Development and Evaluation of the Menefee Model: Nurse-Driven Interdisciplinary Rounding to Optimize Patient-Focused Collaboration

2.50
Hdl Handle:
http://hdl.handle.net/10755/308301
Category:
Abstract
Type:
Presentation
Title:
Development and Evaluation of the Menefee Model: Nurse-Driven Interdisciplinary Rounding to Optimize Patient-Focused Collaboration
Author(s):
Menefee, Kathy S.
Lead Author STTI Affiliation:
Epsilon Zeta
Author Details:
Kathy S. Menefee, DNP, RN, kathy.menefee@rivhs.com
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Development and Evaluation of the Menefee Model: 
Nurse-Driven Interdisciplinary Rounding to Optimize
Patient-Focused Collaboration

Kathy S. Menefee RN, MSN, DNP(c)

In the two years since the passage of the Affordable Care Act, increased emphasis on public reporting and pay for performance has been evident.  The end result is an increased need for models of care that can deliver improved outcomes.  Evidence supports that an interdisciplinary approach to care can make a positive difference in both patient and organizational outcomes.  In the project hospital, a review of existing hospital data related to readmission rates and patient satisfaction indentified the initial need for improvement.  Observation of the interdisciplinary team revealed a disjointed approach to communication and a lack of team collaboration.  After consideration the decision was made to implement a patient-centered interdisciplinary model of care combined with the introduction of electronic care planning.   This project demonstrates how an interdisciplinary model that includes nurse-led care plan rounding can be created, implemented and measured.  Critical components of this effort included the establishment of a standard of care for interdisciplinary team collaboration and the development of a set of patient-focused guidelines for use during plan of care rounds.   After a six-month pilot project, baseline measures were compared to pilot results to assess the impact of this effort.  To measure the effectiveness of this effort post-implementation, a secondary data analysis related to readmission rates and patient satisfaction was conducted.  Plan of care review data was used to evaluate consistent use of the patient-focused approach and interdisciplinary team feedback was collected to assess team collaboration.   This project demonstrated that the presence of a collaborative interdisciplinary care process can positively impact the patient and the organization.

Keywords:
Rounding; Care Planning; Interdisciplinary Team
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDevelopment and Evaluation of the Menefee Model: Nurse-Driven Interdisciplinary Rounding to Optimize Patient-Focused Collaborationen_GB
dc.contributor.authorMenefee, Kathy S.en_GB
dc.contributor.departmentEpsilon Zetaen_GB
dc.author.detailsKathy S. Menefee, DNP, RN, kathy.menefee@rivhs.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308301-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p><b>Development and Evaluation of the Menefee Model:  <br /="/">Nurse-Driven Interdisciplinary Rounding to Optimize <br /="/">Patient-Focused Collaboration</b><p align="center"><b>Kathy S. Menefee RN, MSN, DNP(c) </b><p>In the two years since the passage of the Affordable Care Act, increased emphasis on public reporting and pay for performance has been evident.  The end result is an increased need for models of care that can deliver improved outcomes.  Evidence supports that an interdisciplinary approach to care can make a positive difference in both patient and organizational outcomes.  In the project hospital, a review of existing hospital data related to readmission rates and patient satisfaction indentified the initial need for improvement.  Observation of the interdisciplinary team revealed a disjointed approach to communication and a lack of team collaboration.  After consideration the decision was made to implement a patient-centered interdisciplinary model of care combined with the introduction of electronic care planning.   This project demonstrates how an interdisciplinary model that includes nurse-led care plan rounding can be created, implemented and measured.  Critical components of this effort included the establishment of a standard of care for interdisciplinary team collaboration and the development of a set of patient-focused guidelines for use during plan of care rounds.   After a six-month pilot project, baseline measures were compared to pilot results to assess the impact of this effort.  To measure the effectiveness of this effort post-implementation, a secondary data analysis related to readmission rates and patient satisfaction was conducted.  Plan of care review data was used to evaluate consistent use of the patient-focused approach and interdisciplinary team feedback was collected to assess team collaboration.   This project demonstrated that the presence of a collaborative interdisciplinary care process can positively impact the patient and the organization.en_GB
dc.subjectRoundingen_GB
dc.subjectCare Planningen_GB
dc.subjectInterdisciplinary Teamen_GB
dc.date.available2013-12-19T17:29:32Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:32Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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