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MCCG’s care, delivery, and professional practice model reference
I. Patient Family Centered
Care Model
*Conceptual framework woven throughout MCCG that
frames each RNs role and responsibility, assures autonomy, and allows RN
to take responsibility and accountability for care they provide.
Elements of our model include patient/ family
education, plan of care and nursing process across the continuum,
involvement in care and decision making, promoting independence and
achievement of mutually determined goals of health, stability or
peaceful death, cultural diversity honored, provision of resources and
tools, communication and standards of care.
II. Patient Care Delivery
Models
*Defines RN authority and accountability for
clinical decision-making and outcomes. Unit level methods to deliver pt
family centered care. Addresses how patients/ family involved in care;
assignments made to assure continuity, quality and effectiveness of
care; incorporates professional/ regulatory standards.
Total patient care: one RN completes all cares for
patient. generally critical care, procedural areas.
Team: various levels of staff with RN coordinating
care- generally medical surgical units
Primary: one nurse assigned for duration of
episode or stay- can be modified- one or two nurses or provide
consistent, coordinated oversight of patient care.
Team/ Total: one RN completes all cares with help
of assistive personnel.
Couplet: one RN assigned to mother/ baby. L&D or
Family Birth Center
Case Management: - RN coordinates, communicates,
documents, chart review, providing oversight.. generally ambulatory,
home health, hospice type settings.
Case care- RN provides care to patient for
duration of procedure or encounter. Generally Urgent care, EC, GHC
invasive.
Professional
Practice Model
*Describes how nurses practice, collaborate, communicate and develop
professionally while having the authority and responsibility for optimal
patient outcomes. Provides foundation for care. Evidence based and
theoretical, involves all levels of nurses, integrated throughout MCCG.
| Element |
Brief Summary |
| MCCG vision |
To be a national
leader in providing the safest, highest quality
community-centered health care and wellness services through our
highly skilled, diverse and valued workforce to meet the
changing needs of those we serve. |
| MCCG Mission |
To enhance the
health status of those we serve in partnership with medical
staff and community organizations by providing wellness
services, health education and training and access to safe high
quality health care. |
| MCCG Values |
Excellence:
We continually strive to provide the
highest quality services at the lowest possible cost with the
best utilization of resources.
Integrity: We act honestly and ethically in all
relationships.
Diversity: We value and respect the uniqueness and
dignity of all individuals.
Service: We responsibly anticipate the needs of our
community and cooperatively work with our medical staff and
community entities to provide a safe and seamless continuum of
care.
Compassion: We respond through a caring environment to
the holistic needs of those we serve |
| MCCG Pillars |
1. Our People:
We commit to value and support our employees. 2. Quality:
We commit to continuously improve the quality of our services
and outcomes. 3. Service Excellence: We commit to
exceeding the expectations of our customers. 4. Safety:
We commit to a safe environment for our staff, patients, and
visitors. 5. Growth: we commit to build our services to
meet the needs of our community. 6. Financial Performance:
We commit to sound financial management. |
| MCCG Goals
|
Defined each year.
Categorized under our Pillars. |
| Nursing Philosophy:
We C.AR.E. |
The foundation
of our nursing philosophy is how we care for others. Our
patient- and family-centered care is holistic and respects both
human rights and the unique needs of the
individual. Each of us demonstrates a strong commitment to
professional development,
education,
organizational success, and improving the health of our
community. Our commitment to quality care is seen through the
organizational values of excellence,
integrity, diversity, service, compassion and competency.
Accountability, collaboration,
empowering leadership, well managed
change, and the use of evidence-based research is vital for the
provision of quality, safe care. |
| Transformational
Leadership from bedside RN to CNO and all levels in between. |
The transformational
leader is one who: focuses and unites both leader and employee
to common vision and ideals; promotes change and active and
participatory roles in moving employees beyond self-interest;
stimulates commitment to shared vision and goals; utilizes team
development to assure effective communication and taps into
creativity, problem solving, collaboration of team to solve
problems. Key tenets: model the way, inspire a shared vision,
challenge the process, enable others to act and encourage the
heart. |
| Nursing Goals
|
Derived from MCCG
goals each year through Organization Wide Councils, approved by
Nursing Executive Council. |
| Shared Governance-
Dr. Timothy Porter O'Grady |
Shared Governance (SG)
provides a framework based on the belief that nurses closest to
the patient are in the best position to make decisions related
to patient care and nursing practice. This framework allows
nurses, management and other skill levels to work
collaboratively to develop nursing practice and patient care
while empowering clinical nurses to participate and lead
decision-making processes, based on evidence-based practice. The
core of MCCG’s SG model are Unit Councils (UC), who are
responsible for providing input and making patient care and
nursing practice decisions at the unit level. The Chairs of the
UC meet on a regular basis to share information, communicate and
assure best practices are promulgated. The Chairs of the six
organization wide councils (Education, Operations, Practice,
Professional Development, Quality, and Research) , along with
nursing Administration and CNO, comprise the governing Nursing
Executive Council (NEC). |
| EBP/Research: Iowa
Model |
MCCG's evidence
based practice (EBP)/ research model is based on the Iowa Model
by Marita Titler. The model describes the process and decision
points for assuring patient care and nursing practice are
evidence and researched based. Clinical policies and procedures
are developed at the unit or organizational level and approved
by UC, Nursing Practice and NEC. |
| Novice to Expert:
Patricia Benner |
Utilized as the
model for patient and staff competency and development,
describes nurses as passing through 5 levels of
development: novice, advanced beginner, competent, proficient,
and expert. Each step builds on the previous one as abstract
principles are refined and expanded by experience and the
learner gains clinical expertise. Recognizes experience is a
prerequisite for becoming an expert. |
| Interdisciplinary
communication/collaboration- Agency for Healthcare Research and
Quality’s (AHRQ) Team STEPS® tenets |
Interdisciplinary
communication/ collaboration:
- Practice Operation Excellence
behaviors
- Respect cultural beliefs, creates
inclusive welcoming environment and recognizes importance of
individual and cultural diversity in developing effective
teams
- Team STEPS® tenets: Leadership is
key.
- STEP
:
Status of patient, Team members, Environment
and Progress toward goal
- Situation monitoring including
individual responsibility for making I’M SAFE
decisions.
- Mutual support-seek and offer
task assistance, use CUS- “I am Concerned
or Uncomfortable” “This is a Safety
issue.”, two challenge rule, feedback should be timely,
respectful, specific, directed toward improvement,
considerate, DESC script: Describe
specifics, Express concerns, Suggest
alternatives, state Consequences
- Communication- SBAR: Situation
Background Assessment Recommendation,
Handoff (shift, to/from procedure, caregiver change),
Read-Back and Verify, Time Out
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Care, Professional Practice, & Delivery Models
Care
Delivery Model
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