
Step 1: Patient Care Needs
Output:
- Identifying core patient care needs
Step 2: Provider Profiles
Input:
- Core patient care need themes/trends
Output:
- Required provider competencies to support needs
- Potential roles required based on patient care needs, required provider competencies/provider scope
Step 3: Practice Environment
Input:
- Core patient care needs/trends
- Practice environment assessment data/findings
- Provider profile (experience mix and competency requirement analysis, etc.)
Output:
- Gap analysis of required vs. actual care processes & practice supports
Step 4: Putting the Pieces Together
Input:
- Integrated review of all findings
- Internal and external HPPD data for a comparable unit/setting
Output:
- Required team composition/team processes and practices, and team-based care delivery model and implementation plan for required changes
- Favorable patient outcomes - Examples include favorable rates/trends with:
- pressure injury prevalence
- falls with injury
- central-line infections
- catheter-induced urinary tract infection (UTI)
- nosocomial Infections (Cdiff, MRSA, VRE)
- sitter usage
- medication errors
See also: Putting the Pieces Together: Integrated Review Examples
NOTE: Although represented as steps, the process of reviewing, designing and redesigning team-based care models is iterative.