Institutional members access full text with Ovid®

Share this article on:

Implementing a Centralized Nurse-Sensitive Indicator Management Initiative in a Community Hospital

Bakker, Denise DNP, RN; Keithley, Joyce K. DNSc, RN, FAAN

doi: 10.1097/NCQ.0b013e31827c6c80

Nurse-sensitive indicator (NSI) performance is important for Magnet Designation and has financial reimbursement implications for health care organizations. In this article, we describe a centralized NSI management initiative to facilitate analysis and response to NSI performance measures. The initiative resulted in a 100% increase in performance improvement activity and a 4% increase in overall NSI performance. These outcomes support organizational efforts to optimize reimbursement and achieve Magnet designation.

Nursing Administration (Dr Bakker), Holland Hospital, Holland, Michigan; and College of Nursing (Dr Keithley), Rush University, Chicago, Illinois.

Correspondence: Denise Bakker, DNP, RN, Nursing Administration, Holland Hospital, 602 Michigan Ave, Holland, Michigan, 49424 (

The authors thank Ruth M. Kleinpell, PhD, RN, FAAN, FCCM, for assistance throughout the project and Loretta J. Mau, MPA, BS, RN, Susan Dunn, PhD, RN, and Barbara Swanson, PhD, RN, FAAN, for reviewing the manuscript.

The authors declare no conflict of interest.

Accepted for publication November 3, 2012.

Published online before print: December 7, 2012

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins