+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Linking HOBIC measures with length of stay and alternate levels of care: implications for nurse leaders in their efforts to improve patient flow and quality of care

Linking HOBIC measures with length of stay and alternate levels of care: implications for nurse leaders in their efforts to improve patient flow and quality of care

Nursing Leadership 25(4): 48-62

Integral to understanding and leveraging performance data to monitor and drive quality improvement (QI) efforts to enhance patient care is a partnership between researchers (who generate data) and nurse executives (who lead QI efforts). In Canada, evidence-based, nursing-sensitive patient outcome data are included in the Health Outcomes for Better Information and Care (HOBIC) initiative. A descriptive study was undertaken to examine the relationships and predictive abilities of HOBIC measures with length of stay (LOS) and alternate levels of care (ALC) measures. Specifically, we were interested in determining (a) whether relationships among the HOBIC measures exist and (b) whether any of the HOBIC measures are associated with, and could subsequently be used to predict, the patient and the destination to which he or she is discharged (ALC). Our interest in understanding these relationships and predictive abilities was both research driven and practice driven, with the intent eventually to use study findings to target clinical practice and data feedback strategies. To address the two research aims, this study employed both descriptive and inferential statistical approaches with multiple analytic approaches. Study results suggest that many of the HOBIC measures are related, with a higher score in one measure corresponding to a higher score in another measure. The exception is the therapeutic self-care (TSC) measure, in which higher scores on other HOBIC measures were correlated with lower TSC scores. Associations were also found with the predictive ability of certain HOBIC measures on LOS and ALC. Our study findings call for nurse leaders to emphasize the importance to clinical nurses on hospital units of focusing their efforts on assisting patients in managing their fatigue and dyspnoea effectively; increasing their ability to engage in activities of daily living, functional status and therapeutic self-care; and preventing or minimizing pressure ulcers and falls in acute care patients. In turn, these efforts may decrease patients' LOS.

(PDF emailed within 1 workday: $29.90)

Accession: 054133817

Download citation: RISBibTeXText

PMID: 23803426

Related references

Exploring nurses' perceptions of collecting and using HOBIC measures to guide clinical practice and improve care. Nursing Leadership 25(1): 14-28, 2012

The effect of variations in nurse staffing on patient length of stay in the acute care setting. Western Journal of Nursing Research 31(2): 153-170, 2008

Efforts To Improve Quality Of Care And Patient Satisfaction. Health Affairs 35(2): 375-376, 2016

The Impact of the Affordable Care Act on Health Care Alliances' Quality Improvement Efforts in Targeted Communities: Perceptions of Health Care Alliance Leaders. Joint Commission Journal on Quality and Patient Safety 42(3): 137-145, 2016

Implications of variation by time of day in post-anaesthesia care unit length of stay for rational nurse staffing. British Journal of Anaesthesia 121(4): 697-700, 2018

Associations of Emergency Department Length of Stay With Publicly Reported Quality-of-care Measures. Academic Emergency Medicine 24(2): 246-250, 2016

Is patient length of stay related to quality of care?. Hospital and Health Services Administration 42(4): 489-507, 1997

Florida's efforts to improve quality of nursing home care through nurse staffing standards, regulation, and Medicaid reimbursement. Journal of Aging and Social Policy 21(4): 318-337, 2010

Population-Based Measures from Administrative Data to Guide Efforts to Examine and Improve the Quality of Hospice Care (S711). Journal of Pain and Symptom Management 53(2): 415-416, 2017

Increasing nurse first-line leader (manager) positions to improve nurse retention and quality of patient care. Canadian Journal of Nursing Leadership 15(1): 27-30, 2002

Reducing the length of postnatal hospital stay: implications for cost and quality of care. Bmc Health Services Research 16: 16, 2016

C-HOBIC - Standardized Information to Support Clinical Practice and Quality Patient Care across Canada. Ni 2012 11th International Congress on Nursing Informatics, June 23-27, 2012, Montreal, Canada. International Congress in Nursing Informatics: 142, 2012

Improving satisfaction with care and reducing length of stay in an obstetric triage unit using a nurse-midwife-managed model of care. Journal of Midwifery and Women's Health 58(2): 175-181, 2013

Failure of efforts to contain costs of care after colorectal procedures: Nationwide trends in length of stay, costs and post-acute care utilization. American Journal of Surgery 214(5): 804-810, 2017

Use of Electronic Visibility Boards to Improve Patient Care Quality, Safety, and Flow on Inpatient Pediatric Acute Care Units. Journal of Pediatric Nursing 2018, 2018