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Lenox Hill Hospital How have the results been?

The E.A.R.L.Y. • We improved the patient transfer from ICU to Employee Recognition

step down unit, decreasing the average
Laura Spallina, MS,
ICU LOS from 8.9 days in 2015 to 6.61 days
in 2016.
bird provides • We achieved significant decrease of total FNP-BC, RNC-OB, C-EFM
Northern Westchester Hospital
mean ventilation hours of patients in the
ICU from 14 hours in 2014 down to 8.7 hours
the best care. • The reintubation rate also went down from In collaboration with the New Visions Labor and Delivery while actively pursuing
in 2016.

2.5% in 2014 to 1.2% in 2016. Program, Northern Westchester Hospital an advanced degree as a Nurse Practitioner.
In April 2013, Laura attained that degree
(NWH) provides education opportunities to
By Ashley Dorfman, RN, BSN high school students from the surrounding from Pace University, and in July 2015,
• Since patients were extubated early, ventilator
Assistant Nurse Manager associated events (VAEs) also decreased from communities who are interested in a nursing assumed a role as a Nurse Practitioner on
5 VAEs in 2015 down to 2 VAEs in 2016. career through a structured educational our Surgical Unit. She currently cares for
program. One such graduate of this program patients post-operatively through discharge.
Facilitating the Collaborative Care Council (CCC) • Through the early ambulation component of is Laura Spallina, MS, FNP-BC, RNC-OB, Laura is always grateful for the advancement
is one of the most rewarding things that I do the project, we had a significant reduction in C-EFM. After graduating from the New opportunities that NWH has given her and
in my role as an Assistant Nurse Manger in the hospital acquired pressure ulcers (HAPU), Visions Program, Laura began her career feels fortunate to work in a place that fosters
Cardiothoracic ICU and step-down unit. Our unit’s from 8 in 2015 down to 3 in 2016. as a Labor and Delivery Nurse at NWH in and promotes her love for professional
Collaborative Care Council is evidence of what can June 2010. In just two short years, Laura growth and development.
be accomplished when unit leadership and frontline • In addition, we noted improved patient was promoted to Patient Care Manager of
staff are engaged and empowered in unit decision experience scores with an increase in the
making. We come together to evaluate and identify annual likelihood to recommend from
opportunities for improvement by reviewing our the 75th percentile rank in 2015, to the
HCAHPs scores, quality data, employee satisfaction, 89th percentile rank in 2016.
operational efficiency, and patient out-comes
monthly. What are we working on?

Emergency Nurses
Our biggest initiative is the E.A.R.L.Y. project. Due Our Collaborative Care Council embodies the mission
to a 20% increase in volume, we implemented the and vision of Lenox Hill Hospital and Northwell Put your skills to the test.
E.A.R.L.Y. Project in April of 2016 in order to improve Health by constantly pushing the envelope to
unit operational and business efficiency. We began achieve excellence through their initiatives. Are you Made for this?
by initiating Early Extubation, Early Ambulation,
Rapid de-lining (prioritizing line removal to facilitate Become part of it all
transfers out from ICU), “Lets Communicate and
Educate” (improving communication, formulating
monthly staff education topics), and “You’re Ready
for Discharge” (preparing and facilitating efficient
and safe patient discharges).

22 Northwell Health The Rounds • Volume 1, 2017 23