Care Management at New York-Presbyterian: An Opportunity for Change
New York-Presbyterian Hospital
Care management is a collaborative process of assessment, planning, facilitation, and advocacy to meet a patient's health needs through communication and available resources to promote quality, cost-effective outcomes. At New York-Presbyterian Hospital, care management is organized and addressed differently at its two largest campuses, Columbia and Cornell. The Capstone team performed a current state assessment of care management at these campuses for the adult medical/surgical populations. Interviews were performed with members of the multidisciplinary team - Social Workers, Care Coordinators, Physicians, and Nurses - who coordinate care management for patients across the cardiac service lines. Additionally, a comprehensive literature review was conducted to identify industry best practices, and three institutions that were identified as embodying these practices were visited by team members. The team synthesized these findings to recommend a care management model that promotes efficiency of resources and quality outcomes for the population studied.
Improving Nursing Information Dissemination Practice at NYP
New York-Presbyterian Hospital
The Capstone team worked with a leadership team from New York-Presbyterian (NYP) Hospital to examine the elements of the current transfer of information to nursing staff and to improve the current nursing information dissemination practice across all five campuses. Focus groups with Nursing Leadership were conducted to identify opportunities for improvement as well as best practices among the sites. A staff survey was sent electronically to all nurse employees via Survey Monkey. Interviews with hospitals and companies outside of NYP that had been identified as leaders in communication with their employees were completed. Departments within NYP that were critical in data collection included IT, HR, and Nursing Education. The recommendations can be utilized by the hospital to improve communication, ensuring effectiveness of communication across all of nursing.
Empowering Nurses with the Capital Equipment Procurement Process
New York-Presbyterian Hospital, Department of Nursing, Milstein Pavilion
New York-Presbyterian Hospital believes a streamlined capital equipment procurement process is very important for improving nursing productivity and satisfaction and for delivering the highest quality patient centered care, and they asked a Capstone team to explore this process in more depth. The current nursing capital equipment process from requisition to procurement was identified by interviewing stakeholders throughout the organization. A literature review on capital equipment was performed to determine if national benchmarks exist, and current practices at different institutions for comparison were also reviewed by interviewing senior management. Issues with the current capital equipment process were identified and staff nurses were interviewed on the process of equipment allocation and barriers of the current process. The information was analyzed and a report was provided to the nursing leadership on best practices for capital equipment procurement, including guidelines and recommendations to streamline the nursing capital equipment process and to the management and control of capital equipment.