The Collaborative Patient Care Model has been implemented in all acute and select outpatient settings across High Point Regional Health System. Planning for the model began in October 1992 when a group of nurse managers devoted three months to developing a new model of care delivery. The nurse managers actively involved physicians, discharge planning, social work, EMS, and hospice in the process. And these dedicated nurse managers filled the first PCC role positions.
Two units piloted the model in 1993, and the Patient Care Coordinator (PCC) role was formalized on January 4, 1993. Several of the Group Practices have been renamed and reformatted based on the needs of current patient population. In 2003, the Medical Cardiac and Cardiovascular Surgery Group Practices merged to become the Cardiovascular Services Group Practice; likewise the Ventilator and Pneumonia Group Practices merged to become the Pulmonary Services Group Practice. Based on a change in medical staff caring for patients, High Point added a Hospitalist Group Practice in 2004.
When hiring new PCCs, High Point looks for RNs with at least a BSN and three years of experience in the specialized clinical setting and five years as an RN. Several of the PCCs have MSN or MPH degrees, but a master’s degree is a preference but not a requirement for the position.
High Point provides internal training on the Collaborative Patient Care Management model to all staff and physicians during their general orientation. In addition, High Point offers specific training in the different specialty areas.
Collaborative Patient Care Management could be broadly replicated at hospitals and health systems throughout the country.