2.50
Hdl Handle:
http://hdl.handle.net/10755/182690
Category:
Abstract
Type:
Presentation
Title:
Unit Clinical Leadership Model
Author(s):
Bowen, Margaret; Dearstyne, Debra; Boczar, Elizabeth; McClintock-McGroarty, Kirsten
Author Details:
Margaret Bowen, MSN, CRNP, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: bowenmar@uphs.upenn.edu; Debra Dearstyne, BSN, RN, OCN; Elizabeth Boczar, BSN, RN; Kirsten McClintock-McGroarty, BSN, RN
Abstract:
Poster Presentation: Forming a Unit Clinical Leadership (UCL) Model was part of a health system-wide initiative to improve the coordination of patient care at the leadership level. Traditionally, this model is used in critical care areas where physicians and nurse leaders partner to improve patient care and outcomes across disciplines. Executive leaders recognized the significance and impact of this partnership, and expanded the UCL model to general care units. UCL is a foundation that emphasizes four imperatives: transitions in care; reducing unnecessary variations in care; coordination of care; and accountability. These can be accomplished by a set of activities considered by the nurse leader, physician leader and the quality coordinator, the Trio. This Trio provides leadership and direction with focus on two chosen nursing-sensitive outcomes measured monthly by NDNQI. Finally, the trio is charged with orienting clinical nurses and house staff to unit practices, care protocols and outcome metrics. This program has shown positive results across five medical units staffed by 200 clinical nurses for 175 beds. Methods to affect the targeted initiatives were changes in practice, policy and communication. Initially pilot units demonstrated notable improvements with 20 fewer blood stream infections (BSIs) in less than 3 months, translating into a $19,200 cost reduction per case. Urinary tract infections (UTIs) also decreased with cost savings of $675 per episode. Results for the last 6 months for 5 units have shown a 50% decrease in the number of BSIs and a 30% decrease in UTIs. We attribute these substantial improvements to the shared accountability in improving patient care processes, practice surveillance activities, and daily tracking of patient outcomes in addition to regular monthly and quarterly reports. Importantly, clinicians expressed positive perceptions of quality care, and we will share comments from interviews. A UCL model is an innovative partnership of shared governance...[Please contact the primary investigator for more information about this poster presentation.]
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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.titleUnit Clinical Leadership Modelen_GB
dc.contributor.authorBowen, Margareten_US
dc.contributor.authorDearstyne, Debraen_US
dc.contributor.authorBoczar, Elizabethen_US
dc.contributor.authorMcClintock-McGroarty, Kirstenen_US
dc.author.detailsMargaret Bowen, MSN, CRNP, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: bowenmar@uphs.upenn.edu; Debra Dearstyne, BSN, RN, OCN; Elizabeth Boczar, BSN, RN; Kirsten McClintock-McGroarty, BSN, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/182690-
dc.description.abstractPoster Presentation: Forming a Unit Clinical Leadership (UCL) Model was part of a health system-wide initiative to improve the coordination of patient care at the leadership level. Traditionally, this model is used in critical care areas where physicians and nurse leaders partner to improve patient care and outcomes across disciplines. Executive leaders recognized the significance and impact of this partnership, and expanded the UCL model to general care units. UCL is a foundation that emphasizes four imperatives: transitions in care; reducing unnecessary variations in care; coordination of care; and accountability. These can be accomplished by a set of activities considered by the nurse leader, physician leader and the quality coordinator, the Trio. This Trio provides leadership and direction with focus on two chosen nursing-sensitive outcomes measured monthly by NDNQI. Finally, the trio is charged with orienting clinical nurses and house staff to unit practices, care protocols and outcome metrics. This program has shown positive results across five medical units staffed by 200 clinical nurses for 175 beds. Methods to affect the targeted initiatives were changes in practice, policy and communication. Initially pilot units demonstrated notable improvements with 20 fewer blood stream infections (BSIs) in less than 3 months, translating into a $19,200 cost reduction per case. Urinary tract infections (UTIs) also decreased with cost savings of $675 per episode. Results for the last 6 months for 5 units have shown a 50% decrease in the number of BSIs and a 30% decrease in UTIs. We attribute these substantial improvements to the shared accountability in improving patient care processes, practice surveillance activities, and daily tracking of patient outcomes in addition to regular monthly and quarterly reports. Importantly, clinicians expressed positive perceptions of quality care, and we will share comments from interviews. A UCL model is an innovative partnership of shared governance...[Please contact the primary investigator for more information about this poster presentation.]en_GB
dc.date.available2011-10-28T15:35:38Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:35:38Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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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