Moving toward fully integrated, patient-centered care on inpatient hospital units requires radically transforming current unit and hospital structures and processes. One promising new care model, the Accountable Care Unit (ACU), offers alternative structures and processes. One process, Structured Interdisciplinary Bedside Rounds (SIBR) puts patients at the center of care, bringing the interprofessional care team to patients’ bedsides every day.
Creating proactive care is an extraordinary challenge, but it’s precisely what healthcare organizations must do in the 21st century.
We’ve invested a decade of action-oriented learning to solve this challenge for ourselves in our own hospital units and post-acute facilities.
Today we offer the world’s most highly developed solution for creating and capturing the benefits of proactive care.
Our award-winning proactive care model has emerged as the solution of choice for single facilities, multi-hospital systems, and entire states, including adoption on four continents.
For our hospital and post-acute partners, our solution addresses:
- Change management: our hospital physicians and nurses communicate a vision that mobilizes broad support among clinical staff
- Skills training: our onsite educators and online resources provide the knowledge and skills required
- Project management: our software platform delivers performance transparency and vertical alignment
- Differentiation: our global network stretches the distance between proactive and reactive organizations
Proactive care creates unique opportunities to solve the most common problems for patients, families, and clinical staff.
Our proactive care solution rapidly delivers benefits for patients and families, frontline staff, unit managers, and executive leaders.
Join the hospital care revolution
Hospitals around the world are already benefitting from our programs.
Accountable Care Units (ACU® Care Model)
Our flagship program, the ACU® care model, has been implemented in hospitals and post-acute facilities on 4 continents, in 6 countries, and more than 20 US states and two Canadian provinces. The ACU® care model features Structured Interdisciplinary Bedside Rounds (SIBR® rounds), which introduces proactive care by standardizing patient-centered team rounds.
The ACU® care model has been implemented in a variety of settings including academic, community, urban, and rural hospitals; in medical and surgical units; in intensive, progressive, long term acute, and rehab units; and in geriatric and pediatric populations.
ACUs report decreases in preventable complications, in-hospital mortality, length of stay, unnecessary resource utilization, as well as increases in patient satisfaction, staff engagement, throughput, and cost savings.
The future of hospital care is here.
Nurses First Program
Our Nurses First program standardizes best practices at the change of shift. The program creates an efficient and positive Change of Shift Huddle so the off-going staff can alert the oncoming nursing staff to the most pertinent patient safety and experience risks at the start of the shift. The program also creates an efficient Bedside Handover so every oncoming nurse can start the shift with the information needed to care for the patient and family. An electronic Bedside Handover competency verification allows staff to receive real-time constructive feedback to improve performance of this process , while allowing leaders to support and manage performance consistency.
This program can be deployed within weeks across multiple units with a lasting effect: when nurses start shifts with greater certainty of patient needs, they are better prepared for higher-order critical thinking, problem solving, and contributions when the physician and other team members arrive.
The Nurses First program creates its own value, but it creates the perfect foundation to capture the value of ACU implementation at a later date.
Post-Acute Care Program
Post-acute care (PAC) settings play a pivotal role in the patient care continuum. They provide a level of care to patients that most hospitals just don’t have the capacity to meet. And, we think, they’re an often forgotten and neglected clinical space in terms of innovation and quality improvement. As a result, 1Unit has extended our expertise in high-quality patient-centered care to PAC settings. To meet the growing demand from PAC facilities which are facing the significant challenge of an aging population, we’ve set up a specialized 1Unit PAC service to facilitate this new opportunity for improving patient care.
1Unit PAC can provide the personnel, skills, training and mentoring required to transform your PAC units into high-functioning patient-centered care zones with:
- Post-Acute Care Accountable Care Units (PAC ACU)
- Post-Acute Care Structured Interdisciplinary Bedside Rounds (PAC SIBR)
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Findings provide evidence that the ACU structure and SIBR process have a dual benefit of improved job satisfaction and patient quality of care.