l. johnson_nr660_standardization ppt presentation
TRANSCRIPT
Standardization of Care
Lesley Johnson Chamberlain College of Nursing
NR 660October 2015
Why Standardize?
• Improve patient outcomes• Improve patient care• Increase financial
performance• Improve workflows• Improve patient safety
• Decrease unnecessary diagnostic testing
• Decrease cost of treatment • Decrease length of stay• Decrease admission rates
Summary of Relevant Literature
• Patients follow a critical path• Improvement in patient outcomes• Improve patient satisfaction• Improvement in health care reform
Summary of Relevant Literature
• Reduces medical errors• Reduces length of stay• Reduces financial burden • Evidence Based Research • Integration of Clinical Decision Support (CDS) tools• Electronic Health Record
Standardization Project
Target Audience• Emergency Departments• Patients with specific
illness• Emergency Department
Nurse and Physicians
Project Continued
Implementation • Meet with Stakeholders• Develop Critical Pathways• Use of Evidence-based
research• Integrate Clinical Decision
Support Tools
Standardization Resolution
• Medical Executive Council• Clinical Leadership Council• Legal and regulatory requirements• Integration of critical care pathways• Integration of CDS
Standardization Resolution
• Order sets• Diagnostic testing• Specific interventions• Evidence-based solutions
Standardization Resolution
• Health promotion model• Lewin’s change theory• Exception to the rule• Clinician push back• Cookie cutter medicine• Fair and equal treatment
Standardization Implementation
• Implemented Critical Pathways• Data reports for compliance• Follow up with outliers• Continued leadership support• Implementation of new critical pathways
Sample Data Report
Next steps
• Leadership• Follow up• Evidence-based practice• Presentations with leadership
ReferencesButton, P. (2012). Collaboration strategies for CDS success. Health Management
Technology, 33(7), 13-13.
Petiprin, A. (2015). Health promotion model . Retrieved from Nursing Theory :
http://www.nursing-theory.org/theories-and-models/pender-health-promotion-
model.php
Rocco, G., Affonso, D., Mayberry, L., Sasso, L., Stievano, A., & Alvaro, R. (2015).
Center of excellence to build nursing scholarship and improve health care in
Italy. Journal of Nursing Scholarship, 47(2), 170-177. doi:10.1111/jnu.12125
Yang, H., Li, W., Lui, K., & Zhang, J. (2012). Knowledge-based clinical pathway for
medical quality improvement. Information Systems Fronteirs, 14(1), 105-117.
doi:10.1007/s10796-011-9307-z