title: An aging population with chronic disease compels new delivery systems focused on new structures and practices.
abstract: Patients now, more than ever, need reassurance that they are indeed the focus of the healthcare team. Patients enter the healthcare system knowing that there are worldwide shortages of key personnel, that physicians can no longer afford malpractice coverage and are many times practicing "defensive medicine," and that there are reported issues in terms of patient safety that may affect their own care within a hospital setting. With inpatient care becoming increasingly focused on "curing" via application of new and advanced technologies, patients are beginning to ask the question "Does anyone care?" To answer that question, Baptist Hospital of Miami, part of Baptist Health South Florida, committed to the hospital-wide implementation of a new model of practice. In this model, a patient care facilitator (PCF) becomes the primary point person for the patient during their stay. Each PCF leads a "Twelve Bed Hospital," a smaller segment of the patient care center where staff work with the PCF to make the whole inpatient experience more personalized. Initial results of the pilot implementation are promising. Research is underway to assess the overall effects of this practice model on continuity of care, patient safety, satisfaction, efficiency, and effectiveness of patient care.
authors.affiliation: Baptist Hospital of Miami, 8900 North Kendall Drive, Miami, FL 33176, USA. joanc@baptisthealth.net
authors.forename: Joan Shinkus
authors.initials: JS
authors.lastname: Clark
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000451:nursing / Q000523:psychology; D003266:Continuity of Patient Care / Q000592:standards; D017598:Efficiency, Organizational; D006746:Hospital Bed Capacity, 500 and over; D006754:Hospital Restructuring / Q000458:organization & administration*; D015285:Hospital-Patient Relations; D016519:Hospitals, Religious / Q000458:organization & administration; D006801:Humans; D016294:Models, Nursing; D017146:Models, Organizational; D015403:Nursing Evaluation Research; D009746:Nursing, Team / Q000458:organization & administration*; D015279:Organizational Culture; D017063:Outcome Assessment, Health Care / Q000458:organization & administration; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000458:organization & administration*; D010865:Pilot Projects; D011321:Primary Nursing / Q000458:organization & administration*; D015397:Program Evaluation