Innovations
Care Model Transformation: Changing
the Long Term Care Experience
Authors: Cindy MacQuarrie, MN, RN, Marie McPhee, & Dawn McLaine, RN, BScN, Cape Breton District Health Authority, Sydney, Nova Scotia, Canada.
The aim of this project was to understand the effect of implementing a Collaborative Care Model on five performance indicators: provider satisfaction, patient/family satisfaction, fall rates, urinary tract infections (UTIs), and aggression rates on three long term care units.
The model enabled healthcare providers to make the best use of their skills by using efficient processes, information, and technology to improve patient safety. It also encouraged patient/family involvement in the plan of care.
Three data collection methods were used:
- Provider Survey: completed pre- and post-care model redesign
- Resident/Family Survey: completed pre- and post-care model redesign
- Key Performance Indicators: real-time monitoring of fall rates, UTI, and aggression rates.
Results suggest that the model redesign had positive results, making a difference for patients, families, and healthcare providers. It also fostered patient/family involvement in care while providing interventions known to reduce avoidable harm.
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