on January 10, 2012 |
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Topics: Neurosciences, Service Lines, Stroke, Planning, Strategy, Multidisciplinary Care, Methodologies, Performance Improvement
Leah Reidy
Developing a multidisciplinary stroke service is an emerging imperative for institutions looking to drive outcome improvements and extend patient care coordination across the broader continuum. Multidisciplinary care consists of the following components:
1) Interdisciplinary team structure: The ideal model includes:
- Medical director
- Clinical stroke coordinator
- Vascular neurologists
- Neurosurgeons
- Neuroscience nurses
- Neuropsychologists
- Rehabilitation specialists
- Operations coordinator
The collaborative nature of this type of stroke services allows the clinicians to develop a robust and individualized, nuanced treatment plan for each patient. Previous research has shown that such models result in incremental improvement in both outcomes and patient satisfaction by facilitating streamlined decision making and standardization of processes and goals.
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Five essential elements of multidisciplinary stroke teams
on December 20, 2011 |
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Topics: Service Lines, Planning, Strategy, Care Transformation, Performance Improvement, Evidence-Based Practice, Methodologies, Multidisciplinary Care, Patient-Focused Care
Eric Cragun
The mandate to elevate the value of care across our service lines—the key driver behind service line transformation—requires organizations to first strengthen their service line infrastructure and then make use of the improved infrastructure to redesign their care processes. To that end, we have recently added to Blueprint for Service Line Transformation, updating the study with a section on Re-Designing Care Processes for Value. This second section complements the earlier piece, which provides guidance for Building a Dynamic Leadership Structure. Together, the two sections detail near-term imperatives facing hospitals and health systems, providing actionable steps that yield improved performance under today’s fee-for-service incentives while also preparing organizations for future value-based incentives.
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The role of service lines in re-designing care processes
on September 28, 2011 |
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Topics: Geriatrics, Service Lines, Planning, Strategy, Chronic Care Management, Methodologies, Performance Improvement
An acute care of the elderly (ACE) unit is traditionally structured as a dedicated space and interdisciplinary team for addressing the complex care needs of elderly patients in the hospital. The University Hospitals of Cleveland originally established this type of unit and other organizations, like Nurses Improving Care for Healthsystem Elders (NICHE), have since adopted and adapted the concept to fit their needs.
The ACE unit concept includes dedicated units that provide care for the numerous conditions that typically afflict elderly patients. The goal of ACE units is to prevent or mitigate functional decline in elderly inpatients. At the same time, ACE units centralize expertise for geriatric interventions, particularly in service areas such as orthopedics, cardiology, and urology, and incontinence. ACE units provide care in spaces outfitted with amenities that are especially beneficial to older patients, such as rooms with more lighting and materials in large print type, among other adaptations that increase patients’ comfort level.
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Considerations for ACE unit adoption
