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The Relationship-Based Care Model: Evaluation of the Impact on Patient Satisfaction, Length of Stay, and Readmission Rates

Cropley, Stacey DNP, RN, CPN

Journal of Nursing Administration: June 2012 - Volume 42 - Issue 6 - p 333–339
doi: 10.1097/NNA.0b013e31825738ed

Objective: The objective of this study was to assess the impact of the implementation of the relationship-based care (RBC) model on patient satisfaction, length of stay, and readmission rates in hospitalized patients.

Background: RBC model promotes organizational viability in critical areas that measure success, inclusive of clinical quality, patient satisfaction, and robust financial standing.

Methods: A retrospective secondary analysis of aggregate patient satisfaction data, length of stay, and readmission rates at a rural Texas hospital was reviewed for the years 2009 and 2010. This study compared preimplementation data for year 2009 with postimplementation data for year 2010.

Results: Data support the positive influential impact of RBC model. A negative correlation was noted with readmission rates and a concomitant positive correlation with length of stay. Overall satisfaction with nursing did not reveal a significant correlation to the new care model.

Conclusions: RBC model supports a patient-centered, collaborative care environment, maximizing potential reimbursement.

Author Affiliation: Chief Nursing Officer, Moore County Hospital District, Dumas, Texas.

The author declares no conflict of interest.

Correspondence: Dr Cropley, Moore County Hospital District, 224 E 2nd St, Dumas, TX 79029 (

© 2012 Lippincott Williams & Wilkins, Inc.