PATIENT CARE SERVICES DIVISION

STRATEGIC AND ACTION

STRATEGIC DIRECTION 1 : Develop actions that will enable nurses to achieve required outcomes and provide ethical, safe and high quality
care to patients and their families. ( SAFE AND QUALITY PATIENT CARE )

GOALS AND OBJECTIVES :

1. Ensure nursing leaders lead on key elements of quality and service improvements.
2. Improve clinical care and communication through provision of standardized data management system.
3. Develop strategies to support the Chief Nursing Officer to deliver nursing services that are of the highest standards, effective, value for money and
responsive to health service needs and service reforms.
4. Empower and support nurses to challenge unsafe practices and provide solutions in their role as champions of patient safety, quality and risk
management.

NO KEY INITIATIVE ACTION PLAN AND IMPLEMENTATION LOCUS OF RESPONSIBILITY TIMETABL PERFORMANCE
E INDICATOR / MEASURES

1 Provision of a “ Culture of Safety “  Implement a risk management  Chief Nursing 04/2016  Total number of
and continuous quality Officer reported sentinel
initiative program that reflects events.
excellence in practice with the
patient as the focus of care  Rate of Hospital
Acquired
 Implementation and adherence  Infection Control 02/2016 Infections
to hospital infection control Nurse / Committee
practices.  Hand hygiene
compliance of staff
  Creating a “ Patient Safety  Chief Nursing 02/2016  Attendance to
Committee “ . Officer Quality Circle
Meeting
1. Supervisor
2. Infection Control Nurse
3. Head Nurse
4. Staff Nurse

2 Provision of quality and exceptional
care through innovation.
 Empower Nurse Leaders and  Chief Nursing 06/2016  Performance
Nurses by motivating and Officer/ ACNO Evaluation
encouraging them to actively
participate in all aspects of
patient care. When staff feel
empowered, they tend to be
more committed with their
responsibilities.

a. Implementation of Hospital  ACNO 01/2016  Number of

Rules and Regulations infractions made.

b. Implementation and  Supervisor / Unit 04/2016  Nursing Audit

compliance with standards of Manager
patient care.

c. Closer collaboration with  Staff Nurse 03/2016  Improved delivery

physicians and other members of patient care
of the health care team.

d. Adoption of a more rigid  Chief Nursing Continuous  Proficiency Exam

screening of applicants to Officer / ACNO and Interview
nursing positions.
 e. Comprehensive orientation  ACN – Education Continuous  Clinical Immersion
program for new nursing staff. and Training Didactics and
evaluation
f. Improvement of  Head Nurse 03/2016  Reports , letters,
communication among staff correspondence

g. Complete/proper  Head Nurse 02/2016  Nursing Audit

documentation Quarterly

h. Membership in Hospital and  Chief Nursing 02/2016  Participation in

Patient Care Services Officer committee
Committees activities

1. Quality Circle
Committee ( Audit Com. )
2. Nursing Council
3. Patient Safety Committee
4. Grievance Committee
5. Selection and Promotion
Committee

3 Enhancement of Patient Satisfaction  Initiate patient and family  ACNO 06/2016  Patient Satisfaction
centered approach in providing Survey
care.
 Increase number
 Develop a client friendly culture  ACNO of commendations
and atmosphere among
workforce.  Decrease number
of customer
complaints.
 Ensure that the clients get the  ACN-PCS-QM
value for their money, concern
for their needs, solutions to
their problems and answers to
their questions.

 Strengthen the Patient  ACN-PCS-QM Continuous

Satisfaction Survey

1. Work with the Quality

Management Services of
the Hospital.

2. Improve on the number of

respondents to get a bigger
picture on the quality of
care given to patients.
STRATEGIC DIRECTION 2 : Develop people, culture and resources through workforce supply and performance, leadership and healthy practice environment.
( LEADERSHIP AND MANAGEMENT )

GOALS AND OBJECTIVES :

1. Aspire to develop transformational leaders who can positively impact the nursing profession at OSMUN as well as locally or nationally.
2. Aspire to attract, develop and retain exceptional nurses and provide them with an environment that fosters excellence through continuous learning.
3. Aspire to provide nurses with an environment that supports their professional practice, health and well-being.

NO KEY INITIATIVE ACTION PLAN AND IMPLEMENTATION LOCUS OF RESPONSIBILITY TIMETABL PERFORMANCE
E INDICATOR / MEASURES

1 Develop transformational  Develop, enhance and institute  Chief Nursing 06/2016  Performance
leaders/managers that will lead programs on Leadership and Officer evaluation on
people to where they need to be Management leadership and
rather than where they want to be. management
a) Strengthening the roles of  ACN-ACNO 03/2016
managers

b) Develop a culture of  ACN-Operations 04/2016  Unit Managers

assertiveness, responsibility monthly report of
and accountability accomplishments

c) Develop sound mind, good  ACN-Education 05/2016  Decrease number

judgment, problem solving and and Training of reports from
decision making skills clinical areas

d) Ability to manage controlled  Supervisor 03/2016  Smooth flow of

destabilization or chaos day to day
operations
e) Managing complex patient  Supervisor 03/2016
assignment for bedside nurses
2 Leadership development and  Recruit, educate, and reform  Chief Nursing 06/2016  Number of newly
succession planning leaders in light of increasing Officer appointed officers
attrition due to re-structuring, and leaders
turnover or retirement.

 Identify and grow future nurse  ACNO 12/2016  Number of trained

leaders by unlocking potential senior / charge
and building leadership nurses

 Promote direct involvement of  ACN-Operations 03/2016  Attendance to

executive and front line nursing quality circle
leaders in system decision that meetings
impact the organization

 Implement a leadership  ACN-Education 04/2016  Available module

mentoring program for new and Training for leadership
nurse administrators and mentoring
clinical leaders and managers
STRATEGIC DIRECTION 3 : To develop and improve the standards of practice through continuous education, training and professional development
in tandem with increasing health care demands. ( CONTINUING PROFESSIONAL DEVELOPMENT )

GOALS AND OBJECTIVES :

1. Ensure that nurse education programs are fit for purpose.
2. Support nurses to work in different care settings, take on new and expanded roles and be facilitated to develop the necessary knowledge, range of skills
and competence for such roles through the development of policies and procedures and support of continuing education.

NO KEY INITIATIVE ACTION PLAN AND IMPLEMENTATION LOCUS OF RESPONSIBILITY TIMETABLE PERFORMANCE
INDICATOR / MEASURES

1 To ensure that nurses remain up to  Develop in-house enhancement  ACN-Education Monthly  Availability of
date and competent in their programs. and Training training modules
professional practice.
 Participation of staff in Monthly  Number of staff
Support nurses learning through centralized and decentralized attendees in
critical development, evaluation and continuing education programs seminars/updates
application of knowledge
 Encouraged post-graduate 07/2016  Number of staff
studies enrolled in post-
grad studies
 Establish systems to enable 06/2016  Performance
nurse to make transition to evaluation
new roles equipping them with
appropriate skills and
competence

 Develop multiple mediums for 08/2016  Availability of

education delivery mediums.

 Cross training of staff every 6 09/2016  Observed flexibility

months of staff
STRATEGIC DIRECTION 4 : To create a culture where nurses actively seek opportunities to lead innovative research studies to create new knowledge that
promotes quality health outcomes for patients. ( RESEARCH DEVELOPMENT )

GOALS AND OBJECTIVES :

1. Integration of evidence-based practices and research into clinical and operational processes.
2. To search for new knowledge and innovation.
3. Aspire to develop a culture of inquiry that encourages and supports nurses in advancing evidence-based practice.

NO KEY INITIATIVE ACTION PLAN AND IMPLEMENTATION LOCUS OF RESPONSIBILITY TIMETABLE PERFORMANCE
INDICATOR / MEASURES

1 To lead, facilitate and inspire  Develop a scheme of regular  ACN-Operations 02/2016  Case report and
excellence in patient outcomes case analysis and case Monthly presentation per
through evidenced-based practice. presentation among nurses unit

To support research and translations  Active participation in research  ACN-PCS-QM Continuous  Number of studies
of this into improved health studies being done in the done in the
outcomes to patients. hospital hospital
 ACN-Education
 Attendance in research forums and Training Continuous  Certificates
obtained
 Engage staff enrolled in  ACN-PCS-QM 09/2016  Number of staff
Masteral Programs to initiate undertaking
studies related to practices in research studies
the hospital

 Push staff nurses in creating  ACN-PCS-QM 12/2016  Number of active

their own studies. research project
 ACN-Education
 To mentor staff in research and Training Continuous  Number of studies
done at OSMUN
STRATEGIC DIRECTION 5 : To develop actions that will enable nurses to actively participate in programs that will lead to stability and sustainability of services
being provided by the institution. ( SUSTAINABILITY )

GOALS AND OBJECTIVES :

1. To lead and engage nurses by enhancing their roles in influencing current and future responsibility and accountability in sustaining the services
of the hospital through resource generation and cost-containment.

NO KEY INITIATIVE ACTION PLAN AND IMPLEMENTATION LOCUS OF RESPONSIBILITY TIMETABLE PERFORMANCE
INDICATOR / MEASURES

1 Income Generation  Strengthen the Student  ACN-Education 03/2016  Feedback from

Affiliation Program by creating and Training school affiliates
Attain sustainability by generating ties with current school through meetings
as much income as possible through affiliates.
creation of income generating
programs.  Reach out to former school 10/2016  Number of school
affiliates to increase the affiliates with
number of schools rotating in contract
the hospital.

 Develop a program for nurses 08/2016  Number of

and allied professionals who trainees
would like to undergo
observership and training at
the hospital.

 Develop in-house training 06/2016  Availability of

programs to include non- modules and
osmun paramedical personnel programs
for a fee.
  Partner with National  Chief Nursing 06/2016  Number of
Organizations in hosting Officer programs hosted
seminars and programs

2 Resource Management  Ensure cost-awareness and  ACNO 06/2016  Decrease number

cost-efficiency among nurses. of reports to
Attain sustainability by decreasing Engineering and
cost a) Monitor and report leaking  Unit Managers maintenance.
faucets, medical gases, etc.

b) Monitor use of lights, air  Unit managers

conditioning units, appliances
and equipment.

c) Proper care of hospital  Unit Managers

equipment and other hospital
items.

d) Proper use of office supplies.  Unit Managers  Decrease

frequency of
e) Organized patient care. request and
volume of
f) “ IWAS WALDAS “ program requested
materials and
supplies.