Implementing a Virtual Quality Nursing Team to Mitigate Patient Risk
Patient Safety Awareness Week 2020

The development of a Virtual Nursing (RN) program to support Kaiser Permanente (KP) patients in Northern California (NCAL) began in 2014 with the implementation of eHospital, a virtual surveillance model, featuring real time monitoring and identification of care delivery gaps. This began the Virtual Quality Nursing Team that has subsequently grown in support of other virtual programs aimed at improving safety. In 2016, Advance Alert Monitor (AAM) was implemented in partnership with the KP NCAL Division of Research (DOR). Utilizing a predictive analytic model allows for surveillance of patients at risk. This predictive model proactively identifies adult ward and transitional care patients with considerable risk of mortality or up-transfer to the Intensive Care Unit (ICU), it is used to coordinate early rescue. AAM uses multiple factors, including chemistry, hematologic, respiratory values and vital signs, to predict early detection of impending deterioration for inpatient adults. This tool gives clinicians a 12-hour lead time. Along with early rescue it enhances patient safety, quality, and experience outcomes with timely involvement of supportive care services, including social work and palliative care consults. Thoughtful conversations earlier in patient’s disease trajectory and admission can promote understanding of one’s illness and clarify their care directive.


  1. Describe Kaiser Permanente Northern California’s hospital early warning system score: Advance Alert Monitor
  2. Describe implementation strategy for AAM in NCAL KP
  3. Describe impact of implementing Advance Alert Monitor in NCAL KP hospitals on patient outcomes

Date and Time

Monday, March 9, 2020 from 12:00pm-1:00pm Pacific


Click hereto register for this webinar.



Executive Director Health Plan Quality and Regulatory
Northern California, Kaiser Permanente

Laure joined the Northern California Region in January of 2017. She is currently the Executive Director Health Plan Quality and Regulatory.  She has been with Kaiser Permanente since 2007.  Previously, Laure was the Senior Director of the Quality, Risk and Patient Safety for the Colorado Region and has worked extensively in the areas of Quality, Risk and Safety. Laure worked in the inpatient arena in risk management and patient safety prior to joining Kaiser Permanente.  Laure’s clinical areas of expertise include Neonatal Intensive Care, OB, GYN, Labor and Delivery and Pediatrics.

Laure earned her undergraduate and graduate degrees in Nursing from the University of Colorado Health Sciences Center in Denver. Laure is recognized as a Certified Professional in Healthcare Risk Management and a Certified Professional in Healthcare Quality.  Laure has a passion for providing care to children in under-served countries.


Regional Director of Clinical Quality Programs and Data Analytics
Northern California, Kaiser Permanente

Lizzie is an accomplished scholar and nurse from  Australia where she started her nursing career before progressing into Intensive Care nursing both in Australia and the US where she has spent most of her career.

Lizzie holds a BSN, MN and MPH from Edith Cowan University of Western Australia and a PhD from Australian Catholic University. Lizzie obtained a post masters in Critical Care/Cardiovascular Nursing from UCSF and has been certified as a Critical Care Clinical Nurse Specialist since 2006. Lizzie also holds certification as a CCRN and is currently the chair elect for the Certification Board of the American Association of Critical Care Nurses.

Lizzie is an active contributor nationally as an author and representing clinical expertise on national and international professional practice groups. She served as the chair of the ICU Design Award Committee for the Society of Critical Care Medicine Society and now serves on the Tele ICU Committee for the society. Additionally, she was coauthor of the Patient and Family Centered Care in Neonatal, Pediatric and Adult Intensive Care Units guideline released in 2017 by SCCM. Lizzie is recognized for her 40 plus publications, numerous presentations both nationally and internationally and is an Editor of the Australian Critical Care Journal, section editor of the CNS Journal and one of the nurses on the editorial board for the Critical Care Medicine Journal. Lizzie was recognized by SCCM in 2014 being inducted as a Fellow into the College of Critical Care Medicine and also by the National Association of Clinical Nurse Specialists as a Fellow.

Continuing Education Credit

One complimentary CE unit will be provided to dues-paying member hospitals of the Hospital Quality Institute, CHPSO Patient Safety Organization, the California Hospital Association or the regional hospital associations in CA.

HQI is an approved continuing education (CE) provider by the California Board of Registered Nursing and will provide CHPSO members an opportunity to earn CEs. Provider Number CEP16793 for 1.0 contact hour.

HQI does not currently offer ACPE approved Pharmacy CE, but the State of California will accept CE from courses which have been approved for continuing education by the Medical Board of California, the California Board of Podiatric Medicine, the California Board of Registered Nursing or the Dental Board of California towards their California continuing education requirement (Section 1732.2(b) of the California Code of Regulations). Pharmacists need to keep track of CE from these sources on their own as they are not submitted to NAPB.