UPMC | Fiscal Year 2017 Annual Report

PEDIATRIC SERVICE LINE Over the course of the last decade, the Pediatric Service Line implemented numerous strategies to reach the Institute of Medicine’s goal of having 80% of nurses with a BSN. During the past year, Children’s Hospital of Pittsburgh of UPMC exceeded the goal by reaching 81% of nurses with a BSN. In order to achieve this goal, they executed a strategic plan that included recruiting and hiring nurses with their BSN, awarding educational scholarships, and leadership support. Children’s Hospital of Pittsburgh of UPMC achieved 81% BSN Rate in FY 2017 In addition, the Pediatric Service Line supports the community through a variety of initiatives. An example, Camp Inspire is a week-long camp that is designed for children who require assisted respiratory support and care. This provides an opportunity for these children to experience an overnight camp that they would not be able to without the support of the nurses, doctors, and therapists. Creating memories that last a lifetime! Children’s Hospital of Pittsburgh of UPMC redesignated a Magnet® facility in FY 2017 EMERGENCY SERVICES SERVICE CENTER Emergency departments are one of the most complex patient care areas because of the diverse patient populations (pediatric to geriatric) and diverse patient conditions (broken bones to congestive heart failure, and trauma). The patients and families are at a vulnerable point in their life when they arrive in our emergency departments, and require an individual- ized patient experience. The focus on improving the patient experience while managing critical situations is difficult. The service center worked on providing consistent and individualized patient experiences. The Centers for Medicare and Medicaid Services (CMS) requires hospitals to survey patients. The service center implemented the standardized ED-CAHPS survey. The survey data allows for enhanced national benchmarking and is analyzed by the service center to determine future areas of focus. As a service, patients are provided medications in To-Go-Packs, which provides patients with one or two doses of a medication needed when discharged. To-Go-Pack quality controls were improved including labeling, tracking, and documentation. These modifications further enhanced patient safety and care. Over 16,500 ED-CAHPs surveys have been returned since January 1, 2017 WOMEN’S HEALTH SERVICE LINE The Women’s Health Service Line has been on the forefront of caring for pregnant women with opioid addiction. In 2014, Magee-Womens Hospital of UPMC opened its Pregnancy Recovery Center (PRC), an outpatient program offering pregnant women comprehensive and compassionate care for opioid addiction. The first in the region, the PRC provides office-based buprenorphine treatment, behavioral health counseling, social services, and prenatal care to pregnant and postpartum women with opioid use disorder. Patients in the PRC program receive treatment and medication throughout their pregnancy. Beginning in 2017, the PRC expanded to include women in the postpartum period as well as all non-pregnant. Babies born to mothers enrolled in the PRC program remain with their mothers whenever possible. In addition, only 33% of babies need pharmacological intervention after birth in this program compared to up to 75% with other medications. In FY17 PRC expanded in FY 2017 from one location to six locations SURGICAL SERVICES SERVICE LINE Surgical Services focuses on providing safe and timely services for inpatient and outpatient surgical patients. The successful Enhanced Recovery After Surgery (ERAS) protocol was expanded to three new hospitals and seven new service lines. Implementation of the ERAS protocol required an interdisciplinary team’s dedication and openness to reinvent traditional routines and practices. ERAS focuses on building strength prior to surgery that includes eating before surgery and getting up and moving after surgery. Post-op LOS reduction after implementation of ERAS: • 2 to 3 days in Colorectal Surgery • 2 to 3 days in General Surgery • 1 to 2 days in Liver Resection • 1 to 2 days in Surgical Oncology-Abdominal The Student Nurse Intern (SNI) program takes place in the summer of the student’s junior year and traditionally focused on medical/surgical experiences. Approximately a year ago, the Surgical Services Service Line began a partnership with Duquesne University and Carlow University to offer classes and then UPMC adds a clinical experience. During FY2017, the program has grown, moving from three campuses to seven clinical rotation sites. Preparing future nurses is key to the Surgical Services Service Line. ONCOLOGY SERVICE LINE The Oncology Service Line launched a nurse ambassador program in 2016. As part of the Wellness & Integrative Oncology program at the UPMC Hillman Cancer Center, the Nurse Ambassador Program grew from patient demand for a holistic approach to managing symptoms and quality of life. The program combines education, clinical care, and integrative services at the patient’s bedside. Since its inception, nurses from the Hillman Cancer Center, UPMC Shadyside, and Children’s Hospital have been trained in breathing techniques, aromatherapy, seated yoga, and hand/foot massage. The program’s flagship site is UPMC Hillman Cancer Center and 29 nurses have received training with a growing interest amongst nurses. Nursing leadership is critical to the work of this service line. A new clinical director was added to the team to support nursing and patient care in the community sites. UPMC Center for Nursing Excellence | 20

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