Glossary
TL - Transformational Leadership

TL1-Strategic Planning-Describe and demonstrate how nursing’s mission, vision, values and strategic and quality plans reflect the organization’s current and anticipated strategic priorities.

Jersey City Medical Center, as an institution, is committed to high standards in the delivery of medical care.  We are devoted to the needs of our community, our patients and their families.  Quality is first and foremost a top priority that drives our mission, vision and strategic plan at the Medical Center.  Nursing is dedicated to the provision of excellent care which is customized in accordance with the patient’s needs, values and individual cultures.

The Institution has established four (4) pillars of Organizational Excellence which are:  Engagement, Safety, Quality, and Economic Health.  Our mission, vision, strategic plan and values encompass these pillars of excellence.  We strive to become the premier hospital in Hudson County, particularly as pertains to quality measures.  Our overriding goal is to provide quality patient care while maintaining fiscal responsibility.

The Medical Center is deeply committed to the community, its physicians and employees.  The mission/vision of both the nursing department and the hospital emphasizes the diversity of our community and the need to promote health care practices within the community.  Collaborative practice, multidisciplinary teamwork, and accountability are all incorporated in the mission, vision, values and strategic plan of the hospital as well as the nursing department.  Nurses’ devotion to their patients and their expertise in the practice of nursing are of paramount importance and are aligned with the Institution’s goals of excellence.

Mission

The mission statement of Jersey City Medical Center, …Enhancing Life, is simplistic in its statement but comprehensive in its meaning.  Enhancing life has many meanings; it is the intention of the Medical Center as a whole and the Nursing Department as an entity, to enhance the lives of all those around us, the community, the staff and physicians.  The Medical Center intends to be the beacon of health care and education in the community.    Nursing’s mission, Enhancing life through the development of a culture of mentorship, communication and interdisciplinary collaboration, integrates with the Institution’s mission.  Ongoing mentorship is a concept we embrace in the nursing profession; it helps to maintain a high level of competency.  Communication with physicians and patients is essential to the practice of nursing.  It is important to communicate the patient’s condition to the interdisciplinary team in order to provide continuity and excellence in care.  Interdisciplinary collaboration and the “team concept” is the method of care delivery in the Medical Center.  Working as a coordinated team insures that the Patient receives extraordinary care.  The goals, objectives and strategic plan of the Medical Center encompass this mission. Reference OO3-B

Vision

The vision of the Medical Center is to achieve the top 10 percentile in our pillars:  Safety, Quality, Engagement and Economic Health, with a goal of achieving top100 national recognition.  Through these accomplishments, Jersey City Medical Center will attract the highest level of talent and will be the regional employer and provider of choice. 

The vision of nursing is to continue to develop a climate that nurtures and supports clinical excellence through education, evidence-based practice, research, shared governance and cultural competence.  The Department of Nursing’s primary vision is one of excellence.  It is this vision that encourages nurses to reach the heights of expertise in nursing practice.  The Department of Nursing promotes and supports the professional development of all nursing staff.  The practice of nursing is based on evidence gleaned from the literature which supports our policies and procedures.  Research is essential to nursing practice, increasing our knowledge base and improving our care.  Shared governance is a nursing model which promotes autonomy and allows nurses to govern their own practice.  Cultural competence incorporates empowering our staff to become leaders and advocates for diversity by promoting inclusion and respect.  We are continuously developing a culture that embraces diversity.   This vision establishes the high standards that the hospital mission incorporates and is in total alignment with the four (4) pillars and the strategic plan of the hospital. 

Values

The mission and the vision of the hospital incorporate five essential values.  The values are:  Trust, Accountability, Communication, Excellence and Teamwork. Appendix TL1-A  The Department of Nursing embraces these qualities as well.  Trust is at the very foundation of our mployee’s values therefore fostering autonomy.  We trust our employees to be patient advocates and speak honestly about issues relevant to patient care.  Accountability incorporates that each individual assumes responsibility for quality and satisfaction, and includes the acceptance of responsibility for actions, attitudes and mistakes.  Accountability is the act of knowing how the individual’s job impacts the success of the organization.  Communication is essential in a multidisciplinary team environment.  Strides should be made to ensure that everyone the individual communicates with will be treated with dignity and respect.  Effective communication also means being relentless about maintaining privacy and confidentiality.  Excellence means having the courage to be innovative and to be passionate about improving clinical and service excellence.  Teamwork is recognizing the value of working as a team accomplishes more than the work of the individual.   

Strategic Plan

The hospital’s strategic plan revolves around the four (4) pillars and incorporates the mission and vision as well. Reference OO3-B The report card for strategic planning is divided into goal/overreaching strategy/objective/strategy/tactic.  Tactics are identified in order to attain the overreaching goal.  The plan is further divided into an assigned person/team, due date, a baseline number/percentage and a target.  The strategic plan incorporates safety and quality issues as well as organizational growth issues.  These issues include increasing the number of inpatient surgical procedures, increasing the number of cardiology and invasive cardiac procedures, increasing obstetric admissions and increasing the outpatient radiology volume. Nursing’s strategic plan incorporates the pillars and is in alignment with the organization. Reference OO3-C

Integration of Nursing’s and the Organizations Strategic Plan

TL-Table1

Quality

The organizations quality program incorporates fourteen (22) Lean-Six Sigma projects. Appendix OO25-A These projects include:  reducing falls, likelihood to recommend, Perinatal safety, length-of-stay, core measures, sepsis, elopements, pain management, IV infiltrates, documentation, Behavioral Health readmission, MD consults, and congestive heart failure and pneumonia readmissions.  This process utilizes a DMAIC (Define/Measure/Analyze/Improve/Control) process.  The Department of Nursing, of course, plays a key role in quality and safety issues hospital-wide.  Key Performance Indicators (KPIS) are assigned to team members of the Patient Safety and Clinical Quality Council.  The quality report card Appendix TL1-C is also organized to represent goals/overarching strategy/objective/strategy and tactic.  There is a baseline and a target as well as a responsible person.  Nursing’s strategic plan integrates completely with this process.  Nursing additionally includes:  employee injuries, appropriate nurse scheduling, journey toward national awards and the use of nursing peer review.   

Nursing’s Quality and Safety Council, facilitated by Claudia Garzon-Rivera MSN, RN, CNL, CCRN are aligned with the organizations mission to enhance life.  The council’s long-term goal is to continue to assist nursing in providing safe and efficient patient care.  This council further supports the organizations strategic plan by improving care at the staff nurse level. 

This council collaborates with other disciplines in order to engage them in our efforts to dramatically improve patient safety and the quality of patient care.

Overview of Nursing’s Long Range Quality Plan

(2011-2013)

TL1-Table2