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Increased Revenue, Efficiencies and Patient Satisfaction are Results of Revitalizing Bedside Care Collaborative
February 13, 2011

Posted by chcablogadmin in : Cost Reduction, Manpower & Workforce, Quality

Mounting evidence indicates increased time spent with patients by nursing directly correlates with a decrease in problematic care and adverse events. Amid data reports showing that nurses only spend approximately 30 percent of their time engaged in direct patient care, CHCA launched the Revitalizing Bedside Care Collaborative. The 10 participating Owner Hospitals implemented recommendations from a multi-disciplinary advisory panel, creating pediatric-specific opportunities to re-establish the valuable care that nurses provide to patients.

Motivated to increase innovation and remove barriers, the Collaborative designed pediatric-specific methods for transforming nursing based on national adult centered projects, such as Robert Wood Johnson Foundation’s “Transforming Care at the Bedside,” and The Institute of Medicine’s “blueprint” for transforming nursing roles.

Encouraging teams to focus their efforts on three areas − creating efficient clinical processes, improving staff teamwork and creating a patient centered experience − participating Owner Hospitals saw a 9 percent increase in nursing time in direct patient care, a 12 percent increase in patient/parent inpatient satisfaction scores, and a 30 percent decrease in nursing steps per hour.

Nancy Korom, RN, MSN

At Children’s Hospital of Wisconsin we were able to collaborate virtually with children’s hospitals across the country to share ideas and best practices in order to gain efficiencies and cost savings on the patient care units. This was a valuable experience for the staff and leaders involved to understand that we are not alone in our efforts to improve systems and processes. The collegiality and resources have endured beyond the collaborative work. — Nancy Korom, RN, MSN, NEA-BC, Vice President, Patient Care Services, Sophie Schroeder Endowed Chair for Nursing, Children’s Hospital of Wisconsin

Participating Owner, Children’s Hospital of Wisconsin removed approximately $3,440 in overstock from bedside carts in the ICU (an average of $80 per cart), saved approximately $57,000 by reorganizing two storage rooms, and reduced discharge time from 85 to 24 minutes, an increase in efficiency that could result in just under $900,000 in additional revenue. Other top performers include Monroe Carell Jr. Children’s Hospital at Vanderbilt, which reduced medication errors and IV infiltrates, Children’s Hospital (New Orleans), which implemented nursing assignments zones leading to a 200-step decrease per hour, and Woman and Children’s Hospital (Buffalo), which reduced overtime expense on one unit by 16 percent.

All project documentation and session recordings including the new resource package are available on the Revitalizing Bedside Care Collaborative website.

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