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Clinical care coordination program: a working partnership

P Winstead-Fry1, S Bormolini, R R Keech

  • 1University of Vermont School of Nursing, Burlington, USA.

The Journal of Nursing Administration
|July 1, 1995
PubMed
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Rural hospitals can reduce uncompensated care by implementing a Clinical Care Coordination Program. This program significantly decreased patient length of stay, improving hospital financial health.

Area of Science:

  • Healthcare Management
  • Rural Health
  • Hospital Administration

Background:

  • Rural hospitals face significant financial challenges including low reimbursement and high uncompensated care.
  • Prolonged patient length of stay exacerbates uncompensated care burdens in rural healthcare settings.
  • Existing care coordination models may not adequately address the unique needs of rural hospitals.

Purpose of the Study:

  • To introduce and evaluate an innovative Clinical Care Coordination Program designed for a rural hospital setting.
  • To address the issue of uncompensated care stemming from extended patient lengths of stay.
  • To assess the program's impact on length of stay and stakeholder satisfaction.

Main Methods:

  • Development of a Clinical Care Coordination Program tailored to a 188-bed rural hospital.

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  • Implementation of program protocols to manage patient care and reduce length of stay.
  • Statistical analysis to evaluate the program's effect on length of stay.
  • Qualitative assessment of stakeholder and patient responses to the program.

    • Main Results:

    • The Clinical Care Coordination Program led to a statistically significant reduction in patient length of stay.
    • Services integrated into the program demonstrated improved efficiency and reduced care duration.
    • Positive feedback was received from program participants and those affected by its implementation.
    • The program effectively targeted a key driver of uncompensated care in the rural setting.

    Conclusions:

    • The Clinical Care Coordination Program offers a viable and effective solution for rural hospitals to mitigate uncompensated care.
    • Implementing targeted care coordination strategies can significantly improve operational efficiency and financial outcomes in rural healthcare.
    • This model provides a scalable approach for other rural facilities facing similar financial and operational pressures.