2.50
Hdl Handle:
http://hdl.handle.net/10755/182732
Category:
Abstract
Type:
Presentation
Title:
Innovative Care Delivery Model Change to Enhance Patient Care and Outcomes
Author(s):
Duvendack, Tammy; Spain, Jeanine
Author Details:
Tammy Duvendack, RN, PhD, Methodist Medical Center of Illinois, Peoria, Illinois, USA, email: tduvendack@mmci.org; Jeanine Spain
Abstract:
Podium Presentation: BRIEF DESCRIPTION: A major nursing care delivery model using care facilitator roles on nursing units has lead to meaningful and measurable changes. Learn how positive outcomes in service, financial, and clinical outcome measures have been achieved. ABSTRACT: In search of an innovative care delivery model aimed at enhancing coordination of patient care, improving clinical outcomes, increasing patient satisfaction, and improving physician collaboration, the hospital underwent the biggest nursing care model change in 15 years. The model change consisted of partnering our clinical charge role on the acute care units with one of the case management positions to allow for two care facilitators on each 20-bed unit. The goals of the model change centered on enhancing partnerships and accountability for clinical, financial, and throughput; improving care accountability and follow through of the bedside nurse; using their experience and expertise of the position to improve patient outcomes; providing support for novice nurse (mentoring/critical thinking); and improving documentation and clinical outcomes. Planning for the model change was a key element in the model's success. Nursing leadership reviewed the current literature and made of site visits to models of interest. Based on the literature, site visits, and our own organization assessment for "fit", a hybrid model was developed. Foundational to the model change was the up-front support and buy in from the bedside nurse. Feedback sessions were held with the acute care nursing staff to make the case for model change and to gain input about concerns, suggestions, and support for the change. These sessions provided feedback/support for moving forward. Fully operational today, the care facilitator is charged with discharge planning and oversight of the patient's care. The care facilitator is accountable for making patient rounds with physicians, rounding on their team of patients several times a day, comprehensive discharge planning, facilitation of patient throughput and oversight of the nursing documentation including adherence to core measures and the plan of care. Metrics centered on quality improvement, efficiency, cost, patient and staff satisfaction were identified up-front to determine the success of the care facilitator role. The metrics identified are part of a pilot program regarding annual merit increase based on meeting the identified metrics. Since the September 2007 implementation results have met expectations. Length of stay has decreased by one-half day, core measure quality metrics have improved, patient satisfaction has improved, and staff are pleased with the model change.
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.titleInnovative Care Delivery Model Change to Enhance Patient Care and Outcomesen_GB
dc.contributor.authorDuvendack, Tammyen_US
dc.contributor.authorSpain, Jeanineen_US
dc.author.detailsTammy Duvendack, RN, PhD, Methodist Medical Center of Illinois, Peoria, Illinois, USA, email: tduvendack@mmci.org; Jeanine Spainen_US
dc.identifier.urihttp://hdl.handle.net/10755/182732-
dc.description.abstractPodium Presentation: BRIEF DESCRIPTION: A major nursing care delivery model using care facilitator roles on nursing units has lead to meaningful and measurable changes. Learn how positive outcomes in service, financial, and clinical outcome measures have been achieved. ABSTRACT: In search of an innovative care delivery model aimed at enhancing coordination of patient care, improving clinical outcomes, increasing patient satisfaction, and improving physician collaboration, the hospital underwent the biggest nursing care model change in 15 years. The model change consisted of partnering our clinical charge role on the acute care units with one of the case management positions to allow for two care facilitators on each 20-bed unit. The goals of the model change centered on enhancing partnerships and accountability for clinical, financial, and throughput; improving care accountability and follow through of the bedside nurse; using their experience and expertise of the position to improve patient outcomes; providing support for novice nurse (mentoring/critical thinking); and improving documentation and clinical outcomes. Planning for the model change was a key element in the model's success. Nursing leadership reviewed the current literature and made of site visits to models of interest. Based on the literature, site visits, and our own organization assessment for "fit", a hybrid model was developed. Foundational to the model change was the up-front support and buy in from the bedside nurse. Feedback sessions were held with the acute care nursing staff to make the case for model change and to gain input about concerns, suggestions, and support for the change. These sessions provided feedback/support for moving forward. Fully operational today, the care facilitator is charged with discharge planning and oversight of the patient's care. The care facilitator is accountable for making patient rounds with physicians, rounding on their team of patients several times a day, comprehensive discharge planning, facilitation of patient throughput and oversight of the nursing documentation including adherence to core measures and the plan of care. Metrics centered on quality improvement, efficiency, cost, patient and staff satisfaction were identified up-front to determine the success of the care facilitator role. The metrics identified are part of a pilot program regarding annual merit increase based on meeting the identified metrics. Since the September 2007 implementation results have met expectations. Length of stay has decreased by one-half day, core measure quality metrics have improved, patient satisfaction has improved, and staff are pleased with the model change.en_GB
dc.date.available2011-10-28T15:37:40Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:37:40Z-
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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