Related Experiment Video
Updated: Jun 17, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Tailoring the Relational Playbook for Cardiology Teams to the Rural Hospital Medicine Setting: A Multi-Method
Heather M Gilmartin1,2, Paige Perry1, Brigid Connelly1
1Denver/Seattle Center of Innovation for Veteran-Centered and Value Driven Care, VA Eastern Colorado Healthcare System, Aurora, Colorado, USA.
Summary
This study adapted the Relational Playbook for Cardiology Teams for rural Veterans Health Administration (VA) hospitals. Pre-implementation strategies improved the leadership program
Area of Science:
- Healthcare Leadership Development
- Rural Health Interventions
- Team-Based Care Improvement
Background:
- The Relational Playbook for Cardiology Teams is an evidence-based leadership program for the Veterans Health Administration (VA).
- Adaptations are necessary to ensure the Playbook's acceptability, appropriateness, and feasibility in rural healthcare settings.
- This study focused on tailoring the Playbook for rural hospital medicine.
Purpose of the Study:
- To adapt the Relational Playbook for Cardiology Teams for rural hospital medicine settings.
- To utilize a theory-informed, multi-method pre-implementation approach for tailoring.
- To enhance the program's relevance and effectiveness in rural VA environments.
Main Methods:
- Recruited clinical leaders from three rural VA hospitals.
- Collected facility-level data and conducted observational site visits.
- Analyzed data using team-based rapid qualitative content analysis.
Main Results:
- Identified barriers to engagement including leadership instability and physician burnout.
- Recommended tailoring strategies such as expanded recruitment and streamlined site visits.
- Utilized publicly available data to contextualize site-specific challenges.
Conclusions:
- A multi-method pre-implementation approach successfully adapted the Playbook for rural settings.
- Early engagement and flexible implementation are crucial for successful adaptation.
- Future evaluations will focus on the impact on team dynamics and Veteran care.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:29Cardiomyopathy V: Interprofessional Care
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
01:15Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:30Pulse rhythm
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities