Department of Nursing
The Center for
Professional Nursing Practice
2007 - 2008
Annual Outcomes Report
About NewYork-Presbyterian Hospital
TABLE OF CONTENTS
Welcome
1
NewYork-Presbyterian Hospital, based in New York City, is the nation’s largest not-for-profit,
non-sectarian hospital, with 2,242 beds. The Hospital has nearly two million inpatient and
Leading the Way
Department of Nursing: An Overview
6
outpatient visits in a year, including more than 230,000 visits to its emergency departments
Clinical Excellence
8
—more than any other area hospital. NewYork-Presbyterian provides state-of-the-art
Quality and Performance Improvement
8
inpatient, ambulatory, and preventive care in all areas of medicine at five major centers:
Service Excellence: Patient Satisfaction
12
NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian Hospital/
Center for Professional Nursing Practice
14
Columbia University Medical Center, Morgan Stanley Children’s Hospital of NewYork-
Division of Nursing Education
15
Presbyterian, The Allen Pavilion of NewYork-Presbyterian Hospital, and the Westchester
Nursing Operations and Credentialing
17
Division of NewYork-Presbyterian Hospital. One of the largest and most comprehensive
Nursing Informatics
17
healthcare institutions in the world, the Hospital is committed to excellence in patient care,
Nursing Research
18
research, education, and community service. It ranks sixth in U.S.News & World Report’s
Recruitment and Retention
20
Notable Achievements
Awards and Recognition
22
22
guide to “America’s Best Hospitals,” ranks first on New York magazine’s “Best Hospitals”
survey, has the greatest number of physicians listed in New York magazine’s “Best Doctors”
issue, and is included among Solucient’s top 15 major teaching hospitals. The Hospital’s
Presentations
23
mortality rates are among the lowest for heart attack and heart failure in the country,
Publications
25
according to a 2007 U.S. Department of Health and Human Services report card. The
Charts Summary
27
Hospital has academic affiliations with two of the nation’s leading medical colleges: Weill
Cornell Medical College and Columbia University College of Physicians and Surgeons.
Vice Presidents of Nursing
and Patient Care Services
28
Center for Professional Nursing Practice
28
For more information about NewYork-Presbyterian Hospital, visit www.nyp.org.
On the cover, clockwise, from left: From the expert care they provide to
patients to the roles they play as mentors and multidisciplinary team
members, Florence Bautista, RN, Adult Chemotherapy Nurse; Karin
Swiencki, RN, Oncology Clinical Nurse Specialist (at left in photo); and
Rebecca Vogel, RN, Women and Children’s Health Nursing, personify
nursing excellence at NewYork-Presbyterian Hospital.
© 2008 Department of Nursing, NewYork-Presbyterian Hospital. All rights reserved.
WELCOME
In 2007-2008, the Department of Nursing at NewYork-Presbyterian Hospital
continued to fulfill its promise of We Put Patients First through consistency in
quality, safety, and service. The myriad and daily contributions of a dedicated
and committed professional staff of more than 4,500 Registered Nurses support
the Department’s mission to provide the highest quality patient-centered
care. This is achieved by promoting a culture of caring,
empathy and safety; educating both patients and families;
utilizing evidence-based practice; and promoting professional
nursing development and advancement.
Wilhelmina M. Manzano, MA, RN, NEA-BC
Senior Vice President and Chief Nursing Officer
NewYork-Presbyterian Hospital
Department of Nursing
In the past year, the Department developed and
The Department of Nursing includes centralized
implemented an ambitious agenda on quality and
and decentralized structures and functions. The
patient-centered care initiatives and programs to
Department’s governance model adheres to the
address the ongoing challenges of recruitment and
American Nurses Association’s Scope and Standards
retention. Following are highlights of our accomplish-
for Nurse Administrators. The Chief Nursing Officer
ments and the challenges we must overcome going
is ultimately responsible for the provision of nursing
forward.
care across the Hospital’s five sites and provides
Steven J. Corwin, MD, Executive Vice President and Chief
Operating Officer, NewYork-Presbyterian Hospital, addresses
a nursing town hall audience.
Measures of Achievement
leadership to the Vice Presidents of Nursing and Patient
Patient Care Our nursing force continues to provide
Care Services at each of the sites. Reporting to the Vice
excellent patient care throughout NewYork-Presbyterian
Presidents are Directors of Nursing who are responsible
Hospital. Efforts surrounding patient-centered care and
for patient care in their respective areas. The Patient
the We Put Patients First philosophy have improved
Care Directors are the front-line managers responsible
patient satisfaction scores consistently over the last
for the daily operations of each patient care unit.
few years.
The Office of the Chief Nursing Officer oversees
Our nursing staff have a key role in fostering
the centralized functions of the Department’s Center
patient safety through their participation in all
for Professional Nursing Practice, which include the
Hospital initiatives that are designed to achieve a
areas of professional nursing practice, nursing
culture of high-reliability in quality, safety, and service,
informatics, patient and family education, research,
and provide our patients and their families with an
quality assurance and performance improvement,
outstanding environment of care. One initiative,
nursing education, continuing education affiliations,
launched in January 2008, is Patient Safety Fridays.
and credentialing. The Center for Professional
This Hospital-wide, multidisciplinary effort provides
Nursing Practice is led by Directors of Nursing who
an important focus on clinical and environmental
work closely with all nursing leadership and staff and
issues, enabling staff to quickly and efficiently identify
continue to advance nursing practice and improve
and correct gaps in safety and procedures.
patient outcomes.
The incidence of pressure ulcers, an important
2
Department of Nursing Senior Leadership
indicator of the quality of nursing, has decreased across all of
our acute care sites. As of September 2008, the Hospital’s
acquired pressure ulcer prevalence rate had decreased by
27.9 percent over 2007. Falls have decreased by 50 percent
since the Department of Nursing implemented a Fall and
Injury Risk Assessment Tool in 2004. We are proud of the
work done to achieve these significant reductions, but
continue to strive to achieve better outcomes.
Wilhelmina M. Manzano,
MA, RN, NEA-BC
Information Technology Nursing leadership in partnership
with Information Technology staff has helped to implement
advanced technology to improve patient care. For example,
Senior Vice President and
Chief Nursing Officer
NewYork-Presbyterian
Hospital
Lori Armstrong, MS, RN
Suzanne Boyle, DNSc, RN
Vice President of Nursing
and Patient Care Services
Vice President of Nursing
and Patient Care Services
Morgan Stanley
Children’s Hospital of
NewYork-Presbyterian
NewYork-Presbyterian
Hospital/Weill Cornell
Medical Center
Debra O’Hehir, MSN,
MBA, RN
Georgia J. Persky, MBA,
RN, NEA-BC
Vice President of Nursing
and Patient Care Services
Vice President of Nursing
and Patient Care Services
The Allen Pavilion of
NewYork-Presbyterian
Hospital
NewYork-Presbyterian
Hospital/Columbia
University Medical Center
great strides have been made in the last year in the use of
electronic nursing documentation. In addition, The Allen
Pavilion has rolled out the IntelliDOT bar coding system—a
technology that allows for greater safety and efficiency with
medication administration and supports clinical care and
documentation at the bedside.
Promoting Professional Development Two years ago we
established a partnership with New York University Wagner
Graduate School of Public Service to offer a Master of Science
in Management: Concentration for Nurse Leaders. The first
Linda S. Espinosa, MS, RN
cohort of 25 Patient Care Directors, educators, and staff nurses
Vice President of Nursing
and Patient Care Services
began the program in September 2007 and completed their first
year in June 2008; a second group of 20 began the program in
September 2008. The new graduate degree includes customized
core courses using real nursing management case studies. The
3
Westchester Division of
NewYork-Presbyterian
Hospital
NewYork-Presbyterian Participates in National Discussion on Nursing Shortage
On Friday, October 24, 2008, Wilhelmina M. Manzano, MA, RN, NEA-BC, Senior Vice
President and Chief Nursing Officer, and several nurses from NewYork-Presbyterian
program offers the students the management skills and
Hospital, were featured on the Emmy Award–winning news magazine NOW on PBS for a
leadership experiences necessary to assume administra-
segment which explored the nursing shortage and innovative measures aimed at reversing
tive roles in today’s complex healthcare organizations.
the trend.
Enhancing the Work Environment Improving the work
Sponsored by a grant from the Barbara and Donald Jonas Family Fund, the program entitled
environment of our nursing staff is a key initiative. The
“Are We Headed for a Nursing Crisis?” profiled NewYork-Presbyterian nurses at work and
Department of Nursing conducts periodic staff surveys
highlighted NewYork-Presbyterian as a model for success in retention and recruitment. The
to identify ways to support nurses that allow them to
show includes a diary by Joannie Welsh, a new nurse who chronicles her first days working
spend more time directly on patient care. These efforts
at NewYork-Presbyterian Hospital.
are reflected in our vacancy and turnover rates for nurses,
Following is an excerpt of the interview with NOW host, veteran journalist David Brancaccio.
which remain significantly lower than the national and
Brancaccio: About 25 percent of new nurses in the U.S. drop out in the first year. Willie
Manzano says mentoring and special classes have dramatically cut the dropout rate at
NewYork-Presbyterian, and reduced it well below the national average. And where does
nursing pay fit into this?
state averages. The nursing vacancy rate as of October
2008 was 3.87 percent, down from 4.9 percent last year
and compared to a national rate of 7.8 percent and a
statewide New York rate of 8.8 percent in 2007 as
reported by the Greater New York Hospital Association.
Manzano: I’d be the first one to argue, let’s pay them great amounts of money. At the end
of the day, that’s not what’s going to keep them here. It’s really structures, systems, and
support that we put in place to make the nurses feel that this is where they belong and
where they can feel fulfilled, both personally and professionally.
Addressing the Nursing Shortage The Department has
developed a number of innovative programs to address
the ongoing nursing shortage. In April 2008, we
inaugurated a Student Nurse Biannual Forum that brings
Brancaccio: But healthcare experts say there are good arguments that dealing smartly with
nursing in America could save money in other ways. Willie Manzano at NewYork-Presbyterian
says this point is much debated, but she sees cost versus savings when it comes to nurses
this way:
nursing students together with nursing leadership to
introduce them to NewYork-Presbyterian Hospital and
career opportunities within the institution. Our affiliations
with universities and schools of nursing continue to
Manzano: The investments that you make to ensure that you have the right staff, the right
strengthen. In 2007, 1,200 students from our academic
number of people, really will save lives because you’re preventing complications, you’re
partner schools came to the Hospital’s campuses for
preventing medical errors, and you’re also making sure that you have the right people who can
clinical rotations. The projected nursing turnover rate at
take care of patients every single day.
To view the segment or to read the full transcript, go to
www.pbs.org/now/shows/442/transcript
4
practice at NewYork-Presbyterian. These goals include:
NewYork-Presbyterian through October year to
date 2008 is 6.86 percent, comparing favorably with
• People development through continuing
national and New York State rates of 14.2 percent
education, competency assessment programs,
and 13 percent respectively in 2007.
and leadership development
Furthering Education The Department of Nursing
• Advancing care through continuing efforts
has played a critical role in decreasing turnover with
around evidence-based practice
initiatives such as the post-baccalaureate UHC Nursing
• Enhancing collaborations with medical staff
Residency Program at NewYork-Presbyterian Hospital/
• Increasing financial and operational strength
Weill Cornell Medical Center and the Nursing Residency
through lower vacancy and turnover rates,
Programs funded by the Jonas Center for Nursing
reduction on the reliance of supplemental staffing,
Excellence at NewYork-Presbyterian Hospital/
and improved efficiency and throughput
Columbia University Medical Center, The Allen
• Serving the community through ongoing
Pavilion, and Morgan Stanley Children’s Hospital.
community outreach
A comprehensive continuing education program
• Strengthening school affiliations
for nurses promotes professional development at
Cross-campus nursing leadership groups will
NewYork-Presbyterian and in the tri-state nursing
focus on implementing the strategic plan and goals
community. Among the professional development
identified with input from the professional nursing staff.
opportunities offered are professional certification
This 2007-2008 Annual Outcomes Report further
exam review courses and core courses in specialty
highlights the Department’s key accomplishments and
areas such as critical care and pediatrics.
initiatives of the past year, and provides a summary of
Looking to the Future
the results of our patient care and quality efforts.
In February 2008, the Hospital’s Nursing Board held
its first day-long Strategic Planning Retreat. More
than 30 Nursing Board members working in groups
Wilhelmina M. Manzano, MA, RN, NEA-BC
Senior Vice President and Chief Nursing Officer
NewYork-Presbyterian Hospital
addressed strategic and tactical goals toward
advancing nursing programs and professional
5
Senior Vice President and Chief Nursing Officer, Wilhelmina
M. Manzano, MA, RN, NEA-BC, with the Directors of
Nursing in the Center for Professional Nursing Practice (front
row, left to right): Mary E. Quinn, MSN, RN, Director, Quality–
Nursing Innovation; Lourdes V. Mellino, MA, MEd, RN, NEABC, Director, Professional Nursing Practice; Ms. Manzano;
MariLou Prado-Inzerillo, MA, RN, Director, Nursing Operations
and Credentialing; (back row, left to right) Reonel Saddul,
MSN, MPA, RN, CPHIMS, CPHQ, Director, Nursing
Informatics; Gina M. Bufe, PhD, RN, Director, Education,
Quality, and Research; Maria A. Stang, CPA, BA, Director,
Nursing Finance; and Rosemary Sullivan, MA, RN, Director,
Nursing Special Programs.
LEADING THE WAY
Department of Nursing: An Overview
Nursing care at NewYork-Presbyterian Hospital is provided to patients of all ages in inpatient, outpatient, and
emergency settings in collaboration with other members of the healthcare team. NewYork-Presbyterian, which
has a total of 2,242 beds, is one hospital offering every clinical specialty from primary care to cutting-edge
quaternary care through its five campuses:
• NewYork-Presbyterian Hospital/Columbia University Medical Center
• NewYork-Presbyterian Hospital/Weill Cornell Medical Center, which includes Payne Whitney Manhattan
• The Allen Pavilion of NewYork-Presbyterian Hospital
• Morgan Stanley Children’s Hospital of NewYork-Presbyterian
• Westchester Division of NewYork-Presbyterian Hospital
The Ambulatory Care Network has sites throughout the service areas of NewYork-Presbyterian/
Columbia and NewYork-Presbyterian/Weill Cornell.
As a member of the healthcare team of the High Risk
Antepartum Unit at NewYork-Presbyterian/Weill Cornell,
Clinical Excellence Award recipient Daisy Mercado, RN,
provides compassionate and skilled care to expectant
mothers who are having difficult pregnancies.
The Department of Nursing’s philosophy is
derived from the values of the nursing profession,
as well as the mission and vision of NewYorkPresbyterian. Central to that philosophy is the
creation of a learning environment for nurses and for
patients. The Department is committed to providing
the highest quality and service, with sensitivity to
patients who come from local communities and those
who travel from afar to seek the best in healthcare.
Chart 1 indicates the scope of nursing services at
each of the Hospital’s five campuses.
Chart 1
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Demographics The Department of Nursing at NewYork-Presbyterian is diverse in age and culture. Staff
include more than 4,500 Registered Nurses, with 802 Registered Nurses hired in 2006, 765 Registered
Nurses hired in 2007, and 475 Registered Nurses hired as of November 2008. The Department’s nursing staff
is 11.13 percent male. The Department’s workforce represents American Indian/Alaskan, Asian/Pacific
Islander, African American, Hispanic, Caucasian and a number of other ethnic backgrounds. Four distinct
generations of nurses—with a mean age of 40.7 years—work side-by-side at NewYork-Presbyterian. Chart 2
indicates the age breakdown of the Hospital’s nursing workforce.
Chart 2
Educational Preparation Nursing research has demonstrated that improved patient outcomes can be
attributed to nurses with higher educational preparation. The improvement in patient outcomes associated
with having nurses prepared at the baccalaureate level is partially attributed to the critical thinking skills
associated with a BSN education. Chart 3 indicates the percentage of Registered Nurses at NewYorkPresbyterian Hospital with BSN preparation. Data
are collected on an annual basis for benchmarking
purposes during the first quarter of the year.
National Certification Recognizing that attaining
certification signifies a level of clinical competency
in a specialty area, the Department of Nursing
continues to increase the number of specialty
certification review courses available to staff
through the offering of the review courses on site.
Joanne C. Giblin, BSN, RN, who is certified as a Generalist in PsychiatricMental Health Nursing by the American Nurses Credentialing Center,
teaches colleagues about the geriatric patient with psychiatric illness,
and supports them in their efforts to become ANCC certified.
Chart 3
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Clinical Excellence
Quality Indicators and Benchmarks The Department of Nursing monitors clinical indicators in an effort to
continually improve the quality of care that is delivered to our patients. The Department of Nursing reports
quality metrics on an integrated scorecard across all inpatient campuses and benchmarks performance
against external databases and internally across campuses. Data are used for tracking and trending
performance and monitoring results. Two primary databases are utilized for benchmarking nursing sensitive
indicators at NewYork-Presbyterian. Behavioral health areas participate in the Maryland Indicator project,
and other areas participate in the National Database of Nursing Quality Indicators.
National Database of Nursing Quality Indicators The Department of Nursing has participated in the National
Alba Reyes, RN, Surgical Nursing, NewYork-Presbyterian/
Weill Cornell, was presented with a Clinical Excellence
Award recognizing her ability to form relationships with
patients and families that inspire confidence, trust, and
the willingness to persevere. For the past two years, she
has been leading a Performance Improvement Project
focused on pain as the fifth vital sign.
Database of Nursing Quality Indicators (NDNQI) since 2002. The NDNQI was established in 1998 by the
American Nurses Association (ANA) in response to the ANA’s Safety and Quality Initiative. Participation in
this database allows for NewYork-Presbyterian to compare or benchmark patient outcomes and staffing
patterns at the unit and hospital level with other facilities of the same bed size. Current indicators include:
• Nursing Hours per Patient Day
• Fall and Fall-Injury Rates (adults)
• Nosocomial Pressure Ulcers (adults)
• RN Education
• Peripheral Intravenous (PIV) Infiltrations (pediatrics)
• Pediatric Pain Assessment/Intervention/Reassessment Cycle (Pain AIR Cycle)
Quality and Performance Improvement
The Department of Nursing’s Quality Improvement program consists of the coordination of the Department’s
Joint Commission and regulatory activities, as well as oversight of quality and patient safety initiatives that
improve patient outcomes. In 2007-2008, these initiatives addressed:
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Fall and Fall-Injury Rates Since 2004, when the Hospital established its Fall and Injury Prevention
and Management policy, falls and injuries have both decreased across NewYork-Presbyterian as
an aggregate. Injuries from falls decreased approximately 50 percent from 0.52 to 0.25 with a
statistically significant p-value of 0.00.
In 2007-2008, comfort and safety rounds aimed at the reduction of falls were implemented
on medical units. In addition, staff underwent education on the Fall Prevention policy and falls
reduction strategies. NewYork-Presbyterian Hospital continues to have falls with injury rates
below the national benchmark.
Pressure Ulcer Prevalence The Department of Nursing continues to monitor pressure ulcer prevalence
and implemented several initiatives in 2007-2008 that has enabled the Department to demonstrate a
With outstanding clinical and leadership skills, Clinical Award
Excellence recipient Sara Marano, RN, is a nurse clinician who
works with critically ill patients at NewYork-Presbyterian/Weill
Cornell. Respected by her peers as a clinical expert on her unit,
she is also an inspiring mentor for the Nursing Residency Program.
29.7 percent reduction in prevalence rate as of September 2008 over 2007. The Pressure Ulcer Prevention
Steering Committee addressed organizational standards of care, education, and products and equipment
used for reducing prevalence. In addition, the Hospital convened an organizational cross-campus quality
initiative aimed at decreasing pressure ulcer prevalence. These strategies include continued staff education
on pressure ulcer management, implementation of Skin Care Order Sets, and an increase in rounds with
nursing leadership to a weekly basis in the ICUs.
Restraint Management Restraint management performance is measured through direct observation of
patients in restraints with subsequent documentation review of the patient’s medical record to assess
compliance with the Hospital’s standards of care. Alternatives to restraints are always the first intervention.
However, if a restraint is necessary to ensure the safety of a patient, the least restrictive restraint would be
utilized and the patient’s rights are maintained.
In 2007, diligence of the nursing staff in the assessment of patients requiring restraints and ongoing
management of patients in restraints have resulted in achievement of 100 percent compliance in the adult
ICU units, adult non-ICU units, behavioral health, and at the Westchester Division. Other areas have shown
Chart 4
9
improvement from 2006, including 100 percent
compliance in the women’s and children’s
health units at Morgan Stanley Children’s
Hospital and 95 percent compliance in the
Emergency Department.
In addition, the Hospital overall sustained
a 99 to 100 percent compliance with assessment and documentation of restraint use.
Chart 5 depicts average results for restraint
management for the period January to
December 2007.
Core Measures The Department of Nursing
Chart 6
Chart 5
participates in the monitoring of The Joint
Commission core measures related to the
management of pneumonia, acute myocardial infarction, and heart failure through smoking cessation
counseling and pneumococcal screening with the administration of the vaccine, when indicated. Nursing
leadership continues to emphasize the importance of offering smoking cessation counseling and vaccinations,
when applicable, to the Hospital’s inpatient population.
In 2007-2008, performance improvement initiatives related to core measures included implementing
structured documentation within the medical record for smoking cessation and immunization assessment
and continued staff education on requirements.
Patient Safety Fridays Launched in January 2008, this Hospital-wide initiative is a major step forward
toward creating a culture of safety throughout NewYork-Presbyterian, and maintaining a continuous state of
10
preparedness for every patient as the Hospital achieves its goal of becoming a high-reliability organization.
Every Friday, senior leadership, department heads, and key personnel at the Hospital’s five sites gather
simultaneously to present a structured curriculum around various issues in quality and safety—some
clinical, some environmental. These include such areas as expiration of medications, fire safety, interim life
safety measures, patient identification, and time outs. At the end of the hour-long presentation, teams of
two or three staff members work with staff one-on-one on the units doing tracers—focused interviews in
which staff discuss the topics presented and identify issues in concert with Patient Care Directors that need
to be addressed either at a unit level or at a Hospital-wide level. Patient Safety Fridays, with its regular
schedule of safety rounds, has fostered an extraordinary collaboration among nursing staff, medical staff, the
pharmacy, administration, and virtually every Hospital entity with a common goal of advancing an
environment of quality and patient safety across all of the Hospital’s campuses.
Nursing Hours per Patient Day Nursing leadership routinely reviews nursing hours
per patient day as compared to national benchmarks. Efforts continue to assess the
changing needs of patients and adjustments are made accordingly for additional
staffing resources.
Staffing Effectiveness Staffing effectiveness looks at the impact of staffing by comparing
two clinical indicators and two human resource indicators of two identified units or
areas at each Hospital campus. In 2007-2008, nursing leadership in discussion with
staff identified the most salient indicators at each campus. No trends were identified,
and it was determined that more data points are needed to evaluate whether a
significant relationship exists. In 2008, all campuses continued with the same
indicators with the exception of the Westchester Division, which changed the
clinical indicators to match the needs of its campus and patient population.
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A Clinical Excellence Award recipient, Kate Morris, RN,
is a primary care nurse on the GI Surgical Unit of NewYorkPresbyterian/Weill Cornell, where she contributes her time
and expertise to several quality care and patient satisfaction
projects.
Service Excellence: Patient Satisfaction
Patient satisfaction is a priority focus for the Department of Nursing. Nursing care indicators (Press Ganey)
for patient satisfaction include:
• Overall patient satisfaction with nursing care
• Friendliness of the Registered Nurse
• Prompt response to call bell
• Registered Nurse’s attitude toward requests
• Attention to special/personal needs
• Registered Nurse kept patient informed
• Skill of the Registered Nurse
In her role as an Adult Chemotherapy Nurse, Florence
Bautista, RN—a Clinical Excellence Award recipient at
NewYork-Presbyterian/Columbia—assists staff and
patients throughout the Hospital to ensure that
chemotherapy treatments proceed as smoothly and
comfortably as possible.
• Pain management
The following chart demonstrates performance on patient satisfaction with nursing care at all campuses in 2007.
2008
(YTD-Nov)
Chart 7
12
The Department of Nursing supports NewYork-Presbyterian’s We Put Patients First initiative through the
implementation of several programs. These include:
Relationship-Based Care Patient satisfaction scores continued to improve in 2007-2008 through the
implementation of Relationship-Based Care at NewYork-Presbyterian/Columbia. Relationship-based care is
a model of care that fosters relationships between caregivers and patients, as well as between co-workers. It
acknowledges the importance of spiritual, social, and emotional needs; empowers staff to address these
needs and promotes teamwork to maximize time with patients and families. By integrating these principles
into the daily fabric of the work environment, relationships become the central focus of patient care.
Collegial relationships and patient care process improvements are fostered through Unit Practice Councils.
By the end of 2008, all 23 inpatient units and patient care procedural departments (Operating Rooms,
Emergency Department, and Cardiac Catheterization Lab) at NewYork-Presbyterian/Columbia will have
As charge nurse of the Women’s Health Practice at
NewYork-Presbyterian/Weill Cornell, Clinical Award
Excellence recipient Cassandre Leon, RN, has
worked tirelessly on the patient-centered care
initiative We Put Patients First, developing innovative
solutions to expedite the registration process, reduce
patient waiting time, expand patient services, and
enhance the overall experience of patients.
implemented Relationship-Based Care.
Planetree In 2008, the Westchester Division enjoyed its fifth year of a very active and productive
affiliation with the Planetree organization. Planetree is a model of patient-centered care that focuses on healing
and nurturing body, mind, and spirit. Westchester Division staff will soon participate in a third level staff
retreat—a process that is one of the most powerful and successful aspects of the implementation and
integration of Planetree. Previous retreats have been found to be dynamic, regenerative, and interactive,
and all levels of employees participate.
Patient-Centered Care As part of the We Put Patients First initiative, NewYork-Presbyterian/Weill Cornell has
implemented a multidisciplinary approach to service excellence. This initiative integrates back-to-basic concepts
and hardwired best practices from organizations such as the Studer Group. The objective is to create a patientand family-centered culture resulting in enhanced quality outcomes and increased patient satisfaction.
Key strategies that have been implemented include leadership training and development, employee
retreats, rounding with intent, writing thank you notes to staff at home, discharge phone calls, use of key
words at key times, alignment of actions and behaviors with goals, and other performance improvement
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Laverne Mangum, RN, has been with the Hospital
since 1990 and is a Senior Staff Nurse at NewYorkPresbyterian/Weill Cornell caring for patients coping
with emotional, behavioral, and medical illness.
Presented with a Clinical Excellence Award, she is
described by her colleagues as an agent of positive
change for all patients, and specifically, as a resource
and advocate for older adults.
initiatives such as admission ready beds, the Shining Star competition, quiet time, and service recovery.
Patient-centered care initiatives implemented at The Allen Pavilion demonstrated improvement in patient
satisfaction scores, with the 2007 inpatient overall mean score exceeding the target of 80.4. Success is attributed to service recovery training for staff, and strategies that include patient rounds, post discharge calls, and
survey reminders to increase response rates. Staff also participate in Commitment to Care Retreats that focus
on improving the patient experience. Morgan Stanley Children’s Hospital implemented family-centered care
seeking to improve patient satisfaction through involvement of the family in key decisions on the delivery of
patient care. Family members are involved in Hospital committees aimed at improving care and the child and
family experience. Family members have verbalized their appreciation at being involved in such efforts.
As a new nurse at Morgan Stanley Children’s Hospital, Rebecca
Vogel, RN, a member of the Pediatric Hematology/Oncology/
Bone Marrow Transplant Unit, earned a Clinical Excellence
Award commending her for meeting every challenge during the
orientation process and for continuing to excel in patient care
and professional development.
Center for Professional Nursing Practice
The Center for Professional Nursing Practice is comprised of the following programs: Practice, Quality,
Education, Research, Credentialing, Informatics, and Continuing Education.
Office of Professional Nursing Practice In 2007-2008, the Office of Professional Nursing Practice provided
oversight in the following areas:
• Clinical Practice Standards (Nursing Practice Council)
• Nursing Administrative Standards (Nursing Board)
• Patient Education Program (Patient Education Advisory Council)
• Hospital Policy and Procedures impacting nursing practice (Nursing Board)
The Office of Professional Nursing Practice is also responsible for:
• Coordination and management of the review of 442 clinical standards by the Nursing Practice Council
as part of the biennial review process
• Biennial review of 47 administrative standards via the Nursing Board
In 2007-2008, the Office of Professional Nursing Practice/Patient Education Program Director led the interdisciplinary team that focused on The Joint Commission patient education standard. The Director of Professional
Nursing Practice co-facilitated the multidisciplinary team aimed at pressure ulcer reduction.
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Division of Nursing Education
2007-2008* Offerings
Type of Offering
Division of Nursing Education
The primary objective of the Division of Nursing Education is to provide training and ensure
ongoing clinical competency for over 4,500 Registered Nurses at the Hospital’s five campuses
and across the continuum of care. The Division of Nursing Education supports the professional
development of staff and nursing leadership through knowledge and skill acquisition, as well as
skill transfer for the purpose of advancing clinical competency and professional growth.
Educational programs include orientation of staff, leadership development, nursing grand rounds,
continuing education, e-learning modules, inservice programs, nurse extern programs, and various
preceptor/mentoring programs. These programs are designed to support evidence-based nursing
Number of
Participants
Nursing Orientation
1,272
Per Diem Orientation
121
Inservice Programs
105,560
Support Staff Orientation
262
Unit Assistant Orientation
111
RN Preceptor Workshop
198
BLS Renewal Course
2,660
Charge Nurse Workshop
120
Core Course
232
Total
110,536
Number of
Training Hours
48,343
1,013.50
94,272
6,649
5,033
1,526
11,963
960
5,589
175,348.50
and management practices. The Division of Nursing Education also conducts orientation programs
for per diem nurses, agency nurses, travel nurses, technicians, nurses’ aides, and unit clerks. Programs
Continuing Education
9,918
58,489.50
* As of third quarter 2008
implemented in 2007-2008 included:
• Ongoing implementation of residency programs for new graduate nurses
• Ongoing mentor training to support nursing residency programs
• Introduction of a nursing attendant biannual education series
• Transition to online National League of Nursing pharmacology exam
• Collaboration with Hill-Rom clinical staff to promote education to decrease falls and pressure ulcers
• Integration and implementation of summer extern program across all campuses
• Development of acute coronary syndrome education course with EKG skills validation
• Development of self-learning modules on topics such as controlled substances to augment inservice training
• Increase in number of specialty certification review courses
• Development of and collaboration on e-learning for annual mandatory education, restraint modules,
diabetes, moderate sedation, and pancreatic/liver transplant
• Implementation of Education Councils across all sites in support of shared governance
• Establishment of an online learning needs assessment
• Ongoing consultative services to Shepton Mallet Treatment Center in Somerset, England
15
Known for her extraordinary vision and
leadership, Joanne Modica, RN, Patient
Care Director, Surgical Nursing, NewYorkPresbyterian/Weill Cornell, is a proponent of
professional growth. Having achieved both
Nursing Administration Certification and
Rehabilitation Nursing Certification, she is
pursuing a Master’s degree in leadership at
New York University.
Division of Nursing Education Goals
•
•
•
•
Orient new staff
Ensure ongoing competencies
Support programmatic changes
Promote/advance professional
development
Key Accomplishments in 2007-2008
Special Programs and Continuing Education The NewYork-Presbyterian School of Continuing Education for
Nurses offered 234 programs in 2007 with a total attendance of 4,653 nurses. An approved provider of continuing nursing education by the New York State Nurses Association, the School offers courses on topics
that include:
• Strengthened affiliations with 25
schools of nursing and provided clinical
placements for more than 1,000 graduate
and undergraduate students from 14
affiliating schools—accommodating
approximately 90 percent of the
placements requested
• Through the School of Continuing
Education, supported the Department
of Nursing Scholarship Award for the
eighth year, awarding a total of $20,000
to children of four Hospital employees
• Through the Office of Special Programs,
served as a liaison to advanced practice
nurses throughout the Hospital and
created nurse practitioner councils to
facilitate communication between nurse
practitioners and the Department of
Nursing
• Held the first nursing leadership
exchange with nurse leaders from The
Methodist Hospital in Houston, Texas,
which allowed for the sharing of best
practices between the two facilities
• In collaboration with the Nursing
Advisory Board, conducted a Nursing
Leadership Academy—a program for
Patient Care Directors to strengthen
their leadership and management skills
• 12-lead EKG interpretation
• Adult vascular access
• Basic critical care nursing
• Basic dysrhythmia recognition
• Basic physical assessment
• Emergency nursing
• Hemodynamics and the management of shock states (advanced concepts)
• Lab values
• Management of the pediatric patient
• Managing difficult people
• Oncology
• Pediatric/neonatal vascular access
• Infection control and barrier precautions training (State mandated)
In addition, the School of Continuing Education supported member hospitals in the NewYork-Presbyterian
Healthcare System by coordinating and offering didactic and clinical programs including a critical care core
course, a dysrhythmia course, and Peds Day. In October 2007, the Department of Nursing sponsored a symposium “More Than Ready: Put Your Hospital Ahead of the Compliance Curve,” which was presented at the
New York Academy of Medicine and attended by 172 nurses from the tri-state area.
Summer Nurse Extern Program The Department of Nursing’s summer nurse extern program provides student
nurses the opportunity to have observational experiences in clinical areas while they work to support the
professional nursing staff. The 10- to 12-week program is open to nursing students between their junior and
senior year in a BSN program with a GPA of 3.0 or higher. In addition to providing observational learning, nursing
16
experts from NewYork-Presbyterian conduct didactic sessions, and nurse externs are also afforded the
opportunity to attend nursing leadership panel discussions and learn about various career paths. Nurse externs
are invited back later in the year to learn about career opportunities with the Hospital.
Nursing Operations and Credentialing
The Office of Nursing Operations and Credentialing ensures that nursing operational issues are uniformly
addressed across all campuses. Nursing Credentialing Services (NCS) facilitates the appointment and
reappointment of 441 Advanced Practice Nurses and the development of Delineation of Privileges for Nurse
Practitioners. The NCS office also collaborates with site nursing leadership to track and monitor credentialing
compliance of more than 4,500 Registered Nurses.
Nursing Informatics
The Office of Nursing Informatics is responsible for ensuring that the computerized medical record is
optimally utilized, for facilitating the implementation of technology to improve efficiency and safety, and for
applying technology to improve work processes and data management. In 2007, NewYork-Presbyterian/
Weill Cornell successfully converted from Eclipsys SCC to Eclypsis XA. In 2008, the Behavioral Health Service
Line converted its electronic system to XA, and The Allen Pavilion implemented IntelliDOT to enhance safety
and efficiency of medication administration.
Nurse Executive Dashboard The Office of Nursing Informatics recently initiated a project to develop an
online Nurse Executive Dashboard to minimize the time spent on data aggregation and to provide a powerful
new way of tracking and trending data. The goal is to render information in a manner that will enlighten
and inspire action. Phase I of the project focused on quality, patient safety, and patient satisfaction data.
Phase II is addressing the integration of other metrics, such as turnover rates and vacancy rates, from
various information sources.
Chart 8
17
Nursing Research
The Department of Nursing is committed to promoting nursing research and research-related activities that
are essential to the development of evidence-based practice, quality outcomes, and innovative patient care
strategies. The Department’s Nursing Research Governing Council and campus-specific Research Councils
facilitate the approval and implementation of research projects and research-related activities; support
research utilization and evidence-based nursing practice using the Stetler Model of Research Utilization; and
develop the core competencies needed for staff nurses to successfully implement evidence-based practice.
Nursing research at NewYork-Presbyterian has now developed outcomes that can be reported with recent
studies, including work environment surveys that identified opportunities for improvement, as well as areas
of excellence. Our surveys showed that the greatest contributors to satisfaction with the work environment
An oncology clinical nurse specialist at NewYork-Presbyterian/
Columbia, Karin Swiencki, RN (left), has been on the frontlines
of cancer care at the Hospital for over two decades. The recipient
of the Advanced Practice Award, she delivered a poster
presentation at the 2007 Annual Oncology Nursing Society
Congress on Nursing Grand Rounds for Management of Deep
Vein Thrombosis, a program she developed and implemented.
were nurse manager support, peer support, and physician/nurse collaboration.
In 2007, the Department’s regional and national presence was increased through 69 presentations and
27 publications. In addition, the Department initiated 11 nursing research projects and continued efforts in
nursing grant acquisition.
Funded Research
• Evaluation of an Automated Approach to Quality Metrics in Telemetry—$150,000 grant from General
Electric
• Automated Fall and Injury Prevention for Behavioral Health—$100,000 grant from the National Institute
of Mental Health
• Nursing Residency Program—$300,000 funded over three years by the Jonas Center for Nursing
Excellence (currently in year two)
• Implementation of Being Warm is “Cool”: Increasing Patient Comfort and Autonomy Through
Perioperative Warming—$5,000 from the DAISY Foundation
18
Completed 2007 Research Projects
• The Use of Aromatherapy to Enhance Sleep in the Addiction Recovery Patient. Harris, B, et al.
• How Nurses Spend Their Time: A Multi-Site Baseline Study in Preparation for Electronic Health Record
Implementation and Evidence-Based Inpatient Unit Design. Manzano, W, and Bufe, G.
(Multi-Site Principal Investigators: Chow, M, and Hendrich, A.) [Secondary data analysis continues.]
Current Research
• Post-Baccalaureate Nursing Residency Program Demonstration Project Evaluation Study. Rivera, R, and
Bufe, G. (Multi-Site Principal Investigator: Krugman, M, University of Colorado Hospital)
• NewYork-Presbyterian Nursing Residency Program. Bufe, G.
• Measuring Nurses’ Individual Perceptions of Workload by Using the Individual Workload Perception
Scale. Bufe, G, and Fisher, M.
• Evaluation of an Automated Approach to Quality Metrics in Telemetry. Bufe, G, Halliday, C, Pettijohn, D,
Rabbani, L, Reyes, D, and Tahan, H.
• Attitudes to Patient Education Documentation. Bufe, G, Garnica, P, and Mellino, L.
• Staff Nurse Perception on Shared Governance. Bufe, G, Mellino, L, and Moreno, J.
• Self Assessment via a Personal Health Record. Currie, L, Bufe, G, Kaufman, D, and Wilcox, A.
• Automated Fall and Injury Prevention for Behavioral Health (AFIP-BH). Currie, L, Brous, ME, Bufe, G,
Repique, RJ, St. John, A, and Espinosa, L.
• Practice Environment Scale—Nurses’ Work Index. Manzano, W, and Bufe, G.
Research Utilization Projects
• Milieu Improvement Project. Espinosa, L, Harris, B, Armstrong-Muth, J, et al.
• Being Warm is “Cool”: Increasing Patient Comfort and Autonomy Through Perioperative Warming.
Tiase, V, Smith, M, Colopinto, K, Pierrel, E, Nicklis, K, and Heckman, B.
19
At NewYork-Presbyterian/Columbia, Melinda Fernandez, RN,
a medical/surgical nurse honored with a Clinical Excellence
Award, is described as “a model of outstanding relationshipbased care and collaborative teamwork,” who works
diligently to strengthen team effectiveness and improve
patient satisfaction.
RECRUITMENT
AND RETENTION
The Department of Nursing is proud of its overall vacancy and turnover rates, both of which are below the
national average. In 2007, the Department of Nursing hired 765 new Registered Nurses, and 475 Registered
Nurses were hired as of November 2008. The following initiatives continued as part of the Department’s
focused efforts on recruitment and retention.
NYU Wagner Master of Science in Management: Concentration for Nurse Leaders Recognizing that the role
of the nurse leader is one of the most critical in contemporary healthcare organizations, the Department of
Nursing partnered with the New York University Wagner Graduate School of Public Service in 2006 to develop
a Master of Science in Management degree program designed specifically to offer nursing leaders the
management skills and leadership experiences necessary to assume administrative roles in today’s complex
healthcare organizations. The program serves the educational needs of nurses who seek to advance to
positions of greater leadership or wish to be more effective in their current nurse leader roles. In September
2007, the program welcomed its first cohort with 25 NewYork-Presbyterian nurses enrolled. A second group of
20 began the program in September 2008. The new graduate degree includes customized core courses using
nursing management case studies based on actual NewYork-Presbyterian situations. They are developed
and taught by NYU Wagner faculty, and senior leaders from NewYork-Presbyterian are guest lecturers.
RN Turnover Rates
RN Vacancy Rates
22007
007 Benchmark Data
22007
007 Benchmark Data
National (AS
HHR A)
(ASHHRA)
Nursing: 77.8%
.8%
.
(ASHHRA)
National (AS
HHR A)
Nursing: 114.2%
4.2%
Ne
w YYork
oork State: 8.8%
New
New
Ne
w YYork
ork State: 113%
3%
Ne
wYork
ork-Presby
Presbyterian
NewYork-Presbyterian
Registered Nurses
22006:
006:
4,
119
4,119
22007:
007:
4,3
42
4,342
22008
008 YYTD:
TD:
4,5
23
4,523
2006
2006
22007
007
NewYork-Presbyterian/Columbia
Ne
wYork-Presbyterian/Columbia
77.72
.7
. 2
4.566
4.5
October 22008
008 Y
YTD
TD
3.64
NewYork-Presbyterian/Columbia
Ne
wYork-Presbyterian/Columbia
Ne
wYork-Presbyterian/Weill Cornel
NewYork-Presbyterian/Weill
Cornelll
5.12
5.12
4.82
2.84
Ne
wYork-Presbyterian/Weill Cornel
NewYork-Presbyterian/Weill
Cornelll
2006
2006
22007
007
8.555
8.5
8.877
8.8
October 22008
008 Y
YTD
TD
8.700
8.7
12.50
12.50
12.01
12.01
9.37
9.37
8.38
8.38
8.66
6.57
6.57
Morgan Stanley Children’s Hospital
110.43
0.43
8.222
8.2
110.01
0.01
13.95
13.95
12.77
12.77
7..49
7.49
Westchester
W
estchester Division
18.10
18.10
18.72
18.72
5.71
5.71
The Allen PPavilion
avilion
4.911
4.9
77.20
.2
. 0
3.83
The Allen PPavilion
avilion
77.55
.5
. 5
8.86
NewYork-Presbyterian
Hospital
Ne
wY
Yoork-Presbyyterian Hospit
al
6.67%
6.6
7%
5.67%
5.6
7%
3.87%
3.8
7%
NewYork-Presbyterian
Hospital
Ne
wY
Yoork-Presbyyterian Hospit
al
110.63%
0.63%
110.41%
0.41%
Morgan Stanley Children’s Hospital
W
estchester Division
Westchester
Chart 9
6.86
6.86%
Chart 10
20
NewYork-Presbyterian Hospital
Nursing Recruitment and Retention Strategies At a Glance
Nursing Leadership Academy The Nursing Leadership
Academy is a program of the Nursing Executive Center of the
Health Care Advisory Board in Washington, DC. The Nursing
Leadership Academy assists NewYork-Presbyterian’s nurse
leaders to develop skill sets such as prioritization, staff
development, and business and clinical acumen. In 2007 and
2008, topics included facilitating effective teamwork,
fundamentals of nursing finance, managing conflict, optimizing
core processes, data-driven departmental leadership, and
instilling accountability at the frontline.
Work Environment Surveys In the second quarter of 2007,
surveys were distributed to staff online to identify
characteristics associated with the work environment at
NewYork-Presbyterian. Major themes from all the surveys
indicated the following satisfiers: nurse manager support, peer
support, and physician/nurse collaboration. Nursing leadership
continues to use the results of these surveys, along with the
results of the employee opinion survey, to identify and
implement strategies to improve the work environment of
Registered Nurses.
Recruitment
Retention
Nursing and Human Resources
Partnership
• Established Recruitment and
Retention Committee
• Conducted campus recruitment and
retention meetings
Leadership Development
• Managing for Excellence
• Nursing Leadership Academy through
the Nursing Advisory Board
• NYU Wagner Master’s Program
Corporate Recruitment Structure
• Applicant screening
• Timely responses to inquiries
• Interviewing and hiring practices
External Partnerships
• With advertising company
• With nursing schools
Recruitment Events
• Hosted open houses, off-site events,
and professional events
• Held programs for nursing school
program directors and diversity
organizations
• Sponsored continuing education
programs
• Presented at local and national
meetings
• Held student nurse forums
• Held meetings for deans and
directors
Nurse Extern Program
Critical Care Internship
Nursing Residency Programs
21
Mentoring Programs
• Preceptor Programs
• Nursing Residency Programs
Orientee Breakfasts/Lunches
Professional Practice Councils
• Shared governance
Satisfaction Surveys
• Employee feedback
• Nursing Work Environment Surveys
Clinical Ladder
Awards and Recognition
• Annual Clinical Nursing Excellence
Awards
• Physician of the Year Awards
• LPN and Ancillary/Support Staff
Awards
Competitive Salary and Benefits
NOTABLE
ACHIEVEMENTS
The Department of Nursing staff consistently earn local, regional, and national recognition for their outstanding
work and professional achievements, deliver presentations at national and international professional conferences,
and are published in peer-reviewed journals and distinguished nursing magazines. In 2007-2008, the following
individuals were honored for their professional accomplishments.
Awards and Recognition
Nursing Spectrum 2008 Nursing
Excellence Award Finalist
Vinni Genovese Scheck, RN, BSN,
MPH
Director of Nursing
Medical/Surgical
NewYork-Presbyterian/Columbia
NewYork-Presbyterian Hospital
President’s Circle Leadership
Award
2007
Margaret (Peggy) Quinn, RN, MPH
Director, Quality and Regulatory
Compliance
Morgan Stanley Children’s Hospital
2008
Lourdes V. Mellino, MA, MEd, RN,
NEA-BC
Director, Professional Nursing
Practice
NewYork-Presbyterian Hospital
2008 Nursing Excellence
Award Winners
NewYork-Presbyterian/Columbia
Advanced Practice Award
Karin Swiencki, RN
Oncology Clinical Nurse Specialist
Medical/Surgical Oncology
Clinical Excellence Award
Filomena Abarro, RN
Clinical Nurse II
Specialty Nursing
Florence Bautista, RN
Adult Chemotherapy Nurse
Medical/Surgical Nursing
Mary Burke, RN
Clinical Nurse III
Critical Care Nursing
Melinda Fernandez, RN
Clinical Nurse I
Medical/Surgical Nursing
Estela Padron, RN
Clinical Nurse I
Ambulatory Care Nursing
Nursing Leadership Award
Mary Ann Abuedo, RN
Patient Care Director
Perioperative Nursing
Rookie of the Year Award
Ayn Daday, RN
Clinical Nurse I
Perioperative Nursing
Morgan Stanley Children’s Hospital
Clinical Excellence Award
Lisa Murray, RN
Clinical Nurse III, Women and
Children’s Health Nursing
Rebecca Vogel, RN
Clinical Nurse I, Women and
Children’s Health Nursing
22
The Allen Pavilion
Clinical Excellence Award
Susan Villapaz, RN
Clinical Nurse I
Perioperative Nursing
NewYork-Presbyterian/
Weill Cornell
Clinical Excellence Award
Patricia Jones-Williams, RN
Staff Nurse, Emergency Nursing
Cassandre Leon, RN
Senior Staff Nurse
Ambulatory Care Nursing
Laverne Mangum, RN
Senior Staff Nurse
Behavioral Health Nursing
Sara Marano, RN
Nurse Clinician
Critical Care Nursing
Daisy Mercado, RN
Staff Nurse
Women and Children’s Health Nursing
Joanne Modica, RN
Patient Care Director
Surgical Nursing
Kate Morris, RN
Staff Nurse
Medical/Surgical Nursing
Rosalba Ordieres, RN
Senior Staff Nurse
Perioperative Nursing
Alba Reyes, RN
Senior Staff Nurse
Surgical Nursing
Helen S. Tanenbaum Award
Wanda Cennerazzo See, NP
Manager
Hyperbaric Medicine Program
Adult Nurse Practitioner
Department of Surgery
Westchester Division
Excellence in Nursing Award
Joanne C. Giblin, BSN, RN
Staff Nurse
Susan D. Lantz, BA, BSN, RN
Staff Nurse
Presentations
Alden, NE, Jones, LM, Barillo, D,
Rabbitts, A, and Yurt, RW: Burn
Outreach: Who, What, Where and
How. American Burn Association.
Alden, NE, Scheimberg, J,
Rabbitts, A, Vela, J, Bessey, PQ,
and Yurt, RW: Characterizing the
Uninsured in the Burn Center.
American Burn Association.
Aponte, J, and Torres, M: Taxicab
Driver and Community Health Fair.
National Association of Hispanic
Nurses 32nd Annual Conference.
Armstrong-Muth, J: Advancing
Care: Creating a Restraint-Free
Environment and Patient-Centered
Care: Structures for Activities of Daily
Living. Poster Presentation. American
Psychiatric Nurses Association
Annual Convention.
Barrell, C, Violago, L, Roberts, A,
and Hope, K: HHV6 Reactivation in
Children after Blood and Marrow
Transplantation: A Case Report.
Association of Pediatric
Hematology/Oncology Nurses.
Bessey, PQ, Alden NE, and Yurt,
RW: Does Ventilator-Associated
Pneumonia Affect Outcome Following
Burns? American Burn Association.
Brous, E: Implementation of the
Planetree Model of Patient-Centered
Care in Behavioral Health. Annual
Planetree Conference.
Boyle, S: Leadership Infrastructure.
Robert Wood Johnson Executive Nurse
Annual Conference.
Boyle, S: Leadership Infrastructure.
American Academy of Nursing
34th Annual Meeting.
Bybel, B: Catching Them Being
Good: Social Learning Principles in
Action on a Children’s Inpatient Unit.
American Psychiatric Association
Institute on Psychiatric Services
Conference.
Bybel, B: Restraint Reduction in a
Social Learning Program with the SMPI
Population. NewYork-Presbyterian
Quality and Patient Safety Symposium.
Conlin, T, Alden, NE, Rabbitts, A,
and Yurt, RW: Central Venous Line
(CVL) Practices Among Burn Care
Providers: A National Survey.
American Burn Association.
23
Davis, B: Newborn Temperature
Study. Regional Perinatal Centers’
Nursing Annual Conference.
Davis, B: Newborn Temperature
Study. March of Dimes Conference.
Deely, P: Redesigning the Outpatient
Visit. Universal Health System
Consortium Ambulatory Care and
Group Joint Practice Meeting.
Espinosa, L: One Hospital’s
Methodology to Redefine Inpatient
Care—Milieu Improvement Project.
American Psychiatric Nurses
Association Annual Convention.
Finck, A: Neurological Priorities for
the Adult NP. Boston College.
Fisher, A: Effects of Substance
Abuse on the Body. Westchester
Community College Health Fair.
Franklin, M: Stop CAI-Impact of
Nursing Implementation of
Maintenance Bundle in CAI Reduction.
NewYork-Presbyterian Quality and
Patient Safety Symposium.
Gallo, N, Alden, NE, Grant, D, and
Yurt, RW: New Procurement Cultures:
Impact on Availability of Allograft and
Infectious Complications. American
Burn Association.
Garnica, P: Diabetes Management in
the Hospital Setting: Latest Clinical
Practices. National Hispanic Nurses
Association 32nd Annual Conference.
Lori Armstrong, MS, RN, Vice President of Nursing
and Patient Care Services, Morgan Stanley Children’s
Hospital of NewYork-Presbyterian (right), presents the
Clinical Excellence Award to Rebecca Vogel, RN,
Women and Children’s Health Nursing.
Daisy Mercado, RN, Women and Children’s Health Nursing
(second from left), is congratulated on her Clinical Excellence
Award by (left to right) Suzanne Boyle, DNSc, RN, Vice President
of Nursing and Patient Care Services, and Laura L. Forese, MD,
MPH, Senior Vice President and Chief Operating Officer,
NewYork-Presbyterian/Weill Cornell, and Herbert Pardes, MD,
President and CEO, NewYork-Presbyterian Hospital.
Golub, Z: Helping Parents Achieve
Breast-feeding Success in the NICU.
Westchester/Putnam/Rockland
Lactation Consortium.
Golub, Z: Ethical Dilemmas in
Psychiatric Illness: Cases from
Pediatrics, Medicine and Psychiatry.
Panelist, Grand Rounds. Psychiatric
Institute.
Hopgood, BC, Bessey, PQ, Alden,
NE, and Yurt, RW: Airway Pressure
Release Ventilation (APRV) in Burns:
Does the Mode Matter? American
Burn Association.
Hunter, H, Alden, NE, and Yurt,
RW: Addressing Sexuality with Burn
Survivors. American Burn Association.
Harris, E: Aromatherapy. American
Psychiatric Nurses Association
Annual Convention.
Harris, E: The Stigma of Mental
Illness. Psychiatric Nursing Update.
Harris, E: Self-disclosure in Psychiatric
Nursing. Psychiatric Nursing Update.
Hawks, R: AM Clinical Trials with COG:
Sharing the Successes and Challenges
with the COG Nurses. Children’s
Oncology Group Nursing Conference.
Hyman, S: Operation Come Clean—
A Novel Approach to Improving Hand
Hygiene Compliance. NewYorkPresbyterian Quality and Patient
Safety Symposium.
Iacono, L: Assessing GCS in
Neurotrauma Patients. Trauma
Symposium.
Iacono, L: Nursing Care of Acute Stroke
Patient. Second Annual Treatment and
Prevention of Stroke in African
Americans and Hispanic Populations:
Closing the Gap in Stroke Disparities.
New York Academy of Medicine.
Iacono, L: Deep Vein Thrombosis
Prophylaxis in Traumatic Brain Injury
Patients. Brain Trauma Foundation
Webinar Lecture Series.
Iacono, L: Prehospital Management
of Traumatic Brain Injury. EMS
Lecture Series.
Jablow, J: Personality Disorder. New
York Association of Collaborative
Professionals.
Kaplan, M: Size Matters: Benefits of
Healthy Diet and Physical Activity.
Foot Locker Corporation.
Kramer, N, and O’Neil, L: Perinatal
Safety Update. MCIC Vermont Inc.
24
Kyne, C, and McGill, S: Pediatric
Ventricular Assist Devices. Northeast
Pediatric Cardiology Nurses
Association.
Long, BB: Newborn Risk Assessment.
Obstetric Nursing Conference,
Freetown, Sierra Leone.
Long, BB: Shoulder Dystocia.
Obstetric Nursing Conference,
Freetown, Sierra Leone.
Long, BB: HIV in Pregnancy.
Obstetric Nursing Conference,
Freetown, Sierra Leone.
Long, BB: Postpartum Hemorrhage.
Obstetric Nursing Conference,
Freetown, Sierra Leone.
Long, BB: Sickle Cell Disease in
Pregnancy. Obstetric Nursing
Conference, Freetown, Sierra Leone.
Long, BB: Care of the Child with
Asthma and Care of the Child with
Diabetes Mellitus. New York State
Department of Health School Nurses.
Manzano, W: Nursing and
Procurement and Strategic Sourcing
Collaboration. The Health Management
Academy CNO and CFO Forum.
Manzano, W: Improving Organizational
and Cultural Commitment Among
Nurses: A Framework for Leading
Positive Change. NYU Wagner School.
Manzano, W: Focusing on
Leadership: A Quality and Business
Imperative. Advance for Nurses.
Masterson, R, Alden, NE, Gibbons, L,
Rabbitts, A, Ramos, L, and Yurt, RW:
Identification of Risk Factors for Topical
Fungal Infections Among Burn Injured
Patients. American Burn Association.
Maurer, M, Dubin, S, Costley, A,
and McCabe, S: Reproducibility of a
Computerized Version of the Clinical
Comprehensive Assessment and Referral
Evaluation (Clin-Care) for Identification
of Early Markers of Function Decline in
Community Dwelling Elderly. The
Columbia Cooperative Aging Program
(CCAP). American Geriatric Society.
Mellino, L: Engaging Professional
Nursing Staff and Executive Leadership
in Pressure Ulcer Prevention at a 2,200+
Bed Academic Teaching Hospital Using
NDNQI Pressure Ulcer Prevalence Data.
Second Annual National Database of
Nursing Quality Indicators Conference
2008.
Moran, J: NCLEX Review Course for
New Graduates. Feuer Nursing Review.
O’Sullivan, G, Alden, NE, Gibbons,
L, Henderson, A, Rabbitts, A,
Guglin, M, and Yurt, RW: Recovery
of Postoperative Patients in the Burn
Center: A Pilot Study. American Burn
Association.
Peart, D: Diabetes and Hypertension
Prevention and Treatment. New York
State Association of the Improved
Benevolent Order of the Elks of the
World.
Persky, G: Relationship-Based Care.
Summit of the Sages International
Conference.
Persky, G: Relationship-Based Care:
Impact on Safety, Quality and
Satisfaction. Sigma Keynote Address.
Theta Tau, Alpha Zeta Chapter.
Pia, R: Organizational Readiness and
Emergency Preparedness. NewYorkPresbyterian Quality and Patient
Safety Symposium.
Presciutti, M: Therapeutic Temperature
Modulation—A Nursing Perspective.
Nassau County American
Association of Critical Care Nurses.
Rodriguez, L: Cognitive Behavioral
Therapy for Affective Disorders.
Contemporary Forums.
Romana, M: Ethical Dilemmas in
Psychiatric Nursing Care. Psychiatric
Institute.
Saddul, R: Clinical Information
Systems and Nurse Informaticists.
Philippine Nursing Association,
New York Chapter.
Swiencki, K, and Kaiser, J: Decreasing
Hospital Acquired DVT. Oncology
Nursing Society Annual Meeting.
Seley, JJ, and Valentino, L: Diabetes
Case Management: Smoothing the
Transition from Hospital to Home.
American Association of Diabetes
Educators Annual Meeting.
25
Seley, JJ: Living Well with Diabetes
and HIV. National Nutrition in AIDS
Conference.
Seley, JJ: Managing Diabetes in
Acute Care: It Takes a Village. VHA
Leadership Conference.
Smith, M: Improve the Effectiveness
of Communication Among Caregivers:
Eliminate Unauthorized Abbreviations
on the Hospital Medical Record.
NewYork-Presbyterian Quality and
Patient Safety Symposium.
Tahan, H: Quality Metrics Reporting:
Using Telemetry ATA to Drive Quality
and Patient Safety. NewYorkPresbyterian Quality and Patient
Safety Symposium.
Waters, L: Innovative Surgical
Treatment of Pediatric Chest Wall
Deformity. Association of periOperative
Registered Nurses, New York Chapter.
Woyce, M, Ramos, M, Reilly, P,
and Toledo, J: Implementing Shared
Governance on the Unit Level.
Association of Pediatric Hematology/
Oncology Nurses.
Yurt, RW, Lazar, E, Alden, N,
Cagliuso, N, Rabbitts, A,
Akkapeddi, V, Cooper, A, Dajer, A,
Delaney, J, Mineo, FP, Silber, SH,
Soloff, L, and Mozingo, D: Burn Mass
Casualty Incident (MCI) Response
Planning: An Urban Community’s
Approach. American Burn Association.
Publications
Alden, NE, Bessey, PQ, Rabbitts,
A, Hyden, PJ, and Yurt, RW: Tap
Water Scalds Among Seniors and the
Elderly: Socio-economics and
Implications for Prevention. Burns.
33(5):666-9.
Barrell, C: Juvenile Metachromatic
Leukodystrophy: Understanding the
Disease and the Implications for
Nursing Care. Journal of Pediatric
Oncology Nursing. Mar-Apr; 24(2):64-9.
Review.
Dubin, S: When the Patient Suffers:
Optimization of Transitions Between
Care Facilities. Geriatric Nursing.
28(5):298-300.
Dubin, S: An Interview with
Geriatric Nurse Practitioner Shelly
Dubin. Nursing Spectrum.
Dunleavy, K: Putting a Dent in Pressure
Ulcer Rates. Nursing. Jan; 38(1):20-1.
(2008)
Espinosa, L: One Hospital’s
Methodology to Redefine Inpatient
Care. Abstract. American Psychiatric
Nursing Association. (2008)
Espinosa, L, and Castelli, C: Who
Will Care for the Mentally Ill? How
One Hospital is Addressing the
Nursing Shortage. Mental Health
News. Spring 2007.
Susan Villapaz, RN, Perioperative Nursing, The Allen Pavilion
(center), is recognized for her Clinical Excellence Award by
(left to right) Robert E. Kelly, MD, Group Senior Vice President,
Chief Operating Officer, and Chief Medical Officer, NewYorkPresbyterian/Columbia; Wilhelmina M. Manzano, MA, RN, NEABC, Senior Vice President and Chief Nursing Officer, NewYorkPresbyterian Hospital; Debra O’Hehir, MSN, MBA, RN, Vice
President of Nursing and Patient Care Services, The Allen
Pavilion; and Steven J. Corwin, MD, Executive Vice President
and Chief Operating Officer, NewYork-Presbyterian Hospital.
Harris, E: Psychopharmacology.
Psychiatric Mental Health Nursing.
O’Brien, PG, Kennedy, WZ and
Ballard, KA, Editors. Book Chapter,
pp 89-108. (2008)
Kovner, C, Brewer, C, Cheng, Y,
and Djukic, M: Work Attitudes of
Older RNs. Policy, Politics & Nursing
Practice. 8(2):107-119.
Kovner, C, Brewer, C, Fairchild, S,
Poornima, MS, Kim, H, and Djukic, M:
Newly Licensed RNs’ Characteristics,
Work Attitudes, and Intentions to
Work. American Journal of Nursing.
107(9):58-70.
Long, BB: Columbia University
Medical Center Nurses on Humanitarian
Mission to Sierra Leone. Report. New
York State Nurses Association.
Lubit, CC, Seley, JJ, Rivera, C, Sinha,
N, and Brillon, DJ: The Perils of
Inpatient Hyperglycemia Management:
How We Turned Apathy into Action.
Diabetes Spectrum. 20:18-21.
Peeples, M, and Seley, JJ: Diabetes
Care: The Need for Change. American
Journal of Nursing. 107 (Suppl 6):13-19.
Persky, G: Profile of a Caring Nurse.
Nursing Administration Quarterly. 32
(1):15-20. (2008)
Persky, G, and Bakken, S: Validation
of the HES. Journal of Nursing
Administration. Publication Pending.
(2008)
Puterbaugh, S: A New Reflex:
Education Does Not Solve Every
Problem. American Journal of Nursing.
107(8):11.
Repique, RJ: Computers and
Information Technologies in
Psychiatric Nursing. Perspectives in
Psychiatric Care. 43(2):77-83.
Rodriguez, L: Making Patients
Happy. Advance for Nurses. 7(8):24-27.
Rodriguez, L: A Closer Look: The
Benefits and Effectiveness of
Cognitive Behavioral Therapy on a
Female Specific Unit for Treatment of
Bipolar Disorder. Issues in Mental
Health Nursing. 28(5):533-542.
Romana, M: Debriefing After a Crisis:
Helping Professional Staff Rebalance.
Journal of Nursing Management.
26
Romana, M: Position Statement on
Use of Restraints and Seclusion.
Panel member for position paper.
American Psychiatric Nursing
Association.
Seley, JJ, and Merkin, S: Tips for
Successful Blood Sugar Monitoring.
Diabetes Health. April 3rd, 2007 online.
http://www.diabeteshealth.com/read/
2007/04/03/5063.html.
Seley, JJ, and Weinger, K: The State
of the Science on Nursing Best Practices
for Diabetes Self-Management. Guest
Editor. American Journal of Nursing.
107 (Suppl 6).
Seley JJ, Weinger K, and Mason,
DJ: Editorial: Diabetes Self-Care: A
Challenge to Nursing. American
Journal of Nursing. 107 (Suppl 6):4-5.
Seley, JJ, and Weinger, K:
Executive Summary: The State of the
Science on Nursing Best Practices for
Diabetes Self-Management. American
Journal of Nursing. (Supp 6):6-11.
Villar, L: Quality of Life of Newborns.
Advance for Nurses. 7 (2).
Vitale, M, Privitera, D, Mastsumoto,
H, Gomez, J, Waters, L, Hyman, J,
and Roye, D: Efficacy of Preoperative
Erythropoietin Administration in
Pediatric Neuromuscular Scoliosis
Patients. Spine. 32 (24).
CHARTS SUMMARY
Chart
Clockwise, from left: At the Westchester Division, Susan D. Lantz, BA, BSN,
RN (at left), is recognized as a valued member of the multidisciplinary healthcare team that provides care to adolescent patients; Filomena Abarro, RN,
ensures the optimal safety and comfort of patients undergoing GI endoscopy
or bronchoscopy procedures at NewYork-Presbyterian/Columbia; Rosalba
Ordieres, RN, is a key member of the operating room staff at NewYorkPresbyterian/Weill Cornell; Wanda See, NP, who oversees the operations of
the Hyperbaric Medicine Program at NewYork-Presbyterian/Weill Cornell,
received the 2008 Helen S. Tanenbaum Nursing Award recognizing her outstanding dedication to the highest standards of patient care and practice
excellence; and at NewYork-Presbyterian/Columbia, Mary Burke, RN, is
heralded for her outstanding knowledge and expertise by her colleagues in
the Neuroscience Intensive Care Unit.
27
Page
1 Scope of Nursing Services
6
2 Nursing Demographics by Age
7
3 Percent of Direct Care Nurses with
Bachelor of Science in Nursing
7
4 Fall-Injury Rate
9
5 Restraint Prevalence and Compliance—
Adult ICU Units
10
6 Restraint Prevalence and Compliance—
Adult Non-ICU Units and Behavioral Health
10
7 Service Excellence: Press Ganey Increased
Patient Satisfaction with Nursing Care
12
8 School of Nursing Affiliations
17
9 RN Vacancy Rates
20
10 RN Turnover Rates
20
Wilhelmina M. Manzano, MA, RN, NEA-BC
Senior Vice President and Chief Nursing Officer
(212) 305-7872
manzano@nyp.org
Vice Presidents of Nursing
and Patient Care Services
Center for Professional
Nursing Practice
Lori Armstrong, MS, RN
Vice President of Nursing
and Patient Care Services
Morgan Stanley Children’s
Hospital of NewYork-Presbyterian
(212) 305-3223
loa9009@nyp.org
Gina M. Bufe, PhD, RN
Director, Education,
Quality, and Research
(212) 342-1616
gib9002@nyp.org
Suzanne Boyle, DNSc, RN
Vice President of Nursing
and Patient Care Services
NewYork-Presbyterian Hospital/
Weill Cornell Medical Center
(212) 746-4623
smb9009@nyp.org
Linda S. Espinosa, MS, RN
Vice President of Nursing
and Patient Care Services
Westchester Division of
NewYork-Presbyterian Hospital
(914) 997-4342
lespinos@nyp.org
Debra O’Hehir, MSN,
MBA, RN
Vice President of Nursing
and Patient Care Services
The Allen Pavilion of
NewYork-Presbyterian Hospital
(212) 932-4178
deo9004@nyp.org
Georgia J. Persky, MBA, RN,
NEA-BC
Vice President of Nursing
and Patient Care Services
NewYork-Presbyterian Hospital/
Columbia University Medical
Center
(212) 305-0095
gjp9001@nyp.org
Lourdes V. Mellino, MA, MEd,
RN, NEA-BC
Director,
Professional Nursing Practice
(212) 305-0694
lvm9001@nyp.org
MariLou Prado-Inzerillo,
MA, RN
Director, Nursing Operations
and Credentialing
(212) 297-5733
mrp9002@nyp.org
Mary E. Quinn, MSN, RN
Director, Quality-Nursing
Innovation
(212) 297-4375
meq9001@nyp.org
Reonel Saddul, MSN, MPA,
RN, CPHIMS, CPHQ
Director, Nursing Informatics
(212) 746-4088
res9004@nyp.org
Maria A. Stang, CPA, BA
Director,
Nursing Finance
(212) 297-4220
mstang@nyp.org
Rosemary Sullivan, MA, RN
Director,
Nursing Special Programs
(212) 746-5663
ros9022@nyp.org
Top row, left to right: Nursing and
Patient Care Services at each site are
ably led by Suzanne Boyle, DNSc, RN,
NewYork-Presbyterian/Weill Cornell
(front row, third from left); Debra O’Herir,
MSN, MBA, RN, The Allen Pavilion;
second row, Linda S. Espinosa, MS, RN,
Westchester Division (at right); Lori
Armstrong, MS, RN, Morgan Stanley
Children’s Hospital (center); third row,
Georgia J. Persky, MBA, RN, NEA-BC,
NewYork-Presbyterian/Columbia, and
members of their management teams.
The Department of Nursing wishes to acknowledge Herbert Pardes, MD, President and Chief
Executive Officer, and Steven J. Corwin, MD, Executive Vice President and Chief Operating Officer,
for their continued support to the Department of Nursing which enables all of our nurses in the
organization to continue to practice and provide safe, quality nursing care to the patients we serve.
28