Trauma advanced practice provider programme development in an academic setting to optimize care coordination

Trauma Surgery & Acute Care Open
Michelle C WoodfallDavid A Spain

Abstract

Benchmark data from the Trauma Quality Improvement Program (TQIP) identified an opportunity for improvement in our trauma programme. Our unexpected return to the intensive care unit (ICU) was found to be higher than the national averages and we also noticed that our readmission rate had increased. We chose to address these complications as continuous quality improvement projects. It was hypothesized that restructuring the workflow of the trauma advanced practice providers (APPs) to focus on the delivery of comprehensive clinical care would decrease return to ICU and readmission rates of trauma patients. The development of the APP programme occurred from 2012 to 2014. First, APP daily shifts were extended to mirror the resident physicians' coverage. Second, the APPs' original job description was expanded from 'task-oriented' workflow to providing comprehensive clinical care. Third, the APPs were involved in the evaluation and decision-making process for transferring trauma patients from the ICU. Finally, the APPs implemented a new discharge process that included all information in a standardized format and a follow-up phone call 24-48 hours after discharge. The trauma registry at our verified, academic level I trauma center was ...Continue Reading

References

Aug 19, 2007·The Journal of Trauma·James M HaanThomas M Scalea
Dec 26, 2015·Heart & Lung : the Journal of Critical Care·Evan G WongAlicia I Arbaje
Jan 30, 2016·American Journal of Surgery·Olubode A OlufajoAli Salim

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TQIP

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