'Improving Shared-Decision Making in the ICU:
The Wisconsin Critical Care Nurse Communicator Program'
Description:
Join Beth Houlahan, SVP/Chief Nurse Executive, Anne Mørk MHCDS'16, Nursing Director of Surgical Services, and Critical Care Nurse Communicators, Andrew O’Donnell and April Buffo in providing an overview of the Critical Care Nurse Communicator Program at UW Health, Madison WI.
This nurse-led, ICU-focused palliative care program was born out of Mørk's 2016 MHCDS Action Learning Project (ALP), which included the design and implementation of an interdisciplinary family meeting protocol to improve communication and shared decision making in the ICU. As an evolution of the great work that was started in 2016, the Critical Care Nurse Communicator Program was created. The mission of this program is to align patient, family, and clinician goals to achieve outcomes that matter most to the patient.
Two palliative-trained ICU nurses, integrated within the critical care team, identify and address unmet palliative care needs, and help patients and families navigate complex/ challenging decisions in the ICU.
The speakers will describe the executive leadership support of this innovative program during a time of declining reimbursements and increasing Health Care cost. In addition, the speakers will describe the design and implementation of this innovative program and discuss how it achieves the goals of the Triple Aim; improving the patient and family experience while simultaneously reducing healthcare resource utilization.
Friday, September 7, 2018
12:00 PM - 1:00 PM (Eastern Time)
via Zoom Video Conferencing
(Connect details will be emailed)
*This event will be recorded and posted in myhcds for later viewing*
All prior online seminars can be found by clicking here or visit myhcds>New&Events>Past Virtual Seminars
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Beth Houlahan
Senior Vice President, Chief Nurse Executive
UW Health
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Anne Mørk
Director of Perioperative Services
UW health
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Andrew O’Donnell
Co-Manager of the Critical Care Nurse Communicator Program
UW Health
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April Buffo
Critical Care Nurse Communicator Manager
UW Health
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Biography: Beth Houlahan
Beth Houlahan is Senior Vice President, Chief Nurse Executive for UW Health. Beth joined UW Health in 2011 and serves as Senior Vice President, Chief Nurse Executive.
In her role, she is accountable for nursing practice across all of UW Health. UW Health Nursing Services includes all nursing practice for inpatient, ambulatory and procedural settings as well as advanced practice providers, home health care and patient care services for respiratory therapy, pastoral services, clinical nutrition, social work, and nursing quality.
Prior to joining UW Health, Beth served as Senior Vice President, Patient Care Services, at Mercy Medical Center, Cedar Rapids, Iowa, a 455-bed facility. There she was responsible for clinical, operational and financial leadership for nursing and clinical inpatient and outpatient services for Mercy Medical Center at five campuses in Cedar Rapids, including an acute care facility, Medical Plaza, Alcohol and Drug Outpatient Treatment Center and an Inpatient Hospice House.
Prior to joining Mercy Medical Center, Beth served for 13 years in a variety of administrative roles at the University of Iowa Hospitals and Clinics. She co-directed a service leadership initiative for more than 7,000 employees and served as clinical director of a primary care center staffed by 300 physicians and 100 staff.
Beth received her bachelor of science in nursing from Mt. Mercy University, Cedar Rapids, IA; her master of science in nursing from the University of Iowa and her doctorate in nursing practice from Rush University, Chicago, IL. In addition, she is a fellow of the Johnson & Johnson Wharton Nurse Executive program and is certified in nursing executive practice.
Beth has received several honors and awards throughout her nursing career such as Outstanding Nurse Leader Award from the Iowa Organization of Nurse Leaders; the Alumni Professional Achievement Award from Mt. Mercy University; and the Excellence in Administrative Ambulatory Nursing Practice Award from the American Academy of Ambulatory Care Nursing, to name a few.
Her nursing career has been dedicated to creating high quality, reliable systems of care and developing the next generation of nurses and health care professionals to lead in these ever-changing times.
Biography: Anne Mørk'16
Anne Mørk is the Director of Perioperative Services at UW health, Madison, WI. Prior to her current role, Anne spent twenty-two years as a bedside nurse and nurse leader in a level one trauma ICU at UW Health. During her ICU career, Anne conceived and led a family meeting initiative that promotes early communication about goals of care, while incorporating shared decision making between families, patients, providers and nursing staff. A validated pre-post intervention tool showed significant improvements in moral distress among ICU nurses.
Anne obtained a master’s Degree in Science at the University of Wisconsin, Madison, and a Master’s in Health Care Delivery Science (MHCDS) at Dartmouth College in 2016. In her various leadership positions, Anne has implemented multiple change initiatives, including the creation of a volunteer Ebola team, nurse-initiated ICU bedside rounding with family presence, cost reductions of $ 2.5 million in operating room non-labor cost, and co-led a structured interdisciplinary bedside rounding structure on twenty inpatient units at UW Health. Anne serves on the Organ Tissue Donation Advisory board.
Biography: Andrew O'Donnell
Andrew O’Donnell is the Co-Manager of the Critical Care Nurse Communicator Program at UW Health. Prior to his current role, Andrew worked for six years as a nurse in the Trauma and Life Support Center, a medical/surgical intensive care unit (ICU) at UW Health. As a bedside nurse, Andrew contributed to several quality improvement initiatives including nurse-initiated rounding, stress management seminars, and rapid cycle change implementation through utilization of the champion model to educate ICU staff. Through these experiences, Andrew gained a deeper understanding of the many challenges patients, families and providers face in the ICU, and strengthened a belief that nurses play a crucial role in designing and implementing innovative solutions to these challenges.
Andrew transitioned into his current role in November 2016. As Co-Manager of the Critical Care Nurse Communicator Program, Andrew co-led the design, implementation, and evaluation of a novel approach to integrating palliative care into the ICU. Andrew works with ICU patients at high risk for morbidity, mortality, and those with unmet palliative care needs. His work focuses on addressing these unmet needs, and supporting patients and their families through the shared decision making process. Under his co-leadership, the program has achieved success in improving the quality of communication, reducing nurse and physician moral distress, and reducing resource utilization in the ICU.
Biography: April Buffo
April Buffo works as a Critical Care Nurse Communicator Manager in a level one trauma ICU at University of Wisconsin Hospital, Madison, WI. April has served as a leader in developing the Critical Care Nurse Communicator Program, which primarily aims to align patient, family, and clinician goals to achieve outcomes that matter most to the patient. As an ICU Nurse Communicator, April manages a family meeting protocol, provides informational and emotional support to patients and families, facilitates shared decision making, and strives to meet unmet palliative needs of patients. Evaluation of this program has revealed earlier interdisciplinary family meetings, decrease in patient length of stay, and strong program support from staff and patient family members.
Prior to her current role, April spent seven years working as a bedside nurse and charge nurse in a level one trauma ICU at UW Health. April has been a champion for multiple quality improvement projects during her ICU experience, including nurse initiated bedside rounding with family presence and structured interdisciplinary bedside rounding at UW Health. She obtained her Bachelor of Science in Nursing degree from the University of Wisconsin-Madison. April is entering her fourth year of the adult/gerontology part time Doctor of Nursing Practice Program at the University of Wisconsin Madison, with an anticipated graduation date of May 2020. April also serves as a Designated Requestor for the Organ Procurement Department.