upmc st. margaret's interdisciplinary committees and councils · medical education the purpose...

UPMC St. Margaret's Interdisciplinary Committees and Councils No. of RN Members

UPMC St. Margaret's Interdisciplinary Committees and Councils

Purpose and Scope Guidelines for Decision Making

Nurse Members

Nurse Role on Committee

Nurse Work Unit Nurse Work Unit Role

7

Blood Utilization Committee

1. Review blood component transfusions. The review includes: a. The indications for transfusion. B. All suspected transfusion reactions. C. Unit of blood or components requested, used, and the month of wastage. D. Evaluate perioperative cell salvage rates and QA. 2. Evaluate the effectiveness of the Committee's quality assurance activities. 3. Meets at least six times per year, bi-monthly.

A Chair and no fewer than three other physician members appointed by the President of the Medical Staff and representative from Administration, Nursing, and Quality Assurance.

Dawn Vocke Jay Wright Marjorie Jacobs Mary Lou Tucker Mary DiUlizio Ruth Harris Veronica Findley

Member Member Member Member Member Member Member

Operating Room Perianesthesia Care Management/Quality Anesthesia Anesthesia Clinician Care Management/Quality

Unit Director Unit Director Director CRNA CRNA Staff Nurse Coordinator

24

Clinical Practice Council

The mission of the Clinical Practice Council is to review all policies and procedures and insure that they conform to current standards of care, are evidenced based,

When voting, each member has only one vote and majority rules. Roberts Rules of Order will be utilized for decision making processes.

Adel Mansour Audrey Peterson Barb Arthur Betsy Dempster Bonnie Colaianne Casey Witt Peterson Christy Schor Dawn Vocke

Member Member Member Member Member Member Member Member

5A OR 3B Cardiac Cath Lab Infection Control Perianesthesia 5B Operating Room

Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Unit Director

incorporate research and reflect interdisciplinary collaboration as appropriate. To support and guide clinical staff in the provision of patient care through review of all pursing policies to insure conformity to current standards of care, incorporating evidence based research and informatics and reflecting interdisciplinary collaboration.

Dorthy Schor Esther Whittlinger Gina Koch Jessica Graff Jessica McCutcheon Jessica Stahl Judy Bertolo Kathy McKeag Kelly Presutti Kelsey Archibald Kim Klamut Kim Sollis Lori Kelly Rosia Williams Susan Ober Sue Evans Susanna Pryor

Advisor Member Member Member Member Member Member Member Member Co-Chair Member Member Resource Member Member Chair Member

Short Stay Perianesthesia 6B 5A ED 4B ICU Radiology 3A 6A Nursing Education IV Team Nursing Administration Lawrencville FHC OR Harmar Admissions Team Harmar Outpatient Center

Staff Nurse Staff Nurse Staff Nurse Unit Director Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Performance Improvement Specialist Staff Nurse Staff Nurse Staff Nurse Staff Nurse

4 Continuing Medical Education

The purpose of our CME is to provide high quality evidence based medical educational opportunities and programs that advance knowledge, skills, and performance of physicians to enhance their ability to provide exceptional patient care, health maintenance, safety, and improve patient outcomes. The CME committee is committed to serve as a catalyst to utilize our resources to educate

The UPMC St. Margaret CME Program has established the goal of responsibility to the educational needs of it members through: 1. Verbal and written communications; surveys, program evaluations, literature, and research communications. 2. The new frontiers of medicine on knowledge and skills 3. Outcome audits

Andrea Pasierb Diane Corr Jolynn Gibson Marjorie Jacobs

Member Member Member Member

Diabetes Education Nursing Education Diabetes Education Care Management/ Quality

APN Nurse Educator APN Director

physicians by offering multifaceted education activities that promote awareness, self-motivation, self-assessment, and self-learning skills that improve patient care and outcomes.

from patient safety; risk management, morbidity/mortality reports 4. E-Record Training 5. Public health information and policy 6. Policy reforms of the governing body and medical staff.

6 Core Measures Task Force CHF/AMI

The task force seeks to promote compliance with heart failure and AMI (CMS and Joint Commission) measures through education and process improvement initiatives.

Nurse members on the task force provide input into core measure compliance based on established processes such as patient education, and provision of medications upon admission and discharge, provide suggestions to increase compliance through educational planning, and collaborate with other members of the multidisciplinary team to determine best practice for achievement of 100% compliance with measures.

Bonnie Anton Rita Cook Karen Weimer Maryellen Cunliffe Marjorie Jacobs Rebecca Sproul

Member Member Member Member Member Member

eRecord 3B Stepdown Nurse Practitioners 3B Med Surg Care Management/ Quality Cardiac Cath Lab

Nurse Educator Clinician Chief Nurse Practitioner Staff Nurse Director Staff Nurse

3 Core Measures Task Force COPD

The task force seeks to promote compliance with established

Nurse members on the task force provide input into

Bonnie Anton Martha Aggazio Marjorie Jacobs

Member Member Member

eRecord Care Management Care Management/

Nurse Educator Primary Care Coordinator Director

evidence based practices for COPD patients to reduce 30 day readmissions.

process improvement activities to decrease readmissions, provide suggestions to decrease readmissions through educational planning, and collaborate with other members of the multidisciplinary team to determine best practice for patient care to reduce 30 day readmissions.

Quality

6 Core Measures Task Force Pneumonia

The task force seek to promote compliance with Pneumonia (CMS and Joint Commission) measures through education and process improvement initiatives

Nurse members on the task force provide input into core measure compliance based on established processes such as patient education, and compliance with vaccines, provide suggestions to increase compliance through educational planning, and collaborate with other members of the multidisciplinary team to determine best practice for achievement of 100% compliance with measures.

Anna Kalafut Bonnie Colaianne Linda Zsolcsak Marjorie Jacobs Patricia Glod Traci Fick


Nursing Education Infection Control 6A Care Management/ Quality Informatics Emergency Department

APN Infection Control Practitioner Staff Nurse Director Informatics Nurse Clinical Director

17 Critical Care Committee

The Critical Care Committee is a multidisciplinary forum for critical care practice. The main goals of this committee are to ensure up to date practices within the critical care environment, initiate a support network, develop and approve hospital policies related to critical care and approve educational resources for our critical care nurse popilation.

Decisions are made by collaborative agreements of the staff attending with final approval by the chair of the CCM. The nurses’ within the committee act as liaisons by disseminating meeting information to staff and discussing ideas.

Bonnie Colaianne Bobbie Jo Skurko Jackie Drahos Judy Bertolo Karen Weimer Kaylen Schaffer Lori Kelly Kim Lopes Nicole Asashon-Albert Nicole Jones Rebecca Bono Rita Cook Sean Quinn Shawna Breghenti Stacey Allen Traci Fick Wendy Kastelic

Member Member Co-Chair Member member Member Member Member Member Member Member Member Member Member Member Member Member

Infection Control Emergency Department ICU/IMC ICU Nurse Practitioners IMCU Nursing Administration Emergency Department ICU Critical Care ICU 3B ICU PACU 3B Emergency Department Nursing Education

Infection Control Practitioner Clinician Unit Director Staff Nurse Lead CRNP Clinician Performance Improvement Unit Director Staff Nurse APN Clinician Clinician Staff Nurse Staff Nurse Unit Director Clinical Director APN

9 Diabetes Initiative

The goal of this committee is to assess and improve the care of our UPMC St. Margaret inpatients with a diagnosis of diabetes. This will be accomplished using measures of glycemic control (glucose levels and A1C review) based on current ADA/AACE guideline recommendations.

Decision making is made by consensus of committee members.

Andrea Pasierb Donald Swarner Jolynn Gibson Karen Weimer Kathy Fowler Marjorie Jacobs Marlene Siebel Mary Lou Tucker Pam Jaecke

Chair Member Chair Member member member member Member Member

Diabetes Education 6B Diabetes Education Nurse Practitioners 6B Care Management/ Quality 6A Med Surg Anesthesia 5B

APN Staff Nurse APN Lead CRNP Unit Director Director Staff Nurse CRNA Staff Nurse

14 Diabetes Liaison Committee

The purpose of the committee is: - To support the educational needs of

Decision making is evidence based with an emphasis on the ADA and the AACE

Amy Absten Andrea Pasierb Belinda Jones Christine Sulkowski

Member Chair Member Member

6B Diabetes Education ED 6A

Staff Nurse APN Staff Nurse Staff Nurse

the nursing staff by increasing their knowledge base regarding the latest treatments for diabetes inpatient care. - To support the healthcare professional in caring for the patient with diabetes. - To identify and monitor the educational needs of the inpatient with diabetes for the purpose of improving patient outcomes. - To establish and enforce policies and procedures that addresses the needs of the patient with diabetes.

guidelines for diabetes care. Recommended changes that are initiated by this committee are reviewed by the appropriate channels of hospital administration (i.e. Chief of Endocrinology, Nursing Administration, etc.) and, if needed, the system-wide Diabetes Patient Safety Committee.

Donald Swarmer Elizabeth Thimons Jolynn Gibson Karen Kasely Katie Vasko Mary Swanson Pamela Jaecke Ruth Harris Sarah Rosenberger Tonya Alcorn

Member Member Chair Member Member Member member Member Member Member

6B 4A Rehab Diabetes Education 6A IMCU 5B 4B 5A 3B Stepdown

Staff Nurse Staff Nurse APN Clinician Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Clinician

1 Emergency Planning Committee

1. Review the Hazard Vulnerability Analysis (that is conducted by the Environment of Care Committee) and identify activities to reduce the risk and potential damage from an emergency situation. 2. Review the External Disaster Plan 3. Review Regulatory requirements for management and

Decision making is made by consensus of committee members

Traci Fick Laura Kling Sue Murray Bonnie Colaianne

Co-Chair Member Member Member Member Member

Emergency Department Surgical Services Nursing Education Nursing Inpatient Employee Health Infection Control

Clinical Director Clinical Director Nurse Educator Clinical manager Infection Control Coordinator

planning of disaster events. 4. Review incident Command Organizational Chart 5. Review and approve HRSA funding requests. 6. Receive updates from the UPMC System Emergency Management Coordinator meetings. 7. Meets at least three times a year (February/June/ October).

2 Environmental Safety Committee

The purpose of the Environmental Safety Committee is to collect and analyze information from the environment of care so as to identify opportunities for improvement and to monitor conditions within the environment of care. The scope of the ES Committee is comprised of all activities and processes necessary for effective safety, security, hazardous materials, emergency preparedness, fire safety, utilities, and

Decision making is by consensus of the members present.

Bonnie Colaianne Meghan Jones Sue Murray Shawna Breghenti


Infection Control 5A Employee Health PACU

Infection Preventionist Staff Nurse Clinician Clinician

medical equipment management programs in compliance with applicable regulations, codes and accepted practice.

15 Evidence Based Nursing Practice Council

1. To promote nurse driven research at SMH by providing: 2013 Nurse Research Fellowship Program

2013 Annual Clinical Research Forum

Development of a Research Process Toolkit and Workshop

2. To promote and engage nurses at SMH to participate in EBP at SMH through:

Development and implementation of educational programs to support EBP

Development of a Research Process Toolkit and Workshop

EBP project development at the unit level with the support of unit nursing education, research & EBP

Shared decision making through consensus voting

Adele Mansour Barbara Arthur Christine Batko Cindy Hanlon Dorthy Scalise Heather Liti James Hofe Janine Crider Kim Sollis Laura Kling Linda Zsolcsak Lori Stover Margaret Runco Patti Disanti Sue Evans Colleen Sunday Ruth Harris

Member Member Member Member Member Member Member Member Member Mentor Member Member Member Member Co-chair Advisor Chair

5A 3B Ambulatory Surgical Unit ICU Short Stay 6B Emergency Department Surgical Services IV Team Surgical & Ambulatory Care Services 6A Surgical Services 4A PACU Admissions Team/ Medical Unit

Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Nurse Educator Staff Nurse Clinical Director Staff Nurse Staff Nurse Staff Nurse Staff Nurse Clinician

council representative

3. To promote nursing educational endeavors that result in enhanced patient outcomes and nurse satisfaction:

Annual SMH Nursing Education Survey

Journal Club, explore electronic option

Establish mentorship program

Research in Action newsletter

Establish mechanism for council reps to identify unit education needs and a process to communicate with Nursing Education Department

4. Establish recognition program for nurses involved in EBP and Nurse Driven Research:

Thank you cards

Publish nursing praise in Nurse Talk, Channel E, Unit Newsletters

Motivational signage/ideas to encourage enthusiasm about research

15 Ethics Committee

Our mission is to assist patients, their families, and their healthcare providers with identifying, understanding and resolving ethical concerns.

In an advisory role, the committee provides guidance and makes recommendations regarding medical treatment.

These recommendations are made after carefully considering the patient’s and family’s rights and wishes, recommendations from the patient’s health care team, and the law.

Evidenced based decisions related to Consortium guidance

Allison Grzybek Beverly Irvine Carrie Kalmar Cheryl Hansen Cheryl Lenhart Cynthia Paner David Williams Heather Rulander Jay Wright Lisa Lehman Nicole Jones Jackie Drahos Shelley Buhl Traci Fick Tonya Alcorn

Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member

Care Management 4A Rehab ED Radiology Nursing Administration Radiation Oncology 5A Perianesthesia 6A Nursing Education ICU Nursing Administration ED 3B Stepdown

Staff Nurse Staff Nurse Staff Nurse Quality Coordinator Clinical Director Staff Nurse Staff Nurse Staff Nurse Unit Director Unit Director APN Unit Director Clinical Coordinator Clinical Director Clinician

2 Health Unit Coordinator Committee

The Health Unit Coordinator (HUC) council is held on the last Monday of each month. The council’s

Participatory decision making, consensus decisions based on task at hand

Diane Corr Jessica Graff Unit

Chair Chair

Nursing Education 5A

Nurse Educator Unit Director

purpose is to provide an open forum for discussion and education regarding all areas and responsibilities that are categorized under HUC duties. It is during these council meetings that the group suggests and supports changes within their department and/or hospital setting.

17 Infection Control Clinical Liaison Committee

The Infection Control Liaison Group is a multidisciplinary committee comprised of a representative from each area of the hospital including the Family Health Centers and Hospital Based Clinics. The group meets monthly to receive and distribute information pertaining to infection control. Minutes of the meetings are reviewed and approved each month by those in attendance. The committee is designed to be informative and educational through which the Infection

Evidenced based, participatory consensus

Adam Giardina Betty Hepler Betty Scovern Bonnie Colaianne Christine Hinds Donna Stokes Justine Friel Judith Zuk Kelly Koklades Leign Resnick Lisa Remai Marcia Szymkiewicz Margaret Runco Regina Plocki Rita Cook Sean Williamson Susan DiNucci

Member Member Member Chair Member Member Member Member Member Member Member Member Member Member Member Member Member

OR ED 5B Infection Control 6B Med Surg IV Team Orthopedics Care Management School of Nursing Medical Unit/ Admission Team ASU PACU 3B IMCU Infection Control

Staff Nurse Clinician Staff Nurse Infection Control Practitioner Staff Nurse Staff Nurse Staff Nurse Primary Care Coordinator Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Clinician Staff Nurse Infection Control Practitioner

Control Department disseminates policy updates, compliance data, i.e. hand hygiene, PPE utilization, etc., hospital and system initiatives, product information and infection prevention related materials. Members are to share information received at the meetings with their units/departments. Members are also encouraged to bring questions and concerns regarding infection control to the meetings. This facilitates discussion on process and provides input into policy decisions and educational offerings.

9 Infection Control Committee

The Infection Control Committee is sanctioned by the Bylaws, Rules and Regulations of the Medical Staff of UPMC ST. Margaret as a multidisciplinary team. The ICC has the authority to institute any surveillance, risk reduction, prevention, and control measures

Consensus Bonnie Colaianne Lisa Graczyk Kathy Kline Dawn Vocke Marge Jacobs Mary Popovich Lori Kelly Susan DiNucci Susan Murray

Advisor Member Member Member Member Member Member Advisor Member

Infection Control Harmar Outpatient Lawrenceville Family Health Center OR Care Management/ Quality New Kensington Family Health Center Nursing Administration Infection Control Employee Health

Infection Preventionist Team Leader Head Nurse Unit Director Director Head Nurse Performance Improvement Infection Preventionist Coordinator

or studies when there is reason to believe that any patient, visitor, or staff may be at risk.

17 Interdisciplinary Stroke Team

The Interdisciplinary Stroke Team works with an aduly ischemic and hemorrhagic stroke and transient ischemic attack patient population. The Stroke Team performance improvement focuses on the 8 Joint Commission quality measures: VTE Prophylaxis, Antithrombotics therapy at discharge, patients with atrial fibrillation receiving two anticoagulation therapy, acute ischemic stroke IV t-PA, antithrombotic therapy by hospital day two, discharged on a cholesterol reducing medication, stroke education, and assessed for rehabilitation.

Interdisciplinary Shared decisions for the stroke team, nursing, and medical staff. EBP following the clinical practice guidelines from the American Heart and American Stroke Association

Beth DeRunk Bobbi Jo Skurko Brenda Acri Bonnie Anton Christine Kelley Donna Rothman Gina Koch Jessica Granata Judy Bertolo Judy Tinelli Kathy Fowler Kaylen Schaffer Kim Klamut Kim Lopes Marge Jacobs Traci Fick Veronica Findley Wendy Kastelic

Member Chair Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member

Unknown Case Management eRecord IMCU Nurse Practitioner 6B 5A 3A 4A Rehab 6B IMCU Nursing Education Emergency Department Care Management/ Quality Emergency Department Care Management/ Quality Nursing Education

Staff Nurse Primary Care Coordinator Nurse Educator Staff Nurse CRNP Clinician Staff Nurse Clinician Clinician Unit Director Clinician Nurse Educator Unit Director Director Clinical Director Quality Process Coordinator Nurse Educator

43 Magnet Service Excellence Ambassadors

Magnet Ambassadors are staffs who are recognized by Nursing Leadership and

Participatory Consensus

Aleta Himes Amy Hibner Betty Hepler Brenda Acri


Harmar GI Lab OR Emergency Services Care Management/

Staff Nurse Staff Nurse Staff Nurse Staff Nurse

colleagues as demonstrating a breadth of excellence within the organization. The purpose of this committee is to educate, motivate, and promote staff understanding of Magnet, the framework, and the components including the collecting of information, the dissemination of information, and the sharing of evidence through the Shared Governance Council Structure, Transformational Leadership, and Interdisciplinary Committee Membership.

Denise Bradley Smith Dawn Vocke Debbie Ryan Gina Koch Erin Stivenson Jackie Drahos Jennifer Seward Joyce Acker John Clatty Judy Bertolo Karen Kasely Karen Mains Kathy Fowler Kelly Morgan Karen Weimer Leah Sue Evans Leanne Smith Leslie Bittner Linda Crippen Linda Zsolscak Lisa Fabiszewski Lisa Lehman Lynn Kinneavy Margaret Runco Mary Ann Swanson Miriam Cohen-Melamed Nancy Apter Robert Coppala Rochelle Hespenheide Stacey Allen Stephani Stewart Susan Gubash

Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member

Quality 6A OR OR 6B Radiology ICU/IMCU Short Stay Bloomfield Family Health Center 6B ICU 4A 6A 6B 6B CRNP Admission Team/ Medical Unit Perianesthesia Geriatric Care Center UPP05 Anes 6A IV Team 6A 4B 4B IMCU Pain Medicine Bloomfield Family Health Center GI Lab Radiology 3B Stepdown 3B Stepdown Med Ed- FHC

Staff Nurse Unit Director Staff Nurse Staff Nurse Staff Nurse Unit Director Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Unit Director Staff Nurse CRNP Staff Nurse Staff Nurse Staff Nurse CRNA Staff Nurse Staff Nurse Unit Director Staff Nurse Staff Nurse Staff Nurse Staff Nurse Clinician Staff Nurse Staff Nurse Staff Nurse Staff Nurse

Susan Ober Teresa Robosson Tonya Alcorn Traci Fick Virginia Liebach Lisa Lehman

MemberMemberMemberMemberMember

Mentor

Lawrenceville Harmar Surgery 4A Rehab 3B Stepdown Emergency Services 5B Magnet Program Director

Staff Nurse Staff Nurse Clinician Clinical Director Staff Nurse MPD

5 Medical Staff Quality Review Committee

1. Review, on an ongoing basis, the medical necessity of the admission or continued stay of any inpatient or outpatient reviewing services at UPMC St. Margaret. 2. Focus utilization review activities on these diagnoses, procedures, services, and/or practitioners with identified or suspected utilization related problems. 3. Assist the medical staff departments, on an ongoing basis, in the assessment of the quality and appropriateness of care. 4. Effectiveness of the Committee's quality assurance activities according to the hospital's Quality Assurance Program

Medical Staff representation with member input/consensus.

Lisa Graczyk Laura Kling Marge Jacobs Mary Barkhymer Cheryl Lenhart

Member Member Member Member Member

Harmar Outpatient Center Surgical and Ambulatory Care Care Management/ Quality Administration Nursing Administration

Unit Director Clinical Director Director CNO/VP Clinical Director

Reappraisal Plan. 5. Assure that medical records are maintained in a completed fashion and that members of the medical staff confirm with record keeping requirements. 6. The Quality Review Committee shall meet at least quarterly and submit written reports to the Medical Staff Executive Committee.

7 Medication Error Review Committee

The purpose of the MER Committee is to track and trend voluntary reports of medication errors, and to identify opportunities for improvement. We seek to identify situation in which there is the potential for error as well as known error and to develop strategies to reduce risk and patient harm. We have several nurses who serve as members to give input on various situation reported.

Evidenced based decisions with participatory voting from end-users

Lori Kelly Jessica Graff Kelsey Archibald Linda Zsolcsak Marge Jacobs Patricia Glod Janine Sharer

Member Member Member Member member Member Member

Nursing Administration 5A 6A 6A Quality/Care Management Informatics Nursing Education

Performance Improvement Specialist Unit Director Staff Nurse Staff Nurse Executive Director Informatics Nurse Nurse Educator

2 Nursing Assistant/PCT Committee

The purpose of the NA-PCT Council is to allow nursing assistants and patient care technicians to be involved in the

Decisions are made via a group vote.

Kimberly Klamut Kathy Fowler

Chair Advisor

Nursing Education 6B

Nurse Educator Unit Director

shared governance process, through shared decision making, education opportunities, and group discussion, The council is also meant to facilitate a feeling of community and inclusion among the NA-PCT's, with the goal of improving NA-PCT retention.

25 Nursing Education, Research & Evidence Based Practice- Merger with Council

The purpose of this council is to promote POSITIVE CHANGE that affects Patient Care and Outcomes by facilitating contributions of NURSES though RESEARCH and the institution of EVIDENCED BASED PRACTICE, as well as disseminating new NURSING KNOWLEDGE/EDUCATION throughout UPMC St. Margaret. Our work includes but is not limited to the development of the Nursing Research Fellowship Program, planning and organization of the yearly Clinical Research

All members vote. Outcomes will be decided by simple majority (51%). Chairs will make final decision if a tie vote rendered.

Andrea Pasierb Ann Clark Christina Kelly Betty Thimons Christine Sulkowski Danielle Santucci Christine Pellegrini Isabel MacKinney Smith Janine Crider Jolynn Gibson Kim Holmes Jenny Bender Laura Kling Colleen Sunday Jessica Lindenberger Megan Gold Melissa Hepler Pam Jaecke Rita Cook Ruth Harris Sarah Rosenberger Shirley Brandon Star Rebarchak

Member Resource Member Member Member Member Member Member Member Member Member Member Member Advisor Advisor Member Member Member Member Chair Co-Chair Member Member

Diabetes Education School of Nursing IMCU 4A 6A ICU Admission Team Care Management Operating Room Diabetes Education 4A 6B Surgical and Ambulatory Care Nursing education ED Perianesthesia GI/SSU 5B 3B Stepdown 4B 5A ED Lawrenceville FHC

APN Director/SON Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Clinician APN Staff Nurse Staff Nurse Clinical Director Clinical Director Staff Nurse Staff Nurse Staff Nurse Staff Nurse Clinician Clinician Staff Nurse Staff Nurse Staff Nurse

Forum, promoting and follow up of ASK-IT questions, as well as assessing and evaluating NURSING EDUCATIONAL NEEDS.

Tara Birt Wendy Kastelic

Member Member

4AM Resource Nursing Education

Staff Nurse Staff Nurse

24 Nursing Operations Council

The Operations Council is the shared governance mechanism for designing, implementing, and improving processes that affect the day to day operations regarding Nursing process, Equipment, and Mediation Safety.

Shared decision-making using EBP, internal and external experts

Beth Scott Edna Meadows Eileen Winnie Erin Dedig Janine Sharer Jerome Pettigrew Jessica Maust Judith Bertolo Jay Wright Judy Gianuzzi Laura Audet Lori Kelly Mary Jo Klebine Mary Jo Rose Mary Kochlick Michele Winter Maria Sciullo Nicole Dent Patricia Glod Susan Rhenish Tamara Waner Teri Bannon Tonya Alcorn Traci Fick

Member Member Member Member Member Member Member Member Advisor Member Member Resource Co-Chair Member Member Member Member Member Member Member Member Member Chair Advisor

Operating Room--Harmar 5B GI Lab Operating Room Nursing Education 6B 6A ICU Perianesthesia Care Management 4B Nursing Administration 5A Cardiac Cath Lab Medical Unit IV Team 5A ICU Infomatics 6B Perianesthesia Emergency Department 3B Stepdown Emergency Department

Staff Nurse Staff Nurse Staff Nurse Staff Nurse Nurse Educator Staff Nurse Staff Nurse Clinician Unit Director Staff Nurse Staff Nurse Performance Improvement Specialist Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Infomatics Nurse Staff Nurse Staff Nurse Staff Nurse Clinician Clinical Director

29 Nursing Quality Council

The Nursing Quality Council is to review all policies and nursing practice guidelines to ensure that they conform to current

When voting, each member has only one vote and majority rules. Roberts Rules of Order will be utilized

Anna Kalafut Angie Durci Bonnie Adams Cassandra Conti Catherine Novak Crystal Plasio

Member Member Member Member member Member

Nursing Education 4B Orthopedic Nursing Administration 5B Med Surg Nursing Education 3B

Nurse Educator Staff Nurse Clinical Coordinator Staff Nurse ET Staff Nurse

Standards of Care and Evidenced-Based research, support all Quality and Safety Initiatives that directly affect patient outcomes and reflect interdiciplinary collaboration as appropriate.

for decision making processes.

Dina Lalicata Elizabeth Eisler Evalyn Graham Jackie Morgan Jacqueline Domaratz Jennifer Bordick Jessica Bartley Judy Tinelli Justine Friel Kariane Stuebgen Kathy Fowler Kaylen Schaffer Kim Ferraccio Lisa Shannon Lori Kelly Lynne Kijowski Lisa Ficca Marcy Sunday Mary Ferguson Michelle McClain Nancy Conway Rosalyn Denillo Shawna Breghenti

Member Member Member Co-Chair Member Member Member Chair Member Member Advisor Member Member member Advisor Member Member Member Member Member Member Member Member

Care Management 6B Medical Surgical Admission Team 5A Medical Surgical Resource Pool GI Lab 6B Medical Surgical 4A Rehab ICU ICU 6B IMC 4A Med Surg ED Nursing Administration 5B Medical Unit Operating Room 6A Medical Surgical 5B Bloomfield Garfield FHC Operating Room Harmar Perianesthesia

Staff Nurse Staff Nurse Staff Nurse Clinician Staff Nurse Staff Nurse Staff Nurse Clinician Staff Nurse Staff Nurse Unit Director Clinician Staff Nurse Staff Nurse Performance Improvement Specialist Clinician Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse

11 Patient Family Centered Care Working Group

To create the ultimate patient/family experience for the surgical population.

All staff ideas on process improvement are considered. Decisions are discussed at the meeting among the group and pilots are initiated based on support of the group. Projects that will cost more than $500 will need to be approved

Dawn Vocke Esther Whitlinger Jay Wright Kelsey Archibald Lisa Graczyk Mary Barkhymer Mary Ulizio Patricia Cicuto Peggy Lisac Rose Scalo Shawna Breghenti

Member Member Chair Member Member Member Member Member Member Member Member

Operating Room ASU Perianesthesia 6A Harmar Outpatient Administration CRNA Three Rivers Orthopedic Care Management Surgery Clinic PACU

Unit Director Staff Nurse Unit Director Clinician Unit Director VP/CNO Assistant Clinical Director Director APN Practice Manager Clinician

by the PFCC group's guiding council. In addition, these projects would need to be approved by the hospitals EMG group.

6 Patient Family Centered Care Committee

UPMC St. Margaret has adopted and implemented the PFCC Methodology to aid in creating an environment that is inclusive of all levels and locations of UPMC St. Margaret. The focus is on ways to demonstrate dignity, respect, and appreciation within our hospital culture. While keeping our patients at the center of everything we do and focusing on our mission of "the right care every time," we realized our care givers were working harder and doing more than ever. We took the approach as to what can we do to make UPMC St. Margaret an even more desirable place to work while showing appreciation to our dedicated team

The guidelines for decision making are to come to a group consensus on developing programs and projects which in turn are approved by the administrative champions. If addition approval is needed, Tracey Stange Kolo will take the request to the executive management group for consideration.

Barb Vanetten Gina Koch Kim Hitrik Kim Klamut Lynda Bileck Patty Glod


4B 6B Med Surg Emergency Department Nursing Education Admissions Team Infomatics

Unit Director Clinician Staff Nurse Nurse Educator Staff Nurse Infomatics Nurse

12 Patient Safety Committee

The Patient Safety Committee oversees the Patient Safety Program and meets monthly. The Patient Safety Committee receives, reviews, and evaluates: 1. Serious Event and Incident Reports; PSAEs and Sentinel Events; 2. Reports from the Patient Safety Officer, including reports regarding the investigations and Corrective Actions; 3. Reports from any Data Collection Agency appointed by the PA Patient Safety Authority advising of immediate changes that can be institued to reduce Serious Events and Incidents.

Jack Carroll, Patient Safety Officer, chairs the committee. Consensus of the members present is the process for decision making.

Bonnie Colaianne Cheryl Lenhart Jackie Morgan Jan Peitz Janine Sharer Laura Kling Lisa Graczyk Lori Kelly Marge Jacobs Sue DiNucci Tamara Waner Tonya Hoebel

Member Member Member Member Member Member Member Advisor Member Member Member Member

Infection Control Nursing 5A Harmar Nursing Education Ambulatory Services and Surgical Care Harmar Outpatient Center Nursing Administration Care Management/Quality Infection Control Perianesthesia 5B

Infection Control Practitioner Clinical Director Clinician Staff Nurse APN Clinical Director Manager Performance Improvement Specialist Director Infection Control Preventionist Staff Nurse Unit Director

6 Pharmacy and Therapeutics Committee

Reviewing new drugs to assess comparative efficiency and cost effectiveness for potential addition onto the hospital formulary.

Evidenced Based consensus decisions

Cheryl Lenhart Faye Powell Lori Kelly Mary Barkhymer Patricia Glod


Nursing Administratio Pain Management Nursing Administration Administration Informatics

Clinical Director Pain Resource Nurse Performance Improvement Specialist CNO/VP Informatics improvement

13 Policy and Procedure Committee

All administrative policies are reviewed annually. Policies are sent to the policy "owners" for review, the owner identifies

Merged with Nursing- Clinical Practice Council for process coordination and EBP approval process

Bonnie Colaianne Cheryl Lenhart Diane Corr Janine Crider Katherine Kline


Infection Control Nursing Administration Nursing Education Surgical Services Lawrenceville FHC

Infection Control Practitioner Clinical Director Nurse Education Nurse Educator Nurse Manager

other department directors who are impacted by the policy to review the information in the policy and recommend changes. The policy owner submits the review to the Policy Review Team for final review and approval.

Leah Sue Evans Lisa Graczyk Lori Kelly Mary Popovich Marylou Tucker Patricia Nocleg Traci Fick Virginia Gray


Medical Unit Harmar Outpatient Center Nursing Administration New Kensington FHC Anesthesiology School of Nursing Emergency Department Bloomfield/Garfield FHC

Clinician Unit Director Performance Improvement Specialist Nurse Manager Chief CRNA Instructor Clinical Director Nurse Manager

12 Post Resuscitation Committee

The Post Resuscitation Committee is a multidisciplinary forum for Condition Responses within UPMC St. Margaret. The committee is responsible for ensuring adherence to the national resuscitation guidelines and standards, defining the role and composition of the response team, ensuring the appropriate equipment for clinical use is available, ensure appropriate resuscitation drugs are available, planning adequate provisions in training, developing, reviewing, and implementing all policies relating to

Decisions are made by collaborative agreements of the staff attending with final approval by the chair of the PRC. The nurses within the committee act as liaisons by disseminating meeting information to staff and discussing ideas.

Adele Washington Colleen Sunday Jackie Drahos Jessica Graff Judy Bertolo Kelsey Archibald Kim Lopes Lori Kelly Stacey Allen Tina Mourra Tonya Alcorn Traci Fick

Member Member Co-Chair Member Member Member Member Member Member Member Member Member

Radiology Nursing Education ICU/IMCU 6A ICU 6B ER Nursing Administration 3B Stepdown Emergency Department 3B Emergency Department

Lead Nurse Clinical Director Unit Director Staff Nurse Staff Nurse Clinician Unit Director Performance Improvement Specialist Unit Director Clinician Clinician Clinical Director

resuscitation, review of audits of resuscitation outcomes, and review of audits of resuscitation conditions.

23 Professional Development Council

To promote professional engagement through increased attendance and consistent participation in our Shared Governance councils, educational offerings, and retention activities at the unit and hospital level To promote educational advancement of direct care nurses in accordance with IOM recommendations, while also helping nurses advance “My Nursing Career” through certification and making professional contributions to their units To encourage and support attendance at national and international nursing conferences, and

Shared decision making with across the organization representation related to task at hand

Adele Washington Aimee Wilson Ashley Marshall Carissa Huston Carla Lavrusky Colleen Sunday Crystal Plasio Diane Corr Gina Koch Heather Santillo Joyce Doody Kathy Kline Karen Kasely Kay Tomb Mary Ann Swanson Regina Easler Shari Spangler Staci Shevchik Sue Fenoglietto Susan Ober Tamara Welter Teresa Duncan Toni Kratz

Member Chair Member Member Member Advisor Member Member Member Member Member Advisor Member Member Member Member Member Member Member Member Member Member Member

Radiology Care Management 5A Med Surg ICU Perianesthesia Nursing Education 3B Stepdown Nursing Education 6B Med Surg OR Human Resources Lawrenceville FHC 4A GI Lab Harmar IMCU Admissions Team Emergency Department 4B Orthopedic 4A Rehab Operating Room--Harmar 5B Cardiology 4A Rehab

Lead Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Clinical Director Staff Nurse Nurse Educator Clinician Staff Nurse Nurse Recruitment Coordinator Nurse Manager Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse

through these venues bring back education and innovative ideas which will enhance our nursing practice and positively impact our patients To recognize the work of St. Margaret nurses within our local, state, national and international communities by promoting our accomplishments to local media sources through UPMC Corporate Community Relations, maintaining a strong presence in professional nursing organizations, and tracking our own professional development by appropriate use of the Magnet eProfile tool To be champions for diversity in our workplace through adherence to UPMC’s Dignity and Respect principles, as well as recognizing healthcare disparities and educating our nurses to provide culturally

competent nursing care.

22 Professional Practice Council

The mission of the UPMC St. Margaret Professional Practice Council is to serve as the vehicle by which the voices of all professional nurses within UPMC St. Margaret act as a catalyst by bringing together knowledge, information, and problem-solving solutions to initiate change that promotes the best nursing practice for our patients.

Decision making at the council level is accomplished verbally. A motion is brought forward, met with a "second," if there are objections, they are addressed before the motion is passed.

Abena-Yolanda Baskin Carol Kardos Christina Kelly Donna Dzvonick Elsie States Heather Rulander Jennifer Seward Karen Kim Karen Soltez Kelsey Archibald Laurie O'Day Leslie Johnson Lynne Kijowski Mary Barkhymer Michele Winter Nicole Asashon Pamela Dawson Rebecca Sproul Saebra McClelland Susan Fenoglietto Susan Wharrey Tina Mourra

Member Member Member Member Member Member Member Member Co-Chair Member member Member Member Member Member Member Member Member Member Member Member Chair

Harmar OR Medical Unit IMCU 4B 4A Med Surg 5A GI Services Care Management/ Quality Perianesthesia 6A Radiology 6B 5B Administration IV Team ICU 3B Stepdown Cardiology OR 4A Rehab Lawrenceville FHC Emergency Department

Staff Nurse Staff Nurse Staff Nurse Staff Nurse Resource Nurse Staff Nurse Staff Nurse Primary Care Coordinator Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse CNO/VP Clinician Staff Nurse Professional Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Clinician

8 Quality Patient Care Committee

This committee of the Board reviews and approves data, analysis of data, process improvement activities, and educational activities currently performed by various departments of the hospital in order to enhance and provide quality safe services to

Nurse members on the committee provide input into process improvement, data analysis, and necessary educational activities provided to improve patient care -Nurse members provide suggestions

Cheryl Lenhart Judy Tinelli Lisa Graczyk Lisa Lehman Lori Kelly Marjorie Jacobs Mary Barkhymer Veronica Findley


Nursing Administration 4A Rehab Harmar Outpatient Center 6A Nursing Administration Care Management/ Quality Administration Care Management/ Quality

Clinical Director Clinician Unit Director Unit Director Performance Improvement Specialist Director VP/CNO Care Management Coordinator

our patients. for quality improvement activity educations if deemed necessary. -Nurse members collaborate with other members of the multidisciplinary team in review of presented data from various departments and make recommendations as necessary for improvements.

36 Regulatory Champions

The goal of this initiative is to improve regulatory compliance throughout UPMC St. Margaret. The Regulatory Champions each receive education on Joint Commission, Department of Health, Center for Medicare and Medicaid Services, and Occupational Safety and Healthcare Administration requirements.

Regulatory driven adoption process, participatory voting for work flow decisions

Angela Durci Brooke Cornell Cathy Gathers-Robinson Claire Pingree Danyelle Coleman Diana Magdinec Diane Corr Elaine Sikon Elizabeth DeMoss Gina Defalco Jackie Domaratz Jackie Morgan Judy Bertolo Janette Clark Janie Varasse Jill Lemanski Joanne Kissel Polinarkis Karen Kasely Katherine Kline Kathleen McKeag Kelly Peirce

Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member

4B CRNP OR Special Procedures Bloomfield FHC 5B Nursing Education OR IV Team School of Nursing 4A 5A ICU/IMCU New Kensington FHC General Surgery Clinic 4A Rehab Perianesthesia 4A MedSurg Lawrenceville FHC Radiology Department 6B 6A

Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Clinician Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Nurse Manager Staff Nurse Staff Nurse Staff Nurse

Kelsey Archibald Kim McDonough Leah Sue Evans Leslie Bittner Marlene Lavelle Martha Aggazio Mary Ann Heck Mary DiUlizio Miriam Cohen-Melamed Noelle Kakuk Rita Cook Stacey Nicastro Stephanie Bernhard Susan Gubash

Member Member Member Member Member Member Member Member Member Member Member Member Member Member

Three Rivers Orthopedic Medical Unit Classic Care Emergency Department Case Management Three Rivers Orthopedica Anesthesiology 4B Pain Management 6A 3B Dermatology Clinic Radiology Lawrenceville FHC

Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse Staff Nurse CRNA Staff Nurse Staff Nurse Staff Nurse Clinician Staff Nurse Staff Nurse Staff Nurse

19 Skin Care Committee

To improve and monitor the quality of patient care and clinical outcomes regarding pressure ulcer prevention, stage identification, management and treatment through education and evidence-based practice; to effectively support nursing staff in skin and pressure ulcer risk assessment, documentation, and appropriate use of products, dressings, support surfaces, specialty beds and other skin-related

Evidence-based practice and group discussion, shared decision making process

Angela Durci Anna Kalafut Brandy Russo Catherine Novak Colleen Juran Colleen Sunday Crystal Plasio Diane Corr Diane Zentner Elizabeth Eiszler Janine Sharer Jen Drapas Jessica Bartley Joanne Kissel Polarinakis Kaylen Schaffer Kathleen Fowler Kim Klamut Kimberly Holmes

Member Member Member Co-Chair Member Advisor Member Member Member Member Member Member Member Member Advisor Member Member Member Advisor

4B Nursing Education Emergency Department Enterostomal 4A Nursing Education 3B Nursing education 5A 6B nursing Education Nursing Education 6B Ambulatory Surgical Unit 3A 6B Nursing Education 4A Nursing Administration

Staff Nurse Nurse Educator Staff Nurse Nurse Educator Staff Nurse Clinical Director Staff Nurse Nurse Educator Staff Nurse Staff Nurse Nurse Educator Nurse Educator Staff Nurse Staff Nurse Staff Nurse Staff Nurse Nurse Educator Staff Nurse Performance Improvement Specialist

products; to serve as skin champions and resources to all staff at this facility.

Lori Kelly Margaret Tucker Mary Ferguson Robin Kuzmanko Sharon Walters Wendy Kastellic

Co-Chair Member Member Member Member

Nursing Education 6A Unknown 5B Nursing Education

Staff Nurse Staff Nurse Staff Nurse Staff Nurse Nurse Educator

4 Spiritual Care Committee

The Spiritual Care Committee at UPMC St. Margaret is multidisciplinary. The members of the committee facilitate programs to support the spiritual care needs of patients, families, and visitors.

The committee is committee is comprised of members from nursing department, clergy, and ancillary departments and meets monthly

Diane Corr Susan Greenhill Barb Dellert Victoria Zenone

Co-Chair Member Member Member

Nursing Education School of Nursing Admissions Team 3B Stepdown

Nursing Educator Staff Nurse Staff Nurse Staff Nurse

13 Surgical Safety-Highmark Initiative

Review Highmark Initiatives and Infection Control Issues. Address and/or investigate commonalities in Infection Control issues. Discuss goals and ratings

Issues requiring voting are taken to applicable physicians.

Andrea Pasierb Bonnie Colaianne Brooke Cornell Dawn Vocke Diane Corr Jolynn Gibson Laura Kling Lisa Lehman Marge Jacobs Susan DiNucci Veronica Findley MaryLou Tucker Mary Diane Ulizio Jay Wright Lisa Graczyk Janice Letterle Peggy Lisac

Member Member Member Member Member Member Member Member Co-Chair Member Member

Diabetes Education Infection Control Nurse Practitioner OR Nursing Education Diabetes Eduaction Surgical and Ambulatory Services 6B Quality/Care Management Infection Control Quality/Care Management

APN Infection Control Preventionist CRNP Unit Director Nurse Educator APN Clinical Director Unit Director Director Infection Control Preventionist Process Management Coordinator

7 Surgical Services Council

To monitor and regulate the peri-operative services provided by St. Margaret's and St. Margaret's Harmar Outpatient Center.

All members vote.

Dawn Vocke Jay Wright Laura Kling Lisa Graczyk Mary Lou Tucker Mary DiUlizio Sue DiNucci

Member Member Member Member Member Member Member

OR Perianesthesia Surgical and Ambulatory Services Harmar Outpatient Anesthesiology Anesthesiology Infection Control

Unit Director Unit Director Clinical Director Unit Director CRNA CRNA Infection Control Preventionist

14 VTE Committee The UPMC DVT Committee seeks to promote VTE prevention/prophylaxis through evidence based practice, education, and hospital/community awareness

Nurse members provide direct input into the VTE prophylaxis process, identify opportunities for improvement, and assist with the educational planning sessions. Target unit nurses are the liaison between their unit and the committee, Suggestions are welcomes and decisions are made based on consensus of the attendees.

Rita Cook Barb Vanetten Diane Corr Jackie Drahos Jay Wright Kelsey Archibald Linda Zsolcsak Lisa Lehman Marge Jacobs Margaret Runco Ruth Harris Sharon Rummel Veronica Findley

Member Unit Lead Member Member Member Member Member Unit Lead Advisor Member Unit Lead Member Chair

3B Stepdown 4B Nursing Education ICU Perianesthesia 6A 6A 6A Care Management/ Quality 4B 4B Care Management/ Quality Care Management/ Quality

Clinician Unit Director Nurse Educator Unit Director Unit Director Staff Nurse Staff Nurse Unit Director Director Staff Nurse Staff Nurse Manager of Operations Coordinator

System Value Analyst Team Committees No. of RN Members

Interdisciplinary Task Force/ Committee

Purpose and Scope Guidelines for Decision Making

Nurse Members Nurs Role

Nurse Work Unit Nurse Work Unit Role

20 System Value Analysis Team (VAT) Committees Nurses who have

The purpose of the Value Analysis Team is to make and implement product decisions based upon the recommendation of

A typical Value Analysis Team can consist of between 10 and 30 members, chosen by their respective VPs.

Mary Lou Tucker Rick Laux Gina Koch Catherine Novak


Anesthesia Anesthesia 6B Medical Surgical Unit Nursing Education

CRNA Chief CRNA Nurse Clinician IV Enterostomal Therapy Nurse

served on a System Value Analysis Team are active members on an as needed basis

the Steering Team and the results of the Value Analysis Product Evaluation Process.

Value Analysis Team members will analyze, evaluate and monitor all trials followed by selection of the most cost effective and economical product for use, balancing clinical outcomes against financial costs/savings

Margret Tucker Holly Castello Laura Kling Lisa Graczyk Bonnie Colaianne Sue DiNucci Grace Michele Winter Mary Barkhymer Denise Macy Ruth Harris Lisa Lehman Janine Sharer Jackie Drahos Elaine Sikon Dawn Vocke Jay Wright

Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member Member

Nursing Education GI Lab Surgical Services GI Harmar Outpatient Infection Control and Prevention Infection Control and Prevention IV Team Administration Operating Room 4B Orthopedics 6A Medical Surgical Unit Nursing Education Intensive Care/ Intermediate Units Operating Room Operating Room Perianesthesia

Enterostomal Therapy Nurse Nurse Clinician IV Clinical Director Unit Director Infection Control Coordinator Infection Control Preventionist Nurse Clinician IV Vice President/Chief Nursing Officer Nurse Clinician IV Nurse Clinician IV Unit Director/Magnet Coordinator Advanced Practice Nurse Unit Director Nurse Clinician IV Unit Director Unit Director

No. of Members


Purpose and Scope of Task Force/Committee

Guidelines for Decision Making of Task Force/Committee (Is RN voting/non-voting member)

Nurse Member(s) (Last Name, First Name, MI)

Nurse Member Role on Committee

Nurse Member Work Unit

Nurse Member Work Unit Role

Value Analysis Teams No. of Members


Purpose and Scope of Task Force/Committee

Guidelines for Decision Making of Task Force/Committee (Is RN voting/non-voting member)

Nurse Member(s) (Last Name, First Name, MI)

Nurse Member Role on Committee

Nurse Member Work Unit

Nurse Member Work Unit Role

2 Anesthesia Corporate Value Analysis Team that uses shared decision making processes for evaluating products for general anesthesia items. Evaluate, discuss, and then take information back to our department for further evaluation and trails, if trials are needed.

The guideline for our committee is that everyone on the committee has one vote for each department. RN's are voting members.

Mary Lou Tucker Rick Laux

Member Member

Anesthesia Anesthesia

CRNA Chief CRNA

2 Critical Care Corporate Value Analysis Team that uses shared decision making processes for evaluating products specific to critical care

Voting process Jackie Drahos Dawn Vocke

Member Member

ICU OR

Unit Director Unit Director

1 Dialysis Corporate Value Analysis Team that uses shared decision making processes for evaluating products for all dialysis items

Voting Lori Hager - represents SMH/SHY

Member Shadyside Hospital Dialysis

Unit Director

3 ET Corporate Value Analysis Team that uses shared decision making processes for evaluating products for wound and ostomy, skin care

Agendas are determined by supply chain and clinical request from members of the committee. RN business unit reps are the voting members. Some business units have more than 1 rep but only 1 vote per business unit.

Gina Koch Catherine Novak Margaret Tucker


6B Nursing Education Nursing Education

Nurse Clinician IV Nurse Educator Nurse Educator

40 GI Corporate Value Analysis Team that uses shared decision making processes for evaluating products for all GI lab items-diagnostic and interventional


Holly Castello Laura Kling Lisa Graczyk


GI Lab Surgical Services GI Lab Harmar

Nurse Clinician IV Clinical Director Unit Director

2 IV Therapy Corporate Value Analysis Team that uses shared decision making processes for evaluating products for iv dressings, PICC lines, securement devices, catheters

Agendas are determined by supply chain and clinical request from members of the committee. RN business unit reps are the voting members. For business units with more than 1 rep- only 1 vote per unit

Bonnie Colaianne Grace Michele Winter

Member Member

Infection Prevention Nurse Clinician IV

Infection Control Coordinator IV Team

2 MIS Corporate Value Analysis Team that uses shared decision making processes for minimally invasive surgery devices

Voting Mary Barkhymer Denise Macy

Member Member

Administration OR

VP/CNO Nurse Clinician IV

1 Ophthalmology Corporate Value Analysis Team that uses shared decision making processes for products used in ophthalmic surgery

Voting Mary Barkhymer Member Administration VP/CNO

1 Patient Care Corporate Value Analysis Team that uses shared decision making processes for evaluating single use med surg items

RN's are voting members.

Gina Koch Member 6B Clinician

3 PCA Corporate Value Analysis Team that uses shared decision making processes to evaluate products/equipment for patient controlled analgesia.

RN's are voting members.

Ruth Harris Lisa Lehman Janine Sharer


4B 6A Nursing Education

Clinician Unit Director Advanced Practice Nurse

1 Physiological Monitoring/Pulse Oximetry

Corporate Value Analysis Team that has system wide representation which is multidisciplinary. The goal of the committee is for decision making on the fleet purchase of monitors.

A majority role is the form for decision making. RN's are voting members.

Jackie Drahos Member IMC/ICU Unit Director

2 Respiratory Therapy

Corporate Value Analysis Team that uses shared decision making processes for

Agendas are determined by supply chain and clinical request from

Bonnie Colaianne Sue DiNucci

Member Member

Infection Prevention Infection Prevention

Infection Prevention Coordinator Infection Prevention Coordinator

respiratory items (which may cross over to other areas)

members of the committee. RN business unit reps are the voting members. Some business units have more than 1 rep but only 1 vote per business unit.

15 Surgical Services Corporate Value Analysis Team that uses shared decision making processes for evaluating products for items used in the care of the surgical patient and to monitor and regulate the peri-operative services provided.


Barkhymer, Mary Colaianne, Bonnie DiNucci, Sue Kling, Laura Macy, Denise Sikon, Elaine Tucker, Mary Lou Ulzio, Mary Vocke, Dawn Wright, Jay

Member Member Member Member Member Member Member Member Member Member

Administration Infection Control Infection Control Surgical & Amb Care Operating Room Operating Room Anesthesia Anesthesia Operating Room Peri Anesthesia

VP & CNO Infection Prevention Coordinator Infection Prevention Coordinator Clinical Director Nurse Clinician IV Nursing Clinician IV CRNA CRNA Unit Director Unit Director

Non-Nursing Value Analysis Teams

2 CRM & Cardiology Cath

Corporate Value Analysis Team that uses shared decision making processes for evaluating products for implantable cardiac devices (ICD, pacemaker)

Shared decision making through voting process

Traci Fick Tonya Alcorn

Member Member

Cardiology Cardiology

Director Clinician

1 Central Sterile Corporate Value Analysis Team that uses shared decision making processes for

Voting Jack McCourt Member Supply Chain Staff

1 Chemistry Evaluate laboratory best practices and associate products

Voting Sue Reed Member Laboratory Lead

1 Clinical Monitoring Strategy

Evaluate best practices and associate products for clinical adoption

Voting Dr. Wisneski Member Physician Director, Medical Services

2 Communications Corporate Value Analysis Team that uses shared decision making processes for

Voting Suzanne Crnkovich Chuck Rudek

Member Member

Transport IS

Lead CIO

3 Dietary Corporate Value Analysis Team that uses shared decision making processes for evaluating products for all food items used in the food service department.

Work flow voting

Kristen Azzarello Richard Hart Tom Newman

Lead Co-lead Advisor

Dietary Dietary Administration

Director Chef CFO

2 Environmental Services

Corporate Value Analysis Team that uses shared decision making processes for evaluating products for housekeeping, cleaning and hand hygiene

Voting process for task evaluation

John Merkt Robert Meier

Member Member

Environmental Services Housekeeping

Director Staff

1 Fleet Maintenance

Corporate Fleet Purchasing evaluations and decisions

Voting Tom Newman Member Administration CFO

2 Plant Maintenance

Campus maintenance, workflow, and process repairs

Priority voting Jim Harkins Robert Meier

Lead Member

Facility services Director Staff

2 Regional Anesthesia

Corporate Value Analysis Team that uses shared decision making processes for evaluating products for spinal trays, epidural

Voting Dr. Roskoph Darrin Taormina

Member Member

Anesthesia Anesthesia

Director Staff physician

trays, pain pumps

2 Spinal Steering Corporate Value Analysis Team that uses shared decision making processes for spinal implants and contracts

Voting Dr. Baum Dr. Silvaggio

Member Member

Surgeon Surgeon

Surgeon Surgeon

1 Anatomical Pathology

Corporate Value Analysis Team that uses shared decision making processes for evaluating products for anatomical pathology

Vote Catherine Tully, Member Pathology Pathology Supervisor

2 Interventional and Radiology VAT

Corporate Value Analysis Team that uses shared decision making processes for evaluating products for all interventional and radiology products, contrast, isotopes, stents, equipment

Vote Jim Madaz James Engelsiepen,

Member Member

Director Radiology Coordinator

Program Administrator Interventional Radiology

upmc st. margaret's interdisciplinary committees and councils · medical education the purpose...

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