Care redesign a higher-quality, lower-cost model for acute care

Pamela T. Rudisill, Carlene Callis, Sonya R. Hardin, Jacqueline Dienemann, Melissa Samuelson

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


OBJECTIVE: The aims of this study were to design pilot, and evaluate a care team model of shared accountability on medical-surgical units. BACKGROUND: American healthcare systems must optimize professional nursing services and support staff due to economic constraints, evolving Federal regulations and increased nurse capabilities. METHODS: A redesignedmodel of RN-led teams with shared accountabilitywas piloted on 3medical/surgical units in sample hospitals for 6 months. Nursing staff were trained for all functions within their scope of practice and provided education and support for implementation. RESULTS: Clinical outcomes and patient experience scores improved with the exception of falls. Nurse satisfaction demonstrated statistically significant improvement. Cost outcomes resulted in reduced total salary dollars per day, and case mixYadjusted length of stay decreased by 0.38. CONCLUSION: Innovative changes in nursing care delivery can maintain clinical quality and nurse and patient satisfaction while decreasing costs.

Original languageEnglish (US)
Pages (from-to)388-394
Number of pages7
JournalJournal of Nursing Administration
Issue number7-8
StatePublished - 2014
Externally publishedYes

ASJC Scopus subject areas

  • Leadership and Management


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