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Sigma in the news   

Sigma book helps clinicians implement cost-reduction efforts

How-to guide introduces proven model of bedside-driven fiscal responsibility

NursingLedSavings(INDIANAPOLIS) — Quality, safe care is one of the most important tenets of healthcare. However, with increasing healthcare costs, institutions are sometimes quick to cut their largest asset that keeps patients safe – their workforce. Evidence shows, though, that cutting labor expenses, especially in nursing, negatively impacts both the quality of care and overall profitability. A better solution is to encourage financial stewardship by focusing on reducing non-labor expenses.

In Nursing-Led Savings, the latest book from Sigma Theta Tau International Honor Society of Nursing (Sigma), five nurses from Children’s Hospital of Philadelphia (CHOP) show organizational leaders at all levels how to develop and implement a robust, sustainable plan that eliminates waste and streamlines processes in everyday work.

Leveraging a team of skilled professionals across different healthcare disciplines—including bedside nurses, senior executive leadership and nursing leaders, and process improvement professionals—the CHOP team implemented a new model of bedside-driven financial stewardship and fiscal responsibility.

“This book provides an alternative strategy for hospital leaders to deploy as part of their cost reduction efforts—a focus on non-labor expense reduction and methods for engaging your frontline care providers in driving the cost-savings solutions,” said author Jackie Noll, MSN, RN.

This effective, how-to guide is available at

Nursing-Led Savings
By Paula Agosto, Megan Bernstein, Cheryl Gebeline-Myers, Jackie Noll, and Jessica Steck
Published by Sigma, 2019
ISBN-13: 9781948057165
EPUB ISBN: 9781945157950
PDF ISBN: 9781945157967
MOBI ISBN: 9781945157974
Price: US $39.95
Trade paperback, 224
Trim size: 5 3/8"x8 3/8

About the authors:

Paula Agosto, MHA, RN, is the Chief Nurse Officer at CHOP.

Megan Bernstein, BSN, RN, CPN, CCRN, is a Clinical Nurse Expert in the Pediatric Intensive Care Unit (PICU) at CHOP.

Cheryl Gebeline-Myers, MS, is the Senior Director of Clinical Services and Programs in the Office of Safety & Medical Operations at CHOP.

Jackie Noll, MSN, RN, CEN, is a Senior Director of Nursing at CHOP.

Jessica Steck, BSN, RN, CPN, is a Clinical Nurse at CHOP.

About Sigma
The Sigma Theta Tau International Honor Society of Nursing (Sigma) is a nonprofit organization whose mission is advancing world health and celebrating nursing excellence in scholarship, leadership, and service. Founded in 1922, Sigma has more than 135,000 active members in over 90 countries and territories. Members include practicing nurses, instructors, researchers, policymakers, entrepreneurs, and others. Sigma’s more than 530 chapters are located at more than 700 institutions of higher education throughout Armenia, Australia, Botswana, Brazil, Canada, Colombia, England, Ghana, Hong Kong, Jamaica, Japan, Jordan, Kenya, Lebanon, Malawi, Mexico, the Netherlands, Pakistan, Philippines, Portugal, Singapore, South Africa, South Korea, Swaziland, Sweden, Taiwan, Tanzania, Thailand, the United States, and Wales. Learn more at