Henry Ford West Bloomfield Hospital Shared Governance Councils
The Henry Ford West Bloomfield Hospital Shared Governance model embraces the concept of shared leadership and shared decision-making, ensuring that team members at all levels and from all practice areas are involved in making decisions that will affect their practice environment.
Our nursing shared governance structure, implemented across the organization, is a framework that empowers nurses with autonomy in the clinical & professional nursing practice. The program encompasses both inpatient and outpatient areas, as well as our other multidisciplinary teams.
The vision of the Nursing Advisory Council is to represent the voice for nursing in policy, practice and advocacy in alignment with the nursing strategic plan. Additionally, the Nursing Advisory Council will facilitate communication and collaboration between the unit/departments and across disciplines, and optimize operations while supporting the organization’s goals, mission, vision, and values.
- Serve as the system operational oversight and support nursing and organizational strategic goals
- Review and oversee practice standards, policy and procedures that impact nursing
- Encourage standardization build and workflows
- Oversee functioning and effectiveness of the shared governance process and unit/department management
- Improve efficiency and effectiveness of operations within units, across units and within the organization.
- Promote collaboration and foster innovation through partnerships
The purpose of the Nursing Coordinating Council is to oversee activities of the nursing Shared Governance councils. The Coordinating Council ensures that decisions made by the individual councils are safe, timely, effective, efficient, patient-centered, and equitable.
- Oversee functioning and effectiveness of the nursing governance structure
- Assign ad hoc responsibilities of councils/committees
- Review minutes from monthly council meetings
- Approve changes/revisions from Shared Governance councils
- Facilitate the strategic plan for nursing
- Make decisions when consensus is not reached among councils on issues that will impact the Department of Nursing
- Hold veto authority on all Shared Governance decisions with ultimate veto authority being held by the Chief Nursing Officer
The Nursing Practice Council implements and maintains standards of clinical nursing practice and patient care consistent with Evidence-Based Practice (EBP). These include the professional practice model, clinical products and equipment, nursing standards of practice, the patient care delivery model, ethical issues, strategies to promote staff retention and staff satisfaction, and nursing policies and procedures.
- Review current practice standards, EBP and evaluate the need for revision
- Conduct review, revision and approval of nursing policies, protocols and guidelines
- Validate, endorse and promote care practice guidelines
- Identify the need to evaluate and/or make recommendations regarding products, equipment and technology
- Serve as communication forum for practice changes and policies approved at individual practice councils
- Communicate changes in practice and policies to involved areas to ensure appropriate implementation within the Unit Practice Council
- Review quality/safety data to identify trends and develop improvement strategies in collaboration with the Nursing Quality Council
- Evaluate the effectiveness of improvement strategies
- Identify and implement strategies to increase near miss and adverse event reporting
The purpose of the Professional Development and Evidence-Based Practice (EBP) Council is to promote and focus on identifying learning needs, integrating EBP and research, practicing changes, developing and reviewing educational plans and evaluating effectiveness of educational programs and materials. The Council is used as a resource that assists nurses with implementing EBP, as well as mentoring staff to understand, evaluate and conduct nursing research properly.
- Participate in the development and approval of educational programs/proposals for any education involving all nursing departments
- Engage in EBP review for policies, programs, processes, and education
- Support, assist and facilitate nursing EBP and research
- Support nursing excellence journey
- Identify hospital-wide educational needs of staff and patients on an annual basis
- Review on-boarding processes and competency content, providing support and recommendations, as needed
- Promote the spread of research results to the broader nursing community through publications, conferences and presentations
The Nursing Quality Council monitors the clinical, quality of care provided by the nursing staff, while assessing and ensuring compliance with established standards of care and practice. The Nursing Quality Council is responsible for Nurse Sensitive Indicators and Patient Satisfaction scores (HCAHPs) and ensuring a Culture of Safety and collaboration with organizational patient care outcomes councils and task forces.
- Endorse and monitor unit-based quality improvement plans. Review quality/safety data to identify trends and develop improvement strategies
- Integrate the nursing quality improvement process with the hospital plan and evaluate trends and patterns of performance that affect more than one department or service.
- Review and evaluate data (NDNQI, unit audit data, benchmarks, etc.) and incorporate the data to develop action plans in collaboration with unit practice committees in the department of nursing to ensure quality patient outcomes.
- Work with the Quality Department to ensure compliance with established state, federal and regulatory standards.
- Collaborate with other disciplines to monitor and evaluate compliance to standards and make recommendations to enhance continuous quality improvement and safety.
- Monitor and analyze data relative to nursing quality and safety practices seeking opportunities for continual improvement. Evaluate outcomes in conjunction with these initiatives.
The Unit Practice Council (UPC) provides a mechanism for clinical nurses and multidisciplinary team members to demonstrate leadership in the development of practice decisions, using True North – safest care and best outcomes, exceptional experience, compassionate, committed people, and affordable, efficient care – as the guide.
- Promote excellence in nursing care delivery and support an environment of health and healing within patient-centered care
- Develop processes that meet the expressed and unexpressed wishes of the patients, and promote wellness
- Identify and develop educational and professional growth opportunities for staff, and collaborate with Nursing Education to ensure programs are in place to meet those needs
- Integrate innovative ideas into practice, including EBP, research initiatives and process improvement initiatives
- Design initiatives to recognize and retain unit staff
- Promote and engage interdisciplinary collaboration within an environment of honest and respectful communication
- Engage in continuous quality improvement and innovation for the patient and nursing practice
- Support responsible and efficient use of resources