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Related Experiment Videos

Design and implementation of an outcomes management model.

R Maljanian1, J A Effken, P Kaerhle

  • 1Institute for Outcomes Research and Evaluation, Hartford Hospital, Connecticut 06102, USA.

Outcomes Management for Nursing Practice
|October 13, 2000
PubMed
Summary

Acute care nurses need better tools to manage patient care across the continuum. A new model helps nurses use aggregate data for care planning, improving patient outcomes in capitation environments.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Health Informatics

Background:

  • The current capitation-based reimbursement model necessitates comprehensive patient care coordination.
  • Acute care staff nurses require effective tools for predicting patient needs and managing care across the continuum.
  • Accurate prediction and outcome evaluation are crucial for optimizing patient care delivery.

Purpose of the Study:

  • To describe the design and implementation of a model supporting acute care staff nurses in care coordination.
  • To evaluate the effectiveness of the implemented model in enhancing nurses' care planning abilities.

Main Methods:

  • A model was designed and implemented to assist staff nurses in care coordination.
  • A ten-item pre- and post-implementation survey was used to evaluate the model's impact.

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  • Educational offerings on the model were provided to participating staff nurses.

    • Main Results:

    • Staff nurses who received training on the model showed a significant increase in using aggregate data for care planning.
    • The model's implementation demonstrated a positive impact on nurses' data utilization for planning care.
    • The survey indicated improved practices among nurses involved in the educational sessions.

    Conclusions:

    • The developed model supports acute care nurses in utilizing aggregate data for enhanced care planning.
    • For maximum impact, the model should be integrated earlier in the patient care process, ideally during wellness visits or health plan enrollment.
    • Further evolution of the model is recommended for application prior to initial hospitalization to optimize its effectiveness.