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Disease-Specific Care: Spine Surgery Program Development

Koerner, Katie; Franker, Lauren; Douglas, Barbara; Medero, Edgardo; Bromeland, Jennifer

Journal of Neuroscience Nursing: October 2017 - Volume 49 - Issue 5 - p 286–291
doi: 10.1097/JNN.0000000000000307
Clinical Nursing Focus

ABSTRACT Minimal literature exists describing the process for development of a Joint Commission comprehensive spine surgery program within a community hospital health system. Components of a comprehensive program include structured communication across care settings, preoperative education, quality outcomes tracking, and patient follow-up. Organizations obtaining disease-specific certification must have clear knowledge of the planning, time, and overall commitment, essential to developing a successful program. Health systems benefit from disease-specific certification because of their commitment to a higher standard of service. Certification standards establish a framework for organizational structure and management and provide institutions a competitive edge in the marketplace. A framework for the development of a spine surgery program is described to help guide organizations seeking disease-specific certification. In developing a comprehensive program, it is critical to define the program’s mission and vision, identify key stakeholders, implement clinical practice guidelines, and evaluate program outcomes.

Lauren Franker, DNP APN ACNP-BC, is Nurse Practitioner, Neurosurgery, Rush Copley Medical Center, Aurora, IL.

Barbara Douglas, MBA BSN, is Director, Critical Care and Respiratory Services, Rush Copley Medical Center, Aurora, IL.

Edgardo Medero, MBA MSN CNOR CNML, is Manager, Operating Room and Sterile Processing, Rush Copley Medical Center, Aurora, IL.

Jennifer Bromeland, MSN APN ACNP-BC, is Nurse Practitioner, Cardiovascular Surgery, Rush Copley Medical Center, Aurora, IL.

Questions or comments about this article may be directed to Katie Koerner, DNP MBA MSN, at She is the Manager, Nursing Professional Practice, Rush Copley Medical Center, Aurora, IL.

The authors declare no conflicts of interest.

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© 2017 American Association of Neuroscience Nurses