SE - Structural Empowerment

SE11-Commitment to Community Involvement: Describe and demonstrate the structure(s) and process(es) used to identify and allocate resources for affiliations with schools of nursing, consortiums, or community outreach programs.

Jersey City Medical Center is very closely aligned with the area schools of nursing. We currently are affiliated with ten (10) schools located in the surrounding areas (please refer to the table below). As an academic Medical Center, Jersey City Medical Center is committed to the process of education and to providing our nursing students with optimum clinical experiences.

SE11-Table 1

The coordination of nursing students is handled through the Educational Center for Professional Development (ECPD) under the leadership of Colleen Masterson BSN, RN, Education Specialist. She is the primary person to assign resources to assist with our nursing students. A clinical faculty member from the School of Nursing supervises the overall activities of the student. This faculty person provides the guidance necessary whenever students are performing a treatment or a technical skill.

These students are provided with a variety of experiences in different settings of the Medical Center. We accommodate all levels of students here (ASD, Diploma, BSN, MSN, DNP). The undergraduate students frequently shadow or partner with a seasoned nurse in order to gain some insight into a particular practice area. Staff nurses frequently serve as preceptors to the student nurses. The MSN and DNP students frequently have capstone projects and they frequently utilize the facility for their projects. Rita Smith DNP, RN, NEA_BC, CNO frequently mentors these students and allows them to “shadow” her activities. For instance, Dhaneesha Bahadur MSN, RN shadowed Ms. Smith, during her MSN internship, for exposure to leadership conducted meetings. Ms. Bahadur attended Drexel University Online MSN program in 2010. Her MSN capstone consisted of collaborating with Jersey City Medical Center’s Emergency Medical Services to discover a telephonic triage and readmission management program to implement. These services provide patients an appropriate level of care after an assessment of their needs is conducted. Readmission management is intended to provide patients with a nursing continued care, as well as maintain the patient needs as the focus. Cheryl Owen MSN, RN, CNOR, Director of Nursing Services, attends the University of Medicine and Dentistry of New Jersey for a Doctor in Nursing Practice (DNP) degree. She too took the opportunity to be mentored by Ms. Smith. Ms. Owens’DNP capstone consists of a developing a strategic plan for the Obstetrics Department in an urban medical center.

The Division of Nursing works very closely with the University of Medicine and Dentistry of New Jersey (UMDNJ) which is located close by in Newark. Jersey City Medical Center is the clinical partner for the Clinical Nurse Leader Program. An agreement between the Dean of the School of Nursing (Dr. Susan Salmond) and Rita Smith DNP, RN, NEA-BC, CNO was reached for in-kind reimbursement for Dr. Salmonds services as our nursing Research Consultant. She reviews all of our research projects and advises the Research Council on how to proceed. She frequently lectures on research topics and evidence-based practice at the Medical Center. In return for Dean Salmonds services, Ms. Smith is on the faculty of UMDNJ and collaborates with the school of nursing on special projects, for example, the Nurse Residency Program, as described in SE11EO. The table below table lists the names of nurses who have participated in the Nurse Residency Program in 2010 and 2011.

SE11-Table 2

As an organization, we belong to many collaboratives, all are through the New Jersey Hospital Association (NJHA). These collaboratives are state-wide and the Division of Nursing supports and actively participates in them on an ongoing basis. They include:

  1. Intensive Care Collaborative: Improves patient safety and quality of care provided in critical care units. This includes best practices in the identification and management of sepsis and in end of life care as well as reducing the incidence of ventilator associated pneumonia and central line bloodstream infections. Our nurses who regularly attend this collaborative are Mabel LaForgia MSN, RN, CNL, CCRN and Claudia Garzon-Rivera MSN, RN, CNL, CCRN. According to Ms. Garzon, “as a result of being a part of this collaborative, the ICU was able to reduce the Ventilator Associated Pneumonia and Bloodstream Infection rates to below the national benchmark, which was quite an achievement.”

  2. Falls Collaborative: The falls initiative is designed to improve patient safety and the quality of care in all healthcare settings when patients are at risk for falling and sustaining an injury. Peggy Petrucelli BSN, RN attends this collaborative on a regular basis. In this particular collaborative, tools for assessment of falls risk are shared among members as well as accomplishments.

  3. Pressure Ulcer Collaborative: Designed to improve safety and quality of care provided in healthcare settings where the elderly might develop pressure ulcers. The Collaborative focuses on several dimensions of care including assessment, prevention, staging, pressure relieving devices and nutrition. Peggy Petrucelli BSN, RN also attends this collaborative on a regular basis. Ms. Petrucelli states, “Participation in this collaborative allows us to share our successes and our failures with each other. We have the benefit of a wide pool of resources and experience and this drives positive outcomes for our patient population.”

  4. Partnership for Patients: Seeks to improve hospital performance on such quality markers as adverse drug events, catheter associated urinary tract infections (CAUTI), central line associated blood stream infections (CLABSI), injuries from falls, adverse obstetrical events, pressure ulcers, surgical site infections, ventilator associated pneumonia and preventable readmissions. Brenda Hall MS, RN, NE-BC Senior Vice President of Quality and Safety attends and implements many of the initiatives from this collaborative.

  5. Reduce Heart Failure Readmission Rate Collaborative: Performance improvement initiative designed to implement best practices in the care of patients with heart failure and to ultimately reduce readmissions of these patients back into the hospital within thirty days of discharge. Persons attending the sessions include: Leigh Baillie, Dr. Mary Abed MD, Francine Fakih MA, RN, Nancy Floom, Claudia Garzon-Rivera MSN, RN, CNL, CCRN, Brenda Hall MS, RN, NE-BC, Mabel LaForgia MSN, RN, CNL, CCRN, Sandy Liu Pharm D, Dr. Douglas Ratner MD, MaryBeth Smith RN.

  6. Hudson Perinatal Consortium: This consortium serves as the lead-planning agency for maternal and child health services in Hudson County. They meet the needs of women, infants and children in Hudson County while coordinating education, outreach and advocacy through regional planning and collaboration. They provide doula care, teen health, childbirth education, and breast feeding and post-partum depression care/referral. Lillian Reyes BS, RN Nurse Manager of Mother-Child Health, Randa Francis MSN, RN, CNM, WHCNP Nurse Educator of Mother-Child Health, Tara Mazzone MSN, RN Nurse Manager of NICU, Michelle Dickerson BSN, RN, RNC-NIC Nurse Educator of the NICU and April Major RN, RNC, IBCLC Lactation Specialist all regularly attend this consortium. The consortium has recently provided money for MCH certifications and a regional simulation room. They also provide educational programs of which our staff readily takes advantage. The consortium provides membership with a listserv where questions relative to Perinatal care are posted and information is shared between hospital systems.

Commitment to community involvement is also demonstrated by the developed community partnerships made by Jersey City Medical Center. These community partnerships offer the community members the opportunity to communicate their needs to Jersey City Medical Center. The annual community meetings, held at Jersey City Medical Center, is another forum, which provides the community members to express their needs. (Refer to SE13-A for the annual community meeting announcement). Community educational programs are then derived to fulfill the community’s needs. (For further information on community educational program offerings see SE13).

Medical and Social Services for the Homeless (M.A.S.S.H.) is a community outreach program sponsored and staffed by the hospital. (See Appendix SE11-A and SE11-B for the M.A.S.S.H informational flyer available in English and Spanish). M.A.S.S.H. is committed to meeting the needs of low income, working poor, uninsured, underinsured and homeless adults throughout Hudson County. It is currently overseen by the Behavioral Health Department.

SE11-Table 3

The M.A.S.S.H. program visits the shelters and any other place that the homeless are likely to congregate, and they attempt to gain services for these persons, for example, Medicaid, Social Security Disability, long-term housing and mental health programs. They perform health screenings, physical examinations and provide referrals for healthcare. They also provide a substance abuse outpatient program. In 2011, PATH (mental health program for the mentally ill) provided the following services:

  • 350 Clients received services
  • 80 New clients received service
  • 74 Clients were linked to mental health services
  • 11 Clients were linked to permanent housing

The Ryan White Infectious Disease Clinic is a part of the M.A.S.S.H. program and is designed for HIV/AIDS clients. They perform HIV/AIDS testing to identify new clients and they further connect these clients for primary medical care and primary medical case management. This organization served 57 clients during 2011, including 20 new clients.