A 21st century approach to care delivery requires an understanding of the skills and knowledge of each care team provider, and development of a patient-centered care model built upon the team approach to a clinical problem rather than a top-down methodology driven solely by the physician.
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Provider organizations, for the first time, are now forced to choose between a good- or bad jobs strategy, with many leaders unaware of the available options.
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With great risk, many organizations are choosing a “bad jobs” strategy to address labor costs. Rather than retain experienced staff at higher wages, organizations take steps to encourage the departure of high-paid, experienced nurses to be replaced with less expensive and skilled substitutes.
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On average, hospitals devote close to 70 percent of their budget to labor costs. Until robots replace humans in the delivery of patient care, selection of the proper skill mix and number of nurses remains a significant factor that determines cost in provider organizations.
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Although information technology cannot replace the staff delivering care to patients, it can assist organizations in choosing the best talent available, help develop that talent, and determine the best way to utilize the skills of these professionals.
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In many ways healthcare is like a symphony orchestra. Although information technology can enhance care planning, assist in medication administration, and reduce duplicative testing, it cannot replace the people required to deliver care services to patients.
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Fortunately, the expansion in the use of electronic medical records provides the clinical content data that can help accurately drive patient acuity scoring.
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