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Mercy Healthcare's CARE 2000: an evolution in progress

L Agustin-Kennedy, V DeBaca, R George

    Nursing Administration Quarterly
    |January 1, 1995
    PubMed
    Summary
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    Mercy Healthcare San Diego implemented a patient care redesign model, fostering interprofessional collaboration. This initiative improved care quality, stakeholder satisfaction, and process efficiencies through shared governance and continuous improvement.

    Area of Science:

    • Healthcare Management
    • Quality Improvement Science
    • Interprofessional Collaboration

    Background:

    • Healthcare organizations face constant pressure to enhance patient care delivery.
    • Implementing effective models for patient care redesign is crucial for improving outcomes.
    • Mercy Healthcare San Diego sought to optimize its care delivery through a structured approach.

    Purpose of the Study:

    • To describe the development and implementation of a patient care delivery redesign model at Mercy Healthcare San Diego.
    • To evaluate the impact of interdisciplinary collaboration on healthcare processes and outcomes.
    • To foster a culture of continuous quality improvement and shared governance.

    Main Methods:

    • Development of the Creative Actions Reflecting Excellence (CARE) model.

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  • Application of redesign principles within a shared governance framework.
  • Engagement of diverse healthcare disciplines including nursing, pharmacy, medical technology, respiratory care, physicians, educators, and managers.

    • Main Results:

    • Successful implementation of the CARE model across multiple disciplines.
    • Enhanced understanding and appreciation of interprofessional contributions.
    • Measurable increases in quality of care, stakeholder satisfaction, and process efficiencies.

    Conclusions:

    • Interprofessional collaboration within a shared governance and continuous quality improvement framework drives significant improvements in healthcare delivery.
    • The CARE model provides a replicable strategy for patient care redesign.
    • Valuing diverse professional contributions is key to optimizing healthcare processes and patient outcomes.