An Interdisciplinary Approach Toward Documenting Nursing Workload in an Ambulatory Infusion Unit: A Necessity for Patient Care and Revenue Capture

2.50
Hdl Handle:
http://hdl.handle.net/10755/165550
Category:
Abstract
Type:
Presentation
Title:
An Interdisciplinary Approach Toward Documenting Nursing Workload in an Ambulatory Infusion Unit: A Necessity for Patient Care and Revenue Capture
Author(s):
Perri-LaFrancesca, Joanne
Author Details:
Joanne Perri-LaFrancesca, Massachusetts General Hospital, Boston, Massachusetts, USA
Abstract:
Over the past three years the cancer center infusion unit at the Massachusetts General Hospital experienced a 50% increase in professional nursing staff as a result of an unprecedented growth in visit volume. More than half of the nursing staff has less than five years of oncology nursing experience. Only 20% of staff has over five years of outpatient oncology experience. Collectively the staff has come to realize that nursing interventions to manage side effects from treatment or disease are not being prescribed uniformly. Inexperience, variable physician practices, and previous work experiences have contributed to this problem. Furthermore, chart audits reveal inconsistent or incomplete documentation of the nursing interventions taken to treat identified patient problems. Inadequate documentation has led to an inability to capture all potential revenue for nursing services delivered. Additionally the lack of documentation has led to an inability to describe and quantify workload at a time of intensifying acuity and visit volume. A small group of staff nurses and nurse leaders, committed to developing evidence-based guidelines for practice, embraced this multi-faceted problem. In tandem, the group collaborated with information technology to create electronic documentation tools and with finance to develop billing procedures. We will: (1) Discuss how data were collected to describe the most common problems nurses'; identify. (2) Share practice guidelines; (3) Demonstrate how standardization improved documentation of nursing interventions, (4) Describe how orientation was restructured for novice staff, (5) Describe how these changes enabled the implementation of billing procedures that realistically capture nursing workload, (6) Present ideas for translating this work into nursing outcomes research.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleAn Interdisciplinary Approach Toward Documenting Nursing Workload in an Ambulatory Infusion Unit: A Necessity for Patient Care and Revenue Captureen_GB
dc.contributor.authorPerri-LaFrancesca, Joanneen_US
dc.author.detailsJoanne Perri-LaFrancesca, Massachusetts General Hospital, Boston, Massachusetts, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165550-
dc.description.abstractOver the past three years the cancer center infusion unit at the Massachusetts General Hospital experienced a 50% increase in professional nursing staff as a result of an unprecedented growth in visit volume. More than half of the nursing staff has less than five years of oncology nursing experience. Only 20% of staff has over five years of outpatient oncology experience. Collectively the staff has come to realize that nursing interventions to manage side effects from treatment or disease are not being prescribed uniformly. Inexperience, variable physician practices, and previous work experiences have contributed to this problem. Furthermore, chart audits reveal inconsistent or incomplete documentation of the nursing interventions taken to treat identified patient problems. Inadequate documentation has led to an inability to capture all potential revenue for nursing services delivered. Additionally the lack of documentation has led to an inability to describe and quantify workload at a time of intensifying acuity and visit volume. A small group of staff nurses and nurse leaders, committed to developing evidence-based guidelines for practice, embraced this multi-faceted problem. In tandem, the group collaborated with information technology to create electronic documentation tools and with finance to develop billing procedures. We will: (1) Discuss how data were collected to describe the most common problems nurses'; identify. (2) Share practice guidelines; (3) Demonstrate how standardization improved documentation of nursing interventions, (4) Describe how orientation was restructured for novice staff, (5) Describe how these changes enabled the implementation of billing procedures that realistically capture nursing workload, (6) Present ideas for translating this work into nursing outcomes research.en_GB
dc.date.available2011-10-27T12:20:41Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:20:41Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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