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View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
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Learn MoreThis blog post is based on a recent Webinar with Dr. Beth Ann Swan, professor at the Jefferson College of Nursing at Thomas Jefferson University.
In the nearly eight years since the landmark IOM Report, "The Future of Nursing: Leading Change, Advancing Health" numerous studies have followed up with focused and actionable recommendations for nursing education and practice. In 2015, IOM reiterated th+e need to continue developing a registered nurse workforce that practices to the full extent of their education and participates as full partners with the interprofessional care team.
Nursing’s Role in Fixing America’s Fragmented Healthcare System
Our healthcare system has grown increasingly fragmented. Individuals with chronic conditions often experience unnecessary service use, receive conflicting advice from multiple providers, have difficulty with service access, and struggle with out-of-pocket expenses. Their care requires time-consuming processes such as comprehensive history taking, counseling, medication reconciliation, and psychosocial intervention. As a result, care providers must consider where individuals came from and where they are going. They must prepare these individuals and their families for the full continuum of care, not just the single setting.
Considering that there are approximately 3.7 million nurses in the United States and registered nurses attend over 50% of outpatient visits, they are poised to play an essential role in ensuring quality and continuity of care delivery in the face of this fragmentation.
Transitions Can Follow Many Tracks
As we think about this paradigm shift for nursing practice, the idealized design may seem linear. It is not. We should view a person’s continuum of care as a railroad switching station. The continuum is not a straight track, but rather multiple tracks with many options. This is the new rationale for acute care and ambulatory care nurses coming together to create new models of care.
Given the multiple tracks from inpatient to outpatient and even to community settings, there is a need for care coordination and management of the transition between providers and settings of care. Unfortunately, this coordination is often episodic or overlooked, and it tends to be organized around a specialty, not primary care. Further, transitions frequently occur with no point person held accountable for coordination.
Changing the Culture
Nurses can change this culture of single-setting handoff by communicating: “Yes, you’re here today, but my colleagues have given me a better picture of where you are in your transition. Because of our time together and my commitment to your care coordination and managing your transition, I now have a better appreciation of where you’re going and who’s going to be taking care of you there.” Under the old paradigm, the message might have been, “This completes your visit today, and thanks for coming. Goodbye.”
The registered nurse is now invested in what’s happening to that person when they’re out of sight. This represents a major change in the way we think about how we provide care.
What Will You Do to Advance Your Practice?
I challenge nurses to identify three things you will do tomorrow and the next day at your organization to further the agenda of RNs practicing across the continuum of care. Keep these things on your to-do list and hit the ground running. We need to feel the urgency to change the paradigms from thinking about care in separate settings to considering care delivery across the continuum. In the words of George Bernard Shaw, “People who say it cannot be done should not interrupt those who are doing it.”
To listen to the recording, visit here. For more information, visit www.healthstream.com/carecontinuum.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsLearn more about HealthStream's provider credentialing, privileging, & enrollment solutions for healthcare organizations.
View All CredentialingExperience standardized and centralized healthcare provider credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
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