Mount Sinai Nursing Annual Report 2023

Mount Sinai Health System

Nursing Annual Report 2023

We are committed to bringing our best to every encounter. “ “

Message from the Chief Nurse Executive

Dear Friends and Colleagues:

Throughout 2023, we continued to expand the foundation of our Nursing program throughout the Health System. One fundamental component of this work involved crafting a tagline as part of an employee value proposition. By design, this serves as a succinct statement about Mount Sinai Nursing that speaks to our identity, reflects our nursing mission, and helps differentiate us.

In April of 2023, we invited every Mount Sinai nurse to vote for their choice. During National Nurses Week, we announced the decision: Mount Sinai Nurses—Creating Excellence Together.

Today, this value statement is being used in a variety of print and electronic communications— ads, social media, emails, and others— to represent the more than 8,500 Health System nurses and to recruit qualified nurse candidates to join our diverse team. In fact, in 2023 alone, we successfully recruited/hired more than 1,231 clinical nurses to join our team.

Mount Sinai nurses are among the top in our profession, dedicated to the pursuit of excellence not as an endpoint but a journey. We are committed to bringing our best to every encounter, working together to make a real difference in the lives of others, both one-on-one and within the communities we serve.

As you read through this year’s Annual Report, I hope you are as proud as I am of the many examples of how nursing brings our mission to life. These pages reflect your individual and collective commitment to providing exceptional clinical experiences and outcomes for patients and families in the many diverse communities we serve.

Mount Sinai nurses are truly exceptional, and I thank them for their continued commitment to “Creating Excellence Together.”

With appreciation, Beth Oliver

Beth Oliver, DNP, RN, FAAN Chief Nurse Executive

Senior Vice President, Cardiac Services

Mount Sinai Health System

Transformational Leadership

Providing a strong mission, vision, values, and forward thinking to guide our professional nursing practice with a collaborative sense of advocacy and support to promote exceptional care to the patients and families we serve

Mission, Vision, and Strategic Plan

Mount Sinai Nursing

Mission: To provide exceptional clinical experiences and outcomes for patients and families in the many diverse communities we serve through the advancement of nursing practice guided by unrivaled education, equity, leadership, innovation, and scientific nursing research.

Safety

Vision: To be the place where nurses choose to work and patients want to receive their care.

Strategic Plan:

Establish MSHS Nursing Corporate Structure

Establish a Nursing Organizational and Council Structure to support and advance strategic initiatives and to forge clinical and community partnerships.

Exceptional Patient Experience

Transform care and improve the health of the patients and families we serve by putting patients at the center of everything we do through the application of relationship-centered care and the provisions of outcomes-driven practice.

Nursing Financial Stewardship

Recognize operational and fiscal excellence to deliver the “Best Care at the Right Cost” and ensure the recognition of nursing as a revenuegenerating workforce.

MSHS Values:

Equity

Creativity

Agility

Teamwork

Empathy

Image of Professional Nursing

Demonstrate clinical expertise utilizing research and the best evidence to practice at full scope and to excel as transformational leaders in an evolving health care environment.

Zero Harm

Exhibit a strong commitment to build and emphasize a culture of safety and endorse high reliability performance and continuous process improvement.

Standardization and System Support of All Hospitals

Achieve consistent processes that decrease variation, improve quality, and promote efficiency and staff satisfaction through standard work. Standardization promotes operational excellence and optimization of care delivery. 1 2 3 4 5 6

EvidenceBased Practice and Research

Mount Sinai Health System

Nursing Councils

Exemplary Professional Practice Informatics, Innovation, and Digital Engagement Quality and Safety Professional Development

Patient Experience Nurses Against Racism Ambulatory Care School of Nursing Collaboration Social Media

Nursing Financial Stewardship Mentorship Magnet

Nursing Corporate Structure

Recruitment, Retention, and Recognition

Developments to the Executive Nurse Cabinet

September 18, 2023

Linda M. Valentino, DNP, RN, NEA-BC

Appointed Interim Chief Nursing Officer of The Mount Sinai Hospital

Marsha SinananVasishta, MBA, MSN, RN, NEA-BC, CPXP

Appointed Interim Vice President/Chief Nursing Officer of Mount Sinai Morningside and Mount Sinai West

CNE Town Halls

Beth Oliver, DNP, RN, FAAN, Chief Nurse Executive (CNE) for the Mount Sinai Health System, hosted quarterly CNE Town Halls where information about system nursing initiatives were shared and guest

Frances Cartwright, PhD, RN-BC, AOCN, FAAN

Transitionedinto Vice President of System Oncology Nursing

November 14, 2023

Kimberly S. Glassman, PhD, RN, NEA-BC, FAONL, FAAN

Appointed Dean of the Mount Sinai Phillips School of Nursing and Vice President for Nursing Academic Affairs of the Mount Sinai Health System

speakers presented on topics such as the Center for Nursing Research and Innovation, Nursing Innovation and Technology, and Nursing Well-Being and Mental Health.

Breakfast With Beth

“Breakfast With Beth” is an informative series of gatherings held across the Mount Sinai Health System hospitals and ambulatory sites. Our Chief Nurse Executive, Beth Oliver, DNP, RN, hosts small groups of day and night shift frontline nurses to discuss the mission, vision, and strategic plan of nursing. It’s an opportunity for Mount Sinai nurses to freely discuss challenges they experience in delivering optimal care with the highest level of nursing leadership, as well as ideas to enhance patient satisfaction and safety, quality care, and nursing operations across the board.

Mount Sinai Queens

Mount Sinai South Nassau

Mount Sinai Brooklyn

Mount Sinai Morningside

Mount Sinai Beth Israel

Mount Sinai Ambulatory

The Mount Sinai Hospital

Mount Sinai West

The Mount Sinai Hospital-Nurse Leaders

Nurse Leader Academy (NLA) Updates

Nurse Leader Academy Program Vision:

To advance nurse leaders’ knowledge, skills, and abilities and prepare them to excel and adapt as transformational leaders in an evolving health care environment.

In the spring of 2023, the Nurse Leader Academy (NLA) welcomed its sixth cohort of graduates, adding to a collective of 90 nurse leaders who have successfully completed the program since its inception in 2020.

Plans are underway to offer in-person NLA sessions in 2024 with dedicated faculty.

Professional Accomplishments and Awards

The Mount Sinai Beth Israel Geriatric Psychiatry Unit had their abstract about improving patient experience accepted to the International Nursing Congress, which took place in Montreal in July.

Congratulations to Mark Dela Cruz-Hunt, RN, BSN, on being named the 2023 Manager of the Year at Mount Sinai Queens. This award is presented to a department head, manager, or nurse manager whose overall performance is consistently superior in providing leadership that supports service excellence, patient-centered care teamwork, and staff empowerment.

Congratulations to Eumenide Vernet, MSN, RN, AGNP, NEA-BC, OCN, and  Uzoma Anagboso, MSN, RN, for having their abstract titled “Developing a Standardized Method for Clinical Staff Training, Education, and Competency” accepted to be presented at the United Scientific Group Nursing Science Conference in April 2023.

Congratulations to Joan Miravite, DNP, RN, FNPBC, FAAN, on her induction as a fellow of the American Association of Nurse Practitioners. She is the only NP in New York being inducted in 2023.

Congratulations to Siobhan Sundel, DNP, GNP-BC, ANP, on having two podium presentations accepted at the Annual Nurse Practitioner Association Conference in October 2023. Her two podium presentations are titled “Dementia: What You Need to Know Now!” and “Atypical Signs and Symptoms in the Elderly: What You Need to Know Now!”

Congratulations to Marsha Sinanan-Vasishta, MBA, MSN, RN, NEA-BC, CPXP, for being awarded the Caribbean Life Humanitarian Award.

Professional Accomplishments and Awards

Congratulations to Seana Friedman, DNP, RN, for having the POAF Amiodarone Study presentation she co-authored accepted to be presented at the American Association for Thoracic Surgery Conference in May 2023 as well as published in The Journal of Thoracic and Cardiovascular Surgery.

Congratulations to Jill M. Goldstein, RN, MA, MS, for being named a 2023 Healthcare Hero by Schneps Media.

Congratulations to Joy A. McIlvaine, MS, RN, NPD-BC, ANP-BC, LAc, Karen Brody, MSN, RN, GERO-BC, CIC, and Alondra Hernandez, MSN, RN, for being recognized by the United Hospital Fund as 2023 Quality Improvement Champions.

Congratulations to Robin Ferrer, MBA, MSN, RN, on being awarded the Alumnus of the Year Award from the Milton Hershey School.

Congratulations to Shannon Jarzynka, DNP, CPNP, for being awarded the 1199 Nurse of Distinction, Advanced Practice Nurse- first Runner Up.

Congratulations to Jennette Morgan, MSN, CNM, for being awarded the Outstanding Preceptor Award at the American College of Nurse Midwives 2023 Annual Meeting.  Jennette is 1 of 15 midwives across the country to receive this award in 2023.

Congratulations to Kimberly T. Souffront, PhD, RN, FNPBC,  Associate Director of the Center for Nursing Research and Innovation, on being selected as a fellow in the American Academy of Nursing.

Congratulations to Loriel Lozano, BSN, RN, Celest Mars, BSN, RN, CCRN, Geneline Barayuga, MSN, RN, Jonathan Nover, MBA, RN, and Zachary Kee for their article “ QR Codes for Rapid Responses: Improved

Congratulations to Stephanie Yabut, MA, BSN, RNCMNN,  Associate Director of Nursing, Department of Obstetrics and Gynecology at The Mount Sinai Hospital, and Svetlana Rozentul, MSN, RN, Associate Director of Nursing, Mount Sinai West, for being featured in the HuffPost article titled “Why You Feel A Sharp Pain Under Your Breasts (And When To Worry)”.

Clinical Operations and DEI Insight,” which was published in the American Journal of Nursing’s Blog, Off the Charts.

Congratulations to Susan Brindisi, MS Ed, MA, MSN, RN, CHES, CRRN, Nurse Manager of TBI Rehab at MSH and Sonia Garcia, MSN, RN, Nursing Education at MSH, on their poster presentation titled “CAUTI –The Unwelcomed Visitor” accepted to the Association of Rehabilitation Nurses Conference in Rhode Island in August.

Professional Accomplishments and Awards

Congratulations to Stephanie Nath, BSN, Clinical Nurse  from MSW, and Yocheved Weinreb, MSN, RN, OCN, Oncology Nurse Educator from MSW, on their poster presentation titled “Utilizing technology and leading from within. A nurse encourages colleagues’ participation in shared governance.” Stephanie presented this poster at the Oncology Nursing Society (ONS) Congress.

Congratulations to the Mount Sinai Heart Diversity Council , led by Kimberly Ashley, FNP-BC, Director of Nursing, Heart Transplant and VAD Program, who will be receiving the 2023 Diversity Impact Awards (DIA) Diversity Spotlight Impact Award at the Global ERG Network Conference in October.  This award recognizes the outstanding contributions and achievements of the Mount Sinai Heart Diversity Council.

Congratulations to Bevin Cohen, PhD, MPH, MS, RN, Director, Center for Nursing Research and Innovation, and Kimberly Souffront PhD, RN, FNP-BC, FAAN, Associate Director, Center for Nursing Research and Innovation, on receiving funding for the research training program titled Translational Research and Implementation Science for Nurses (TRAIN), which will be funded by the NIH’s National Heart, Lung, and Blood Institute in the amount of $740,000 over five years.

Congratulations to Marsha Sinanan-Vasishta, MBA, MSN, RN, NEA-BC, CPXP, on being named the keynote speaker at the AACN NYC Chapter Conference in September 2023. Her keynote address is titled “COVID Nursing-Relearning the Art of Building Connections: Mitigating the Impact of Lack of Personal Contact on the Patient and Family Experience.” She was also the keynote speaker at her alma mater, Lehman College of Nursing’s 2023 Graduation Ceremony. She also had her abstract titled “Improving Safety and Communication at the Guyana Public Hospital Corporation:  Implementation of Communication Huddles, Improving Patient Identification Processes, and Increasing ED, RN Time at the Bedside” accepted for a podium presentation at the 49th Annual Transcultural Nursing Society Conference in October.

Congratulations to Toby Bressler, PhD, RN, OCN, FAAN, Senior Director of Nursing for Oncology and Clinical Quality, on her podium presentation titled “Original Research Sweeping IBD under the rug: The Observant Jewish Experience of Duality Living with Chronic Illness” being accepted to the American Nurses Association-New York Annual Conference along with her abstract with Cathy Finlayson, LP-4 Oncology RN, titled “ONS Capitol Hill Days: Advocacy in Action” being accepted into the American Academy of Nursing 2023 Health Policy Conference.

Congratulations to Jemilat Siju, DNP, MSN, RN, ANPBC, OCN, Chief Nursing Officer and Vice President Ambulatory Care, Eumenide Vernet, MSN, RN, AGNP, NEA-BC, Senior Director of Nursing for Ambulatory Services at Mount Sinai-Union Square and MSHS Ambulatory Nursing Quality, Uzoma Anagboso, MSN, RN, Senior Director, Patient Care Services, Ambulatory Care, for having their article titled “Implementation of a quality improvement project using the patient as the observer to improve hand hygiene compliance in ambulatory care practices” published in the Journal of Hospital Infection.

Congratulations to Dawn Keiley, RN, Senior Director of Nursing, Mount Sinai South Nassau, on being Awarded the Cupola Award, presented annually to a deserving hospital employee who goes above and beyond their duties and lives by the hospital mission to promote excellence in health care.

Congratulations to Robbie Freeman, MSN, RN, NEBC, Vice President, Digital Experience and Chief Nursing Innovation Officer, on being named one of Healthcare Innovation’s 40 Under 40.

Robbie was also selected to present on “Leveraging AI to Support Nursing Practice” at the 1199 Nursing Symposium and presented on “Digital Tools to Support a Seamless Patient Experience”  at the Elsevier webinar.

Congratulations to Linda Valentino, DNP, RN, NEA-BC, Chief Nursing Officer, The Mount Sinai Hospital/ Mount Sinai Queens, on her poster titled “Nurse Retention: Strategies for Staffing Stability,” which was accepted at the American Academy of Nursing Conference.

Congratulations to Omar Camba, MBA, RN-BSN, Nurse Manager, and the 9 East Medicine/Telemetry Unit at Mount Sinai Morningside on their HANYS webinar “The Lean Journey to Falls Reduction,” which took place on November 15.

Congratulations to Claudia Garcenot, MSN, MHA, RN, CNO, MSB, on being named the 2023 Power Woman of Brooklyn by Schneps Media.

Congratulations to Andrea Barbosa, MSN, RN, CCRN, Department of Nursing Quality and Education/Nurse Education Manager, Critical Care, Mount Sinai Queens, on her publication “Graduating Nurses in the Time of COVID-19,” which was published in the Open Journal of Nursing.

Professional Accomplishments and Awards

Congratulations to Eric Peterson BSN, RN; Kieva Appleton BSN, RN; Irene Ofiaza BSN RN; Hui Ting Kok BSN, RN, CEN;  and Saskia Moore, BSN, RN from Mount Sinai Queens on their podium and poster presentation titled “Improving Capture of Community Acquired Pressure Injury in the Emergency Department Setting” which was accepted at the 4th Global Conference on Emergency Nursing and Trauma Care Sweden (2023).

Congratulations to Natacha Joseph, MSN, RN-BC, Education Specialist at The Mount Sinai Hospital, on receiving the Rose and George Doval Award for Excellence in Nursing Education from the NYU Meyers College of Nursing Alumni Board. This award is given in recognition of achievements that influence nursing education through creative and humanistic approaches.

Congratulations to Robin Ferrer, MBA, MSN, RN, System Vice President, Emergency Services, on being featured in Healthcare Tech Outlook Magazine with an editorial on, Patient Monitoring.

Congratulations to Toby Bressler, PhD, RN, OCN, FAAN, Senior Director of Nursing for Oncology and Clinical Quality, and Stacey A. Conklin, MSN, NI-BC, MHCDS, NE-BC, Senior Vice President, Chief Nursing Officer, Mount Sinai South Nassau, on being appointed to the Auxiliary body of the New York State Board of Nursing.

Congratulations to Joan O’Hanlon Curry, DNP, RN, CPNP, NEA-BC, FAPHON, FAAN, Nursing Director, Oncology and Palliative Care at The Mount Sinai Hospital, for being inducted as a fellow in the Association of Pediatric Hematology-Oncology Nurses (APHON) and being awarded the Dr. Casey Hooke Leadership Award, which is presented annually to a member who has demonstrated excellence in service to and leadership of APHON.

Practical Safety Steps for Patients at Risk of Suicide/Self Harm in Non-Behavioral Health Units - Nursing Leadership Series

June 2023

Pathway to Nursing Excellence Expo

March 31, 2023

200 current nursing students and alumni joined a virtual presentation and discussion about all that nursing at Mount Sinai has to offer.

Summer Student Nurse Internship Program

This summer, 83 students graduated from our 10-week system-wide Student Nurse Internship program. The program consists of didactic and clinical components, as well as nursing leadership enhancement sessions.

Summer Student Nurse Intern Orientation at Mount Sinai Morningside

Summer Student Nurse Interns at Mount Sinai South Nassau

Summer Student Nurse Intern Graduation at The Mount Sinai Hospital

National Student Nurses’ Association Annual Summer Leadership Conference

at Mount Sinai

June 2023

This summer, The Mount Sinai Hospital was the sponsor of the National Student Nurses’ Association Annual Summer Leadership Conference, which

featured a panel discussion of The Mount Sinai Hospital Nursing leaders on their respective nursing specialties.

Executive Nurse Cabinet (ENC) Retreats

June 8, 2023

December 8, 2023

Advanced

August 2023

The ENC was joined by Rose O. Sherman, EdD, RN, NEA-BC, FAAN,  G. Rumay Alexander, EdD, MSN, BSN, RN, FAAN, Kevin Haeberle, JD, and  Lori King, DNP, APRN-BC, to learn about the Future of Nursing, Inclusive Leadership, and Strategies for Success During Challenging Times.

Practice Nursing: Professional Development Series

The ENC invited Carol Boston-Fleischhauer, JD, MS, BSN, Chief Nursing Officer of the Advisory Board, to present on nursing workforce trends and challenges.

National Nursing Professional Development (NPD) Week

September 2023

This Zoom session was led by  Dan Iwrey, MM, Instructional Designer, Talent Development and Learning, Mount Sinai Health System, Human Resources.

Special Nursing Board Presentations

March 8, 2023

Dr. Singleton, a professor in the College of Health Professions, Pace University, is an accomplished clinician, educator, researcher, and coach, with numerous national and international publications, presentations, and awards. She is a leader in advanced practice nursing, interprofessional education and practice, evidence-based practice and cultural competence.

May 24, 2023

October 11, 2023

December 13, 2023

Dr. Safavi joined Accenture from Cisco, in 2011 where he led the global health care practice. Prior to that, he was Thompson Reuter’s chief medical officer of Health Businesses and UnitedHealthcare’s vice president of medical affairs. He also has served in leadership roles at Solucient, Humana, HealthSpring, and Alexian Hospital Network.

Mount Sinai Phillips School of Nursing

Sigma Theta Tau International Honor Society Induction

November 16, 2023

MSHS Annual Nursing Conference

October 3, 2023

The third annual Nursing Conference featured Mount Sinai Health System executives and nationally renowned nurse leaders presenting about the pathway to dismantle racism in nursing. The conference featured keynote speaker G. Rumay Alexander, EdD, RN, FAAN, of the American Nursing Association and the University of North Carolina, Chapel Hill. An accomplished nurse executive, public policy advocate, and educator, Dr. Alexander presented “Overview of the ANA National Commission to Address Racism in Nursing.” Other presentations included “Actionable Allyship to Address Racism in Nursing” and “Leading with Equity.”

October 3, 2023

Emergency Department Nurses Week Award Ceremony

October 10, 2023

Mount Sinai Health System

Ambulatory Care

Nursing Symposium

October 20, 2023

Nurse Practitioner

Recognition Week

November 12-18, 2023

2023 Nurse Practitioner Recognition  Week was marked by the Inaugural Nurse Practitioner Awards Ceremony, honoring Nurse Practitioners for outstanding work in categories including Rookie of the Year Award, Preceptor of the Year Award, Resilience in Action Award, and the Transformational Leadership Award.

Second Annual System

Nursing Education Retreat

December 14, 2023

Structural Empowerment

Structures and processes are in place to empower nurses to participate in decision-making and process improvement, establish standards of practice, and advocate for lifelong learning and recognition

Nurses Against Racism (NAR)

NAR Mission:

Educate and engage every Mount Sinai Health System nurse to understand, create, and sustain an anti-racist and equitable organization.

After being promoted throughout the Health System during Nurses Week, the first Nurses Against Racism (NAR) Employee Resource Group (ERG) launched in May 2022.

Nurses Against Racism (NAR) 2023 Accomplishments

Analysis  of Systemwide HAPIs Through an Equity Lens:

• An interdisciplinary team effort to evaluate hospitalacquired pressure injury (HAPI) incidence through an equity lens.

• The team combined subject matter expertise and data modeling to evaluate differences in HAPI rates across patient populations.

• The purpose for this project was to identify differences in hospital-acquired pressure injury rates for populations within the Health System.

• The interdisciplinary team explored the impact of race, gender, age, language, payor, length of stay (LOS), clinical service, and other factors on HAPI.

Results:

• In all models, LOS had by far the strongest association.

• Unsurprisingly, age also had a strong relationship.

• In terms of race, there were no meaningful differences observed between white, Black, or Hispanic patients in any model.

• Asian patients were 24 percent less likely to develop HAPI compared to white patients.

• The most actionable finding was the elevated risk for patients who prefer to speak a language other than English or Spanish.

• These patients were 40 percent more likely to have HAPI documented when compared to Englishspeaking patients.

Financial Stewardship Council Updates

2023 System Initiatives and Accomplishments

Nursing leadership was tasked with the goal of reducing agency expenses across the organization as this contributed to the largest deficit in Nursing’s other than personal services (OTPS) budget.

In order to accomplish this goal, a multipronged approach was utilized:

• Established a weekly meeting with key stakeholders at each site to approve/deny traveler requests and extensions

• Monitored weekly needs based on current ADC and productive staff

• Limit contract period (from 13 weeks to 8- or 4-week periods)

• Reduced hourly rates by completing a market rate analysis

• Implemented MSPSON tuition reimbursement retention strategy

• Reviewed vacancies and expanded hiring strategies

• Converted travelers to staff

Implemented an automated RN Staffing Assessment Dashboard, which gave us insight into key metrics to drive better informed decision-making

• Available Staff vs. Unavailable Staff (LOA, Orientation, Unplanned Absences)

• Recruitment data (open requisitions, offers accepted, remaining gap to budget)

• Volume and budget-based staffing needs

• Projected orientation end dates to anticipate ability to decrease travelers

American Heart Association - Heart Walk

May

18, 2023

The Wall Street Run and Heart Walk took place on May 18, 2023, with Mount Sinai Health System earning distinction as the top hospital fundraiser. Mount Sinai teams successfully raised more than $55,000 for the American Heart Association, securing the honorary cup to commemorate these achievements for another year. The Wall Street Run and Heart Walk raises funds for cardiovascular research, lifesaving CPR training, and equitable health opportunities. A total of 283 walkers and runners participated in the 2023 walk from Mount Sinai Health System. A heartfelt thank you goes out to all who donated and participated in this important event.

Emergency Department Fellowship Graduation

March 29, 2023

The  Emergency Department Nursing Fellowship, a 24week program, is preparing new graduates to transition into lifelong careers as emergency nurses. In the past two years, the program has graduated more than 80 fellows across the Mount Sinai Health System Emergency Departments. On Wednesday, March 29, 2023, the first graduation ceremony recognized RN fellows on the completion of this program.

Pediatric Critical Care Fellowship Graduation

November 28, 2023

Four new graduate nurses completed the Pediatric Critical Care RN Fellowship Program at The Mount Sinai Hospital on November 28, 2023. This fellowship prepared new graduates to work in the Pediatric Intensive Care Unit and the Pediatric Cardiovascular Intensive Care Unit.

Ambulatory Nursing Fellowship

April 3, 2023

In April 2023, Ambulatory Nursing launched the first cohort of the Ambulatory New Graduate RN Fellowship Program with three fellows in September 2023. The second cohort was launched with two fellows.

Mount Sinai Phillips School of Nursing Graduation

December 18, 2023

On December 18, the Mount Sinai Phillips School of Nursing held its graduation ceremony in the Stern Auditorium at The Mount Sinai Hospital.

Advanced Practice Nursing Updates

In June 2023, Caroline AustinMattison, DNP, RN, FNPBC, was named the   Director of Advanced Practice Nursing at The Mount Sinai Hospital.

On November 23, an  Advanced Practice Provider Recruitment Event was held at the Mount Sinai Health System Corporate Office.

Demonstration

Exemplary Professional Practice

of quality outcomes made by nurses as an essential contribution to patient care, the nursing workforce, and organizational and consumer outcomes

Professional Practice and Care Delivery Models

Mount Sinai Phillips School of Nursing White Coat Ceremony

March 13, 2023

Nurses Week 2023

May 6-12, 2023

Nurses Week 2023

May 6-12, 2023

Nurses from the Mount Sinai Health System made an appearance on the “Today” Show on May 9.

Congratulations to Hope Washington, MSN, RN,  Clinical Nurse Manager, Mount Sinai Queens, and James Upshaw, RN, Clinical Nurse for being featured in the New York Daily News Nurses Week section.

Nurses Week 2023 - Preceptor Awards

May 17, 2023

As part of Nurses Week 2023, nursing leadership hosted the Health System’s Second Annual Nursing Preceptor Recognition Event. Our preceptors work tirelessly to support our nursing teams. Throughout the pandemic, they were crucial in guiding clinical practice during a dynamic and extremely challenging period. Our staff are incredibly fortunate to have dedicated nurse preceptors help counsel, coach, and serve as role models for our clinical team members.

Accreditations

Congratulations to The Mount Sinai Hospital Emergency Department for receiving the Lantern Award. Members from the team attended the Emergency Nurses Association (ENA) Lantern Award Hall of Honor reception on September 21 in San Diego. The Mount Sinai Hospital is one of 53 emergency departments nationwide that met ENA’s rigorous Lantern Award criteria.

Congratulations to Mount Sinai South Nassau on completing their third Magnet re-designation survey. Recognized by the American Nurses Credentialing Center, Magnet culture has been alive at Mount Sinai since 2002.

Congratulations to Mount Sinai Morningside’s 8 East on receiving the SILVER-level Beacon Award for Excellence and the Cardiac Catheterization Lab for receiving the GOLD-level Beacon Award for Excellence from the American Association of Critical Care Nurses.

Congratulations to the Cardiac Catheterization Lab at Mount Sinai Beth Israel on receiving the SILVER-Level Beacon Award for Excellence from the American Association of Critical Care Nurses.

Congratulations to The Mount Sinai Hospital’s 7West Cardiac Surgery Stepdown Unit, SICU/TICU, and Cardiac Intensive Care Unit on receiving the SILVER-Level Beacon Award for Excellence from the American Association of Critical Care Nurses.

Policies and Procedures

Approved System Policy, Procedures, and Practice Guidelines:

• Elastic (ACE) Bandages Application

• Per Diem and Agency RN Orientation and Scheduling

• Organ and Tissue Donation and Honor Walk

• Height and Weight Measurement

• Student Nurse Affiliation

• Falls Assessment/Management for the Adult Inpatient

• Post Falls Event Management

• Definition of the Practice of Nursing

• Sterilizing Cleaning and Maintenance in Ambulatory Care

• Sterilization of Instruments in Ambulatory Care

• Handling of Hazardous Waste

• Chemotherapy Administration Competency

• Medication Supply Storage in Ambulatory Care

• Pediatric Med Administration in Ambulatory Care

• Extravasation

• Unit Opening/Closure Protocol

• Management of Hepatic Arterial Pumps

• Soiled Instrument Processing in Ambulatory Care

• Telemetry

• Medication Orders

• Mandatory Education for Nursing Personnel

• Nursing Research and EBP

• Private Duty Companion

• Chaperone

• Medication Administration in Ambulatory Care

• Pediatric Transport

• Maternal-Fetal Triage Index (MFTI) Policy

• Terlipressin Approval for Hepatorenal Syndrome

Professional Practice Updates

Professional Practice:

• Patient Observation Forms - Edited to Add Times to Forms Based on Feedback From Staff. Safety Observation (SO) Forms no Longer in the Medical Record; Constant/One to One Observation (CO) Forms Are in the Medical Record

• Implanted Port Competency

• Nutrition Screen: Transitioning FROM the “MUST” Tool  -  TO the “MST” Tool

• Neonatal Non-Patient-Specific Orders - RN Standing Order Has Been Amended So That Nurses Are Able to Use Cord Blood for Blood Gases

• New Falls Assessment/Intervention Protocol Clarified for ALL Sites

• Sepsis RN Education and Intervention Pilots for Performance Improvement

• Development of CLABSI RN Competency

• 96-Hour System Management Resource Plan

• Pyxis Five-Character Mandatory Entry

• Restraints Documentation Clarification in Epic

• Intake and Output Flowsheet Changes and Nursing Impact Dashboard

Integration of evidencebased practice, continuous performance improvement, technology, and research into clinical and operational processes

Pediatrics Service Updates

October 2023

In October 2023, The Mount Sinai Kravis Children’s Hospital celebrated its very first dedicated babies and children’s ambulance and transport team, comprising pediatric critical care paramedics, neonatal pediatric critical care nurses, fellows, physicians, and a respiratory therapist. This robust transport team brings critical care to the neonatal and pediatric patients they serve.

Improving Mobility: A System Nursing Goal

Benefits to Mobility

• Prevent Falls

• Decrease Infections

• Prevent Pressure Injury

• Prevent Deconditioning

• More Patients Go Home

• Decreased Length of Stay

Facts:

• Approximately 87 percent of inpatients rarely get out of bed during their hospital stay.

• One week in bed results in 5-7 percent loss in muscle mass in a healthy individual.

Mobility Documentation

Documentation:

The standardization of mobility documentation and timing in EPIC helps create consistent workflows and ensures reliable data to track our efforts to get patients moving.

Required Shift Documentation: Flowsheet View:

Mobility Reporting

Reporting:

Mobility data is available in the EPIC Nurse Manager Dashboard and on Tableau so that real-time and trended data is available to track performance.

Epic NM Dashboard

Tableau Dashboard

Systemwide Mobility Competition

Systemwide Mobility Competition

The most improved unit at each hospital for the percentage of Patients Out Of Bed (OOB) was recognized.

Systemwide Mobility Competition

Celebrating Our Most Improved Units

MSB 3E

MSH 8W

MSM 9E

MSQ 3W

MSSN D2E

MSW 10A

Medication Safety Initiatives:  Waste Now Pilot

Spring/Summer 2023

The management of controlled substances is of critical importance to promote a safe work environment. Reports specify that having two options for PYXIS WASTE as “NOW” or “LATER” has resulted in many instances of unresolved wasting of controlled substances and places the RN at risk for leaving work without the correct disposition of these unused medications. As a result, in May 2023, the MSHS began a three-week pilot that would remove the “Waste Later” option in Pyxis so that only the “Waste Now” option can be chosen by the RN. This was piloted on three units: MSH 10E, MSW ED, and MSM 6E. The response from the pilot units was positive; feedback from staff was in support of removing the “Waste Later” option. These results informed a systemwide implementation in early 2024.

Medication Safety Initiatives:

Pyxis Five-Character Mandatory Entry

Summer 2023

All Nursing medication dispensing cabinets were updated across the system to require a fivecharacter search while searching for (generic/brand) medications and ensuring that the correct medication is pulled from Pyxis. Pharmacy and Nursing worked collaboratively to educate stakeholders and implement this change with minimal disruptions to staff workflows.

Medication Safety Initiatives:

Pyxis Five-Letter Entry Post Implementation Survey

Fall 2023

Following the successful Pyxis Five-Letter Mandatory Entry Implementation in Summer 2023, Nursing stakeholders were surveyed on their confidence in correct medication retrieval, medication delivery timeliness, and challenges that may have resulted. Survey results showed that the majority of nurses feel more confident that they are pulling the correct medications on override with this new functionality.

Medication Safety Initiatives: Service Line Groups

August-October 2023

Nursing and Pharmacy Departments collaboratively hosted Zoom focus groups with frontline nurses, nurse leaders, pharmacists, and pharmacy techs from across the Mount Sinai Health System to gather feedback on opportunities for improved communication and teamwork among the two departments. These focus groups were crucial for gaining insights on opportunities for increased efficiency and safety surrounding medication administration.

Pictured above: L&D pharmacy and nursing staff participating in a medication safety focus group on August 25, 2023.

Center for Nursing Research and Innovation (CNRI) Updates

The Center for Nursing Research and Innovation’s  Practical Implementation of Nursing Science (PINS), an open-access, peer-reviewed journal for nurses engaged in clinical practice, launched in 2022.

Mount Sinai Health System staff who were published in PINS in 2023

Published on May 3, 2023

Jonathan Nover, Michael Olshansky, Sol Fuertez, Timothy Ivers, Bernadette Springer, Francelia Thomas, Eileen Brown-Mighty, Laura Greenberg, and Kimberly Souffront, “Implementing an Awake Proning Protocol for COV”

Published on May 25, 2023

Jonathan Nover, Michael Olshansky, Delon Dorset, Francelia Thomas, Eileen Brown-Mighty, Bernadette Springer, Helen Wu, Irene Ofiaza, Fionnuala Quigley, Dorothy Williams, Melanie Droz, Usha Lakhanpal, Anastasia Kashem, Katrina Serrano, Kinga Iskra-Krupinski, Ellina Babar, Jill Goldstein, and Kimberly Souffront, “Evaluation of Emergency Department Surge Spaces During the COVID-19 Crisis”

Published on October 17, 2023

Kristina Ann Gazivoda, Jessica Parra, and Toby Bressler, “What You See Is Not What You Get: One Health System’s Improvement of Pain Assessment in the Ambulatory Oncology Setting”

Published on December 21, 2023

Toby Bressler, “The Cost of Care: Describing the Financial Needs and Preferences of Patients with Advanced Gynecologic Cancer”

Janice Campbell, “Gentle C-Section: The Role of an L&D Lactation Nurse in Improving MaternalNewborn Bonding Experience During Cesarean Section”

Kathryn Ciccolini, Keren Osman, and Lu Chen, “A Refined Approach to Onboarding CAR-T and Cellular Therapy Products: A Learned Experience”

Natalie Evans, Nicole Cribbin, and Rafael Acal Jimenez, “Improving Chemotherapy Administration on an Inpatient Pediatric Oncology Unit Through Implementation of EMR Chemotherapy Communication Order”

Jill Frick, John Benson, and James Hoeft, “Falls in the Emergency Department”

Barbara McGuinness, “Structured Education for Patients with Chronic Obstructive Pulmonary Disease in a Pulmonary Rehabilitation Program”

Ramelia Raghunath, Eric Peterson, Nephala Deabreu, Bernadette Springer, Francelia Thomas, Eileen Mighty-Brown, Jonathan Nover, Daniella Stephen, Alla Yusupova, and Jill Goldstein, “Improving Capture of Community-Acquired Pressure Injury in the Emergency Department Setting”

Kelly O’Neill, “So Many Barcodes, So Little Time”

Kimberly Souffront, “Exploring Brain Natriuretic Peptide as a Surrogate Marker of Subclinical Heart Disease in Emergency Patients with Asymptomatic Hypertension: Preliminary Results”

Alison Snow, “An Approach to Advance Care Planning Discussions with Chinese-Immigrant Oncology Outpatients”

Center for Nursing Research and Innovation (CNRI) Updates

Translational Research and Implementation Science for Nurses (TRAIN)

Mount Sinai’s Translational Research and Implementation Science for Nurses (TRAIN) program supports Doctor of Nursing Practice (DNP) students from underrepresented minority communities and disadvantaged backgrounds to become experts in translating research into clinical practice. Funded by the National Heart, Lung, and Blood Institute (NHLBI) within the National Institutes of Health (NIH; R25 HL161579), this 12-week summer program is the first of its kind to provide DNP students with translational research mentorship within the clinical setting. TRAIN delivers collaborative, multidisciplinary, multispecialty classroom education and handson research experiences mentored by experts in fields of health disparities,  hypertension, and other clinical topics central to NHLBI’s mission. This unique program offers a generous stipend to offset the financial impact of professional development in this critical field.

Center for Nursing Research and Innovation (CNRI) Updates

Nursing Research Day 2023

Organized by the Center for Nursing Research and Innovation (CNRI) at Mount Sinai, the full-day symposium was held at the Icahn School of Medicine and streamed throughout the Health System on Friday, November 10, 2023. Hundreds of nurses participated in the program, which featured nationally renowned experts in research and policy and 30 poster presentations representing the work of 127 Mount Sinai nurses and colleagues across the greater New York region.

Center for Nursing Research and Innovation (CNRI) Updates

Spotlight on the iCORE Training Program

The CNRI’s research activity is thriving and includes 15 active studies with a cumulative funding amount totaling more than $1.7 million.

2023 Externally Funded Research

Awards with CNRI Nurse Scientists as Co-Investigators Active in 2023

Cohen, B. (Co-I). The Role of Implicit Bias on Outcomes of Patients with Advanced Solid Cancers (funded through the National Institutes of Health, PI: Smith).

Souffront, K. (Co-I). New York City Sickle Cell Implementation Consortium (funded through the National Institutes of Health, PI: Richardson).

Nowlin, S. (Co-I). Coronavirus Impact on Birth Equity in the 4th Trimester (funded through the National Institutes of Health, PI: Janevic).

Nowlin, S. (Co-I). Helping Promote Birth Equity through CommunityBased Doula Care (funded through the Helmsley Charitable Trust, PI: Maru).

Nowlin, S. (Site PI). Rewarding Healthy Behaviors in Pregnancy and Postpartum with Aqueduct Study (funded through Transcendent Endeavors).

Winter, S. (Co-I). Understanding the Relationship Between Nurse Staffing and Outcomes: Impact of Individual Nurse Education, Expertise, and Effort Level on Individual Patient Outcomes (funded through the Department of Veterans Affairs, PI: Phibbs).

New Awards to CNRI Principal Investigators Announced in 2023

Cohen, B. (PI). Be Your Own Voice: Advance Care Planning for Patients at Risk of Becoming Incapacitated with No Evident Advance Directives or Surrogates (funded through the Rita and Alex Hillman Foundation).

Estrada, L. (PI). Working Towards Health Equity Through Culture Centered Care for Latino Persons with Dementia (funded through the Robert Wood Johnson).

Nursing Innovation Through AI

2023 Accomplishments

In 2023, the Mount Sinai Health System administered the KLAS Arch Collaborative EMR experience survey. The survey results showed a 40 percent increase in nurse completion since 2019. Efficiency efforts in the EMR have saved more than 36,000 hours of RN documentation time in 2023.

Use Case Description Outcomes

• Machine learning model to identify patients at risk for clinical deterioration

• Automated risk assessment tool for risk of inpatient falls across MSHS

• Improvement in 30-day mortality

• Reduction in hospital length of stay

• Three percent reduction in fall per 1,000 patient days in our study population

• Machine learning model trained to identify malnutrition. Currently prioritizing nutrition care across MSHS

• Identifies hospitalized patients at risk for a sub-optimal patient experience based on EMR documentation

• Thirty percent increase in identification of moderate and severe malnutrition

• Five percent increase in response rate for intervention group, improvement in response rate for underrepresented groups

Deterioration Falls

Nursing Innovation

2023 Accomplishments

Mount Sinai Phone 2023 Implementation:  Provides select MSHS inpatient nursing staff with a new mobile device to extend existing clinical applications to the bedside.

Banyan Virtual Nursing

Banyan Virtual Nursing: This new system will allow off-site virtual nurses to observe and interact with patients providing nursing admissions, patient education, discharge instructions, and escalations to the on-site nursing teams. This system is live at MSSN. In 2023, the new Banyan Bridge telecommunication system was set up in 35 inpatient rooms at MSH to prepare for a unit Go-Live in 2024.

Nursing Innovation

2023 Accomplishments

Assignment Wizard 2023

• Aims to standardize staff assignment for all sites

• Includes break relief information as per labor laws

• Decreases use of paper documentation

• Is able to pull assignments from system for surveys

On April 23, 2023, Mount Sinai Queens went live with TimeKeep, a system used to help optimize and standardize:

• Pay calculations by integrating timekeeping and scheduling into one system

• Our scheduling experience by providing self-service workflows

• Staffing and scheduling analytics and reporting

The two units selected as Innovation Units were Mount Sinai Hospital 7 Center and Mount Sinai Queens Intensive Care Unit.

Transitions of Care Center (TOCC) Updates

September 2023

On September 6, Mount Sinai Health System was awarded the WellSky 2023 Analytics Innovator Award. This award is given to organizations who demonstrate the characteristics associated with innovation in analytics: high usage of analytics solutions, innovative use within internal programs, great outcomes, and two-way collaboration and feedback.

October 2023

Skilled Nursing Facility  Collaborative

On October 18, The Mount Sinai Hospital hosted more than 100 attendees, including staff from 40 different nursing homes, at the Skilled Nursing Facility Collaborative.

Population Health and Home Health Updates

New Learning PEAK Module Education on How to Identify and Address Social Determinants of Health

This past year, the Mount Sinai Health System nursing leadership team launched a new educational training video and course stressing the importance of screening for social determinants of health (SDoH) for all nurses in the health system. The video course educates nurses on how to screen their patients for social determinants of health risk factors and achieve health equity.

This course, which is available on Mount Sinai’s learning platforms, is critical to Mount Sinai’s nursing curriculum because, for many patients, non-medical social and environmental factors can contribute to poor health outcomes and disparities. We recognize the vital role our nurses have in caring for their patients and removing SDoH barriers.

By taking this course, nurses will learn:

• SDoH risk factors and their impact on patients

• New tools and resources to screen for SDoH

• Resources for addressing their patients’ social needs

Mount Sinai is proud to be a health system leader in adopting these SDoH screening assessments to support our nurses in implementing them in patient care.

We thank our nurses for being SDoH champions for our patients— and for the talent, dedication, and diverse skills they provide to our patients every day.

Ambulatory Nurse-Led Hypertension Management Clinic Workflow

Hypertension Control Rate–Through December 31, 2023

Patients aged 18-85 with hypertension, one or more visits in ambulatory care in the past 12 months, with an employed MSHS PCP.

Demonstrations of quality outcomes made by nurses

as an essential contribution to patient care, nursing workforce, and organizational and professional nursing strategic plan

Nurses Improving Care for Health System Elders

(NICHE) Conference

April 2023

Congratulations to the  Mount Sinai Health System nurse leaders on having presentations accepted to the Nurses Improving Care for Health System Elders (NICHE) Conference in New Orleans.

• “#STOPTHEPRESSURES – Reducing Avoidable Hospital Acquired Pressure Injuries Through Nursing Staff Engagement and Teamwork” Poster by Kimberley Ennis, DNP, ANP-BC,  and Daniella Stephen, MPH, MSN, RN, NE-BC, CPHQ, CPXP, Mount Sinai Queens

• “Increasing Patient Safety Through Front-Line Staff Empowerment in the Detection and Management of Delirium” Poster by   Daniella Stephen, MPH, MSN, RN, NE-BC, CPHQ, CPXP, Mount Sinai Queens – winner of the NICHE-ABIM Foundation Choosing Wisely® Trailblazer Award

• “NP-Led Consultative Delirium Intervention Model” Panel presented by  Katherine Reina, DNP, APRN, AGNP-C, and Maria Vezina, EdD, RN, NEA-BC, FAAN

New York Organization for Nursing Leadership (NYONL):

Annual Meeting

September 2023

Congratulations to the following Mount Sinai Health System nurse leaders on having presentations accepted to the New York Organization for Nursing Leadership 2023 Annual Meeting.

Implementation of Daily Huddle and Management Board in Ambulatory (Poster) Sunghee Lee, MSN, RN, OCN, Karen DeVries, RN, OCN, Toby Bressler, PhD, RN, OCN, FAAN

A Health Systems Improvement of Pain Assessment in Ambulatory Oncology (Podium) Toby Bressler, PhD, RN, OCN, FAAN, Jessica Para, MS, RN

Advanced Care Planning in the Ambulatory Setting (Podium) Toby Bressler, PhD, RN, OCN, FAAN, Damian Reid, APRN-AOCNP, Jonathan Rockfeld, AOCNP

Faculty Nurse Attending: Enhanced Readiness for Clinical Practice (Podium) Frances Cartwright, PhD, RN-BC, AOCN, FAAN, Allison Mueller, MSN, RN, CV-BC

Virtual Nursing’s Effects on Workload Reduction and Retention (Poster) Margaret Pfeiffer, MSN, RN, NE-BC, CCRN, Jaclyn Di Bari, MSN, RN, NE-BC, Patrick Bowler, RN, BSN

The Investment Pays Off - Coaching for Success! (Poster) Niesha Canselo, BSN, RN, Erin Figueroa, MSN, RN, NE-BC, Stephanie Guareno, BSN, RN, CPXP

Care Model Changes to Improve ED Throughput (Poster) Cristina Cellucci, MSN, RN, SAFE, Colleen Schaefer, BSN, RN

Direct Care RN Stay Interviews: The Future of Nurse Retention (Poster) Linda Valentino, DNP, RN, NEA-BC, Margaret H. Sipe, DNP, RN, NEABC, FNAP, FAONL

Self Care Practices of Nurse Leaders (Round Table) Mary Zajc, DNP, RN, NEA-BC, WHNP-BC

New York Organization for Nursing Leadership (NYONL):

Annual Meeting

September 2023

Sunghee Lee, MS, RN, OCN, Toby Bressler, PhD, RN, OCN, FAAN, and  Frances Cartwright, PhD, RN-BC, AOCN, FAAN, presented a poster titled “Implementation of Daily Huddle and Management Board in the Ambulatory Infusion Setting.”

Christine Mahoney, DNP, RN, AGACNP-BC, NEA-BC, CCRN, Toby Bressler, PhD, RN, OCN, FAAN, Frances Cartwright, PhD, RN-BC, AOCN, FAAN, Maria Vezina, EdD, RN, NEA-BC, FAAN, and Linda M. Valentino, DNP, RN, NEA-BC,  at the New York Organization for Nursing Leadership (NYONL)  Annual Meeting.

Allison Mueller, BSN, RN, CV-BC, presenting on “Faculty Nurse Attending: Enhanced Readiness for Clinical Practice,” which she completed with  Frances Cartwright, PhD, RN-BC, AOCN, FAAN.

Nursing Quality and Patient Safety Goals

Goal: Fall Reduction

Achieve a 15 percent reduction in falls with moderate or greater injury severity and above as compared to the Mount Sinai Health System’s prior performance, measured as an average over the previous eight quarters.

Goal: Pressure Injury Reduction

Achieve a 15 percent reduction in hospital-acquired pressure injuries stage 2 and above as compared to the Health System’s prior performance measured as an average over the previous eight quarters.

Nursing Quality and Patient Safety: Mount Sinai Queens

Poster Presentations

Congratulations to Luz Lucero-Calabro, DNP, MS, RN, AGPCNP-BC, CWOCN,  Wound, Ostomy, and Continence Nurse Specialist, Nurse Practitioner, Mount Sinai Brooklyn, and Dina Bressler, BSN, RN, WTA-C , Assistant Nurse Manager, Mount Sinai Brooklyn, on their poster titled “Enhancing WOCN Verification: Utilizing EMR for a Globalized View of Hospital-Acquired Pressure Injuries” as well as  Areeba Saboor, BSN, RN, DNP Candidate, Staff Nurse, Mount Sinai Brooklyn, and Robyn Khung, MSN, RN, CPHQ,  Manager, Nursing Quality Patient Safety, Mount Sinai Brooklyn on their poster “The Effect of Sepsis Screening Education on Registered Nurses” being presented at the 14th Annual 1199 Nursing Symposium on Thursday, November 16, 2023.

Congratulations to Luz Lucero-Calabro, DNP, MS, RN, AGPCNP-BC, CWOCN, Rebecca Poleshuck, MSN, FNP-BC, CWOCN, Stephanie A. Ingram, MSN, FNP-BC, CWOCN, CFCN, Melissa Nelson, MSN, RN, CWCN, and  Alla Yusupova, BSN, RN, WCC, CWOCN, on their poster “Transforming Trash into Treasure: WOC Nurse Verification.”

Creating Excellence Together

Mount Sinai Health System Department of Nursing

One Gustave L. Levy Place | Box 1168 | New York, NY 10029