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Care Coordination: A Model for the Acute Care Hospital Setting

Hajewski, Cherona J. DNP, RN, NEA-BC; Shirey, Maria R. PhD, MBA, RN, NEA-BC, ANEF, FACHE, FAAN

JONA: The Journal of Nursing Administration: November 2014 - Volume 44 - Issue 11 - p 577–585
doi: 10.1097/NNA.0000000000000129

OBJECTIVE: To evaluate a patient care delivery model (PCDM) that redefined roles for unit-based nurse case managers and RNs to streamline care coordination processes.

BACKGROUND: Aligning care coordination in acute care is essential to meet constructs of accountable care.

METHODS: A pre-post descriptive study design was applied to evaluate implementation of a PCDM in an acute care hospital setting. Regression and correlation analyses were used to compare length of stay (LOS), readmissions, patient satisfaction, quality measures, and cost of care.

RESULTS: There was a significant decrease in LOS and negative patient responses related to nurse communication in the pilot PCDM unit as compared with the control unit.

CONCLUSION: The model was supported as effective and will be implemented in other units in this hospital and across the healthcare system. A unit-based nurse care coordinator role is essential to facilitate interprofessional care coordination.

Author Affiliations: Vice President, Patient Care Services, and Chief Nursing Officer (Dr Hajewski), Deaconess Health System, Evansville, Indiana; Professor and Assistant Dean (Dr Shirey), Clinical & Global Partnerships, The University of Alabama at Birmingham.

The authors declare no conflicts of interest.

Correspondence: Dr Hajewski, Patient Care Services, Deaconess Health System, 600 Mary St, Evansville, IN 47710 (

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