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The Ascension Health Experience: Maximizing the Chief Nursing Officer Role in a Large, Multihospital System to Advance Patient Care Quality and Safety
Authors:Ann L Hendrich  Joyce Batcheller  Darcy A Ellison  Angela M Janik  Nina B Jeffords  Linda Miller  Gwynn L Perlich  Gerri Staffileno  Maria Strom  Cynthia Williams
Institution:Ascension Health, St Louis, Missouri (Dr Hendrich and Ms Janik); Seton Healthcare Family, Austin, Texas (Dr Batcheller); Lourdes Hospital, Binghamton, New York (Ms Miller); St John Providence Health-Providence Region, Warren, Michigan (Ms Strom); St Mary's Health System, Evansville, Indiana (Ms Ellison); Sacred Heart Health System, Destin, Florida (Ms Jeffords); St Vincent Carmel Hospital, Carmel, Indiana (Ms Perlich); Columbia St Mary's Hospital Ozaukee, Mequon, Wisconsin (Ms Staffileno); and St Vincent's Health System, Birmingham, Alabama (Dr Williams).
Abstract:Ascension Health is the largest Catholic and nonprofit health system in the United States, encompassing 70 acute care hospitals organized into 34 health ministries. Consistent with its distributed leadership model, Ascension Health has created a Chief Nursing Officer (CNO) Advisory Council to provide strategic direction and thought leadership on major system-level initiatives that impact quality, safety, operational performance, nursing leadership, and patient care delivery. The council fosters systemwide CNO engagement and dialogue through a unique structure of regional CNO work teams called "pods," each of which is chaired by a member of the council. This communication structure has facilitated consensus on major system initiatives at Ascension Health related to clinical goals, patient safety, nursing leadership, and systemwide capital investments. This article describes the history, structure, goals, processes, and successes of the CNO Advisory Council shared governance model.
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