Purpose for the Program
To describe University Health System, Women's Service Line, interdisciplinary planning process and outcomes to improve the inpatient and outpatient care of women. The healthy workplace intervention served as the planning method to empower clinicians, executives/managers, and quality and business professionals to design a future vision: health for women. The innovative method reignites passion and commitment for excellence in patient care.
The healthy workplace intervention is a capacity-building process that promotes shared leadership, participatory change, and empowerment. Through future search conferencing, participants bridge differences in status, position power, work experience, gender, and hierarchy by working as peers to achieve shared goals and fast action. This generative process incorporates the tenets of appreciative inquiry by amplifying positive anticipatory images of the future and the team defines the actions to actualize their future, measure the outcomes, and ensure sustainability.
Implementation, Outcomes, and Evaluation
The participants identified a shared history of patient care and the current operational status of inpatient women and newborn care and the 12 Greater San Antonio clinic outpatient sites. Goals were to design seamless, coordinated care for women and to promote healthy families. Interdisciplinary communication, care coordination, and partnering with physicians were key strategies.
Outcomes included the following: (a) 10.5% increase in births through changing the process to identify women with positive pregnancy test results earlier and schedule a clinic visit; (b) 100% of patients are now facilitated throughout pregnancy and postpartum care by a redesigned patient navigator role to provide coaching and follow-up for appointments and education; (c) 56% decrease in newborn postdischarge visits to the nursery by collaborating with physicians and scheduling appropriate clinic visits; (d) reduced patient clinic waiting times through the implementation of a preregistration process prior to the clinic visit; (e) enhanced team communication through the initiation of monthly service line meetings; (f) standardization of breastfeeding education; and (g) the implementation of mother–baby couplet care is in process.
Implications for Nursing Practice
The healthy workplace intervention builds relationships across the complex landscape of health care and empowers staff to lead and sustain positive change.