Chief Nursing Officer (CNO)

“Nursing is informed caring for the well-being of others” (Swanson, 1993, p. 352). Kristen Swanson’s relationship-based caring theory encompasses maintaining belief, knowing, being with, doing for, and enabling. Nursing is a profession with vast opportunities for growth and development. Each nurse has his or her individual passions; mine reside within obstetrics, women’s health, and nursing leadership. Nurse leaders play an integral role in the success of healthcare organizations. Nurse leaders shape the roles of nurses within their organizations. Nurse leaders seek methods to improve patient care. They also use innovation to gain efficiencies in care delivery and decrease healthcare cost. Many nurse leaders have an ultimate goal to aspire to be a chief nursing officer in a healthcare

In the evolving health care environment, a guiding policy and personnel planning is required with respect to the numbers, types and mix of professionals. To overcome the challenges of the existing health care system and practice environment, “nurses need to be well educated, team oriented, adaptable and able to apply competencies relevant to leadership” (The Future of Nursing: Leading Change, Advancing Health, 2011, p. 270). Health care system is complex and has conflicting interests. Nurse helps the patient and family to connect to their social support systems and help to coordinate care and improve patient outcomes. Evidence shows that high quality nursing care can reduce cost

Nursing excellence is derived from an internal commitment to deliver the highest quality of care and is supported by structural empowerment. Nurses can achieve excellence by being actively involved in evidence-based research projects, staying abreast of the latestest advances in nursing care, and redesigning care delivery that is problematic or outdated. These activities require that nurses to step outside the box and assume new responsibilities within the nursing profession. Organizations who value excellence value innovation and creativity and provide the resources and infustructure necessary to enhance professional nursing practice (Clavelle & Goodwin, 2016). As such, the organizations core values of quality and excellence were incorporated into the Pilars of Care PPM to maintain strategic alignment between the organization and nursing practice.

The reality is that healthcare fraud negatively impacts everyone in the nation. "Health care identity theft dominated all other crimes in the sector last year, according to Louis Saccoccio, executive director of the National Health Care Anti-Fraud Association (NHCAA), an advocacy group whose members include insurers, law enforcement and regulatory agencies" (Kavilanz, 2010). Groups of organized criminals are hacking into the digital databases of healthcare organizations so that they can take money from the Medicare system, which means that the government is actually the sole largest victim of health care fraud, according to the FBI (Kavilanz, 2010). The scope and vastness of such crimes truly impact everyone. The money that is stolen not only undermines the integrity of the healthcare system as whole, but is taken away from organizations and individuals who truly need it to help people fight fatal diseases, to help them overcome chronic conditions, to put them back to work and reunite them with their families. Fraudulent activity not only compromises the integrity of the entire healthcare system, but takes numerous victims, impairing the healthcare system from accomplishing the full extent of their goals.

The mission of the National Institute of Nursing Research (NINR) is "to promote and improve the health and quality of life of individuals, families, and communities" (p. 6). This statment is very powerful as it is the basis of quality nursing care. The NINR developed their "strategic plan" with nursing care as a focus, encouraging critical

Today was my first day back with Ms. Zelda Smith the Chief of the Nursing Supervisor Department. Ms. Smith and I met took a few minutes to get reacquainted and then discussed my goals and objectives moving forward. To recap, Ms. Smith and I worked on a very detailed resource binder intended to support personnel temporarily filling the Nursing Officer of the Day (NOD) role. The Nursing Supervisor section experiences a great deal of turnover related to staff being pulled away for military obligations. Ms. Smith now has five permanent non-military staff members including herself and but she also relies on military personnel as needed to support staffing demands and satisfy mandatory military training requirements. Ms. Smith hired one new

As the health care environment in our country continues to change at a rapid pace, the need for properly prepared leaders in all health care environments will grow. The Doctorate of Nursing Practice (DNP) prepared nurse will possess the knowledge and skills necessary to rise to the highest levels of leadership in the institution of health care. To be an effective leader requires knowledge of the organization’s mission and the guidance of a theory of leadership congruent with and capable of delivering the facility’s objective. The traits of the leader must harmonize with the theory of leadership that is applied. Through careful examination of an organization’s structure, an appropriate leadership style to match the traits of the leader and followers may be identified. Connecting the organization, leadership style, and traits of the leader and followers will promote success with the implementation of new processes to improve the quality of patient care for the population served.

The purpose of this post is to put myself in a nursing leadership role and discuss three of Greg Fisher’s (2008) business principles that are necessary to maintain safe, quality, patient-centered care in a fiscally sound manner. The three business principles I will discuss include managing cash flow, managing customer expectations, and setting goals (Fisher, 2008). Wynn (2016), claims that value is measured by the outcome achieved per dollar spent. Value-based payment programs tie reimbursement to not only the quality of care provided to patients, but patient experience, as well. Therefore, the business principles of managing cash flow, managing customer expectations, and setting goals are important to health care. These business principles are important to me because nurses make significant contributions to the business of health care (Mason, Gardner, Outlaw, & O’Grady, 2016).

The world is an ever-changing planet with continuous progress towards bigger and better. Nursing is no different. We are always striving for ways to increase our knowledge, skills, existence, authority, independence, and notability as we work towards a healthier community and patient population. The Institute of Medicine (IOM) report researched and has designed a new plan for nursing with four key points that will encourage the profession to advance to the next level.

In this modern time, the health care system has changed tremendously. Patients are getting sicker, nurses are burnt out, and reimbursement is getting stricter. To answer the growing needs of the population and the health care industry, the Institute of Medicine and the other organization in collaboration with an elite group of nurse leaders, developed a new nursing role that will respond to the expanding demand of the health care.

Healthcare changes occurring today along with shrinking budgets and reimbursement rates for hospitals has forced institution CEOs to do more with less. Changes and restructuring of various health facilities require nursing leaders with flexibility and adaptability. Nurse leaders must also consider budgetary constraints, cost effectiveness, patient safety, and quality care while maintaining focus on improved patient outcome. The responsibility of ensuring patients receive safe and high quality care belongs to every employee in the hospital, including support staff such as IV therapy. In this hospital, this led to the development of a nurse director position to oversee the

Institute of Medicine was tasked with submitting a report consisting recommendations and a blue print for the future of nursing. “The Future of Nursing: Leading Change, Advancing Health” was published at the time when Affordable Care Act(ACA) was signed by the President in March 2010. With this 32million more Americans will be provided with insurance in future. To accommodate the new demand while keeping a high quality health care is a challenge. The report in detail study the roles nursing can assume to meet the increasing demand for high quality, effective and safe health care services. This report also talk about how the nursing profession could exploit these opportunities and

Healthcare is constantly changing and advancing, which requires nurses to possess complex leadership skills that can be utilized to accomplish the most successful outcome possible for each individual patient (Titzer, Phillips, Tooley, Hall, & Shirey, 2013). Managing these fundamental challenges necessitates the ability to acquire knowledgeable research and implement it into a strategic plan of care for individuals and/or communities (Titzer et al., 2013). In this paper I will explain why I chose the leader and manager role, and I will examine the challenges and opportunities faced with this role. I will also discuss the theories related to this role, and I will review the competences and experience that must be achieved for this role.

The knowledge from this course provides insight to and foundation for the role of Chief Nurse Executive (CNE). Our current four-hospital system does not have a CNE, but nursing governance occurs through a Chief Nursing Officer (CNO) council. The need for the CNE role has increased with the additional hospital responsibility for population health (Bradley, 2014). The financial management aspects of the course afford the knowledge for a hospital CNO’s acceptance into the senior C suite as a CNE, which is a possible personal goal for my current role. According to Finkler, Jones, and Kovner (2013), the CNE role provides a broad-spectrum view of the hospital organization instead of a narrow focus on nursing which is the CNO role. The detailed comparison explanation by Finkler et al. (2013) regarding line managers and staff managers and their need for balance provides support advocacy for the need of a CNE

Strategic management for an organization is based on its values, vision, and mission (Huber, 2014). My organization uses strategic management as its customer service model. Our mission, vision, and values state that we will build healthier communities with others who share our commitment to provide high-quality, cost-competitive health care services. At Premier Health, our mission, vision and values aren’t just words, they’re the road map that helps us lead with care (Premier Health Partners [PHP], 2016). Our nursing staff is trained through a program called Versant. Graduating RN’s apply for this