25.00%

Practice Councils Outcomes Council er ad e L Pra cti tio ne Patient Family Community

Tra n Kn sfer ow or l ed of ge ProfessionalDevelopment Development; Professional 25; 25.00% Professional Development S r t

tis n e ci Nursing NursingPractice PracticeResearch Research&& Innovation Innovation; 25; 25.00% Nursing Practice Research & Innovation Transformational Leadership Councils Scope Strategic Planning

Effectiveness, efficiency, performance Advocacy and Influence Guide change process Visibility, Accessibility, and Communication Establish methods for nurses to access formal nurse leaders Oversight of Quality and Safety Monitor activities and outcomes of each facility council and UPCs.

Transformational Leadership Councils Membership Unit Practice Council (UPC) Chair (from each unit/department) Unit Director (UD) Clinical Nurse Specialist (CNS) Assistant Unit Director Facility Council Chairs Nursing Quality Outcomes/Magnet Coordinator Analyst, Patient Experience Representative (ad hoc) Leadership: Clinical Nurse UPC Chair and Co-Chair Executive Sponsor: Chief Nursing Officer Exemplary Professional Practice Councils Scope

Professional Practice Model Care Delivery System Interprofessional Care Accountability, Competence, and Autonomy Ethics, Privacy, Security, and Confidentiality Culture of Safety and Quality of Care Exemplary Professional Practice Councils Membership Professional Nurses at the direct care level

(ANI,CNI/II/III) Unit Director Clinical Nurse Specialist Assistant Unit Director Subject Matter Experts (SME) for nursing quality/safety indicators

Leadership: Clinical Nurse Chair and Co-Chair Administrative Sponsor(s): CNS and UD/Manager New Knowledge, Innovations and Improvements Councils Scope Research Coach nurses, use published research findings Support human rights Disseminate knowledge Evidence-Based Practice Translate knowledge into nursing EBP Innovation Discuss, review and support innovations/adoption of technology

Participate in design and use of space to support practice New Knowledge, Innovations and Improvements Councils Membership Professional Nurses at the direct care level (ANI,CNI/II/III) Unit Director Clinical Nurse Specialist (RIC member) Assistant Unit Director Nurse Scientist Nurse Informaticist Nursing Quality Outcomes/Magnet coordinator Leadership: Clinical Nurse Chair and Co-Chair Administrative Sponsor: CNS or UD/Manager Structural Empowerment Councils Scope Professional Engagement

Commitment to Professional Development Commitment to Community Involvement Recognition of Nursing Structural Empowerment Councils Membership Professional Nurses at the direct care level (ANI,CNI/II/III) Unit Director, Clinical Nurse Specialist Assistant Unit Director Nursing Professional Development Specialist (NPDS) Center for Nursing Excellence (The CENTER) NPDS Nursing Quality Outcomes/Magnet Coordinator Leadership: Clinical Nurse Chair and Co-Chair Administrative Sponsor(s): NPDS and CNS or UD/Manager

Professional Governance System Councils Coordinating Council System Councils Facility Councils Outcomes Council Practice Unit Outcomes Council Practice Councils Practice er ad e L

Pra cti tio ne Patient Family Community Tra n Kn sfer ow or l ed of ge Professional Development Professional Development

S r t tis n e ci Nursing Practice Research & Innovation Nursing Practice Research & Innovation Empirical Outcomes Council Scope

To review identified system outcome measures and make/approve recommendations for strategic intervention to optimize performance. To assure that nursing performance and related outcome metrics align with the strategic priorities of the organization and the nursing department. Empirical Outcomes Council Membership Magnet Program Director Professional Development Specialist Nursing Quality Improvement Specialist From each entity: UD/Manager, CNS, Transformational Leadership Council chairs, Nursing Quality Outcomes/Magnet Coordinator, Nursing Quality

Analyst Leadership: Clinical Nurse Chair and Co-Chair Executive Sponsor: Member of Chief Nurse Executive Council Practice Council Scope To foster exemplary patient care through the development, review, revision, approval, and dissemination of clinical nursing policies, guidelines, and practice alerts To ensure that policies and guidelines are based on the latest research and evidence. To oversee and provide input by clinical nurses in collaboration with nursing leadership on the approval process for nursing policies and guidelines. Practice Council Membership

Chairs/Co-Chairs from the Exemplary Professional Practice Council Unit Director CNS Nursing Professional Development Specialist APRN/NP Nurse Scientist/EBP Specialist Leadership: Clinical Nurse Chair and Co-Chair Executive Sponsor: Member of Chief Nurse Executive Council Research and Innovation Council Scope To support, encourage, and facilitate nurses participation in research activities (utilization and conduct) so that optimum patient outcomes are achieved. The RIC functions under an operational strategic plan that promotes system-wide, multi-disciplinary research, evidence-based practice, innovation and technology

adoption. Research and Innovation Council Membership Chairs/Co-Chairs from the New Knowledge & Innovation Council (4) Nurse Scientist Unit Director CNS Nursing Professional Development Specialist APRN/NP Nursing Informaticist Leadership: Clinical Nurse Chair and Co-Chair Executive Sponsor: Member of Chief Nurse Executive Council

Professional Development Council Scope To increase current clinical nurse education levels and professional certifications To promote professional nursing clinical advancement and career development To ensure that educational activities are relevant to the advancement of nursing excellence. To increase meaningful recognition of nurses DAISY, Nurses Week Professional Development Council Membership Chairs/ Co-Chairs

from the Structural Empowerment Councils (4) Unit Director CNS Nursing Professional Development Specialist APRN/NP Nursing Informaticist Leadership: Clinical Nurse Chair and Co-Chair Executive Sponsor: Member of Chief Nurse Executive Council UCLA Health Professional Governance Model Coordinating Council Professional Governance Coordinating Council Scope of Activities Nursing Strategic Planning Collaborates in the strategic planning process in alignment with organizational

Provides oversight and support for professional governance councils to assure ongoing effectiveness Establishes methods for effective two way communication between clinical nurses Charters new workgroups and makes referrals to councils/others for performance Assures accountability for council deliverables Professional Governance Coordinating Council Scope of Activities, continued Advocates for resources to support nursing practice and outcomes. Engages in policy and legislative activities in alignment with mission, vision and strategy. Visibility, Accessibility, and Communication Facilitates leadership visibility and accessibility for nurses at all levels. Professional Governance Coordinating Council

Members CNEC members (8) Unit Director from each system council (4) Clinical Nurse Specialist from each system council (4) Chair from each system council (4) Transformational Leadership Chairs from each entity (4) Leadership: Elected Chair and Co-Chair Executive Mentor: Chief Nursing Executive Professional Governance Model Coordinating Council System Councils Facility Councils Outcomes Council Practice Unit

Practice Councils Outcomes Council er ad e L Pra cti tio ne Patient Family Community

Tra n Kn sfer ow or l ed of ge Professional Development Professional Development S Practice r t tis

n e ci Nursing Practice Research & Innovation Nursing Practice Research & Innovation POST- Course Quiz onlinepoll.ucla.edu/polls/2050 Evaluation Link https://www.surveygizmo.com/s3/4369521/Evaluation-Prof essional-Governance-First-Steps Lets Play !

https://play.kahoot.it/#/k/6c465e2b-a3f 4-4f6f-891e-ea6cd7619bae Professional Governance: The First Steps References 2013 American Nurses Credentialing Center (ANCC) Guanci, J. (Speaker, Writer). (2013). Out with the old, in with the new: Magnet manual revision [Audio podcast Retrieved from http://chcm.com/solutions/webinars/ Koloroutis, M. (Ed.). (2004). Relationship-based care: A model for transforming practice. Minneapolis, MN: Creative Health Care Management. Swanson, K. (2013). Nursing as informed caring for the well-being of others. Journal of Nursing Scholarship. Watson, J. (2015, April 27). Welcome to Human Caring. Retrieved February 17, 2016, from https://www.youtube.com/watch?v=rGv_hDJetYI Wessel, S., Evens, M., & Person, C. (2011). Implementation Guide for Relationship-Based Care. Minneapolis, MN: Creative Health Care Management. Wisdom of geese [Video file]. (n.d.). Retrieved April 4, 2016, from https://www.youtube.com/watch?

v=5rOg4WfNDfM 93

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