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As healthcare has evolved toward a value-based payment model, we have seen many changes in how healthcare is delivered and by whom. We have seen progressive healthcare organizations embrace value-based care, shifting toward an interdisciplinary approach to care that leverages population health management, social determinants of health, and patient engagement to improve outcomes across the spectrum of care.
The role of the nurse elevates with value-based care. Nurses provide more patient-centered, efficient, and cost-effective care, from pre-appointment and intake to discharge and follow-up. In the primary care setting, progressive providers have increased patient access by conducting nurse-only patient visits during which registered nurses document patient histories, order lab or other diagnostic tests, and determine patient acuity.
To meet the increased demands of value-based care, nurses must work to the top of their licensure. Studies conducted several years ago indicated that, on average, nurses spend as little as 25% to 30% of their time at the bedside.1 On top of clinical workloads, nurses are responsible for care coordination and communication among an expanding care team. As the concept of the care team expands under value-based care to include nurses, physicians, therapists, and home care workers across multiple hospital and acute and primary settings, nurses struggle with the inefficient workflows associated with legacy communication devices and numerous clinical and communication systems.
The key to supporting the elevation of the nurse is the elimination of activities that do not directly contribute to the health and well-being of patients. The incorporation of innovative technology can assist in this effort. For example, advanced communication technology can help nurses communicate efficiently with other members of the care team including those off-site, such as home health nurses and healthcare professionals at specialized hospitals, skilled nursing facilities, and wound care clinics. HIPAA-compliant secure text messaging can also take over many of the time-consuming communication tasks to prepare or follow-up with patients. The ideal solution helps reduce non-clinical tasks to allow nurses to focus their time on only those patients who need additional care.
PerfectServe’s clinical communication and care coordination platform addresses the inefficiencies of work processes and administrative tasks to allow nurses to assume a more significant role under value-based care, including:
- Care Team Coordination – Collaborate with providers inside and outside the network. Connect with on-call care team members as a group, or by name or role such as “On-Call Cardiologist,” ensuring a nurse can reach the right physician at the right time to improve outcomes without the inefficiencies of referencing call schedules or playing phone-to-pager tag with physicians.
- Pre-Appointment Patient Communication – Automate the communication of day-of-procedure information, appointment reminders, and wayfinding to prepare patients for upcoming appointments or procedures.
- Post–Appointment Patient Communication – Automate post-discharge communications to reiterate the care plan, send timely reminders (such as follow-up scheduling and prescription pick up), and assess patient health status and satisfaction with text-first survey questionnaires. Nurses can prioritize follow-up time to only those patients in need of clinical intervention.
- Time-Critical Updates – Rather than force nurses to log into the EHR to check for results or orders, critical updates (orders and critical lab results) are pushed to the nurse and other care team members to speed up care coordination and delivery.
- Real-Time Charting – A mobile, easy-to-use interface to access patient information and take notes, with text shortcuts, voice-to-text, and intelligent field mapping to reduce duplicate data entry.
- Nurse Call, Alarms, Alerts – Nurses receive alerts on their mobile devices and web apps, where they can accept, escalate for assistance, or call back to speak with the patient.
By expanding the role and leadership of registered nurses and implementing improved processes facilitated by innovative technology, healthcare organizations can transform healthcare delivery, achieving improved efficiency and better outcomes at lower costs.