The Menefee model for patient-focused interdisciplinary team collaboration.

The conversion to electronic plans of care in a community hospital setting offered an opportunity to design an interdisciplinary, collaborative model for patient-focused care. The performance improvement initiative began with the development of evidence-based interdisciplinary plans of care and concluded with a consistent and effective process for patient engagement and daily interdisciplinary team rounding. Benefits include reduced readmission rates, higher patient satisfaction, and improved interdisciplinary team collaboration. This project demonstrates how an interdisciplinary model that includes patient-centered, nurse-led care plan rounding was created, implemented, and measured.