What is Shared Governance?

1
What is Shared Governance?

• And why are we doing it here at St. Lukes?

2
What is Shared Governance?

• It is a partnership between staff and management
  working together to promote shared decision
  making and accountability to provide an improved
  work environment.

3
Why are we doing Shared Governance and why now?

• Its the right thing to do!
• It is a critical foundational part of the Magnet
  journey!!
• Organizations are recognizing the positive
  significance of systems that grant professional
  employees the responsibility and accountability
  for governing issues directly related to their
  own practice.

4

• Magnet Video

5
New Model for ANCC Magnet Program
Structural Empowerment Shared Governance
6
Linda Aiken assumptions (1994)

• hospitals that facilitate professional autonomy,
  control over practice, and comparatively good
  relations between nurses and physicians will be
  the ones in which nurses are able to exercise
  their professional judgment on a more routine
  basis with positive implications for the quality
  and outcomes of patient care
• Relationship Based Care A Model for
  Transforming Practice, page 119.

7
Magic Valley Nursing Shared Governance Structure
Implementation Timeline

• One-Day SL
• Council meetings

• SNRC initial meeting
• Communication initial meeting
• Start charter
• Elect Chair/Co-Chair, facilitator And identify
  manager

• SG Steering Committee
• Service Line Chairs meet
• SG Retreat

June/July 09
November 09

• SL Councils
• initiated

Spring 08
May 09
Summer 08
October 09
January 2010

• CC 2nd meeting
• Finalize Charter

• 1st Housewide SG Meeting
• SG System Nursing Summit

• SG Model
• Developed

• Comm. Council introduced
• to SLs at Ed.Offering
• Comm. Council membership
• Structure defined

SGShared Governance SLService Line Councils
CCCommunication Council SNRCSystem Nursing
Research Council HWHousewide
8
Shared Governance Model
Expert Matter Groups Case Managers Contract
Services Dieticians DI Infection
Control Interpretive Services Lab MSTI OT
Patient Safety Pharmacy PT Quality
Resources RT ST Social Services Home
Health Transport Services UST IT
Med-Surg
Critical Care
Womens Childrens
Surgical Services
Q
Q
Q
Q
E
E
E
C
C
E
C
C
P
P
P
P
House-wide Councils
Quality
Education
Practice
Leadership
9
Service Line Communication Council

• Each service line will have their own
  Communication (C) Council (4 councils total)
• Communication Council will be made up of Chairman
  Co-Chairman from the respective Service Line
  Education, Quality Practice Councils
• There will be a Manager and Educator from the
  respective service line on each of the
  Communication Councils

E
Communication
P
Q
10
Service Line Communication Council

• Purpose of the Service Line Communication Council
  is to facilitate coordination and communication
  of activities within the service line framework
• A charter will be developed for the Communication
  Council.
• Communication Council will elect a Chairman,
  Co-Chairman, Facilitator

11
Our Vision Who do we want to become?

• Patient and Family are central to all An
  environment where
• decisions
• All clinical staff have a voice
• Practice decision making is in the hands of all
  staffEmpowers clinical staff to make decisions
  that affect their practice
• All staff share in ownership and accountability
  of the Practice, Education and Quality committees
• There is a partnership among all St. Lukes staff
• Ideas cannot be vetoedonly sent back for
  revision.

12
Vision for 2009-2010

• First House wide Council meetings- November
  10th and December 8th
• System wide Nursing Summit to celebrate and plan
  shared governance November 17
• Magic Valley Service Line Shared Governance Day-
  January 7.
• System Research Council
• Magic Valley Fellowship program

13
What has worked for our council?

• Email reminders of the meeting.
• Responsibilities
• Membership Requirements
• Group Norms

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Responsibilities

•     Charter to be reviewed annually
•      Evaluation of council to be done every six
  months.

15
Evaluation Form

• \\mvrmcnas\pubdata\SHARED GOVERNANCE\Medical
  Surgical Services\MS Education Council\Tools\Evalu
  ating My Unit Council.doc

16
Information Compiled

• \\mvrmcnas\pubdata\SHARED GOVERNANCE\Medical
  Surgical Services\MS Education Council\Evaluation
  My Unit.shs

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Membership Requirements

• -Active participation in monthly council
  meetings, occasional ad hoc task forces.
  -Attendance is required for 70 of scheduled
  meetings-Conference call is acceptable for
  attendance requirements-Ability and willingness
  to represent constituency group (s).-Able to
  make/support decisions based on the best interest
  of the discipline, perspective represented,
  and/or Medical Center goal (s).-Willingness to
  engage in and support consensus decision-making
  (not 100 agreement, can agree to disagree).
  -Maintain confidentiality of issues, opinions
  and discussions.

18
Group Norms

• Start and end on time.Clarify if consensus is
  achieved during theCome prepared to engage in
  discussionmeeting (reflected in minutes) or
  bring forth read agenda packet prior to meeting.
  for a future agenda item.Value ideas and
  communicationSupport consensus decisions of the
  group. and respect all members
  ideas/comments.Take accountability for
  membership in otherEvaluate, periodically, if
  information iscouncils for information
  sharing.repetitious. Participants are
  responsible for accessing minutes/agenda via
  electronic format Issues affecting the
  productivity of the group will be addressed by
  the group (i.e. attendance     Notify other unit
  representative if not able to attend meeting

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IDEAS

• As leaders (chairs, co-chairs, and facilitators)
  of the councils it is our responsibility to keep
  the council members excited and engaged before
  we can excite and engage other employees at St.
  Lukes Magic Valley.
• What has worked in your council?