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Authors

  1. Hajewski, Cherona J. DNP, RN, NEA-BC
  2. Shirey, Maria R. PhD, MBA, RN, NEA-BC, ANEF, FACHE, FAAN

Abstract

OBJECTIVE: To evaluate a patient care delivery model (PCDM) that redefined roles for unit-based nurse case managers and RNs to streamline care coordination processes.

 

BACKGROUND: Aligning care coordination in acute care is essential to meet constructs of accountable care.

 

METHODS: A pre-post descriptive study design was applied to evaluate implementation of a PCDM in an acute care hospital setting. Regression and correlation analyses were used to compare length of stay (LOS), readmissions, patient satisfaction, quality measures, and cost of care.

 

RESULTS: There was a significant decrease in LOS and negative patient responses related to nurse communication in the pilot PCDM unit as compared with the control unit.

 

CONCLUSION: The model was supported as effective and will be implemented in other units in this hospital and across the healthcare system. A unit-based nurse care coordinator role is essential to facilitate interprofessional care coordination.