Working as a System: An APN View - 2025 Quality Summit Presentation (Non-CE)-Working as a System: An APN View

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Video Summary

The presentation "Working as a System in APNView" by Elizabeth Moriano and Jennifer from Hackensack Meridian Health highlights the pivotal role of Advanced Practice Nurses (APNs) in delivering high-quality, cost-effective cardiovascular care across an 18-hospital network. The APN role is multifaceted, combining clinical expertise with leadership, mentorship, education, research, and advocacy. APNs serve as the "glue" that unites multidisciplinary teams, data leaders, and administrative staff to break down silos and foster collaboration.<br /><br />Central to their success is a unique structural model where APNs have a direct reporting line to executive leadership, allowing real-time translation of National Cardiovascular Data Registry (NCDR) data into bedside clinical action. This model supports systematic quality improvement, ensures adherence to evidence-based guidelines, and drives accreditation achievements such as the MI Platinum Award across all network facilities.<br /><br />APNs collaborate closely with physician champions, database administrators, nursing staff, and various hospital departments to identify gaps, standardize practices, and implement improvements that impact patient outcomes, readmissions, length of stay, and financial performance. They also lead educational initiatives and clinical drills to enhance skills and safety system-wide.<br /><br />Their roles extend beyond bedside care to influence organizational strategy, operational efficiency, and innovation within cardiovascular services. The presentation emphasizes that APNs are not a cost center but a value-generating asset essential to achieving network-wide standardization, high reliability in care, and positive patient outcomes. The APN model at Hackensack Meridian exemplifies an integrated, data-driven, patient-centered approach that unifies care delivery and drives continuous improvement.

Keywords

cardiac catheterization

PCI indications

registry data

coding challenges

pre-procedure documentation

appropriate use criteria

data quality reviews

clinical collaboration

quality metrics

Advanced Practice Nurses

APN role

cardiovascular care

Hackensack Meridian Health

National Cardiovascular Data Registry

quality improvement

multidisciplinary collaboration

clinical leadership

patient outcomes

healthcare innovation