Abstract
Hospitals across our nation are seeking to implement models of care that meet the primary goals of Quadruple Aim: Improved population health, cost-effective care delivery, and patient and provider satisfaction. In an effort to address the Quadruple Aim and our patients’ care needs, Hamilton Health Sciences (HHS) embarked on a model of care delivery redesign, beginning with nursing care delivery. From 2013 to 2018, 12 clinical programs at HHS implemented the Synergy Model with its accompanying synergy patient needs assessment tool for nurses to objectively assess patients’ acuity and dependency needs. Data on patients’ priority care needs were used to inform a nursing model of care redesign at HHS, including skill mix and staffing levels. This five-year project was an organization-wide quality improvement initiative. As part of the evaluation, HHS leaders partnered with health services nurse researchers to conduct a mixed methods study. This paper describes the evaluation outcomes from the qualitative component of the study, which included interviews with clinical nurse leaders and direct care nurses. Data were analyzed using descriptive thematic analysis. Some key findings were increased nurse awareness of patients’ holistic care needs and leaders’ capacity to plan staffing assignments based on patients’ priority care needs. Themes helped inform recommendations for key stakeholders, including nurse leaders and direct care nurses.
Highlights
Accepted: 8 February 2022Hospitals across our nation are seeking to implement models of care that meet the primary goals of Quadruple Aim: Improved population health, cost-effective care delivery, and patient and provider satisfaction [1]
Even though clinical programs and patient populations vary, the eight patient needs characteristics of the Synergy Model are ‘universals’, and regardless of the site or population, the five-point scoring system conveys the same level of priority care needs that nurses and leaders can readily use to inform their care delivery decisions
This study further demonstrated how one tertiary care healthcare organization was able to successfully standardize the synergy patient needs assessment tool across 12 different clinical programs while adapting the synergy scoring indicators for specific patient populations, such as cardiology and neurology
Summary
Accepted: 8 February 2022Hospitals across our nation are seeking to implement models of care that meet the primary goals of Quadruple Aim: Improved population health, cost-effective care delivery, and patient and provider satisfaction [1]. From 2013 to 2018, 12 clinical programs at HHS implemented the Synergy Model as a quality improvement initiative to enhance patient care delivery by optimizing the use of available direct care nurses. To implement the Synergy Model across a diverse range of settings in HHS, we used a generic care delivery design toolkit based on the work by MacPhee and her colleagues [13]. Even though clinical programs and patient populations vary, the eight patient needs characteristics of the Synergy Model are ‘universals’, and regardless of the site or population, the five-point scoring system conveys the same level of priority care needs that nurses and leaders can readily use to inform their care delivery decisions.
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