Standardization of Care

Lesley Johnson Chamberlain College of Nursing

NR 660October 2015

Why Standardize?

• Improve patient outcomes• Improve patient care• Increase financial

performance• Improve workflows• Improve patient safety

• Decrease unnecessary diagnostic testing

• Decrease cost of treatment • Decrease length of stay• Decrease admission rates

Summary of Relevant Literature

• Patients follow a critical path• Improvement in patient outcomes• Improve patient satisfaction• Improvement in health care reform

Summary of Relevant Literature

• Reduces medical errors• Reduces length of stay• Reduces financial burden • Evidence Based Research • Integration of Clinical Decision Support (CDS) tools• Electronic Health Record

Standardization Project

Target Audience• Emergency Departments• Patients with specific

illness• Emergency Department

Nurse and Physicians

Project Continued

Implementation • Meet with Stakeholders• Develop Critical Pathways• Use of Evidence-based

research• Integrate Clinical Decision

Support Tools

Standardization Resolution

• Medical Executive Council• Clinical Leadership Council• Legal and regulatory requirements• Integration of critical care pathways• Integration of CDS

Standardization Resolution

• Order sets• Diagnostic testing• Specific interventions• Evidence-based solutions

Standardization Resolution

• Health promotion model• Lewin’s change theory• Exception to the rule• Clinician push back• Cookie cutter medicine• Fair and equal treatment

Standardization Implementation

• Implemented Critical Pathways• Data reports for compliance• Follow up with outliers• Continued leadership support• Implementation of new critical pathways

Sample Data Report

Next steps

• Leadership• Follow up• Evidence-based practice• Presentations with leadership

ReferencesButton, P. (2012). Collaboration strategies for CDS success. Health Management

Technology, 33(7), 13-13.

Petiprin, A. (2015). Health promotion model . Retrieved from Nursing Theory :

http://www.nursing-theory.org/theories-and-models/pender-health-promotion-

model.php

Rocco, G., Affonso, D., Mayberry, L., Sasso, L., Stievano, A., & Alvaro, R. (2015).

Center of excellence to build nursing scholarship and improve health care in

Italy. Journal of Nursing Scholarship, 47(2), 170-177. doi:10.1111/jnu.12125

Yang, H., Li, W., Lui, K., & Zhang, J. (2012). Knowledge-based clinical pathway for

medical quality improvement. Information Systems Fronteirs, 14(1), 105-117.

doi:10.1007/s10796-011-9307-z