Wheatley Laura, Doyle Winnie, Evans Cheryl, Gosse Carolyn, Smith Kevin
Hamilton Niagara Haldimand Brant (HNHB) Integrated Comprehensive Care Lead, St. Joseph's Healthcare Hamilton, Hamilton, ON.
Executive Vice President Clinical Programs and Chief Nursing Officer, St. Joseph's Healthcare Hamilton, Hamilton, ON.
Nurs Leadersh (Tor Ont). 2017;30(1):33-42. doi: 10.12927/cjnl.2017.25107.
Calls for transformational change of our healthcare system are increasingly clear, persuasive and insistent. They resonate at all levels, with those who fund, deliver, provide and receive care, and they are rooted in a deep understanding that the system, as currently rigidly structured, most often lacks the necessary flexibility to comprehensively meet the needs of patients across the continuum of care. The St. Joseph's Health System (SJHS) Integrated Comprehensive Care (ICC) Program, which bundles care and funding across the hospital to home continuum, has reduced fragmentation of care, and it has delivered improved outcomes for patients, providers and the system. This case study explores the essential contribution of nursing leadership to this successful transformation of healthcare service delivery.
对我们医疗保健系统进行变革性改变的呼声日益清晰、有说服力且迫切。这些呼声在各个层面都引起了共鸣，涉及到资助、提供、接受护理的各方，并且它们源于一种深刻的认识，即当前结构僵化的系统往往缺乏必要的灵活性，无法在连续护理过程中全面满足患者的需求。圣约瑟夫医疗系统（SJHS）的综合全面护理（ICC）项目，将医院到家庭连续护理过程中的护理和资金捆绑在一起，减少了护理的碎片化，并为患者、提供者和整个系统带来了更好的结果。本案例研究探讨了护理领导力对医疗服务提供这一成功转型的重要贡献。
