Components | Descriptions | Supporting Processes and Tools |
---|---|---|
Unit-based Physician Teams | Localization of physicians to a minimal number of units on which they provide patient care | • Projecting expected patient volume • Engaging stakeholders to redesign admission processes • Monitoring progress and making adjustments |
Unit Nurse-Physician Co-leadership | Collaborative model in which a nurse leader and physician leader are jointly responsible for quality improvement on their unit | • Co-leader selection and training • Co-leader job descriptions and activities • Establishing unit norms and values • Co-leader integration into mesosystem activities |
Enhanced Interprofessional Rounds | Interprofessional rounds, redesigned with input from frontline professionals to optimize collaboration and patient engagement | • Redesign work groups determine timing, format, duration, and location • Discussions facilitated by unit co-leaders • Roles / expectations of attendees defined • Structured tools to support closed-loop communication |
Unit-level Performance Reports | Performance reports designed to give unit leaders and frontline professionals relevant, interpretable, actionable data | • Monthly unit-level reports aligned with organizational priorities • Daily reports to identify opportunities to improve care • Just-in-time reports to identify opportunities to improve care • Teamwork Climate survey reports |
Patient Engagement Activities | Methods to continually inform and engage patients and families as partners in care | • Use of whiteboards to define goals and the daily care plan • Patient experience rounds by unit co-leaders • Conducting Interprofessional Rounds and nurse shift reports at bedside |