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Transcript of Magnet Status
Magnet Hospitals in Georgia
Medical Center of Central Georgia
Saint Joseph's Hospital of Atlanta (the first hospital to gain Magnet status in Georgia)
University Hospital (Augusta)
VA Medical Center Atlanta
What is Magnet Status?
Magnet status is an award given by the American Nurses’ Credentialing Center to hospitals that satisfy a set of guidelines that measure the strength and quality of their nursing care
Magnet Designation is awarded for four years and then each hospital must go through re-evaluation
Today there are three hundred and ninety three magnet accreditation hospitals in the United States, with five in Georgia
Model for Attaining Magnet Status
How to Obtain Magnet Status
To become eligible for Magnet status, a healthcare organization must meet certain requirements.
The applicant organization must delegate an individual to be the Chief Nursing Officer (CNO).
The CNO is responsible for maintaining the standards of nursing practice in in all areas of the organization
The CNO must have a Masters degree
The organization must:
abide by ANA's Scope & Standards for Nurse Administrators
have a protective positive feedback system in place
Data on nurse sensitive quality control and compare to national benchmark data base for at least two years
Pros and Cons of Magnet Status
Increase in patient satisfaction
Increase inRN retention rate
Lower RN turnover
Improved quality and patient safety
Decrease of readmission for patients
Cost of applying for Magnet
Cost of maintaining Magnet status
Hospitals with many campuses, like Emory, if they apply and one campus fails to reach magnet status then the entire system will be refused.
Maintaining Magnet Status
When a hospital becomes Magnet, there are requirements that must be met in order to keep it. Every four years a hospital that has magnet status must go through re-evaluation.
The main reason that hospitals loose accreditation is not because they are below standards, but many times the hospital struggles with the documentation.
Since the application fee averages around $4,200 many hospitals are deciding not to reapply. Instead they are using that money to focus on what the goal of Magnet status, nursing excellence.
ASN vs. BSN
There are several different theories about hospitals that are Magnet and their views on hiring ASN nurses.
One theory is there are usually several applicants for one position. The Nursing Recruiter can evaluate the applicant for a position based on the degree they have earned. Therefore an applicant with a BSN might get chosen over an applicant holding an ASN degree .
Effective January 1, 2013 all nurse managers must have at least a Baccalaureate degree in nursing. This should be an incentive for the nurses holding an ASN degree to continue their education especially if they want to become a nurse managers or hold a leadership position.
Effects that Magnet Status has on the Hospital Environment
Magnet status not only has helped the organizations attract higher-quality nurses, but also retain them longer than other hospitals
Many believe Magnet hospitals have lower mortality rates because of their investments in nursing
Magnet recognition stimulates positive organizational behavior that improves patient outcomes and decreases nurse burnouts
One measure to improve patient safety and quality of care was implemented by Cedars-Sinai Medical Center of California. They developed the McOR Project, which is modeled after a McDonald's Corporation methodology designed to streamline work processes. This is a quality improvement project targeted at improving patient flow in the operating room and has led to improved safety of patient care.
Another measure to improve patient safety and quality of care is the use of a new set of safety practices initiated in the form of a central line bundle. The central line bundle consist of five steps that help to prevent infection including:
hand-hygiene practice of washing hands prior to and following patient care
selecting the best possible insertion site for the central line
using proper skin preparation before inserting the line
using maximal barrier precautions throughout insertion of central line
and removing the catheter as soon as possible.
As the cost of providing health care increases each hospital must meet and exceed expectations to stay within the expected level of care. Achieving Magnet status is one more level of excellence that decreases cost while increasing the quality of patient care, safety, and satisfaction. This improvement in hospitals standards not only benefits the hospital, but more importantly improves the level of care for the patient.
A primary focus many hospitals have is over budgetary concerns. Hospitals can save approximately $2.3 million a year by reducing the number of needle-sticks, musculoskeletal injuries, falls and pressure ulcers that occur in their facility. These results improve patient outcomes, as well as increase morale throughout the hospital. The estimated cost to a hospital for a fall is approximately $3,000 per case. Magnet hospitals have been found to have a fall rate that is 10.3% lower than non-Magnet hospitals. This decrease in occurrence could potentially save the hospital $11,400.00 annually (Frellick, 2011).
ANCC Magnet Recognition Program. (n.d.). ANCC Magnet Recognition Program. Retrieved October 23, 2013, from http://www.nursecredentialing.org/magnet
Frellick, M. (2011). A path to nursing excellence. Trustee: The Journal For Hospital Governing Boards, 64(3), 15.
Hess, R. (2011). Perceptions of Nurses in Magnet® Hospitals, Non-Magnet Hospitals, and Hospitals Pursuing Magnet. The Journal of Nursing Administration. http://dx.doi.org/http://ovidsp.tx.ovid.com.libproxy.northgeorgia.edu/sp-3.
Hocevar, R. (2011, August 29). Road to Redesignation. ADVANCE for Nurses. Retrieved October 16, 2013, from http://nursing.advanceweb.com/Archives/Article-Archives/Road- to-Redesignation.aspx
Kalisch, B. J. (2012). Missed Nursing Care: Magnet Versus Non-Magnet Hospitals, and Hospitals Pursuing Magnet Status. The Journal of Nursing Administration, e32- e39. http://dx.doi.org/http://www.sciencedirect.com.libproxy.northgeorgia.edu/science/article.
Russell, J. (2010). Journey to magnet(TM): Cost vs. benefits. Nursing Economics, 28(5), 340-2. Retrieved from http://search.proquest.com/docview/760086287?accountid=159965
Sherman, M. (2007). The ambulatory nursing experience in a magnet recognized hospital organization. AAACN Viewpoint, 29(2), 1-16. Retrieved from http://search.proquest.com/docview/224821014?accountid=159965
Summers, S. (2012, April 10). Retrieved from https://www.truthaboutnursing.org/faq/magnet.html
Swanson, Jane W, PhD,R.N., N.E.A.-B.C., & Tidwell, Candice A,EdD., R.N.-B.C. (2011). Improving the culture of patient safety through the magnet® journey. Online Journal of Issues in Nursing, 16(3), 8-1. Retrieved from http://search.proquest.com/docview/1014288827?accountid=159965
Wolters kluwer health; magnet hospitals achieve lower mortality, reports medical care. (2013). Medical Devices & Surgical Technology Week, 287. Retrieved from http://search.proquest.com/docview/1341604999?accountid=159965
~Online Application- specify primary contact person, CNO and what settings the CNO is responsible for
~All required documentation must be completed and submitted before applying!
~Documentation- CNO resume, faculty organizational chart, national survey tool used to assess nursing statifaction, and a copy of Nurse manager and nurse learder eligibility forms
~All written documentation is accepted 5 times a year (Feb, April, June, August, September
~Next Step- Site visit (last 3 days), only happens if organization scores in excellence category
~Final phase- Commision on Magnet reviews report to determine if facility is rewarded.
Maslow's Hierarchy of Needs: Nursing Theory