Original ArticlesAcuity-Adaptable Patient Room Improves Length of Stay and Cost of Patients Undergoing Renal Transplant A Pilot StudyBonuel, Nena PhD, RN, CCRN, CNS, ACNS-BC; Degracia, Alma MSN, MBA, CCRN; Cesario, Sandra PhD, RNC, FAAN Author Information The Center for Professional Excellence, The Methodist Hospital, Houston (Dr Bonuel); Multiorgan Transplant Unit, The Methodist Hospital, Houston (Dr Degracia); and Texas Woman's University, Denton (Dr Cesario), Texas. Correspondence: Nena Bonuel, MSN, RN, CCRN, CNS, ACNS-BC, The Methodist Hospital, The Center for Professional Excellence, 6565 Fannin St, Houston, TX 77030 ([email protected]). The study was supported by The Methodist Hospital Research Institute CTSA Award, 2007, for Acuity-Adaptable Renal Transplant Pilot Study. The authors thank Ann Scanlon-McGinity, RN, PhD, chief nurse executive, The Methodist Hospital; Dr Osama Gaber, Director of Transplantation, The Methodist Hospital; Katherine Walsh, DrPh, RN, Vice President of Nursing Operation, The Methodist Hospital, for executive support. They thank Susan Xu, PhD, the TMHRI biostatistician and data collector; Rhey Peralez, BSN, RN, MOTU manager; Kristin Tran, BSN, RN, staff nurse; Jennifer Nguyen, BSN, RN, staff nurse; and all the staff members of the Multi-Organ Center. Critical Care Nursing Quarterly: April/June 2013 - Volume 36 - Issue 2 - p 181-194 doi: 10.1097/CNQ.0b013e318283d0f3 Buy Metrics Abstract The acuity-adaptable patient room concept is an emerging care model where patient is cared for in the same room from admission through discharge regardless of the patient level of acuity. After implementation of the care cluster strategy to support the implementation of an acuity-adaptable patient room, a descriptive study was conducted looking at so whether there will be a decreased length of stay and cost on patient cared for in the acuity-adaptable patient room compared to patients cared for in a transitional care process. Result of the study showed decreased length of stay of kidney transplant patients from 9.6 (11.0) days (before acuity-adaptable patient room) to 4.1 (1.3) days (acuity-adaptable patient room). Not only that the acuity-adaptable patient room improves patient outcome and cost but with the nursing competency preparation to support the implementation of the acuity-adaptable patient room, a hybrid nurse was created who possessed both critical care and medical-surgical skills. This can be a potential trend in the professional nurse model to address the health care challenges we face today in terms of nursing shortage, abbreviated plan of care, and facility operation efficiency. © 2013 Lippincott Williams & Wilkins, Inc.