1. Evaluation
1.1. Desired outcomes
1.1.1. Evaluate our age-specific vulnerabilities
1.1.2. Identify factors that determine staff practices
1.1.3. Identify environmental factors that contribute to complications
1.1.4. Identify ways to prevent complications that occur most commonly
1.2. Baseline data
1.2.1. Bed size
1.2.2. Average daily census
1.2.3. Percentage of patients 65 and above
1.2.4. Average patient age
1.2.5. Acuity index
1.2.6. Recent quality indicators data
1.2.7. Clinical outcomes
2. Organizational forces for success
2.1. A decentralized organizational structure
2.2. A balance of staff autonomy, managerial guidance, collaborative decision-making, and individual accountability
2.3. An environment that ensures excellence and patient/family dignity through integrated multidisciplinary care
2.4. A shared organizational vision
3. Integration/Action Plan
4. Organizational barriers to success
4.1. Failing to create buy-in of the initiative
4.2. Ineffective top-down communications
4.3. Failing to provide ongoing measurement and feedback
5. Proposed Timeline
6. Introduction
6.1. Description of my innovation
6.2. Rationale for its need/use
6.3. Placement within the larger social context
6.3.1. Questions to consider:
6.3.1.1. What is the purpose/strategy that this fits within?
6.3.1.2. What is the history?
6.3.1.3. What will happen if it is not resolved?
6.3.1.4. How much support will executives/stakeholders give?
6.3.1.5. What current/future projects might impact implementation?
6.3.1.6. What laws, rules, regulations will impact implementation?
7. Stakeholders
7.1. Stakeholders in NICHE/GIAP survey process (roles, responsibility, rationale)
7.1.1. Chief Nursing Officer (CNO)
7.1.2. NICHE Coordinator/Implementation Manager
7.1.3. Bedside Nurses
7.1.4. Geriatric Patients
7.1.5. Clinical Champion (Gayle)
7.1.5.1. DiSC/VAT Styles
8. Making a Case
8.1. Questions to ask:
8.1.1. What is the strong central theme?
8.1.2. What questions are we trying to answer and for whom?
8.1.3. How does this innovative process take place?
8.1.4. How can I communicate the value and relevance of this innovation so that potential users will buy into the process change?