A Summary of the October 2009 Forum on the Future of Nursing Acute Care (2010) / Chapter Skim
Currently Skimming:
2 The Current and Future State of Acute Care
2 The Current and Future State of Acute Care
Pages 7-14
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 7... ...
According to a study led by Chow and Ann Hendrich, vice president of Clinical Excellence Operations for Ascension Health in St. Louis, of 767 nurses at 36 medical surgery units, the tasks of medication administration, care coordination, and documentation consumed the majority of all nursing practice time -- part of an estimated $50 billion spent on documentation in health care annually.
|
From page 8... ...
They become what Chow called "masters of work-arounds" for systems that do not function well. Over the next decade, Chow asserted, new practice models are needed "that focus on the real contributions of nurses, and we need to change the way we organize and deliver that care." For example, the Gordon and Betty Moore Foundation has funded a project called Destination Bedside in two Kaiser facilities in Northern California.
|
From page 9... ...
It's just not everywhere." CORE CONCEPTS FOR IMAGINING THE FUTURE OF NURSING Chow focused on five core concepts, described below, for imagining the future of nursing in acute care. Core Concept 1: Leverage the Power of the Electronic Health Record The EHR could be the connective tissue of the health care system.
|
From page 10... ...
Such technologies produce what she called a "wow factor." So-called disruptive innovations and business models, 1 such as retail health care clinics, nurse navigators, health coaches, and patient advocates, could be another prominent feature of a future health care system. These disruptive business models could have a major impact on nursing practice.
|
From page 11... ...
Technologies are arriving faster than they can be integrated into the health care system, and people are not able to make sense of much of the information already available. Chow suggested that one possible solution to this deluge of new technology and information is the creation of rapid translation teams.
|
From page 12... ...
Several institutions have demonstrated the value of these approaches. For example, the University of Pittsburgh Medical Center has piloted equipment in 22 rooms designed to improve patient safety, increase customer satisfaction, and help nurses and other health care professionals to deliver the right care at the right time, every time.
|
From page 13... ...
In California, for example, a statute enabling health workforce pilot projects has expanded the scope of practice of clinicians beyond current law to test the safety and quality of new, innovative practices. Bringing such waivers to the federal level would allow experimentation that challenges state scope-of-practice laws.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.