Background and Purpose:
As hospitals focus on adding value to patient care and operations, providers must ensure that evaluations and interventions shown to improve short- and long-term patient and hospital outcomes are consistently used. Acute care therapists can help hospitals lead the way to value through research-proven interventions but must first overcome barriers to effectively employing evidence-based practice (EBP). This article describes the quality improvement project of the Baylor Institute for Rehabilitation acute care therapy division to change culture from volume-driven to value-added through best practice guideline (BPG) development and implementation.
Quality Improvement Process:
The acute care therapy division of the Baylor Institute for Rehabilitation provides the rehabilitation therapy services for 8 hospitals in North Texas. In 2013, the division created and implemented comprehensive BPGs addressing the high impact areas of reducing falls, reducing readmissions, and early mobility.
Hospital systemwide leadership and multidisciplinary clinical development teams were created to synthesize practice guidelines translating high-quality evidence to practical clinical tools. Each comprehensive guideline contained multiple decision-making tools designed to overcome known barriers to EBP.
This quality improvement project demonstrates that large-scale practice culture can change by using organized change management methods that directly address known barriers to EBP. While using EBP as demonstrated by BPG compliance is a significant step for health care professions, additional short- and long-term outcomes important to patients must also be considered for true value-added patient care