2.50
Hdl Handle:
http://hdl.handle.net/10755/182450
Category:
Abstract
Type:
Presentation
Title:
Small Focus Gets Big Results
Author(s):
Dabbs, Mark
Author Details:
Mark Dabbs, MSN, RN, NEA-BC, OSF St. Joseph Medical Center, Bloomington, Illinois, USA, email: mark.t.dabbs@osfhealthcare.org
Abstract:
A new microsystem organizational model was piloted on a 46-bed medical/surgical unit in late 2005 and is currently deployed on all inpatient units. Patient Care Facilitators (PCFs) are key to this model. PCFs take no patient assignment, but oversee blocks of rooms for quality, safety, and regulatory compliance. They are salaried employees typically working Monday - Friday, but have the ability to flex their hours to assist as necessary. The PCFs are responsible for coordinating the care on all patients in their microsystem, but are not responsible for managerial duties. PCFs are required to have a BSN degree and three to five years of experience in the area employed. All PCFs, inpatient managers, and the nursing director meet every two weeks in order to ensure a unified focus on goals and key outcomes. Strategic goals are carried out not only at the organizational and unit levels, but down to the individual microsystem level. Since all outcomes are measured at this microsystem level, individual performance is easily measured and assessed. The cost of implementation was minimal ($14,000) due to redeploying several current employees, but all quality, safety, and regulatory measures have been positively impacted. Patient satisfaction has increased by 11 percentile points to the 99th percentile and RN satisfaction is up 6%. The use of standard order sets addressing Joint Commission Core Indicators are up by 12-44%. Other key priorities areas improved include: length of stay, pressure ulcers, patient falls with injury, physician satisfaction, and several additional quality and safety measures. References: Brown C, Holcomb L, Maloney J, Naranjo J, Gibson C, Russell P. Caring in action: the patient care facilitator role. Int J Hum Caring. 2005;9(3): 51-58.; Clark J. An aging population with chronic disease compels new delivery systems focused on new structures and practices. Nurs Adm Q. 2004;28(2):105-115.; Clark J. An aging population with chronic disease compels new delivery systems focused on new structures and practices. Nurs Adm Q. 2004;28(2):105-115.; Smith D, Dabbs M. Transforming the Care Delivery Model in Preparation for the Clinical Nurse Leader. J Nurs Adm. 2007;37(4):1-4.; Smith S, Manfredi T, Hagos O,Drummond-Huth B, Moore PD. Application of the clinical nurse leader role in an acute care delivery model. J Nurs Adm. 2006;36(1):29-33.; Tornabeni J, Stanhope M, Wiggins M.The CNL vision. J Nurs Adm. 2006; 36(3):103-108.
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.titleSmall Focus Gets Big Resultsen_GB
dc.contributor.authorDabbs, Marken_US
dc.author.detailsMark Dabbs, MSN, RN, NEA-BC, OSF St. Joseph Medical Center, Bloomington, Illinois, USA, email: mark.t.dabbs@osfhealthcare.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182450-
dc.description.abstractA new microsystem organizational model was piloted on a 46-bed medical/surgical unit in late 2005 and is currently deployed on all inpatient units. Patient Care Facilitators (PCFs) are key to this model. PCFs take no patient assignment, but oversee blocks of rooms for quality, safety, and regulatory compliance. They are salaried employees typically working Monday - Friday, but have the ability to flex their hours to assist as necessary. The PCFs are responsible for coordinating the care on all patients in their microsystem, but are not responsible for managerial duties. PCFs are required to have a BSN degree and three to five years of experience in the area employed. All PCFs, inpatient managers, and the nursing director meet every two weeks in order to ensure a unified focus on goals and key outcomes. Strategic goals are carried out not only at the organizational and unit levels, but down to the individual microsystem level. Since all outcomes are measured at this microsystem level, individual performance is easily measured and assessed. The cost of implementation was minimal ($14,000) due to redeploying several current employees, but all quality, safety, and regulatory measures have been positively impacted. Patient satisfaction has increased by 11 percentile points to the 99th percentile and RN satisfaction is up 6%. The use of standard order sets addressing Joint Commission Core Indicators are up by 12-44%. Other key priorities areas improved include: length of stay, pressure ulcers, patient falls with injury, physician satisfaction, and several additional quality and safety measures. References: Brown C, Holcomb L, Maloney J, Naranjo J, Gibson C, Russell P. Caring in action: the patient care facilitator role. Int J Hum Caring. 2005;9(3): 51-58.; Clark J. An aging population with chronic disease compels new delivery systems focused on new structures and practices. Nurs Adm Q. 2004;28(2):105-115.; Clark J. An aging population with chronic disease compels new delivery systems focused on new structures and practices. Nurs Adm Q. 2004;28(2):105-115.; Smith D, Dabbs M. Transforming the Care Delivery Model in Preparation for the Clinical Nurse Leader. J Nurs Adm. 2007;37(4):1-4.; Smith S, Manfredi T, Hagos O,Drummond-Huth B, Moore PD. Application of the clinical nurse leader role in an acute care delivery model. J Nurs Adm. 2006;36(1):29-33.; Tornabeni J, Stanhope M, Wiggins M.The CNL vision. J Nurs Adm. 2006; 36(3):103-108.en_GB
dc.date.available2011-10-28T15:24:47Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:24:47Z-
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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