RESUMO
All healthcare systems are challenged to provide sufficient access to appropriate care for the individuals and communities they serve. Among the commonly discussed interventions in an era of clinical shortages is the establishment of team-based care, where team members can practice at the top of their license. This solution ensures that talent and ability are amplified. However, this vision has been thwarted by several barriers. Recognizing that complex causes prevent team-based care, CommonSpirit Health leadership has embarked on a multifaceted implementation of tactics to mitigate the barriers. The strategy addresses issues ranging from regulations, laws, and payment practices to a lack of knowledge and understanding between professions. A combination of solutions, rather than discrete tactics, holds the key to the system's strategy. The complement of actions put in place at CommonSpirit Health has included new executive roles, dyad leadership models, shared multidisciplinary education, targeted advocacy, best practice playbooks, and the flexibility to individualize local models as part of the journey to a more effective and efficient model of care.
Assuntos
Atenção à Saúde , Equipe de Assistência ao Paciente , Equipe de Assistência ao Paciente/organização & administraçãoRESUMO
Multiple articles have explained the benefits of nurses as hospital board members. The Nurses on Boards Coalition has been working for several years to increase the number of nurse board members. Yet, the percentage of hospital and health care board positions filled by nurses has been decreasing. This article shares what all nurse leaders can do to increase the visibility of nurses as competent, valuable voices at the board table.
Assuntos
Conselho Diretor/tendências , Sistemas Pré-Pagos de Saúde/tendências , Papel do Profissional de Enfermagem/psicologia , Conselho Diretor/organização & administração , Sistemas Pré-Pagos de Saúde/normas , HumanosRESUMO
Finance and clinical leaders should ensure that the appropriate stakeholders are part of planning the "how" of change. Clinicians should be included in strategy and decision making. Inclusion can help leaders make decisions that best serve patients.
Assuntos
Comportamento Cooperativo , Tomada de Decisões Gerenciais , Corpo Clínico Hospitalar , Administração Financeira de Hospitais , Humanos , Liderança , Técnicas de Planejamento , Qualidade da Assistência à Saúde , Estados UnidosRESUMO
Catholic Health Initiatives (CHI) is piloting population health management for a test population that comprises CHI employees and their families. CHI is using a medical home model to coordinate care. The system anticipates a reduction in its employee healthcare costs of 10 to 14 percent.
Assuntos
Promoção da Saúde/organização & administração , Comportamento de Redução do Risco , Centers for Medicare and Medicaid Services, U.S. , Redução de Custos , Necessidades e Demandas de Serviços de Saúde , Hospitais Religiosos/economia , Humanos , Modelos Teóricos , Estudos de Casos Organizacionais , Projetos Piloto , Estados UnidosRESUMO
To work better with employed physicians, finance leaders should: Understand classic management theories on what motivates employees. Learn from shared governance models with nurses at Magnet hospitals. Apply best practices in management to all employees, not just physicians.
Assuntos
Comportamento Cooperativo , Emprego , Relações Hospital-Médico , Administração de Recursos Humanos em Hospitais/educação , Administração Financeira de Hospitais , Humanos , Estados UnidosRESUMO
To help promote innovation in health care, nursing and finance leaders can: Begin by asking the "why" and "why not" questions. Earmark dollars for experimental care models. Advocate for eliminating legal and regulatory barriers that prevent innovation.
Assuntos
Atenção à Saúde , Difusão de Inovações , Administração Financeira de Hospitais , Humanos , Estados UnidosRESUMO
To fill strategic positions in their organizations with top talent, nursing and finance leaders can: Start by determining which jobs are truly "mission critical". Align the individuals in these positions on strategic teams Strengthen partnerships between key clinical leaders, such as the CMO and CNO
Assuntos
Liderança , Seleção de Pessoal/métodos , Administração Financeira de Hospitais , Administradores Hospitalares , Estados UnidosRESUMO
Nursing and finance leaders can encourage evidence-based nursing by: Investing in best practice procedure products. Providing continuing education to nursing care teams. Encouraging accountability--and empowerment.
