TONE Monthly
July 2019
TONE News & Updates
TONE membership is changing for the better! In efforts to streamline the process for joining the association and your local chapter, the TONE Board of Directors have approved a new flat-rate dues structure for membership. From August 1, 2019, signing up or renewing your membership will now be one flat fee. Your local chapter dues are now automatically added into the cost of your TONE annual membership.

TONE is pleased to announce the results of the 2019 TONE Board of Directors election.

  • At-Large Director 1 - Jamie Brennan, MSN, RN, CMSRN, NE-BC
  • At-Large Director 3 - Pamela Bradshaw, DNP MBA RN NEA-BC CCRN-K
  • Director 1 - Anthony Tijerina, RN, BSN
  • Director 3 - Norma Teran, DNP, MBA, RN
  • Director 5 - Sally Carmen, DNP, RN, APRN, CNL
  • Director 7 - Serena Bumpus, DNP, RN, NEA-BC
  • Treasurer - AJ Stephens, DNP, MBA/HCA, RN, NEA-BC

TONE would like to thank everyone who was a candidate during this election. The commitment of TONE members is critical to the success of our organization and TONE appreciates all of the volunteers who work together to make TONE a vibrant organization.

By Nelson Tuazon, DNP, DBA, RN, NEA-BC, CENP, CPHQ, CPPS, FNAP, FACHE
The concepts of the Triple Aim (Berwick, Nolan, & Whittington, 2008) and the Iron Triangle in Healthcare (Kissick, 1994) have been used authoritatively in optimizing performance amidst the limitations and constraints in delivering healthcare. The competition in healthcare, the challenges with reimbursement and the pursuit of excellence have provided the impetus for the increased focus on outcomes.
By Sobha Fuller, DNP, RN-BC, NEA-BC
Some argue that health is “different” from other consumer goods. One way in which it may be different is in the role of suppliers. For the supplier in the health sector, it is the healthcare provider who offers a service or medical care. Typically, medical care is needed and typically not because of popularity.
Read this month's Nurses on Boards Coalition newsletter by clicking on the link below.
American Sentinel University
UTHealth
Nursing Leadership
By Jennifer Thew, RN, HealthLeaders Media
What do nurses cite as the most common reason for leaving their jobs? It's the work environment, according to the 2018 Press Ganey Nursing Special Report: Optimizing the Nursing Workforce: Key Drivers of Intent to Stay for Newly Licensed and Experienced Nurses. The study analyzed responses of nearly 250,000 RNs to identify trends in intent to stay based on age, tenure and unit type, as well as drivers of intent to stay.
By Eileen Williamson, MSN, RN, Nurse.com
providing the best patient care calls for having the best nurses with the best training and the best staffing - also known as nurse staffing and patient safety. These three - along with advanced and continuing education, appropriate orientation and training, and good skills - have been at the heart of our growth as a profession. But we’ve never been able to stop studying, working on, and yes, even struggling with nurse staffing.
By Sarah Jividen, BSN, RN, Daily Nurse
Many nurses find that they experience burnout in the profession and want to create an opportunity to work for themselves without the stress and wear-and-tear that they get from working in the hospital setting. Most importantly though, they want more flexibility and control of their work. Here are three flexible nurse entrepreneur business ideas to get you thinking about your next nursing opportunity. After all, a nursing practice can take many forms.
TX Department of State Health Services
Practice and Patient Care
By Carole Jakucs, MSN, RN, PHN, Nurse.com
The prevalence of wounds in healthcare today is undeniably enormous. One of the most chronic problems a wound expert deals with regularly is pressure injuries, which can have a devastating impact on patients and are a potential legal concern for healthcare facilities and clinicians.
By Tyler Faust, MSN, RN, Daily Nurse
when taken out of the patient room, nurses often feel like a fish out of water. With an increase in technology utilization, nurses are more commonly taken away from the bedside. Telehealth is becoming more common for nurses to utilize in a variety of care settings. Whether you are looking to improve your assessment skills or are considering a job that requires telehealth, below are a few tips for assessing patients over the phone.
By Raj Toleti, Becker's Hospital Review
Patients consistently express that they want to be engaged in the decisions being made about their treatment plan. Those who are active participants in their own care or the care of their loved ones ultimately have better outcomes. The question is how do we get each and every patient engaged? To improve patient engagement, we must listen carefully to patient experiences and learn from each interaction.
By Jennifer Thew, RN, HealthLeaders Media
For patients, needles are an often-dreaded part of the healthcare experience. But vascular access specialists can improve pain and suffering caused by needlesticks, say organizers of a movement to increase patients' access to these professionals.
Education and Events
Employ the power of online professional networking! Nurses Lounge is all about bringing nursing professionals together in a way that advances our profession. Join TONE’s Lounge today! The cost is free, but the value is priceless!
Your destination for exciting Nurse Executive job opportunities and the best resource for qualified candidates within the nurse executive industry. Visit the TONE Career Center today!
Public Policy
By Lyndsey Lord, MBA, BSN, RN, Becker's Hospital Review
In late April, the U.S. Department of Health and Human Services (HHS) announced the Centers for Medicare and Medicaid Services (CMS) Primary Cares Initiative, a new set of voluntary, value-based payment models for primary care providers (PCPs). The initiative builds on other value-based programs and helps to advance CMS’s “patients over paperwork” mission. Providers that participate in the new payment models will be incentivized to deliver high-quality, cost-efficient care.
Members in the News
Globe Newswire
HCA Houston Healthcare has named Elizabeth Ortega chief executive officer of The Woman’s Hospital of Texas, effective July 22, 2019. Ortega succeeds Ashley McClellan, who was recently promoted to the position of chief executive officer of HCA Midwest Health’s Research Medical Center in Kansas City.
Healthcare Industry
By Nicholas Bostick, Dallas Observer
In just over a decade, Texas is headed for a major nursing shortage, according to a new report. Nursing, the largest health care profession in the U.S., is also one of the nation’s fastest growing professions according to the Bureau of Labor Statistics. But by 2030, the state of Texas will be short nearly 16,000 registered nurses. A study by the National Center for Health Workforce Analysis says Texas will have the second-largest shortage in the country, behind only California, which is projected to lack nearly 45,000 nurses in 2030.
By Julia Quinn-Szcesuil, Minority Nurse
The National Network of Career Nursing Assistants marked the 42nd year of celebrating National Nursing Assistant Week from June 13-20. As lifelong caregivers, nursing assistants are a vital cog in the wheel of complete and attentive nursing care. They provide the hands-on, routine care for many patients, particularly those in long-term care facilities.
By Heather Stringer, Nurse.com
In the United States, cesarean births have increased from 20% to 32% over the past 22 years. The Centers for Disease Control and Prevention reports cesarean rates as high as 37% in states such as Florida and Louisiana. Studies also have shown rates vary widely from hospital to hospital. While C-sections are medically necessary in some cases, researchers estimate that almost half of these procedures performed in the U.S. are not necessary.