Model of Care Design Presented By Sheila Lucas Ferris State
University NURS 511
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Introduction Cleveland Clinic use of Zielony Institute Nursing
Practice Model Creates a Shared Vision Cleveland Clinic: Patients
First Cleveland Clinic Nurses: Delivering on the Promise of World
Class Care Cleveland Clinic (nd). Zielony Insitiute Nursing
Practice Model. Colleagues in Care.
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Description of Model of Care Guiding Principles Ensures patient
Safety and quality Provides consistent, evidence-based nursing
practices based on the nursing process, critical thinking, and role
optimization Fostering a healing environment that is patient and
family centered, culturally sensitive, compassionate, service
oriented and utilizes interdisciplinary collaboration Expecting
professionals to be competent, accountable, fiscally responsible,
and ethical Leveraging technology to support nursing practice and
increase time with patients Maintaining regulatory and practice
compliance Supporting lifelong learning and teaching Cleveland
Clinic (nd). Zielony Insitiute Nursing Practice Model. Colleagues
in Care.
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Cleveland Clinic (nd). Zielony Insitiute Nursing Practice
Model. Colleagues in Care
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Why Does This Make Sense? Appropriate staffing of clinical and
non clinical staff that supports safe and high quality care
Performance improvement and enhanced communication Encourages
fiscal responsibility among staff members Creates a patient
centered Care Interdisciplinary collaboration Generates effective
communication and relationships Effectively uses technology to
enhance practice Enhances Patient Satisfaction Utilizes evidence
based clinical management Encourages lifelong learning and
enhancement in professional development
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Mission : To provide better care of the sick, investigation
into their problems, and further education of those who serve.
Value s: Quality. We maintain the highest standards and achieve
them by continually measuring and improving our outcomes.
Innovation. We welcome change, encourage invention and continually
seek better, more efficient ways to achieve our goals. Teamwork. We
collaborate and share knowledge to benefit patients and fellow
caregivers for the advancement of our mission. Service. We strive
to exceed our patients and/or fellow caregivers expectations for
comfort and convenience. Integrity. We adhere to high moral
principles and professional standards by a commitment to honesty,
confidentiality, trust, respect and transparency. Compassion. We
demonstrate our commitment to world-class care by providing a
caring and supportive environment for our patients, patients
families and fellow caregivers. Cleveland Clinic (2013). Vision
& Values. Retrieved from:
http://my.clevelandclinic.org/about-cleveland-clinic/overview/who-we-
are/mission-vision-values.aspx
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Correlation With Mission and Values Empowers Nurses To
Critically Think Hold self and each other accountable Make Patient
Centered decisions Integrates Employee Engagement and Patient
Experience Cleveland Clinic (nd). Delivering on the Promise of
World Class Care: Tying it All Together
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Inter-disciplinary Concerns Physicians - Issues relating to
leadership and decision making Attending physicians are responsible
for decision making but the nursing care can be directed by the
assigned RN or Care Manager Support Staff Changes in roles RNs
coordinate all care and assignments LPNs will be paired with RN who
will plan and coordinate patient care LPN role may be expanded to
include delivering of treatments, working in outpatient offices,
rehab, or subacute sites, and surgical techs Nurse Educators What
type of Education will be needed? Formal Charge Nurse Program.
Staff orientation to new practice model, RN and LPN access to scope
of practice Cleveland Clinic (nd). Zielony Insitiute Nursing
Practice Model. Colleagues in Care
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Implementation System Wide team of four Associate Chief Nursing
Officers (ACNOs),Human Resource Business Partner and System
Executive/Director of Nursing Operations Integrationthe chief
nursing officers for each of the 11 hospitals (Small & Small,
2011. p.4). Launch materials were disseminated to staff to get
excitement started Presented to Nurse Managers are annual retreat
Rolled out to Nursing Staff through online education materials,
onsite presentations, and mandatory training Small & Small,
2011.p5
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Evaluation The Nursing Institute will be tracking the success
of the model over time. This success will be measured by tracking
improvements in Hospital Consumer Assessment of Healthcare
Providers and System (HCAHPS) scores of patient's perceptions of
care Small & Small, 2011. p.5)
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Conclusion Zielony Institute Nursing Practice Model Patient
Centered Care Blends Cleveland Clinic mission with nursing mission
Promotes nursing leadership and coordination of care
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References Cleveland Clinic (nd). Delivering on the Promise of
World Class Care: Tying it All Together. Retrieved From:
http://my.clevelandclinic.org/Documents/nursing/pr
actice-model/tying.pdf
http://my.clevelandclinic.org/Documents/nursing/pr
actice-model/tying.pdf Cleveland Clinic (nd). Delivery of the
Practice Model at Cleveland Clinic. Retrieved From:
http://my.clevelandclinic.org/Documents/nursing/pr
actice-model/delivery.pdf
http://my.clevelandclinic.org/Documents/nursing/pr
actice-model/delivery.pdf Cleveland Clinic (nd). Zielony Insitiute
Nursing Practice Model. Colleagues in Care. Retrieved From:
http://my.clevelandclinic.org/Documents/nursing/pr
actice-model/brochure.pdf
http://my.clevelandclinic.org/Documents/nursing/pr
actice-model/brochure.pdf
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References, Cont. Cleveland Clinic (2013). Vision & Values.
Retrieved from: http://my.clevelandclinic.org/about-
cleveland-clinic/overview/who-we-are/mission-
vision-values.aspxhttp://my.clevelandclinic.org/about-
cleveland-clinic/overview/who-we-are/mission- vision-values.aspx
Cleveland Clinic (nd). Zielony Insitiute Nursing Practice Model.
Colleagues in Care. Retrieved From:
http://my.clevelandclinic.org/Documents/nursing/
practice-model/brochure.pdf
http://my.clevelandclinic.org/Documents/nursing/
practice-model/brochure.pdf Small, D., Small, R. (2011). Patients
First! Engaging the Hearts and Minds of Nurses with a Patient-
Centered Practice Model. Online Journal of Issues in Nursing
16(2)