2.50
Hdl Handle:
http://hdl.handle.net/10755/182299
Category:
Abstract
Type:
Presentation
Title:
The Joint Care Program that Nurses Built
Author(s):
Nash, Donna
Author Details:
Donna Nash, RN, MSN, Medical Center of Central Georgia, Macon, Georgia, USA, email: nash.donna@mccg.org
Abstract:
In 2008, at a southeastern community medical center, nurses of all skill levels and all aspects of the Total Joint continuum met to discuss ways to intensify our patient/ family centered care. Obtaining feedback from our patients and families, reviewing our outcomes, benchmarking and examining the literature led us quickly to our shared vision. Joint surgeries currently exceed .6 million annually in the US; this number is anticipated to increase four-fold in the next two decades to manage arthritic pain and degenerative joint disease. Consumers often delay this surgery due to tight resources and fear; hospitals are competing for patients and downstream revenue. Our multidisciplinary Joint Program Operations Team met to focus on the patients experience with a goal of transparency across the continuum of care. We created a comprehensive model with the following key elements: physician/ hospital/continuum collaboration; revision of protocols and paths; dedicated private rooms; wellness vs. illness focus; capitalization on camaraderie and gentle competition in group exercise and meals; superior multi-media education; and family or coach involvement. Pain management was completely transformed to a multimodal method. We have sustained outstanding outcomes: patient and nursing satisfaction has increased, blood utilization decreased 27%, ambulation length doubled, LOS decreased by 1.5 days, joint flexion increased 20%, and side effects of pain medication reduced. Our contribution margin was 41% higher. The process and outcomes of this process re-invigorated nurses toward leadership at the bedside, focus on EBP and research, and enhanced communication and collaboration. References: Agency for Healthcare Research and Quality. (2003). Total Knee Replacement Summary, Evidence Report/ Technology Assessment, #86. ; Jacobson, et al (May, 2008). Patients Perspectives on Total Knee Replacement.. American Journal of Nursing, 108(5), p54-64; Katz, et al. (May, 2008). Case mix and outcomes of knee replacement in orthopaedic specialty hospitals, Medical Care. 46(5), p 476-480; Prickett, K. and Steele, M. (2005) Empowering and mentoring leadership: the key to the implementation of a new delivery system for care of total joint patients. Abstract, Chicago, IL. Marshall Steele & Associates; The Advisory Board Company. Future of Orthopedics, Strategic Forecast and Investment Blueprint, (2008).
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleThe Joint Care Program that Nurses Builten_GB
dc.contributor.authorNash, Donnaen_US
dc.author.detailsDonna Nash, RN, MSN, Medical Center of Central Georgia, Macon, Georgia, USA, email: nash.donna@mccg.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182299-
dc.description.abstractIn 2008, at a southeastern community medical center, nurses of all skill levels and all aspects of the Total Joint continuum met to discuss ways to intensify our patient/ family centered care. Obtaining feedback from our patients and families, reviewing our outcomes, benchmarking and examining the literature led us quickly to our shared vision. Joint surgeries currently exceed .6 million annually in the US; this number is anticipated to increase four-fold in the next two decades to manage arthritic pain and degenerative joint disease. Consumers often delay this surgery due to tight resources and fear; hospitals are competing for patients and downstream revenue. Our multidisciplinary Joint Program Operations Team met to focus on the patients experience with a goal of transparency across the continuum of care. We created a comprehensive model with the following key elements: physician/ hospital/continuum collaboration; revision of protocols and paths; dedicated private rooms; wellness vs. illness focus; capitalization on camaraderie and gentle competition in group exercise and meals; superior multi-media education; and family or coach involvement. Pain management was completely transformed to a multimodal method. We have sustained outstanding outcomes: patient and nursing satisfaction has increased, blood utilization decreased 27%, ambulation length doubled, LOS decreased by 1.5 days, joint flexion increased 20%, and side effects of pain medication reduced. Our contribution margin was 41% higher. The process and outcomes of this process re-invigorated nurses toward leadership at the bedside, focus on EBP and research, and enhanced communication and collaboration. References: Agency for Healthcare Research and Quality. (2003). Total Knee Replacement Summary, Evidence Report/ Technology Assessment, #86. ; Jacobson, et al (May, 2008). Patients Perspectives on Total Knee Replacement.. American Journal of Nursing, 108(5), p54-64; Katz, et al. (May, 2008). Case mix and outcomes of knee replacement in orthopaedic specialty hospitals, Medical Care. 46(5), p 476-480; Prickett, K. and Steele, M. (2005) Empowering and mentoring leadership: the key to the implementation of a new delivery system for care of total joint patients. Abstract, Chicago, IL. Marshall Steele & Associates; The Advisory Board Company. Future of Orthopedics, Strategic Forecast and Investment Blueprint, (2008).en_GB
dc.date.available2011-10-28T15:18:06Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:18:06Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_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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