As chief nursing officer (CNO) at Florida Hospital Celebration Health, I have overall accountability for the strategic planning, capital and operational budgeting, leadership, and development of nursing services at my campus. My specific responsibilities include ensuring that properly supervised nursing services are available 24/7 at Celebration Health and that our policies and procedures for these services are accurate. I am also responsible for seeing that hospital-wide programs that address how nursing care meets the needs of our patient population are implemented and evaluated.
I believe that living—and encouraging my colleagues to live—the principles of CREATION Health is fundamental to guiding Florida Hospital’s mission to extend the healing ministry of Christ to every patient, every time.
In my various leadership roles directing multiple service lines, I have enjoyed extensive involvement in the areas of patient safety and quality of care, including—but not limited to—Joint Commission, American Health Care Association (AHCA), Centers for Medicare and Medicaid Services (CMS), and legal and risk management regulatory requirements. In two previous CNO positions, I served as the senior oversight official for all regulatory compliance matters. I also served as ethics and compliance officer (2000–2004) and vice president/chief nursing officer (1997–2004) at the Hospital Corporation of America (HCA). While at HCA, I was directly involved in the development and implementation of bar coding and electronic medical records to reduce medication errors. I maintain professional memberships with the American College of Healthcare Executives (ACHE) and the American Organization of Nurse Executives (AONE).
At Celebration Health, I have responsibility for developing and analyzing the effectiveness of ongoing programs to improve the quality of nursing care, treatment, and services. For instance, at our campus, we use evidence-based practice (EBP) protocols for community-acquired pneumonia, acute myocardial infarction, congestive heart failure, and other diagnoses. I work closely with our nursing leaders to modify existing EBP protocols and also to develop protocols for a new, 16-bed Clinical Decision Unit that will open here in the near future.
Other patient safety and quality of care efforts at Celebration Health include our hospital’s participation in a Johns Hopkins University study, which resulted in the elimination of central line-associated blood stream infections (CLBSI) in our 16-bed Intensive Care Unit for more than 18 months now. In addition, with the exception of our Intensive Care Unit, we maintain a restraint-free environment greater than 99 percent of the time. As a final point, through our reorganizational efforts, we have seen significant reductions in registered nurse turnover over the last two years, with a decrease of greater than 10 to 50 percent occurring in some areas of the hospital.