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New Jersey launches nursing improvement initiative

By Richard Pizzi

The New Jersey Hospital Association officially launched its Transforming Care at the Bedside project this week. TCAB is a nationwide initiative to train and support nurses so they can maximize time and effectiveness at the patient’s bedside while increasing job satisfaction.

TCAB was developed by the Institute for Healthcare Improvement and the Robert Wood Johnson Foundation. The NJHA received a RWJF grant allowing up to 50 New Jersey hospitals to take part, and the NJHA's Institute for Quality and Patient Safety is facilitating the program in the Garden State.

The three national TCAB pilot sites were Seton Northwest Hospital in Austin, Texas, part of the Ascension Health System; UPMC Shadyside, part of the University of Pittsburgh Medical Center (UPMC) in Pittsburgh, Pennsylvania; and Kaiser Foundation Hospital in Roseville, California, part of Kaiser Permanente.

There are currently 10 hospitals participating in the RWJF/IHI Transforming Care at the Bedside initiative.

TCAB is built on four key focus areas:

  • Providing safe and reliable care
  • Fostering a work environment that supports vitality and teamwork
  • Developing a patient-centric care delivery model
  • Improving systems and processes to eliminate waste and improve flow.

The NJHA has developed a Learning Network with an array of resources to support participating hospitals in the state. The association will use the TCAB Collaborative model that has worked in prior efforts, bringing participants together with industry experts to meet and share experiences.

Participants in the program will also share data, including indicators from the National Nursing Quality Indicators database, nurses’ job satisfaction surveys, “culture of safety” survey results and HCAHPS questions on nursing care.

The New Jersey project will be a three-year effort, culminating in a statewide conference to share resources and outcomes.