Our Care Delivery System
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Our care delivery system encompasses the settings in which we practice, the manner of delivery, skills required and anticipated outcomes of care. The foundation of the delivery of care is the primacy of relationships.
Our inpatient units include critical and intermediate care units and general medical-surgical units. Units receive patients with a full range of diagnoses, although expertise in caring for specific patient populations is concentrated on different units. Specialty populations include those needing total joint replacement, cancer care, cardiovascular medical management and intervention, and stroke care.
Specialty units include the inpatient and ambulatory operating rooms, post-anesthesia care units, procedural care unit and dialysis unit.
The emergency department sees more than 60,000 patients a year and recently completed a multi-phase renovation, for which nurses provided significant contributions to the design and improved workflow.
Ambulatory practice areas include the Comprehensive Cancer Center, the Center for Cardiac Fitness, multiple specialty clinics, the Women’s Medicine Collaborative, the TB clinic, and endoscopic, cardiac diagnostic and interventional services.
Skilled and Expert Nurses
The Miriam Hospital has a professional nurse workforce with 80 percent of nurses prepared at the baccalaureate level or higher, meeting the Institute of Medicine Future of Nursing recommendation. More than 35 percent of our nurses are certified.
Provision of geriatric nursing throughout the organization is part of the care delivery system. It is supported through consultation with geriatric experts, The Miriam Hospital developed GENESIS program, and resources available as a NICHE (Nurses Improving Care for Healthsystem Elders) designated hospital.
Focus on Quality Outcomes
At all levels — patient, unit, department, and organization — Miriam Hospital nurses focus on improving the care delivery system to achieve quality outcomes.
- create partnerships with patients and families to establish goals and plans for delivery of patient-centered care
- are involved in interprofessional collaborative practice to ensure care coordination and continuity of care
- incorporate regulatory and specialty standards/guidelines
- systematically evaluate professional organizations’ standards of practice, incorporating them into the professional practice model and care delivery system
- use internal and external experts to improve the clinical practice setting