Bon Secours Models Nurse Navigators On Geisinger Embedded Case Managers

Friday, August 12th, 2011
This post was written by Patricia Donovan

Bon Secours Health System has put its own spin on the embedded case manager at the center of Geisinger’s Proven Health Navigator model, adding home-grown care improvement tools and retooled workflows to support Bon Secours RN Nurse Navigators.

VP and Chief Clinical Officer Robert Fortini described the rollout of the Bon Secours Clinical Transformation project and the central role of the nurse navigator during an August 10 webinar on Embedded Case Management.

A premier goal of the team-based project is to “provide more care to more people,” Fortini explained, adding that the new system of care is capable of doubling the capacity of a typical practice with a panel of 2,000 patients. Using the principles of division of labor, the project encourages staff members to practice at top of license and puts clinical tasks in the hands of someone most able to help. Often, this will be the RN nurse navigator — a case manager embedded in a physician practice. Bon Secours is also exploring the use of virtual case managers for its remotely located practices.

Support tools include a home-grown online database of community resources that nurse navigators can consult when assisting patients; a patient severity index developed in-house that determines a patient’s likelihood of being readmitted to the hospital; and daily hospital discharge reports generated by registries that fuel follow-up calls from nurse navigators.

An important new workflow is the daily “huddle” — a 5- to 10-minute meeting during which all staff members will review the cycle of patients due to come through the door that day.

While the program is still in its infancy, Fortini expects that the team approach in general and embedded RN case managers in particular will substantially curb 30-day readmissions. He said Bon Secours has also noted improvements in patient cycle times and the hourly rate of completed nurse navigator patient calls, as well as spikes in efficiency, capacity and staff satisfaction.

Listen to an interview with Robert Fortini.

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