Worksheet 2

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Logic Model for Interdisciplinary Team on Intensive Care Unit A

Evaluation: Interdisciplinary Team on Intensive Care Unit A

Situation: Examine team effectiveness in meeting patient outcome benchmarks for length of stay (LOS) in an intensive care unit.

Current data show that the LOS is 2.5 days longer than national averages. Evaluate the team to determine why the team is not meeting national benchmarks.

protocols.

Assumptions: High functioning multidisciplinary teams can provide comprehen‐

sive cost‐effective care. LOS can be facilitated by input of all team members using protocols based on EBP to move patients in a timely manner from one level of care to the next.

External Factors: Reimbursement for care is tied to LOS; longer than

average LOS are not reimbursed by some insurers and create a huge burden on the health care facility to absorb those costs. EBPs can decrease LOS, if followed.

Outputs

Outcomes ‐ Impact

Inputs

Activities

Participation

Short

Medium

Long (Impact)

Multidisciplinary team

Conduct meeting to focus

Leadership

Awareness of barriers.

Leadership satisfied with

High performance

(MDs, NPs, RT,

evaluation.

changes.

multidisciplinary

PharmD).

Leadership of

Removal of barriers.

team.

Meet to discuss work

multidisciplinary team.

Improved function of

Time devoted for rounds.

processes of patient

Education of

multidisciplinary team.

Increased esteem of

management to

Members of each

multidisciplinary team.

multidisciplinary

Combined EMR and

move patients across

discipline in team.

Average LOS met or

team.

paper for writing orders

continuum of care.

New attitudes and

LOS less than national

and progress notes).

Multidisciplinary team.

awareness.

average.

Increased

Observe conduct of

satisfaction of

Leadership who wants

rounds, flow of

Nursing staff and support

Knowledge about EBP

Integration of EBPs and

team members,

improved outcomes.

information, and

staff (transcriber of

and best practices.

best practices.

staff, and

interactions.

orders, other

patients/families.

Strong organizational

departments).

Revision of process

Policies, procedures, and

commitment to

Meetings to discuss flow.

maps for transfer and

protocols followed.

Sustained cost

evidence‐based

Nursing staff.

discharge.

savings from

practice (EBP) with

Observe work patterns

Better communications.

shorter LOS.

resource support.

related to transfer/

Written policies,

Facilitator to help improve

discharge.

procedures, and

group communications,

Cost savings from shorter

Better overall

Data on LOS.

protocols.

trust, mutual respect,

LOS.

patient

Review protocols for

and common goals.

outcomes.

Available national data

admission and

for similar academic

discharge from unit.

Revision of policies,

medical centers.

procedures, and