New skills and perspectives are essential for nursing to meet the demands of shrinking resources without co-opting professional standards. Planning patient care in a definitive, value-based framework that ensures a balance among cost, work time, and quality outcomes for the consumer is the new work of nursing. Translating current practice into a value-based model requires an orientation to the content of our care, the context in which it is provided, and the effectiveness of our collaborative skills.

Chronic Disease↗

PubMed2000

Nurse-patient relationships. Essential skills for expert nursing practice.

Explore the source record for details and available documents.

Advance Directives↗

PubMed1999

The performance measurement matrix: a framework to optimize decision making.

Patient care executives and performance improvement specialists continually are challenged to make decisions that have far-reaching effects on cost, productivity, and the quality of patient care. With multiple stakeholders to serve, minimal time to consider options, and an overabundance of data, new approaches to assessing and monitoring quality are needed. This article describes a framework and process to assist health care leaders in making informed and timely decisions. Six dimensions of health care--patients, caregivers, the organization, quality, efficiency, and cost--are assessed within the organization's context for overall impact on performance.

Cost-Benefit Analysis↗

PubMed1999

Patient classification systems, Part 2: The third generation.

In Part 1 (July/August 1999), the authors reviewed the evolution of patient classification systems over four generations of progress, discussed issues of system credibility, and presented a third-generation patient classification system (3PCS) to address the shortcomings of current systems. In this article, an actual implementation of a 3PCS is presented by the authors in collaboration with system users. The development, implementation, and evaluation of the 3PCS, as well as the overall advantages, are discussed. Finally, the authors share lessons learned and thoughts for the future.

Holistic Health↗

PubMed1999

Reengineering outcomes management: an integrated approach to managing data, systems, and processes.

The integration of outcomes management into organizational reengineering projects is often overlooked or marginalized in proportion to the entire project. Incorporation of an integrated outcomes management program strengthens the overall quality of reengineering projects and enhances their sustainability. This article presents a case study in which data, systems, and processes were reengineered to form an effective Outcomes Management program as a component of the organization's overall project. The authors describe eight steps to develop and monitor an integrated outcomes management program. An example of an integrated report format is included.

Attitude of Health Personnel↗

PubMed1998