Lifebridge Health, Inc. Baltimore , MD 21203
POSITION SUMMARY: The Clinical Outcomes Specialist (Clinical Nurse Specialist
Applies influence across the three spheres of patient/family, staff, and system to transform healthcare delivery. Collaborates with other health care professionals and service providers to ensure seamless, quality care across the continuum.
The Clinical Outcomes Specialist is a blended role with the Educator. Accountable for improvement of organizational metrics related to: clinical effectiveness, patient satisfaction, core measures, as well NDNQI, HAI.
Clinical Judgment: Clinical judgment is demonstrated by providing clinical expertise, in addition to planning, effectively implementing, and evaluation interventions appropriate to the complexity of the problems and resources of the system.
Based on assessments across the patient, nurse and system spheres of influence, determines potential risks to patient safety, autonomy, and quality of care. Synthesized assessment data, based on advanced knowledge and experience, using critical thinking and clinical judgment to consider differential diagnoses for clinical problems amendable to CNS intervention. Design strategies, including advanced nursing therapies, to meet the multifaceted needs of complex patients and populations.
Provides leadership for collaborative, evidence based revision of plans of care to advance population specific outcomes. Promotes development of clinical reasoning in healthcare team members (e.g. nursing staff, medical staff, other healthcare providers) and provides coaching to develop, maintain and enhance clinical skills, independent problem solving, systems thinking and decision making.
Facilitation of Learning: Collaborates with patient/family, nursing staff, medical staff and other healthcare professionals to develop, implement, and evaluate education programs based on learner need.
Advises staff nurses, graduate students, and others to acquire new knowledge and skills and to advance their professional development. Mentor healthcare professionals in applying the principles of evidence-based care. Provides oversight for the creation, evaluation, delivery, and coordination of formal and informal intra- and inter-disciplinary education to improve patient outcomes/quality of care. Contributes to the advancement of the healthcare community as a whole by disseminating outcomes of CNS practice through presentations, publications and involvement in professional organizations.
Collaboration: The CNS collaborates with multiple disciplines to promote the achievement of intra- and inter-disciplinary best practice.
The patient and family are recognized as equal partners within the healthcare team. Leads and manages collaborative efforts with physicians and other members of teh healthcare team to redesign practice environments and health systems. Promotes inter- and intra-disciplinary collaboration to implement outcome-focused patient care programs that meet the needs of patients, families, populations, and communities.
Uses effective conflict management and negotiation skills to address complexities in the healthcare system and champions identification of mutual goals. Peer Review- Provides feedback to supervisor about peer performance by participating in the peer review process.
Systems Thinking: The CNS assesses, develops, implements, and evaluates care delivery models.
In addition, the CNS guides other healthcare providers in using these models.
Integrates knowledge of organizational and divisional mission, vision, and goals into patient care initiatives. Anticipates possible consequences of systems change and develops proactive strategies.
Differentiates between outcomes that require care process modification at the individual patient level and those that require modification at the system level. Leads system change to improve health outcomes through evidence based practice by specifying expected measurable clinical and system level outcomes. Designs programs to improve clinical and system level processes and outcomes, and ensures the adoption/sustainability of practice change.
Leverages influence to identify system waste, formulate improvement plans, track improvements over time, and makes necessary adjustments to attain established goals. Coordinates population-based care by effectively using system and community resources to assure successful health/illness/wellness transitions, enhance delivery of care, and achieve optimal patient outcomes. Uses effective strategies, driven by change management principles, to encourage adoption of evidence-based practices and innovations in care delivery. Evaluates the impact of legislative and regulatory policies as they apply to nursing practice and patient or population outcomes to include but not limited to core measures, never events, zero defect goals, NDNQI indicators, and others as applicable.
Advocacy and Moral Agency: The CNS works to create an environment for patients and families where ethical decision making and patient advocacy are the foundation.
Healthcare professionals are mentored in the development of their own advocacy and moral agency. Promotes a practice climate conducive to providing ethical care. Considers the impact of scientific advances, cost, clinical effectiveness, patient and family values and preferences, and other external influences on resolution of ethical conflicts.
Applies ethical principles to resolving concerns across the three spheres of influence. Serves actively on internal/external advisory boards on which policy decisions are made to advance health systems and improve patient care.
Caring Practices: The CNS works within the three spheres of influence to establish an environment where caring is paramount and unnecessary suffering is reduced.
The CNS is instrument in cultivating an organizational culture of caring. Customizes the delivery of care, tot he extent possible, to meet the diverse needs and strengths of patients/family, staff, and system. Empowers nurses to develop caring, evidence-based practices to alleviate patient distress.
Clinical Inquiry: The CNS creates an environment in which the daily pursuit of excellence supports clinical inquiry to improve clinical and service outcomes.
Cultivates a climate of clinical inquiry across spheres of influence through analysis of research findings and other evidence for their potential application application to clinical practice. Promotes the identification of clinical problems and search for evidence in the literature to validate or change practice. Integrates evidence into health, illness and wellness management of patients, families and communities using research based evidence/outcome data.
Develops and conducts outcome studies to assess quality and effectiveness of clinical interventions/programs in achieving outcomes. Provides leadership in the design, implementation and evaluation of process improvement initiatives. Mentors staff in knowledge-seeking behaviors to address clinical questions.
Participates in development or implementation of research which may include one or more of the following: Identification of questions for clinical inquiry, conduct of literature reviews and systematic reviews, collaboration in study design and implementation, data collection, data interpretation, and dissemination of findings. Promotes staff participation in the research process by engaging them in identifying a question, developing a proposal. collecting data, evaluating outcome studies and bringing about change in practice based upon the evidence.
Response to Diversity: The CNS ensures that patient and family values; and satisfaction are incorporated into the delivery of care.
Healthcare providers are assisted by the CNS with gaining comfort with values that may be very different from their own. Promotes, within the nursing and patient spheres, the understanding of the health care system culture and the practices within the healthcare system to ensure that nursing care meets the needs of patients, for example, supporting nursing staff adherence to the standards of Culturally and linguistically Appropriate Services (CLAS). Mentors staff to work with interpreters (e.g. language line), resolve conflicts between staff and patients and understand cultural differences on health promotion, disease prevention, diagnosis, treatment and supportive, rehabilitative and end of life care. Guides staff to incorporate the patient's and family's values with evidence-based practice in response to diversity.
Demonstrates competency in recognizing practices based upon diversity that have potentially negative outcomes for the patient. Establishes collaborative relationships within and across departments that promote patient safety, culturally competent care, and clinical excellence. Designs health information and patient education appropriate to the patient's developmental level, health literacy level, learning needs, readiness to learn, and cultural values and beliefs.
QUALIFICATIONS/REQUIREMENTS/LICENSURE/CERTIFICATIONS: Masters of Nursing (MSN) degree with CNS focus; Clinical Nurse Specialist (CNS) certification required. Bachelor of Science in Nursing (BSN) required; 5-7 years; Maryland Registered Nurse License (RN); American Heart Association CPR Certification.
*This position requires cardiovascular nursing expertise.
Facility:Part of LifeBridge Health, Sinai Hospital of Baltimore features state-of-the-art facilities and renowned Centers of Excellence some with national and international acclaim. As the largest community hospital and the third largest teaching hospital in Maryland, Sinai Hospital's mission is to provide quality patient care, educate medical students and residents, and engage in research to improve the lives of people all over the world.
Sinai Hospital is a smoke-free workplace. M/F/PV/IWD EmployerRequisition Number:46885Department:Nursing Admin-Operations