Care Model Toolkit

Patient Care Facilitator Job Description
Baptist Hospital of Miami’s job description for the new nurse role of PCF.

Available Resources

The Quest for New Innovative Care Delivery Models
Kimball, B. et al.  Journal of Nursing Administration.  September 2007.  392-398.

An  Aging Population with Chronic Disease Compels New Delivery Systems Focused on new Structures and Practices
Shinkus Clark, J. “An  Aging Population with Chronic Disease Compels New Delivery Systems Focused on new Structures and Practices” Nursing Administration Quarterly, Volume 28 Number 2, pp.105-115.

Caring In Action: The Patient Care Facilitator Role
Brown, C. et al., “Caring In Action: The Patient Care Facilitator Role” International Journal of Human Caring, Volume 9 Number 3, pp.51-58.

For More Information

For any questions not answered by materials provided within this profile, please contact Terry Geranazzo at Terryge@baptisthealth.net.

Utilization

Baptist Hospital has achieved a reduction in average discharge time from 3:31 before model implementation to 2:51 after model implementation.

Length of stay for Baptist Hospital reached a high of 5.86 days in January of 2006.  In September of 2006, LOS was placed as a measurement of success for the PCFs.  The 12-Bed Hospital concept was expanded to the Care Management Department, and by August 2007 LOS reached a low of 4.81.  Overall, the hospital's LOS averaged 5.1 days for fiscal year 2007.

As a result of the improved LOS, the emergency department experienced no days from May 2007 to September 2007 in which 10 or more patients were being held at 7am or 7pm (a critical trigger for capacity management).

Patient

Since implementing the 12-Bed Hospital, Baptist Hospital has steadily increased the percentage of core quality measures that are in the top ten percent nationally, from less than ten percent in fiscal year 2004 to 40 percent in fiscal year 2006 to over 70 percent in fiscal year 2007 quarters one and two.

Provider

RN satisfaction increased after the implementation of the 12-Bed Hospital model.  Overall job satisfaction as measured by the NDNQI question “I am well satisfied with my job” increased from 50 percent to over 55 percent.  Baptist Hospital Miami now exceeds the overall NDNQI score for overall satisfaction.

Baptist Hospital of Miami has also seen its physician satisfaction with nursing care increase as a result of the 12-Bed Hospital model.  Satisfaction with overall nursing care increased from 81.2 percent in 2003 to 83 percent in 2006.  And satisfaction with nursing staff response to physicians increased from 74.4 percent in 2003 to 85 percent in 2006.

Patient

After implementation of the 12-Bed Hospital, patient satisfaction with “Nurses kept you informed” and “attention to special/personal needs” increased on almost all Baptist hospital units. 

The Patient Care Facilitator role has had a positive impact on patients experiencing increased caring.  Using the Cronin and Harrison Caring Behaviors Assessment Tool, patients who had a Patient Care Facilitator had significantly higher mean caring scores for all measures (e.g. helping/trust, supportive/protective/corrective environment).  In addition, a higher portion of patients with a PCF felt ready to go home than patients without a PCF (81.3 percent vs. 71.5 percent).

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