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Vizient - Enhancing Nurse Retention and Transition to Practice at NYC Health + Hospitals

Supporting First-Year Nurses

NYC Health + Hospitals, like many health systems, faced challenges with high nurse turnover rates, resulting in increased labor costs and lack of continuity in patient care. To address this, the health system collaborated with Vizient to implement a comprehensive nurse residency program designed to support first-year nurses in their transition to practice. This program aimed not only to reduce turnover but also to ensure a well-trained nursing staff for improved patient outcomes.

Partnerships for Success

The partnership between Vizient, the American Association of Colleges of Nursing (AACN), and the New York Alliance for Careers in Healthcare (NYACH) played a key role in the success of the nurse residency program. By covering program fees, convening participating hospitals, providing curriculum and tools, and offering advisory support, this collaboration created a framework for effective education and support for new nurses in New York City.

Engagement and Impact

NYC Health + Hospitals saw a significant improvement in retention rates and reduced labor costs by expanding the nurse residency program. By involving more nurse leaders and managers, the health system increased engagement and support for first-year nurses, leading to a more organized and impactful program. The positive outcomes of the program were especially evident during the COVID-19 pandemic, as nurse retention rates improved despite the challenges faced.

Benefits and Numbers

Through the nurse residency program, 1,324 nurses have completed the program across 25 cohorts, showcasing the program's scale and impact. With an average cost of $90,000 to replace a nurse, the reduction in turnover rates directly translates to cost savings for the health system. Moreover, the improved continuity of care provided by a stable, well-trained nursing staff benefits patients, ensuring high-quality healthcare services.

Future Outlook and Recommendations

With the success of the nurse residency program at NYC Health + Hospitals, there is a clear indication of the positive outcomes that can be achieved through targeted support and education for first-year nurses. Health systems looking to enhance nurse retention, reduce labor costs, and improve patient care quality can take inspiration from this case study. By prioritizing employee needs, implementing structured programs, and fostering leadership engagement, hospitals can build a sustainable and resilient nursing workforce.


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