Clairvia Staff Manager and Demand Manager solutions have been in use at Midland Memorial Hospital since 2008. In 2013, nursing began using technology within Cerner Clairvia℠ to help manage issues that are thought to cause dissatisfaction among some of their nurses; nurse fatigue brought on by inadequate staffing issues, overtime and irregular working hours.
In 2008, Midland Memorial organized a nurse staffing committee led by Senior Vice President, Chief Operating Officer and Chief Nursing Officer Bob Dent, DNP, RN, FACHE, FAAN, and began an optimization project. Together they standardized allowable consecutive shifts and hours worked per pay period to minimize fatigue. The policy mandates associates work no more than 12 hours a day, three 12-hour shifts in a row and 60 hours in a seven-day period.
“As part of this optimization, we’ve incorporated that policy into our Cerner Clairvia,” said Dent. “If nurses say they are feeling fatigued, we’re able to pull the reports and see how often they have been working outside of the fatigue management guidelines.”
From December 2015 to December 2016, incorporating its Culture of Ownership initiatives to improve its workplace culture, Midland Memorial experienced a 32 percent reduction in overall nursing turnover, and a 43 percent reduction in turnover among new, first and second year nurses. Additionally, satisfaction among nurses in the emergency department (ED), where staffing issues were the most concerning and satisfaction among nurses and patients was at its lowest, increased to the 90th percentile according to a 2016 National Database of Nursing Quality Indicators survey.
“Using the predictive intelligence of Cerner Clairvia, we’re able to see information from our admissions, discharges and transfers to drive our staffing decisions,” said Dent. “It makes staffing information transparent so we’re able to address any concerns in near real-time.”
Along with improving nurses’ satisfaction with optimized staffing procedures, Dent also saw the need to improve the nurses’ satisfaction through a culture shift at Midland Memorial. In 2014, he enrolled the hospital in the Pickle Challenge for Charity, a nationwide event aimed at mobilizing and empowering employees to address disengagement and negativity in the workplace.
Midland Memorial associates also put forth efforts to improve patient safety outcomes and patient satisfaction. From 2014 to 2016, they saw a reduction in central line-associated bloodstream infections by 22 percent, catheter-associated urinary tract infections by 64 percent and ventilator-related events by 38 percent. Satisfaction among patients in the ED also increased to the 90th percentile.
“If we’re not working our associates any longer than what they need to, they can provide safe patient care and deliver on a great quality experience for the patient,” said Dent. “You get the right associate at the right time, while improving nursing satisfaction and our patients’ outcomes.”
For more information on what Cerner Clairvia has to offer, please visit the Model Experience page here.