RESUMO
The key points for designing and implementing an evidence-based practice (EBP) model in a large health care system are discussed. This implementation created strategies for practice changes for organizational change. The quality management methods included structured EBP toolkits that are described as part of the deliverable of each toolkit's Design Team. The cost-benefit evaluation process of staff time in the development stage of an EBP is explained. The conclusion is that a representative group of clinicians can be leveraged to create the standard and materials for system implementation, thereby providing improved patient care that is evidence-based and cost-effective.Many hands make light work....
Assuntos
Atenção à Saúde/organização & administração , Medicina Baseada em Evidências/organização & administração , Custos de Cuidados de Saúde , Implementação de Plano de Saúde/organização & administração , Análise Custo-Benefício , Feminino , Humanos , Masculino , Sistemas Multi-Institucionais , Inovação Organizacional , Avaliação de Programas e Projetos de Saúde , Gestão da Qualidade Total , Estados UnidosRESUMO
The key elements of the evaluation process of an evidence-based practice (EBP) program and the infrastructure needed as identified by a large health care organization. The EBP evaluation program has 2 major elements for measuring success. The first component for evaluation is the impact on the clinical outcomes of care and the second is the fiscal implications of implementing the EBP. This article focuses on the fiscal evaluation component and describes a process to calculate the cost of care compared to before and after implementation of the EBP. The literature to support the care calculations is examined and a cost algorithm is described.
Assuntos
Enfermagem Baseada em Evidências/economia , Custos de Cuidados de Saúde/estatística & dados numéricos , Pesquisa em Avaliação de Enfermagem/economia , Qualidade da Assistência à Saúde/economia , Benchmarking , Colorado , Humanos , Liderança , Pesquisa em Avaliação de Enfermagem/estatística & dados numéricos , Qualidade da Assistência à Saúde/normasRESUMO
Individual clinical and fiscal outcomes can be realized with implementing a community-based advance practice nurse case management program (CBCM) for a self-insured employer. The personalized partnership and interventions for high-risk, complex clients have proven to be the key for their self-management outcomes. The case management service was at no cost to the client. The cost savings came from the decrease in patterned utilization of total health care dollars.
