Transforming Care at the Bedside (TCAB)

Aligning efforts and establishing partnerships across systems is increasingly essential to achieving the Triple Aim of improved health outcomes, improved health care quality, and reduced costs. This type of effort is underway in New Mexico between the New Mexico Alliance and New Mexico’s Quality Improvement Organization (QIO). 
 
In August 2011, the Albuquerque Coalition for Healthcare Quality launched its Regional Transforming Care at the Bedside (TCAB) initiative across New Mexico. About one year later, HealthInsight New Mexico, New Mexico...

Aligning efforts and establishing partnerships across systems is becoming a necessary fact for health care providers and organizations as both look to achieve the Triple Aim of improved health outcomes, improved health care quality and reduced costs. This type of effort is what is underway in New Mexico.

In August 2011, the Albuquerque Coalition for Healthcare Quality, the local Aligning Forces for Quality (AF4Q) Alliance, launched its Regional Transforming Care at the Bedside (TCAB) initiative across New Mexico. In April 2012, HealthInsight New Mexico, New Mexico’s Quality...

Sometimes perfect compliance on a quality measure is only as far away as a store-bought shower caddy and a bit of MacGyver ingenuity. That’s how an Erie County Medical Center unit lifted nurse compliance with its IV-tube labeling measure out of the 20 percent to 30 percent range to 100 percent.

This creative solution was just one outcome of the hospital’s Transforming Care at the Bedside (TCAB) project. Erie County Medical Center embarked on the initiative after it was selected in 2009 to participate in Aligning Forces for Quality’s (AF4Q) TCAB collaborative....
Transforming Care at the Bedside (TCAB):

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