Care coordination: A model for the acute care hospital setting

Academic Article

Abstract

  • Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins. 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.
  • Digital Object Identifier (doi)

    Author List

  • Hajewski CJ; Shirey MR
  • Start Page

  • 577
  • End Page

  • 585
  • Volume

  • 44
  • Issue

  • 11