Indiana University Health Interprofessional Collaborative Practice Model
Member since: November 2015
Intervention: Indiana University Health Interprofessional Collaborative Practice Model
Partners:
-
Indiana University (IU), Schools of Medicine and Nursing
-
Indiana University-Purdue University Indianapolis (IUPUI)
-
Indiana University Health (IUH), Methodist Hospital
Occupations represented: Students and professionals including case manager, nurses, nurse practitioners, pharmacists, physical therapists, and physicians. Social work, physician assistants
Overview: The Accountable Care Unit (ACU) model encompasses unit-based clinical triads that consist of the RN, MD, and care manager, who use team-based care; relational coordination with shared goals, shared knowledge and mutual respect; unit-based leadership and management; patient centered workflow that incorporates daily clinical triad “huddles” on individual patient concerns, RN/MD collaborative rounding, safe handoffs; and data-driven unit-based decision making. The team uses lean processes, innovation, and the synergy of collaborative clinical leadership to increase care efficiency, quality and improved care transitions. Other professions engaged with the clinical triads on an intermittent basis.
Measurement tools used for this project include the Safety Organizing Scale (SOS), Collaboration and Satisfaction About Care Decisions (CADCS), and the HCHAPS patient satisfaction tool. Additional outcomes measured for this project include length of stay, readmission rates, falls per month, and incidence of pressure ulcers, blood stream infections and urinary tract infections.
Intervention study question:
-
On three units within IUH Methodist Hospital, what is the effect of use of the ACU model of care delivery on patient satisfaction, patient care outcome indicators, and cost over a three year period compared with performance on the same units prior to initiation of the model?