The Implementation of Patient Centered Care Using the Tidal Model: One Behavioral Hospital's Journey of Leading Change

Sunday, 17 November 2013: 2:45 PM

Patricia Jones-Bendel, MSN
Nursing Administration, Linden Oaks at Edward, Naperville, IL
Maureen Kunz, MSN
Resource and Referral Department, Linden Oaks at Edward, Naperville, IL
Jeanette Rossetti, EdD, RN
School of Nursing and Health Studies, Northern Illinois University, DeKalb, IL

Learning Objective 1: Be familiar with the leadership approach that led to successful implmentation of a patient centered care delivery model.

Learning Objective 2: Describe the impact to patient care and nurse job satisfaction after the implementation of the the patient centered care delivery model

For decades, nursing has traditionally used a medical model or problem centered approach focusing on illness and disease when caring for patients with mental illness. The Institute of Medicine has recognized the need for mental health caregivers to adopt a more patient-centered delivery model as the primary method of mental health service delivery. PURPOSE: To educate nursing administrators and nurses employed in behavioral healthcare settings about one behavioral health hospital’s leadership initiative of implementing a patient centered care approach including concepts from the Tidal Model. METHODS: Four specific questions from the Press Ganey patient satisfaction tool were used to measure the nurses’ involvement with treatment programs, treatment plans, medication management and patient involvement in decisions around their care. Nursing engagement scores were compared pre and post implementation.  Other indicators monitored for positive change included restraint rates, treatment plans, readmission rates in 30 days, fall rates, medication errors and timely completion of ordered procedures.  RESULTS: Results included patients becoming more knowledgeable about their illness and accountable for their own care.  Results are pending for the nurse engagement scores.  Initial outcome monitoring has shown statistically significant increases in mean scores related to nursing care and involvement in the treatment planning process and an overall improvement in identified quality indicators.  CONCLUSION: Adopting a patient-centered delivery model of care results in patients becoming more knowledgeable about their illness and accountable for their own care.  Adopting a patient centered delivery model of care improves quality outcomes.