RAMPED-UP: The Development and Testing of an Interprofessional Collaboration Model

Area of Science:

• Healthcare Management
• Patient Outcomes
• Trauma Care

Background:

• Interprofessional collaboration (IPC) is crucial for optimizing patient and system outcomes.
• Structured IPC models are being developed to enhance care delivery.
• The RAMPED-UP model was implemented to assess its impact on surgical trauma patients.

Purpose of the Study:

• To measure the impact of the RAMPED-UP structured IPC model on hospital length of stay (LOS) in surgical trauma patients.
• To evaluate secondary outcomes such as discharge disposition and discharge-by-noon (DBN) rates.
• To explore correlations between clinical indicators and LOS within the IPC model.

Main Methods:

• Prospective cohort study with a historical comparison group at a Level 1 trauma center.
• Comparison of trauma patients before (n=98) and during (n=96) the RAMPED-UP intervention.
• Analysis of hospital LOS, DBN rates, and correlation with incentive spirometry (I/S) values.

Main Results:

• No statistically significant difference in hospital LOS between the RAMPED-UP and pre-RAMPED-UP groups.
• The RAMPED-UP group showed significantly higher discharge-by-noon (DBN) rates (18.2%, p = .005).
• A significant negative correlation was found between incentive spirometry (I/S) values and both hospital LOS and RAMPED-UP LOS (p < .018).

Conclusions:

• The RAMPED-UP IPC model did not reduce overall hospital LOS but improved DBN rates.
• Incentive spirometry (I/S) values show potential as predictors for LOS in trauma patients.
• Structured IPC models can enhance specific patient outcomes like timely discharge.