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HORIZONS Wisconsin Organization of Nurse Executives May 2015 WONE Nurse Leader of Year 2015 Mary Cieslak-Duchek, Director of Integration at Aurora Health Care in Milwau- kee has been named the Wisconsin Organization of Nurse Executives nursing leader of year for 2015. Mary has 40 years of nursing and nursing leadership and has been an active member of WONE for many years as well as the chair and co-chair of the Legisla- tive Committee. This team, led by her efforts was instrumental for writing the license plate legislation and securing legislative sponsorship so it is up for consideration in the Wisconsin legislature. If passed this legislation benefits the “Wisconsin Nurses Educa- tion Fund” a new fund for professional development, education and scholarships for Wisconsin Nurses. In addition to her activity on the Legislation Commit- tee, Mary has been on several special committees as well as a WONE Board member since 2009. She was key leader supporting the WONE nursing academy and on the Wisconsin Center for Nursing-Robert Wood Johnson Grant Leadership Development Subgroup from 2012 to present. Mary is a diploma graduate of the Deaconess Hospital of Nursing. As a lifelong learner, she received her BSN from Alverno College and her Master’s degree at the Medical College of Wisconsin. She is also a Johnson & Johnson fellow. Professionally, Mary is the Director of Nursing Integration at Aurora Health Care. In this role, Mary is described by one of her nominators as an “amazing resource within Aurora Health Care.” She leads multiple projects and programs for Aurora’s 15 hospitals and their 159 clinic sites. Her accomplishments are many as it relates to the leadership of nursing. Some of the significant events highlighted are: ensuring consistent electronic documentation throughout Au- rora; building, developing and implementing a staffing acuity model; implement- ing bar-coding and bedside medication verification. Mary also led the imple- mentation of cost containment that insured patient quality safety and financial improvement throughout Aurora. Her colleagues describe her as a true change agent, “A leader willing and capable of tackling change head on.” When Mary led many of the innovation changes, she was a master at pulling in latest models of improvement and col- laborating outside of nursing. For example when leading the medication bar coding across 14 hospitals, these are a few of the strategies she used: Implemented Lean and a Lean Task Force, with representatives from all involved disciplines. Partnered with a pharmacy leader as a co-chair. Sought out a medication and safety consultant. Secured funding for the project both internally and externally. The results of her and the teams work ensured the safest environment possible with current technology and a compliance rate of 94% to 99% across Aurora. continued on page 2 Mary Cieslak-Duchek

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Page 1: WONE Nurse Leader of Year 2015 - Amazon Web Servicesnursingnetwork-groupdata.s3.amazonaws.com › ... › 2015 › horizons… · WONE Nurse Leader of Year 2015 Mary Cieslak-Duchek,

HO

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Wisconsin Organization of Nurse Executives

May 2015

WONE Nurse Leader of Year 2015

Mary Cieslak-Duchek, Director of Integration at Aurora Health Care in Milwau-kee has been named the Wisconsin Organization of Nurse Executives nursing leader of year for 2015.

Mary has 40 years of nursing and nursing leadership and has been an active member of WONE for many years as well as the chair and co-chair of the Legisla-tive Committee. This team, led by her efforts was instrumental for writing the license plate legislation and securing legislative sponsorship so it is up for consideration in the Wisconsin legislature. If passed this legislation benefits the “Wisconsin Nurses Educa-tion Fund” a new fund for professional development, education and scholarships for Wisconsin Nurses.

In addition to her activity on the Legislation Commit-tee, Mary has been on several special committees as well as a WONE Board member since 2009. She was key leader supporting the WONE nursing academy and on the Wisconsin Center for Nursing-Robert Wood Johnson Grant Leadership Development Subgroup from 2012 to present.

Mary is a diploma graduate of the Deaconess Hospital of Nursing. As a lifelong learner, she received her BSN from Alverno College and her Master’s degree at the Medical College of Wisconsin. She is also a Johnson & Johnson fellow. Professionally, Mary is the Director of Nursing Integration at Aurora Health Care. In this role, Mary is described by one of her nominators as an “amazing resource within Aurora Health Care.” She leads multiple projects and programs for Aurora’s 15 hospitals and their 159 clinic sites. Her accomplishments are many as it relates to the leadership of nursing. Some of the significant events highlighted are: ensuring consistent electronic documentation throughout Au-rora; building, developing and implementing a staffing acuity model; implement-ing bar-coding and bedside medication verification. Mary also led the imple-mentation of cost containment that insured patient quality safety and financial improvement throughout Aurora.

Her colleagues describe her as a true change agent, “A leader willing and capable of tackling change head on.” When Mary led many of the innovation changes, she was a master at pulling in latest models of improvement and col-laborating outside of nursing. For example when leading the medication bar coding across 14 hospitals, these are a few of the strategies she used:• Implemented Lean and a Lean Task Force, with representatives from all

involved disciplines.• Partnered with a pharmacy leader as a co-chair.• Sought out a medication and safety consultant.• Secured funding for the project both internally and externally.

The results of her and the teams work ensured the safest environment possible with current technology and a compliance rate of 94% to 99% across Aurora.

continued on page 2

Mary Cieslak-Duchek

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Horizons is published quarterly as the newsletter of the Wis-consin Organization of Nurse Executives. Articles on nursing, management and health care issues, and letters to the editor are welcome. Display and classified advertising are accepted. For information, contact the editor.

2015 WONE Board of Directors: President: Doris Mulder; President-elect: Joan Beglinger; Treasurer: Susan Spohr; Secretary: Tonja Brooks; Past President: Peg Haggerty

2015 WONE Board Members: Betsy Benz, Laura Hieb, Doreen Kluth, Susan Rees, Ruth Risley-Gray, Tom Veeser

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Nurse Leader of the Year continued from page 1....

Mary states that over her 40 years of nursing she has been mentored by several fearless nursing leaders. What continues to drive her is the inspiration she’s gained from these leaders to help her continuously elevate the practice of nursing.

Mary is a wonderful example of the value that nursing leadership holds and the outcomes that nursing leadership can bring. We congratulate you Mary, on winning this deserving award and thank you for your many years of nursing leadership.

The WONE Board and Nominations Committee would like to acknowledge each of the candidates for the Nurse Leader of the Year award and thank the nominators for taking the time to highlight the wonderful nursing leaders across the state of Wisconsin. The Candidates for the Nurse Leader of the Year award were:

• Jan Bauman, CNO/V.P. Patient Care Services at Divine Savior Healthcare in Portage, WI.• Jody Boes, CNO/V.P. Patient Care Administration at Ministry Door County Medical Center, in

Sturgeon Bay, WI. • Mary Cieslak-Duchek, Director of System Integration at Aurora Health Care, Milwaukee, WI.• Terry Kabitzke-Groth, CNO/V.P. at Aurora Health Care – Grafton and Washington County, Port

Washington, WI.• Mary LaHam, Administrative Director of Critical Care Services at St. Mary’s Hospital, Madison, WI.

President’s Message

Happy Nurse’s Week to all of you! This is a wonderful time to celebrate nursing and the great variety of settings that we practice. As we celebrate and reflect on Florence Nightingale’s role in nursing, it is a time for all of us to reflect on what we contribute to our profession as well. The work that she was able to accomplish to improve the status of her patients during the Crimean War is unbelievable. She was a pioneer in patient advocacy, infection control, use of pharmaceuticals, ade-quate pain control, and proper nutrition for her patients, all areas that we still value and work to enhance today almost 200 years later.

If you were able to join us for the 2015 WONE convention recently in Green Bay you were privileged to here Joe Tye our opening speaker. Mr. Tye wrote “The Florence Prescription” and spoke about taking the Florence Challenge. He also gave every attendee a copy of his book. I have heard from many what a great reminder this book is of what nursing is all about and how everyone of us needs to take ownership of our practice--it does not make a difference what role we have in our organi-zation.

As you celebrate Nurses’ Week this May remember why you went into nursing and what your nursing practice means to you and those you care for. I challenge you to take ownership of your practice every day!

Doris MulderWONE President

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WONE Extends Heartfelt Thanks to Chris Baker and Jo Goffinet

Passion is a phenomenon that can serve as an endless source of energy and fuel for those things that matter to us most. WONE has been the grateful beneficiary of the passion of two outstanding, advanced practice colleagues, Chris Baker, PhD, RN, MBA, FACHE and Jo Goffinet, MS, RN, CMSRN.

In 2005, when the Board of WONE first decided it was a strategic imperative to review all of the available evidence on nurse staffing and articulate standards of practice for our state, Chris and Jo stepped up to undertake the daunting task of performing the literature review that would inform our work. They expected nothing in return and produced a docu-ment that was a model of “user friendliness” and put all avail-able evidence at our fingertips.

Likewise in 2011, when we updated our staffing standards, Chris and Jo stepped up again and, most recently, they completed the review for our 2015 revision. The evidence that has been produced over the past few years is substantial and taking the project on, in addition to their “day jobs,” was a monumental undertaking.

In a recent conversation about their great contribution to this effort, Chris and Jo responded to a question about their investment in this work. Jo noted that “a primary accountability for every nursing manager and senior leader is to ensure that nurse staffing supports achieving the highest levels of safety and quality for patients and satisfaction for clinical nurses. The WONE document is part of the tool kit that managers can use to make that happen.” Chris added, “In 2009, the Institute of Medicine defined a vision that by the year 2020, 90% of clinical decisions would be based in the best available evidence. It’s time that the profession of nursing set the same bar for the management decisions that we make, and that includes decisions about nurse staffing. The evidence is readily available; the WONE Guiding Principles turn that evidence into information that managers can use to make staffing decisions.”

WONE wishes to extend heartfelt thanks to Chris and Jo for their tireless commitment to evi-dence based decision making and their willingness to give so selflessly of themselves in this effort. WONE was pleased to host Chris and Jo as our guests at our spring conference, as a small gesture of our gratitude, and to have the opportunity to publically recognize them at our business meeting.

It is colleagues like Chris Baker and Jo Goffinet who bring renewed meaning to professional commitment.

Submitted by Joan Ellis Beglinger, MSN, RN, MBA, FACHE, FAAN

Christine BakerJo Goffinet

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Program Committee Report

Please join me in giving the Program Committee a big thank you for all their hard work in putting together another successful annual spring convention. We had 225 attendees and 19 exhibitors.

What a great keynote Joe Tye, CEO and Head Coach, Values Coach Inc, was in giving us each a copy of his book “The Florence Prescription, From Accountability to Ownership.” He gave us a lot to think about on creating a cultural blueprint. We hope that you are able to use some of the knowledge you gained at the conference from the many breakouts and general sessions. Our thanks to all of the speakers this year, and thanks to Julie Burney, Humorist and Author, we all know how to communicate with humor as we have our conversations.

We also would like to thank the Nominations Committee for adding the Nurse Leader of the Year Award to our convention. What a great place for us to spotlight the wonderful leadership we have in Wisconsin. Congratulations again to Mary Cieslak-Duchek.

On a final note, please remember to respond to the email from Jenna Hanson at WHA that contains our evaluation and let us know who you would like for speakers or topics for the next convention April 13-15, 2016 at the Osthoff Resort in Elkhart Lake.

Jean SurguyProgram Chair

Joe Tye

Convention attendees

Mary Cieslak-Duchek receives Nurse Leader of

the Year Award from Joan Beglinger.

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Convention 2015

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Welcome to New MembersKami Boschke, St. Mary’s Hospital, MadisonChris Eggert-Rosenthal, Aurora Medical Center Manitowoc County, Two RiversCrystal Kirschling, Ministry Saint Michaels Hospital, Stevens PointCatherine Kromrie, University of WI Eau Claire-College of Nursing, Eau ClaireHelen Saha, Aurora Health Care, ElkhornSharon Warden, Reedsburg Area Medical Center, ReedsburgNikki Cagle, University of WI Hospital & Clinics, MadisonApril Knutson, AMN Healthcare, San DiegoChristine Baker, St. Mary’s Hospital, MadisonMelissa Marchant, HSHS/St. Mary’s Hospital Medical Center, Green BayRooney Freimund, Bay Area Medical Center, MarinetteSue Ann Schmeichel, Holy Family Memorial Medical, ManitowocCheryl Bauer, Aurora Sinai Medical Center, MilwaukeeSherri Maruska, Appleton & Cleveland Community Based Outpatient Clinics Kristy Krause, Agnesian Healthcare, Fond du LacAngela Koca, Langlade Hospital, AntigoSarah Donnell, St. Mary’s Hospital, MadisonBeth Rozak, St. Mary’s Hospital, MadisonJoan Koehn-Fogl, Zablocki VA Medical Center, MilwaukeeWendy Young, St. Croix Regional Medical Center, St. Croix FallsSteven Rush, Wisconsin Hospital Association, MadisonSusan Gallagher-Lepak, University of Wisconsin-Green Bay Nursing Program, Green BayHaley Kovac, Aurora St.Luke’s Medical Center, MilwaukeeAndrea Klipp, Clement J. Zablocki VA Medical Center, MilwaukeeTina Bertrand, St. Vincent Hospital, Green BaySteve Sadoff, UW Hospital & Clinics, Madison

WONE Board Meetings 2015

Friday, June 12 1000-1430 Board Meeting WHA Headquarters Friday, August 7 1000-1430 Board Meeting WHA Headquarters

September 18 1000-1430 Board Meeting WHA Headquarters Friday, November 13 1000-1430 Board Meeting WHA Headquarters

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Steven Rush Vice President, Workforce and Clinical PracticeWisconsin Hospital [email protected] 608-274-1820

WHA Update

WONE introduces Steven Rush as the new WHA representative

Steven Rush, RN, PhD, joined WHA’s staff as vice president, workforce and clinical practice as of March 23, 2015. Steve brings more than 30 years of com-bined nursing, education and clinical experience to this key position in the WHA government relations department. Steve comes to WHA from Herzing Uni-versity where he was dean of health care, and where he had oversight of the associate of science nursing program (ADN), the traditional BSN program and the LPN program, medical assisting program, and nurse aid training (CNA) programs. While at Herzing, he dramatically improved the school’s NCLEX-RN exam pass rate, while simultaneously increasing enrollment in the RN program. Another accomplishment Steve is especially proud of is the work he did to initiate and implement a U.S. veterans to RN program at Herzing. The VET2RN program is the only one in the state of Wisconsin (and only one of two in the country) and is a program that is coordinated through the governor’s office. Veterans who have military medic training are given credit for their experience and training through advanced placement into the RN program. Steve also served on the Wisconsin State Board of Nursing and chaired the education and licensure committee. “We are very pleased to have Steve join WHA. He brings not only clinical knowledge to our team, but immense experience in health care education that will enhance our ability to develop statewide strategies that will ensure we have an adequate, well-trained health care workforce in an ever-changing environment,” said WHA President/CEO Eric Borgerding. “Steve’s experience and skill sets will be an asset not only on our public policy work, but also to WHA’s qual-ity improvement initiatives.” Steve received both his PhD in nursing and a dual pediatric nurse practitioner and clinical nurse specialist master’s degree from the University of California, San Francisco. He holds a B.S. in speech communications from Southern Illinois University and a diploma in nursing from Augustana Hospital School of Nursing in Chicago. Contact Steve at [email protected], or call 608-274-1820.

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Wisconsin Board of Nursing Considers Change to the Nurse Licensure Compact

The Wisconsin Board of Nursing (BON) discussed endorsement of the new Nurse Licensure Com-pact (NLC) at its April 9, 2015 meeting. The new NLC, which is significantly different from the compact currently in place for Wisconsin nurses, is a joint effort from the National Council of State Boards of Nursing (NCSBN) and the National Nurse Licensure Compact Administrators (NLCA) to modernize the compact and to better reflect the health care environment of today. NCSBN has detailed information available on their website regarding the NLC (https://www.ncsbn.org/com-pacts.htm). Currently, Wisconsin is one of 24 states that belong to the NLC. Six of these states have already introduced legislation to adopt the new model language and the Wisconsin BON is considering support and future endorsement of the new compact, which would require a legisla-tive repeal of current statute and a replacement with the new model language.

The BON is reaching out to the Wisconsin Hospi-tal Association (WHA) as a source of information and input regarding the impact a new NLC might have on the nurses and their employers in the state. Specifically, the BON is asking if adoption of the new NLC would have a negative impact on Wisconsin hospitals and health care employers. Additionally, what impact would it have if Wis-consin withdrew entirely from the present com-pact agreement?

At the BON meeting, Steve Rush, WHA vice president of workforce and clinical practice, com-mented that participation in the compact, both in its current form as well as the proposed new NLC, does impact WHA member hospitals since many of these hospitals employ nurses who live

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Professional Development Committee

The 2015 online application process for the WONE Scholarship Program will be opening soon. Please go to the WONE website (http://www.w-one.org) after June 1 for more information and to access the online application forms. The Professional Development Committee would like to see more WONE members apply this coming year. There will be funding available for four - $1000 BSN scholarships and one - $1000 MSN/DNP/PhD scholarship this year.

The Professional Development Committee will be working in collaboration with Barb Pinekenstein, DNP, RN-BC, CPHIMS, to update and revise the WONE Mentor Program over the next six months. The current Mentor Program information is still available on the WONE website (http://www.w-one.org) while our revisions are happening behind the scenes. Please let me know if you have any questions.

If you would be interested in serving on the Professional Development Committee, please let me know. We would welcome you to the team. Kathryn Olson, DNP, RN, NEA-BC Professional Development Chair

across state lines or who are working as a temporary contracted employee as a travel nurse. Rush said he will continue to work with the BON to provide information regarding the proposed changes to the compact.

The BON has scheduled a public hearing on the nurse compact at their July 9 board meeting at 8 a.m. in Madison. WHA will provide information at this hearing and encourages WONE members to either provide comments in person or to speak with Rush prior to the meeting.

WHA Report - continued from page 6

Joint Finance Committee Defers Support of Nurses License Plate

Over that last several months, Jan Bauman and Mary Cieslak-Duchek, Co-Chairs - Legislative Commit-tee, have been working with Senator Mary Lazich’s staff to reintroduce the Wisconsin Nurse’s License Plate bill into this session of the Wisconsin Legislature. A request, on behalf of Sen. Lazich, was filed to include it as a line item, into the Department of Transportation‘s 2015/2016 Budget. This request was then scheduled for review and approval by the Joint Finance Committee chaired by Sen. A Darling (Dis-trict 8/River Hills) and Rep. J. Nygren (District 89/Marinette) on April 22, 2015.

Nurses were contacted who live in the respective districts of the Joint Finance Committee members and requested to contact their legislator asking support of the bill. The WONE also received assistance from the WNA who issued a legislative plea to their members as well. Many legislators were in favor of the bill, however, the Co-Chairs of the Joint Finance Committee did not bring the request forward for ap-proval……signaling they did not approve of the request. A similar bill for the Boy Scouts of America was also introduced but unapproved.

Many of the legislators feel there are too many special plate requests and are not in support of current requests. The next option is to introduce a separate bill requesting a license plate for Wisconsin Nurses in both the Senate and Assembly. This was the approach tried in 2014; however the bills did not progress through the legislative process before the end of the session. The WONE Board will evaluate the feasibil-ity of securing successful legislation at its next meeting in June.

Mary Cieslak-DuchekCo-Chair, Legislative Committee

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Evidence: The Ultimate Game ChangerThe Wisconsin Organization of Nurse Executives Sets the Standard for

Excellence in Nurse Staffing

by Joan Ellis Beglinger, MSN, RN, MBA, FACHE, FAAN

The nursing profession is comprised of the largest group of clinicians participating in the delivery of health care in this country. Numbering over three million, nurses are the largest sector of the health professions. Nursing is practiced in virtually every setting in which health care is delivered, from the home, to hospitals, clinics, nursing homes and hospices, to name a number of the most common. Though nursing care has been, or will be, experi-enced by everyone at some stage of life, it is ironic that the work of the profession is poorly under-stood by those who are recipients of its services, colleagues in other clinical disciplines and those who administer health care organizations.

Nursing has not clearly communicated the nature of its work to its publics. It has also been less ef-fective than it must be in assuming ownership of all of the accountabilities that comprise any clini-cal profession including defining practice, manag-ing quality, assuring competence, generating and validating the knowledge base of the discipline and managing the resources essential to the work. The result has been detrimental to the care of patients across the country in many settings, but nowhere more acutely than in hospitals. Since the early 1980’s, the pressure of declining reimbursement to hospitals has resulted in decisions related to nurse staffing that have at times created unworkable and even unsafe, practice environments. The Institute of Medicine Report on the Future of Nursing iden-tifies that high turnover rates among new nurses continues to be a concern. Nurses, disenchanted with practice environments that do not support excellence, and may even pose risks to patient safety, have left those settings.

Nurses are knowledge workers. While much of what nurses do in the form of tasks is observ-able, such as administering medication, teaching a patient, or changing a dressing on a wound, the essence of nursing practice is not. Nurses, in car-ing for patients, are engaged in a continuous pro-cess of interpreting a broad array of objective and subjective information. The information is gathered through a variety of means including observa-tion, physical examination, conversing with the

patient and/or family and review of diagnostic test results. Nurses interpret and assign meaning to the information by drawing on a vast knowl-edge base from the physical and social sciences, liberal arts, practice wisdom and intuition. They make judgments about the significance of the information and decisions concerning appropriate intervention. Continuous evaluation of practice interventions for desired outcomes rounds out what has come to be known as “nursing pro-cess.”

Effective nursing practice is dependent upon the nurse’s ability to know the patient’s “story,” including pertinent history, co-morbidities, present illness, culture/beliefs, family support, education and any compounding variables that might im-pact his/her interpretation of the patient situation. Subtle changes in a patient, which may precede a significant change in condition, can only be noted if the nurse has the opportunity to remain in adequate contact with the patient. Research has demonstrated that the expert nurse can of-ten intuitively detect deterioration in a patient’s condition before there are any objective findings to support that conclusion. Further, studies have shown that an assignment of too great a number of patients to a nurse may result in “failure to rescue,” that is, impending signs of patient dete-rioration are missed because of inadequate oppor-tunity to observe the patient first hand. Research continues to contribute to the growing, and ir-refutable, body of evidence that patient outcomes are improved with increased RN staffing, positive practice environments and greater percentages of BSN prepared nurses. The Principles and Ele-ments of a Healthful Practice/Work Environment, developed by the American Organization of Nurse Executives in 2004, supports the presence of ad-equate numbers of qualified nurses as important to the provision of quality care to meet the pa-tient’s needs. In the absence of research-based evidence to guide us, decisions about “adequate numbers of qualified nurses” have historically been largely opinion-based. As we move for-ward, these methods must be replaced by deci-sions based on best available evidence.

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In 2005, the Wisconsin Organization of Nurse Ex-ecutives (WONE) published its first evidence-based position paper on nurse staffing entitled Guiding Principles in Determining Appropriate Nurse Staffing: Standards of Practice for Acute Care in the State of Wisconsin. The Standards were developed to reflect the best available evidence and the process involved eliciting input on the draft document from all WONE members, as well as support from the Wisconsin Nurses Association (WNA).

In 2014, one of the strategic priorities identified by the WONE Board of Directors was to “Broadly dis-seminate the evidence that links nurse staffing, prac-tice environments and education levels to patient outcomes.” There has been significant research conducted and published in recent years that has provided the much needed evidence to take us from opinion-based to evidence-based staffing decisions. The 2010 report from the Institute of Medicine on the Future of Nursing creates additional urgency to ensure that nurses are well positioned to “lead change to advance health.” The staffing standards, first published in 2005, have been revised to reflect contemporary understandings of the relationships of nurse staffing, practice environments and BSN preparation to patient outcomes. Current evidence requires that we expand our understanding of excel-lence in staffing to a holistic and systemic approach that encompasses the downstream outcomes and sustainability of staffing decisions. The title of the document has been changed to both “raise the bar” by articulating “excellence” as the desired outcome (as opposed to “appropriate”) and expand the use of the standards beyond acute care to every setting in which nursing is practiced. The title of the 2015 revision is Guiding Principles in Achieving Excel-lence in Nurse Staffing: Standards of Practice for the State of Wisconsin.

The Standards have now been finalized and are available on the WONE website (http://www.w-one.org) located under “Publications/ Position Papers. The standards will be meaningless unless they are implemented in every organization in which nursing is practiced. In 2015, the Wisconsin Organization of Nurse Executives is developing a tool kit of resources to assist nurse leaders, who are charged with managing staffing budgets, in advanc-ing evidence-based staffing decisions within their organizations. In order for health care organizations to be positioned to produce exceptional outcomes and experience for those who are served, it is

critical that they make the shift from opinion to evidence in management decision-making.

To assist with this next step, attendees at the WONE annual convention in Green Bay in April heard a presentation on the standards and en-gaged in a conversation to elicit their thoughts on the tools that will be most helpful to them. Attendees completed a survey which asked them to rate the importance of ten potential tools to assist them in making the shift within their own organizations. A preliminary analysis of the survey data revealed the following top five tools, listed in the order of importance they were assigned by respondents:

1. Strategies and talking points to advance ad-ministrative understanding of the links among nurse staffing, practice environments, educa-tion levels and patient outcomes.

2. Tools to determine and communicate the number of nurses to hire to effectively meet demand and minimize overtime and agency use.

3. Strategies to quantify the cost of turnover and other “downstream” costs associated with cuts in direct care nurses.

4. Successful strategies for creating a “big pic-ture” mentality among the direct care profes-sionals.

5. Effective budgeting to capture and manage “indirect” time.

These priorities will inform the work of the team that is charged with leading this work as part of the WONE strategic plan. The team will be tapping in to the collective expertise of WONE members and asking them to share the strate-gies they have developed to address our top 5 tools and other tools that will be developed in the future.

This effort requires the collective engagement of all members of WONE. We all expect our direct care colleagues to produce exceptional clinical outcomes and an exceptional experience for those we serve. It is the resource decisions we make that create the conditions that enable our direct care colleagues to soar or impede their ability to function. Now is the time for coura-geous leadership. Now is the time to find our voice.

Evidence: The Ultimate Game Changer - continued from page 8

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Nursing Leadership Academy LiaisonPaula HafemanChief Nursing OfficerHSHS St. Mary’s Hosp. Med.Ctr./ HSHS St. Vincent HospitalGreen Bay, WI 54307-3508St. Nicholas Hosp., Sheboygan(W) 920-433-8204(Fax) [email protected]

BylawsSusan PetersonDirector of Quality ImprovementCommunity Care, Inc. 205 Bishops WayBrookfield, WI 53005(W) [email protected]

MembershipTerri SchultzVice President of Patient Care/CNORogers Memorial Hospital34700 Valley RoadOconomowoc, WI 53563(W) Oconomowoc 262-646-1397(W) Milwaukee [email protected]

Legislative Co-Chairs Mary Cieslak-DuchekDir. of System Nursing IntegrationAurora Health Care3000 W. MontanaMilwaukee, WI 53215(W) 414-647-6493(Cell) 262-385-0122(Fax) [email protected]

Jan BaumanVP, Patient Care Services/CNODivine Savior Healthcare2817 Pinery RoadPortage, WI 53901(W) 608-742-4131 (C) [email protected]

Professional DevelopmentKathryn OlsonDirector Patient Care ServicesMinistry Saint Joseph’s Hospital611 St. Joseph AvenueMarshfield, WI 54449(W) 715-387-7592(Cell) 715-305-0430(Fax) [email protected]

Marketing Denice Dorpat Director MSICU/MSIMC DialysisAspirus Wausau Hospital333 Pine Ridge BoulevardWausau, WI 54401(W) 715-847-2000 Ext: 53050(Fax) [email protected]

HistorianLeilani MazzoneAurora VNA Manager, Home Health Services (Cell) 414-243-0209

Horizons/Website (Communications) Carol Winegarden Quality Facilitator HSHS St. Clare Memorial Hosp. 855 South Main Street Oconto Falls, WI 54154 (W) 920-848-6319 (Cell) 920-373-5085 [email protected]

ProgramJean SurguyVP/CNOMile Bluff Medical Center1050 Division StreetMauston, WI 53948(W) 608-847-2990(Fax) [email protected]

Wis. Center forNursing RepresentativeEllen ZwirleinDir. Patient ServicesMemorial Hospital705 East Taylor StreetPrairie du Chien, WI 53821(W) 608-357-2000(Fax) [email protected]

ANEW LiaisonDeb Jenks, ANEWLiaisonMSOE School of Nursing1025 N Broadway StrMilwaukee WI 53202Work 414-277-4516Cell [email protected]

WONE Committee Chairs 2015PresidentDoris MulderVice PresidentBeloit Health System1969 West Hart RoadBeloit, WI 53511 (W) 608-364-5530(Fax) [email protected]

TreasurerSusan Spohr Adm. Dir., Surgical & Acute Care ServicesWheaton Franciscan Healthcare- All Saints3801 Spring StreetRacine, WI 53405(W) [email protected]

SecretaryTonja BrooksDirector, Heart CenterHSHS St. VIncent HospitalPO Box 13508Green Bay, WI 54307(W) [email protected]

President-ElectJoan Beglinger 3528 Timber Lane Cross Plaine, WI [email protected]

WHA Board LiaisonPeggy OseVice President-Patient ServicesRiverview HospitalPO Box 8080Wisconsin Rapids, WI 54495- 8080(W) 715-421-7427(Fax) [email protected]

Board Members

WHA Quality Measures Liaison/BoardBetsy BenzChief Nursing Executive Aurora Med.Center Manitowoc Co.5000 Memorial DriveTwo Rivers, WI 54241(W)920-794-5053Fax: [email protected]

Board Laura HiebBellin Health System, Inc.PO Box 23400Green Bay, WI 54345(W) 920-433-7436Fax: 920-433-3707 [email protected]

BoardDoreen KluthExecutive Director, Care ContinuumHSHS Division Eastern WI/Prevea2710 Executive DriveGreen Bay, WI 54304(W) 920-272-3386(Cell) 920-737-2875Fax: [email protected]

Board Susan Rees V.P., Development, Nursing & Patient Care ServicesUniversity of Wisconsin Hospitals & Clinics600 Highland AvenueMadison WI 53792(W) [email protected]

Board Ruth Risley-Gray Sr. Vice President, System CNOAspirus Health System333 Pine Ridge Blvd.Wausau, WI [email protected]

Nominations/BoardTom Veeser CNO Ministry Healthcare1570 Midway PlaceMenasha, WI [email protected]

WONE Board of Directors 2015

Member Checklistl Please contact Pam Aud whenever you have a change in either employment or residential address to guarantee timely mailings. E-mail [email protected] or 608/268-1806.l Submit articles for publication in the next issue of Horizons to Carol Winegarden, 920/846-3444, [email protected] If you are interested in being a part of a specific committee, contact the committee chair.

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WHA ContactPam AudWisconsin Hospital Association5510 Research Park DrivePO Box 259038Madison, WI 53725-9038Work: 608/274-1820Fax: 608/274-8554E-mail: [email protected]

WHA LiaisonSteven RushV.P., Workforce & Clinical Practice5510 Research Park DrivePO Box 259038Madison, WI 53725-9038Work: 608/274-1820Fax: 608/274-8554E-mail: [email protected]