HealthStream 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 ProductsFulfill 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 ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
View All ProductsTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsIn 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 ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
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 ProductsMake 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 ProductsExperience standardized and centralized healthcare 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 ProductsFinally, a comprehensive resource to support collecting, storing, and sharing credentialing data with ease.
View All ProductsHealthcare 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.
View All ProductsMitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.
Learn MoreThis blog post excerpts an article by Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, chief nurse for Wolters Kluwer/Lippincott, in the Spring 2015 issue of HealthStream's PX Advisor, our quarterly magazine designed to bring you thought leadership and best practices for improving the patient experience.
A New Paradigm in Healthcare
Gone are the days of the fee-for-service model. Enter the Value-based Purchasing (VBP) model, where the care you deliver and the patient outcomes you achieve determine the amount of reimbursement the institution or healthcare professional receives. Patient outcomes and safety are the top priorities in healthcare. The challenge every healthcare institution and healthcare professional faces each day is how to provide cost-effective, evidence-based patient care that improves patient outcomes. This country did not move to this model overnight.
The 1999 report by the Institute of Medicine (IOM), “To Err is Human,” reported up to 98,000 patients die each year in the U.S. due to medical errors that could have been prevented. A study by Gray, et al. (2002), showed that only 20% of the care healthcare professionals provide is based on evidence. In 2001, the IOM released a study that showed patients received the recommended evidence-based course of treatment only 55% of the time.
The strain on the current healthcare system increased in 2010, when the Patient Protection and Affordable Care Act was passed, giving access to healthcare to more than 30 million Americans. Using evidence to inform practice and assist healthcare professionals with clinical decision-making to improve patient outcomes is paramount to having a successful healthcare system. According to the IOM, billions of dollars have been wasted, and one million people have lost their lives due to safety issues and poor practice .
Transforming Into an Evidence-Based Organization
How do healthcare institutions and clinicians provide the best patient care, and yet do it cost-effectively and with improved outcomes? The answer is by implementing evidence-based practice (EBP) throughout their organizations. Evidence-based practice is an approach to clinical decision-making that integrates the best available evidence with a clinician’s expertise, while taking into consideration the patient’s preferences and values. Evidence can come from well-developed primary research studies, such as randomized controlled trials, or secondary research, such as systematic reviews and meta-analyses or meta-syntheses. Clinical intelligence and expertise from practice can also inform practice changes, for example, from quality improvement projects and from electronic healthcare record (EHR) data. Evidence can come from continuing education articles and activities, which are developed to educate healthcare professionals on new concepts, principles, and interventions that will change how clinicians practice. In essence, it is knowledge transferred from experts to clinicians who will use the information to inform and improve their practice. How do healthcare organizations implement evidence into practice? There are many models available, but they predominantly follow a similar format:
Before an organization gets started on its EBP journey, it needs to be sure the culture of the organization is ready for it. Too often, organizations and clinicians find themselves stuck doing things the way they have always been done. Recognizing that the old way is not always the best way is the first step to moving an organization toward being one that embraces evidence in practice.
This article also discusses the Steps for Implementing Evidence Into Practice:
To download the article and this issue, complete this form:
About the Author
Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, is a chief nurse for Wolters Kluwer/Lippincott and Ovid Technologies, a market-leading information services and publishing company—in Philadelphia, PA. She is also a nurse practitioner at Penn Medicine, Chester County Hospital in West Chester, PA, and an adjunct faculty member at Drexel University, also in Philadelphia.
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 ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
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.
View All CredentialingExperience standardized and centralized healthcare 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.
View All Products