Lakeland Regional Medical Center Setting Standards for Fetal Assessment & Monitoring Lakeland Regional Medical Center (LRMC) is a not-for-profit healthcare facility that has served Lakeland, FL and the surrounding communities for more than 80 years. The 500 bed facility, which includes the main hospital, a cancer center, an orthopedics center, and a sports rehabilitation facility, has grown to become central Florida’s largest regional hospital. Committed to quality, LRMC has maintained a focused perinatal safety initiative and has selected Advanced Practice Strategies to deliver GNOSIS™ for Obstetrics to its clinicians as of April 2013. Fetal Assessment & Monitoring LRMC identified Electronic Fetal Monitoring (EFM) as the primary area they would address for improved perinatal safety. With a desire to gain internal and external consistency in communication (including compliance with NICHD1nomenclature) and implement learning in an efficient and modern way, they decided GNOSIS was their tool of choice. The Fetal Assessment & Monitoring practice area is now available to all clinicians and mandated for Labor & Delivery nurses. “There are so many aspects of GNOSIS that make it a great match for our needs,” said Shannon Hilmer, RNC, BSN, MSN, Director of Women’s Services. “Not only are we confident that it is up-to-date and based on peer-reviewed literature and the most current best practices, but we are also excited about the assessment feature, which ensures that we are targeting the learning areas where we need support most. With tailored curriculum, quick content segments that can be taken on-the-go, and then the administrative dashboard that shows us clearly how we are doing, we expect GNOSIS to make a big difference with regard to perinatal safety.” A Data-Driven Approach The GNOSIS dashboard, which delivers real-time data on individual clinicians, teams, and organizations, is one of the most innovative elements of the platform. Through the dashboard, administrators can see where the greatest areas of risk lie within a specific clinical area and can then focus improvements in the highest risk areas. Benchmarking is also possible through the dashboard, across individuals, teams, and – for large health systems – across two or more system hospitals. The subject matter expert feature of the dashboard facilitates benchmarking against a national population of clinicians, helping customers understand where they lie on a national risk map. Shannon Hilmer continued, “We think we know our own performance, but a tool like this gives us an objective way to measure it without our own internal biases or experiences affecting the outcome.” A next step for LMRC is setting up performance targets for clinicians, to proactively support and promote the capabilities of GNOSIS.