2.50
Hdl Handle:
http://hdl.handle.net/10755/183129
Category:
Abstract
Type:
Presentation
Title:
Instituting the Role of the Perinatal Nurse-Navigator in an Academic/Tertiary Care Center
Author(s):
Bornick, Patricia
Author Details:
Patricia Bornick, RNS, MSN, Tampa General Hospital, Tampa, FL, email: Pbornick@health.usf.edu
Abstract:
Purpose: To institute a perinatal nurse-navigator program to assist those patients with a prenatal diagnosis of a birth defect. Objectives of the program included seamless movement of patients within services, delivery of all services to all target populations, clear communication among various services and bundled service delivery (more than one service delivered in a single setting). Method: University of South Florida perinatal subspecialty physicians worked with a Tampa General Hospital perinatal nurse-navigator at Fetal Care Center of Tampa Bay (FCCTB) to refer patients for additional diagnostic and consultation services, including ultrasonography, MRI, pediatric specialty consultations and patient education. Patients at significant risk for serious perinatal morbidity and/or mortality and needing multiple consultations with other specialties were eligible. Data was collected concurrently and entered into a database. Population characteristics and functional status of the program were assessed. Findings: FCCTB coordinated the care of 58 women from March 1, 2009 to October 22, 2009. Thirty-two (55%) received prenatal care in a community health center with the remainder seen in private practice. Late entry into prenatal care was noted in four patients. Diagnoses included cardiac defects (7, 12%), gastroschisis (6, 10%), congenital diaphragmatic hernia (5, 9%), sacral coccygeal teratoma (2, 3%), and others. Over half of the patients, 52% (30), had Medicaid coverage, with 34% (20) privately insured and 14% (8) uninsured. Bundled care was achieved in 29% (17) patients. Of the 46 delivered patients, 100% received planned diagnostic and consultative services and implementation of a multidisciplinary plan of care prior to and after birth regardless of socio-economic status. All patients received services on an outpatient basis, which was a change in practice from admitting unfunded patients for diagnostic and consultation services only. Since program implementation, only one physician concern was logged regarding plan of care, compared to a substantial number previously. Anecdotal comments from patients and team members were positive by a large majority. Interdisciplinary meetings resulting in customized care plans occurred every 2 to 4 weeks since inception. Discussion: This program demonstrated a successful collaboration between an academic medical practice, a community health center and tertiary care center whose mission includes service to the medically indigent. All women with prenatal diagnosis of complex birth defects received planned perinatal diagnostic, consultative services and a multidisciplinary plan of care. Future plans include assessment of appropriate clinical outcomes against national benchmarks and data collection regarding internal and external customer satisfaction.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
7th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Naples, Florida, USA
Description:
7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, 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.titleInstituting the Role of the Perinatal Nurse-Navigator in an Academic/Tertiary Care Centeren_GB
dc.contributor.authorBornick, Patriciaen_US
dc.author.detailsPatricia Bornick, RNS, MSN, Tampa General Hospital, Tampa, FL, email: Pbornick@health.usf.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/183129-
dc.description.abstractPurpose: To institute a perinatal nurse-navigator program to assist those patients with a prenatal diagnosis of a birth defect. Objectives of the program included seamless movement of patients within services, delivery of all services to all target populations, clear communication among various services and bundled service delivery (more than one service delivered in a single setting). Method: University of South Florida perinatal subspecialty physicians worked with a Tampa General Hospital perinatal nurse-navigator at Fetal Care Center of Tampa Bay (FCCTB) to refer patients for additional diagnostic and consultation services, including ultrasonography, MRI, pediatric specialty consultations and patient education. Patients at significant risk for serious perinatal morbidity and/or mortality and needing multiple consultations with other specialties were eligible. Data was collected concurrently and entered into a database. Population characteristics and functional status of the program were assessed. Findings: FCCTB coordinated the care of 58 women from March 1, 2009 to October 22, 2009. Thirty-two (55%) received prenatal care in a community health center with the remainder seen in private practice. Late entry into prenatal care was noted in four patients. Diagnoses included cardiac defects (7, 12%), gastroschisis (6, 10%), congenital diaphragmatic hernia (5, 9%), sacral coccygeal teratoma (2, 3%), and others. Over half of the patients, 52% (30), had Medicaid coverage, with 34% (20) privately insured and 14% (8) uninsured. Bundled care was achieved in 29% (17) patients. Of the 46 delivered patients, 100% received planned diagnostic and consultative services and implementation of a multidisciplinary plan of care prior to and after birth regardless of socio-economic status. All patients received services on an outpatient basis, which was a change in practice from admitting unfunded patients for diagnostic and consultation services only. Since program implementation, only one physician concern was logged regarding plan of care, compared to a substantial number previously. Anecdotal comments from patients and team members were positive by a large majority. Interdisciplinary meetings resulting in customized care plans occurred every 2 to 4 weeks since inception. Discussion: This program demonstrated a successful collaboration between an academic medical practice, a community health center and tertiary care center whose mission includes service to the medically indigent. All women with prenatal diagnosis of complex birth defects received planned perinatal diagnostic, consultative services and a multidisciplinary plan of care. Future plans include assessment of appropriate clinical outcomes against national benchmarks and data collection regarding internal and external customer satisfaction.en_GB
dc.date.available2011-10-28T16:15:47Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:15:47Z-
dc.conference.date2010en_US
dc.conference.name7th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationNaples, Florida, USAen_US
dc.description7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, 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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