• Overall we have many structures and processes in place that meet the Magnet components and sources of evidence. Our area of focus now moves to quantitative and qualitative outcomes.
•  We have the opportunity to achieve one of our current outcome goals during the first three weeks in August when our direct care nurses take the National Database of Nursing Quality Indicators Satisfaction survey. The goal for participation for this survey is 78 percent.
• Our patient satisfaction measures related to nursing are:
  o Pain management.
  o Information regarding care.
  o Communication that is understood by the patient and delivered with courtesy and respect.
  o Responsiveness to patient needs.

Magnet asks that we exceed the mean (50th percentile) as compared to a national database for these measures a majority of the time. We are meeting this in many areas.  
Nurse sensitive quality indicators identified by department: fall rates, HAPU rates, restraint rates and ventilator associated pneumonia rates are being measured against benchmarks. Again Magnet asks that we exceed the mean (50th percentile) as compared to a national database a majority of the time. We are meeting this goal in many but not all areas.

A very meaningful qualitative outcome is exemplified in a story on page 11 of the summer 2011 edition of Nurses Notes.  Althea Soto from the VVH DI Department describes how it feels to be "magnetized" by way of a very positive interaction with an ED tech.

We are monitoring our outcomes carefully. See your Manager or DBC  member for information on how your unit is doing.  Stay tuned for new graphic displays of our NorthBay quality  outcomes to make our data more  accessible.

As you review your unit and overall Press Ganey data, notice that small changes in the "always" category correlate with big shifts in the percentile ranking. In other words, every patient interaction has an important effect on our  outcomes. This illustrates the power of each of us individually and all of us collectively to affect our outcomes. Thank you for your contributions!