Developing an Outcome-based Multidisciplinary Care Planning Tool

United Hospital, St Paul, Minn 55116, USA.
Journal of nursing care quality (Impact Factor: 1.39). 03/2005; 20(2):145-53. DOI: 10.1097/00001786-200504000-00010
Source: PubMed

ABSTRACT Multidisciplinary care planning is required for patients in acute care settings. A task force was charged by the Vice President of Patient Care to develop and implement a multidisciplinary care planning tool. This article outlines the process used and includes examples of the tool and outcomes to date. This major change project resulted in the development of a successful tool, a successful Joint Commission on Accreditation of Healthcare Organization survey, and new opportunities for outcome-based care planning.

159 Reads
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The evidence reviewed in this chapter suggests that formal recordkeeping practices (documentation into the medical record) are failing to fulfill their primary purpose, of supporting information flow that ensures the continuity, quality and safety of care. Moreover, disproportionate attention to secondary purposes (e.g., accreditation and legal standards) has produced a medical record that is document centered rather than patient focused. Cumbersome and variable formats, useless content, poor accessibility, and shadow records are all evidence of the extraordinary failure of the medical record. Given the exorbitant cost of the record and urgent need for tools that facilitate the flow of patient-centric information within and across systems, it is imperative to develop broad-based solutions.
    Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Edited by Ronda G Hughes, 01/2008: chapter Chapter 49; Agency for Healthcare Research and Quality (US).
  • [Show abstract] [Hide abstract]
    ABSTRACT: The most prevalent disease in the American health care industry does not involve major organs and clinical systems, yet it represents the pulse of delivering care to the most vital life source—patients. A “new cancer” has resulted from broken systems attempting to survive in a disease state due to a lack of strategic thinking, absence of service line integration, and minimal focus on prevention. Many health care leaders are the hosts; they lack courage and decision-making in prioritizing programs that temporarily interrupt “cash cow” procedures in favor of less revenue-enhancing interventions that detect disease earlier, prevent its onset, and ultimately save lives. This article addresses the financial treatment guidelines that are needed to reconfigure breast centers in an economy that must balance other competing disease management demands with shrinking dollars and the threat of “in the red” distant disease. Organizations must embrace a new paradigm that results in delayed gratification.
    Seminars in Breast Disease 09/2008; 11(3):116-123. DOI:10.1053/j.sembd.2009.04.002
  • [Show abstract] [Hide abstract]
    ABSTRACT: Clinical practice guidelines (CPGs) aimed at preventing falls and fall injuries have been shown to be effective in acute care hospitals. However, although CPGs are systematically developed and evidence-based tools, there has been a problem with their implementation in clinical practice. To describe influences on health care professionals' attitudes to CPGs for preventing falls and fall injuries. A qualitative approach was chosen and five focus group discussions were conducted, which included physicians, nurses, physiotherapists, and occupational therapists. The transcribed texts were analyzed using manifest and latent content analysis. Two main categories emerged: experiencing a course of events and influence of social factors. Experiencing a course of event included incidence of falls and fall injuries followed by negative consequences, which revealed benefits of using a CPG. Influence of social factors for implementation and compliance with the CPG was described as community obligations and organizational and individual resources. The findings confirm the complex process of implementation and compliance of CPGs for fall prevention. A relation between experiences of high incidence of falls with negative consequences and a positive attitude and compliance to CPGs appeared. To assure compliance and a positive attitude requires an obvious benefit of the CPG in reducing falls. Factors to overcome barriers to implementation and compliance seem to be a supportive leadership, systematic evaluations of the CPG outcome, and the facilitator role.
    Worldviews on Evidence-Based Nursing 06/2011; 8(2):87-95. DOI:10.1111/j.1741-6787.2010.00196.x · 2.38 Impact Factor


159 Reads
Available from