Recommended Citation
Smith A, Stanaszak K, Grice V. Shared governance led pilot to implement a multidisciplinary case review process. Evidence Based Practice poster presentation at Empowering Nursing Excellence: Recognizing the Value and Impact of Nurses, Advocate Health Midwest Region Nursing Research & Professional Development Conference 2023; November 15, 2023; virtual.
Presentation Notes
Evidence Based Practice poster presentation at Empowering Nursing Excellence: Recognizing the Value and Impact of Nurses, Advocate Health Midwest Region Nursing Research & Professional Development Conference 2023; November 15, 2023; virtual.
Abstract
Background:
Enterprise Population Health Ambulatory Care Management established Nursing Shared Governance Practice Council in 2022, aimed at identifying opportunities for process improvement to promote application of evidence-based best practice. Practice Council was tasked with developing a clinical case review process to implement within Ambulatory Care Management Midwest region.
Purpose of the initiative:
Evaluate current literature, and reflect on historic departmental practices, to create a Multidisciplinary Case Review process for use in Ambulatory Care Management.
Implementation Plan:
Practice Council conducted current/previous state analysis of case review processes across Ambulatory Care Management. Information was obtained on the purpose, frequency, duration, case identification and presentation, attendees, tools/templates used and general feedback on the case review process.
Practice Council conducted a literature review, evaluating best practices for case review within the ambulatory setting. Literature included for review focused on ambulatory care setting applicability, chronic condition management and focus on interdisciplinary/multidisciplinary team-based models.
Current state analysis and literature review results were compared to inform recommendations for future state case review key stakeholders and structure. The Wisconsin Star Method2was selected as the guiding model, helping to provide a wholistic view of the patient and identify possible barriers.
A mock case review was conducted to pilot model and methods. Participants were surveyed to gather feedback and help inform on future departmental implementation.
Outcomes:
Practice Council identified the need for a toolkit comprised of a model for case review, templates for preparation and discussion, departmental education, and implementation guidance.
Initial feedback indicated positive responses related to organization, ease of use, and level of comfort participating in the case review. Recommendations for additional interventions and modifications were gathered for future consideration in PDSA process.
Implications for Practice:
A process has been identified to bring forward challenging patient scenarios and explore them with key collaborators. Case reviews can increase interdepartmental collaboration and improve patient care, providing real-time techniques for use.
Document Type
Poster
Publication Date
11-15-2023
Shared governance led pilot to implement a multidisciplinary case review process
Background:
Enterprise Population Health Ambulatory Care Management established Nursing Shared Governance Practice Council in 2022, aimed at identifying opportunities for process improvement to promote application of evidence-based best practice. Practice Council was tasked with developing a clinical case review process to implement within Ambulatory Care Management Midwest region.
Purpose of the initiative:
Evaluate current literature, and reflect on historic departmental practices, to create a Multidisciplinary Case Review process for use in Ambulatory Care Management.
Implementation Plan:
Practice Council conducted current/previous state analysis of case review processes across Ambulatory Care Management. Information was obtained on the purpose, frequency, duration, case identification and presentation, attendees, tools/templates used and general feedback on the case review process.
Practice Council conducted a literature review, evaluating best practices for case review within the ambulatory setting. Literature included for review focused on ambulatory care setting applicability, chronic condition management and focus on interdisciplinary/multidisciplinary team-based models.
Current state analysis and literature review results were compared to inform recommendations for future state case review key stakeholders and structure. The Wisconsin Star Method2was selected as the guiding model, helping to provide a wholistic view of the patient and identify possible barriers.
A mock case review was conducted to pilot model and methods. Participants were surveyed to gather feedback and help inform on future departmental implementation.
Outcomes:
Practice Council identified the need for a toolkit comprised of a model for case review, templates for preparation and discussion, departmental education, and implementation guidance.
Initial feedback indicated positive responses related to organization, ease of use, and level of comfort participating in the case review. Recommendations for additional interventions and modifications were gathered for future consideration in PDSA process.
Implications for Practice:
A process has been identified to bring forward challenging patient scenarios and explore them with key collaborators. Case reviews can increase interdepartmental collaboration and improve patient care, providing real-time techniques for use.
Affiliations
Enterprise Population Health