Transforming Care at the Bedside (TCAB)
Mercy Hospital Anderson’s Patient Family Council has facilitated the TCAB team’s understanding of the patient experience, improved care and increased patient satisfaction. The council meets once a month to engage in a round table discussion covering topics including issues of concern, recognition, TCAB successes, and patient satisfaction scores, among others. There are currently about 20 members, five of whom are either past patients or family members of patients. The remaining members consist of volunteers, leadership, and housekeeping. Membership has been increasing, most...
The Lovelace Medical Center TCAB team dramatically improved the delivery of Pneumococcal vaccinations to hospitalized patients from 48% to 98%. Pneumococcal disease is the leading cause of vaccine preventable illness and death in the U.S. The vaccine is recommended that all people 65 years and older and persons with certain conditions and is so important that CMS requires hospitals to document that patients were screened and given the medication. The TCAB nurses identified that the process for screening patients was not standardized on the TCAB unit so they...
Over the past 18 months, Redington-Fairview General Hospital's TCAB Team made it their goal to improve their HCAHPS score for Nurse Responsiveness and patient satisfaction with Pain Control. After a national TCAB meeting where they learned about hourly rounding and the “Four P’s”, the team thought it made sense to try a strategy to meet the patients’ needs before they ask. The aide and the primary care nurse alternate rounding so that one or the other is in the patient’s room every hour. During the rounding process the patient is asked about pain,...
Across the country, doctors, nurses and other health care leaders are exploring ways to improve the quality of care provided in their communities. First introduced in 2001, Transforming Care at the Bedside – or TCAB – engages nurses and other frontline hospital workers in testing improvements that can lead to processes that are more reliable, safe and patient-centered. This in turn leads to improved teamwork and a more engaged workforce. Since 2008, TCAB has been offered to hospitals through Aligning Forces for Quality (AF4Q), the Robert Wood Johnson Foundation’s (RWJF) signature effort to lift the overall quality of health care in targeted communities, while also reducing racial and ethnic disparities and providing models for national health reform. Teaming Aligning Forces for Quality with TCAB is bringing a new era in nursing to diverse regions.
AF4Q TCAB Goals:
- Improve the quality, safety and reliability of patient care and reduce disparities in care.
- Increase the vitality and retention of frontline nurses.
- Improve the patient and family members’ experience of care.
- Improve the effectiveness of the entire care team.
Currently, AF4Q TCAB includes:
18 hospital teams participating in National AF4Q TCAB
23 hospital teams participating in Minnesota AF4Q TCAB – Cohort I
24 hospital teams participating in Minnesota AF4Q TCAB – Cohort II
11 hospital teams participating in Western New York AF4Q TCAB
18 hospital teams participating in Wisconsin AF4Q TCAB
13 hospital teams participating in Oregon AF4Q TCAB
11 hospital teams participating in New Mexico AF4Q TCAB
17 hospital teams participating in Maine AF4Q TCAB
Aligning Forces for Quality - Transforming Care at the Bedside