Council Structures - Maine Medical Center

2019 Council Accomplishments

Patient Satisfaction Scores outperform NRC 75^th percentile benchmark in:

Clinical Indicators

Pressure Ulcers
- Decrease in number of patients assessed from 4,727 FY18 to 4,699 FY19
- Pressure Injuries Stage 2 and Above: increased from 26 FY18 to 31 Fy19
Catheter-Associated UTIs
- Decreased catheter days from 19,006 FY18 to 18,088 FY19
- Increased from 20 infections FY18 to 23 FY19
CLABSI
- Decreased central line days from 33,198 FY18 to 32,131 FY19
- Decreased from 29 infections FY18 to 23 FY19
Falls
- Increased patient days from 182,544 FY18 to 189,581 FY19
- Falls with injury increased from 88 FY18 to 94 FY19

Safety Indicators

Policies approved: 90
Clinical practice guidelines: 4
Practice Innovations: patient safety

New Products

Evidence-Based Tools

Community Outreach

Recognition of Nurses

Nurses Certification of Professional Organizations

Health & Wellness

Communication

Technology workflows
- Epic upgrades-Council members received advanced training, and served as super users
- Bar Code Medication Administration (BCMA)- reviewed top 30 medications not scanned
- Interpreter services live on Epic
Patient Safety
- Sepsis/Deterioration Index predictive model implemented
- Bedside timeout flowsheet updated
- New proning flowsheet
- New Insulin carb counting flowsheet rows on the MAR
- New C-section flowsheet and navigator
Staff Safety
- Behavioral FYI
- Broset Violence tool

Conducted a follow-up EBP Council Survey (initial survey 2015) which highlighted the ongoing need for the 90 minute EBP class and need for EBP unit mentors.
Creation and implementation of the CoMET Model and Policy Review Checklist.
Maine Medical Center, Kappa Zeta at-Large Chapter hosted the Sigma Region 15, Research Symposium at University of New England.

Three of four Nurse Sensitive Indicators outperformed NDNQI benchmarks over 8 consecutive quarters: CAUTI, CLABSI, and Pressure Injuries.
Patient Satisfaction scores for inpatient and outpatient units outperformed over 8 consecutive quarters in 4 selected categories: Courtesy and Respect, Patient Education, Safety, and Service Recovery.
Implemented action plans to improve Falls with Injuries and CAUTI rates.

71 policies and 4 procedures/guidelines – 100% evidence-based and reference up-to-date.
5 Evidence-Based tools for patient screening and safety.
6 Practice and safety innovations.

Organized 2 community outreach events – Nose to Toes (127 pairs of socks, 118 gloves/mittens, 106 hats, 81 face masks, 47 scarves, 9 men briefs, 4 gift cards, a few miscellaneous items); Nurses with Purses (150 purses stuffed with toiletry items) donated to community members in need.
Recognized MMC nurses and nursing staff through DAISY and PETAL awards, Nurse Excellence Awards, National Nurses Certification Day.
Provided confidential Peer to Peer support calls for nursing colleagues – especially important during pandemic.

10 Year Anniversary Book of Research, Magnet Conference and Quality Improvement Project Abstracts, 2010-2020, developed by Jen Laflamme, MSN, RN.
Amy Moore, MLS, MMC Librarian and Technical Sub-committee transitioned research abstracts from the IRIC Knowledge Bank to the Maine Health Knowledge Connection and created Evidence Based Practice (EBP) Toolkit and Resources on the Library and Knowledge Services
Supported and mentored, Clinical Scholar Program and ongoing education through Evidence-Based Practice Skill Building Workshop, Rhonda Babine, MS, APRN, ACNS-BC.