Using Technology to Support an Acuity-Adaptable Care Delivery in a Renal Transplantation: An Innovative Patient Care Delivery of the Future

Thursday, 16 July 2009: 3:45 PM

Alma Degracia Cabading, MSN, MBA, RN, CCRN
Multi-Organ Transplant Unit, The Methodist Hospital, Houston, TX
Rizalina M. Bonuel, MSN, RN, CCRN, CNS, APRN-BC
Education Service Line, Michael E. DeBakey Veterans Affair Medical Center, Texas, TX

Learning Objective 1: To discuss the concept of acuity-adaptable Care Delivery.

Learning Objective 2: To discuss strategies on how technology supports the acuity-adaptable care delivery.


Improving patient outcomes through evidence-based practice and transdisciplinary collaboration using an acuity-adaptable patient care delivery model is a novel approach in managing renal transplant patient.


A business case was presented to administration. Transdisciplinary team was convened to develop strategy to provide the care delivery. An educational core curriculum was developed to address competency of the staff. A strategy of communication was implemented to increase awareness of new care delivery from admission to discharge of patient to include all department affected by the change.Four rooms in the Multi-Organ Transplant Unit were developed as acuity-adaptable rooms. These rooms are equipped with monitors capable of ECG and hemodynamic monitoring for nurses to be able to respond should patient condition changes.The acuity-adaptable concept means keeping patient in the same room from admission through discharge regardless of the patient level of acuity.

Results: Through the Care Management Performance Initiative of the Multi-Organ Transplant Service, favorable outcomes on the length of stay and cost in the management of renal transplant patient were highly evident.To date, there are now 8 acuity-adaptble patient room


Using technology, acuity-adaptable care delivery shows promise as a patient care delivery in the future.