John C. Lincoln Our Turn: A Nursing Perspective

Our Tur

A Nursing Perspective

JCL.com Our Turn | A Nursing Perspective

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Mission Our mission is to assist each person entrusted to our care to enjoy the highest quality health care possible and to work with others to build healthy communities.

Vision We will be a clinically integrated health care delivery system that is the health provider of choice in Phoenix and recognized nationally for quality, service and community programs.

Values People At the heart of all we do is respect for people. We seek to create a respectful and collaborative environment in which patients, visitors, co-workers, clients, clinicians and volunteers are all valued.

Quality, Safety and Efficiency We measure ourselves against the highest benchmarks of quality and safety while maintaining and continuously improving our efficiency, effectiveness and our capacity to heal and to help.

Community Benefit We anticipate community needs and find new ways to meet them. We do this through increasing community access to health services, and by providing service programs that foster sustainability.

Financial Stewardship Wise financial stewardship honors the resources that are the result of the hard work of our team members and the trust of donors. It provides a foundation for sustaining our mission and thriving in the future.

Growth and Regional Collaboration Positive, well-managed growth and collaboration to integrate care allows us to impact and positively influence more lives.

Clinical Integration We believe that patients can be best served through a collaborative and integrated partnership of hospitals, physicians and payors; along with other providers and care facilities.

C.A.R.E. Service Standards We maintain the highest measure of ethics and quality possible in every encounter with each individual person we serve. This is reflected in the following standards of care and service: Compassion ■ Collaboration ■ Communication ■ Accountability ■ Appearance Respect ■ Responsiveness ■ Excellence

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From the CNOs The John C. Lincoln Health Network is committed to providing the best experience for patients and families and to building a great workplace.

Our nurses enjoy their work environments and appreciate the opportunities.

The result is a much lower turnover rate than the average for Arizona hospitals, no registry nurses and only a few traveling nurses during the high season, and seasoned nursing staff in all departments.

Maggi Griffin

All this contributes to an encouraging, supportive and stimulating environment for nurses.

We place no limit on how far our nurses can go in our organization. We are proud and fortunate to have nurses in top leadership roles, so you can count on being valued and understood when you join our nursing team.

We are a not-for-profit health network with extensive community outreach programs and the largest primary care physicians group in the Valley. We also are different in the way we serve our community and in the way we are poised to thrive in the future.

Our success starts with asking the best nurses to join our health care team.

Jessica Rivas

Thank you for considering John C. Lincoln. We look forward to meeting you and answering your questions!

Warmly,

Maggi Griffin, RN, MS Vice President & Chief Nursing Officer John C. Lincoln North Mountain Hospital

Jessica Rivas, RN, MSN, CENP, NEA-BC Vice President & Chief Nursing Officer John C. Lincoln Deer Valley Hospital

Chief Nursing Officer John C. Lincoln Health Network

Our Turn | A Nursing Perspective

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Our Hospitals John C. Lincoln North Mountain Hospital and John C. Lincoln Deer Valley Hospital offer the latest diagnostic and treatment options for patients including cardiac care, pulmonary care, orthopedic surgery, spine and neuro care, reconstructive surgery, stroke care, gastroenterology, breast care, emergency treatment, medical imaging, and outpatient surgery. John C. Lincoln Sonoran Health and Emergency Center, located on I-17 south of the Carefree Highway, opens in December 2013.

Both hospitals have been nationally recognized for delivering high quality, efficient and consistent care and have received the highest accreditations possible for heart care as accredited Chest Pain Centers, designated Cardiac Arrest Centers and Heart Failure Centers.

Magnet and Magnet Journey John C. Lincoln North Mountain Hospital was first in the Valley to be granted Magnet status, the highest designation for nursing care, by the American Nurses Association. North Mountain Hospital also was the first medical facility in the Phoenix area to reconfirm Magnet status. The designation places the hospital among the nation’s top 7 percent of hospitals for nursing care.

John C. Lincoln Deer Valley Hospital’s application to be on the Magnet Journey was accepted in December 2012. Although it’s a two-year process to complete the paperwork, a hospital is expected to be Magnet-ready when the application is submitted for the Magnet Journey.

Magnet is the highest recognition for nursing excellence a hospital can achieve. According to the American Nurses Credentialing Center, research shows that Magnet hospitals have lower RN turnover, improved patient satisfaction, better clinical outcomes and a higher percentage of satisfied RNs.

John C. Lincoln Deer Valley Hospital John C. Lincoln Deer Valley Hospital serves the north Phoenix metropolitan area as well as northern Arizona with a provisional Level III Trauma Center and pediatric care.

The hospital is home to the Virginia G. Piper Pediatric Center of Excellence with its 24/7 Children’s Emergency Center, Mendy’s Place, and KidsZone, the inpatient pediatric unit. Its Emergency Center has a Pediatric-Prepared Emergency Care certification from the Arizona Chapter of the American Academy of Pediatrics and the Arizona Department of Health Services.

Its overall care ranks among the top 5 percent of hospitals in the country for clinical excellence as determined by publicly reported data to the Centers for Medicare & Medicaid Services.

Deer Valley is one of seven Arizona hospitals designated as a Blue Distinction Center for Knee and Hip Replacement by Blue Cross Blue Shield and also is designated as a UnitedHealthcare Premium Total Replacement Center. It is the only hospital in Arizona to receive a Premier QUEST Award for High Value health care and the first Arizona hospital to receive the Arizona Pioneer Award for Quality from the Arizona Quality Alliance. »» JCL.com/deervalley

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John C. Lincoln North Mountain Hospital As one of eight Level I Trauma centers in Arizona, John C. Lincoln North Mountain Hospital pioneered trauma training and emergency care in the Valley.

The American Association of Critical-Care Nurses (AACN) awarded the Cardiovascular Intensive Care Unit and the Intensive Care Unit at John C. Lincoln North Mountain Hospital with Beacon Awards for Critical Care Excellence. The ICU was the first in Arizona and the 30th in the country to receive this designation.

North Mountain Hospital is certified as a Primary Stroke Center

by DNV Healthcare and received the American Heart Association/ American Stroke Association’s Get With The Guidelines - Stroke Silver Quality Achievement Award.

North Mountain is home to Specialty Surgical Care, a new inpatient post-surgical unit with patient experience scores in the top 5 percent of hospital units in the country. »» JCL.com/northmountain

John C. Lincoln Physician Network Primary care offices, specialty practices, and immediate and urgent care centers serve the health needs of families in Phoenix, Cave Creek, Anthem, Glendale, Peoria and north Scottsdale through the John C. Lincoln Physician Network. The Network’s medical practices include physicians in family practice and internal medicine as well as specialists in gynecology, cardiology, gastroenterology, pulmonology, homeopathic medicine and audiology.

John C. Lincoln physicians provide the excellent level of care associated with our Network as well as continuity of care and seamless communication between physicians and hospitals through JCL Connect, our electronic health record system.

Patients, physicians and hospitals now work more closely together in the Accountable Care Organization (ACO) created and approved for the John C. Lincoln Health Network by the Centers for Medicare & Medicaid Services. An ACO is a group of health care providers who work together to share responsibility for the cost and care of a designated group of patients over a period of time. »» JCL.com/practices

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Nursing at John C. Lincoln

JCL Connect, Our Electronic Health Record

Transforming Care at the Bedside

JCL Connect, our electronic health record system, has been implemented at both hospitals and our physician practices to increase care coordination through one patient, one record. In preparation for the transition to JCL Connect, nurses collaborated with other disciplines to standardize processes at both hospitals, introduced best evidence practices and modified work plans to work within JCL Connect. Our ability to provide the best care to the patient improves with the use of the patient portal, JCLMyChart.

North Mountain’s Medical/Surgical unit and Deer Valley’s Telemetry unit partnered with the American Organization of Nurse Executives to start an innovative program called “Transforming Care at the Bedside,” or TCAB. Supported by the Robert Wood Johnson Foundation and the Institute for Health Care Improvement, TCAB was designed to empower nurses to redesign work processes to achieve better clinical outcomes, improve the quality of patient care and reduce staff turnover.

Continuous Improvement

Research and Evidence-based Practice

John C. Lincoln Network has adopted a Continuous Improvement model which encourages frontline employees, especially bedside nurses, to be involved in the ongoing effort to always review and improve every aspect of what we do.

John C. Lincoln Hospitals promote an Evidence-based Practice environment to promote positive outcomes. It offers nurses an Evidence-based Practice (EBP) Fellowship, during which they can learn about research and EBP through an interactive learning practicum guided by a PhD nurse researcher that results in a fullfledged EBP project.

This involves smaller projects and larger multi-disciplinary process improvement projects and is another way for nurses to have input into changes that improve patient care.

Shared Leadership Nurses in both John C. Lincoln Hospitals have a strong voice through a shared leadership model.

Nurses at all levels are empowered to participate in decision making regarding the issues that affect patient care and their work environment through their unit/department-based councils, special nursing practice councils, a shared leadership council and ACT teams. ACT teams are employee-led and employee-driven committees who review and implement improvement ideas from other employees in their departments.

Nurses also participate in multi-disciplinary Continuous Improvement projects to redesign processes that ultimately affect patient care and organizational performance.

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Several of our nurses’ projects have been presented at state and national conferences and selected for publishing in peer-reviewed journals. A project on the early recognition of delirium in trauma patients at North Mountain received the 2012 national Sylvia Moss Brown Award for Excellence and a $10,000 grant.

Professional Development Nurse Exemplar Awards The Nurse Exemplar program provides peer recognition for staff nurses who use their experience in conjunction with expanded opportunities and authority to improve patient care processes and to maximize their personal skills and professional development.

The Nurses Week Committee manages the Exemplar program. Any co-worker throughout the Network can nominate a nurse.

The Nursing Exemplar areas of recognition are Advancing the Profession, Clinical Care, Community Service, Customer Service, Research/Evidence-based Practice, Leadership, Patient Advocacy, Innovation/Creativity, Positive Attitude, Precepting/Mentoring, Teaching and Student of the Year. The awards are presented during Nurses Week with celebrations at both hospitals.

North Mountain’s TRAC - Transitioning Registered Nurses Across the Continuum “Transitioning Registered Nurses Across the Continuum,” or TRAC, started as a research project to determine the most effective orientation program for new nurses. After study and evaluation, the Evidence-based Practice Fellowship group designed TRAC as a six-week structured curriculum to support new graduate nurses with trained preceptors during their transition to professional practice. The nurses participate in professional growth and work across departments as they focus on “real life nursing” and transition from student to professional.

Employment Benefits for John C. Lincoln Nurses We support our nurses on all levels with a great benefits package:

■■ Highly competitive salaries and a variety of pay incentive programs.

■■ A work environment where respect and support are the expectation and norm.

■■ PRIDE (Professional Recognition Incentives for Development and Excellence), developed to promote professional advancement, reward achievement, clinical expertise and additional contributions.

■■ National certification differential.

■■ BSN differential.

■■ Consistently low patient-to-RN ratios.

■■ Flexible scheduling.

■■ Extensive benefit packages that include vacation/sick time,

health insurance, 401(k), life insurance, flexible spending accounts, long term care insurance and more. Benefits begin on the first of the month following the date of hire for nurses working at least 20 hours per week.

■■ Educational cost reimbursement for degree programs,

specialty training courses and Continuing Education that is among the most generous in Arizona.

Educational Programs for John C. Lincoln Nurses We encourage continuing education and provide the support and tuition assistance to help:

■■ RN to BSN: For those who became a nurse through an RN

associate’s degree program, this is an opportunity to earn a bachelor’s degree through a program offered in collaboration with many local universities.

■■ Master’s in Nursing Program: John C. Lincoln enables

nurses to obtain a master’s degree in nursing, with an emphasis in leadership, education or family nurse practitioner care.

■■ Specialty Training Courses: For nurses interested in

advanced training, courses for additional certifications in areas such as CCU, ED, Telemetry or OR are available.

The number of nurses at both hospitals who have earned national certification in their specialty areas exceeds national benchmarks.

Just for Nurses on JCL.com Nurses have their own section on the John C. Lincoln Health Network website. Check it out at JCL.com/nursing.

Nursing Values and Goals We support the mission of the John C. Lincoln Health Network “to assist each person entrusted to our care to enjoy the highest quality health care possible and to work with others to build healthy communities.” We also support its vision to be a “clinically integrated health care delivery system that is the health provider of choice in Phoenix and recognized nationally for quality, service and community programs.”

We do that by building a strategic plan focusing on nursing quality, shared leadership, staff engagement, patient safety, customer service, stewardship and community service. We also ask our staff to abide by the C.A.R.E. Service Standards in the way we treat our patients, visitors and each other.

A short version of the C.A.R.E. Service Standards are below.

Read the document in full at JCL.com/CARE.

Service Standards Compassion I approach each individual with compassion and concern, providing comfort in a positive, dignified way.

Appearance I interact with our customers, dress and act professionally, and keep our environment clean and safe.

Communication I communicate in a clear, caring, respectful way and work with others to ensure timely care.

Respect I am respectful and courteous to my customers and my coworkers.

Collaboration I collaborate with others to provide the best possible care, relationships and solutions.

Responsiveness I listen; I ask questions, and I respond in a timely manner to ensure customers’ needs are met.

Accountability I am empowered to solve problems in order to provide our customers with a positive experience.

Excellence E3 - I practice excellence with every encounter, every customer, every day.

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John C. Lincoln Health Network 2500 W. Utopia Road, Suite 100, Phoenix, AZ 85027 623-434-6200 John C. Lincoln Health Foundation 9100 N. Second St., Suite 301, Phoenix, AZ 85020 602-331-7860 John C. Lincoln Physician Network 2500 W. Utopia Road, Suite 100, Phoenix, AZ 85027 623-434-6116 John C. Lincoln North Mountain Hospital 250 E. Dunlap Ave., Phoenix, AZ 85020 602-943-2381 John C. Lincoln Deer Valley Hospital 19829 N. 27th Ave., Phoenix, AZ 85027 623-879-6100 Desert Mission 9201 N. Fifth St., Phoenix, AZ 85020 602-331-5792 John C. Lincoln Accountable Care Organization 2500 W. Utopia Road, Suite 100, Phoenix, AZ 85027 623-879-3870

JCL.com

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