Time Study RN | OVERVIEW

It all began with “Transforming Care At The Bedside”…

Time study for nurses: a growing need

The TCAB initiative was formed because of an observed trend that technology, new unit design, and new nursing processes were causing the nurse to spend less time at the bedside – impacting patient care, quality, and outcomes. At the same time, LEAN and Six Sigma success stories in manufacturing were catching the attention of healthcare organizations globally.

Taking action, RWJ funded a pilot project at 3 hospitals to use emerging LEAN and Six Sigma methods to address the problem of reduced caregiver time at the bedside with the ultimate goal of improving patient care, quality, and outcomes.

Three pilot hospitals located in Austin TX, Roseville CA, and Pittsburgh PA, were selected to implement the TCAB methodology. Nurses and staff were designated as “TCAB’ers” and given the mission to impact safe and reliable care, vitality and teamwork, patient-centered care, and value-added care processes through the implementation of the Plan-Do-Study-Act (PDSA) cycle.

Measuring the Impact of Change

In 2002, the RWJ/IHI/AONE team turned to Rapid Modeling Corporation to develop a methodology to measure caregiver time at the bedside and to support the broad range of continuous improvement opportunities in the nursing environment. Working with the nursing teams in the pilot phase of TCAB, Time Study RN was developed to measure how and where caregivers spend their time. Since 2002, Time Study RN has evolved through 9 new software releases to become the only standardized tool to measure the impact of change on the quality and capacity of the care giving team.

CIT: Care, Innovation, & Transformation

Care, Innovation, and Transformation (CIT)… In 2007, the TCAB torch was passed to the American Organization of Nursing Executives (AONE) by the Robert Wood Johnson Foundation. Expanding upon the success of TCAB, AONE launched the Care, Innovation, and Transformation (CIT) initiative in 2010.

CIT’s foundation is grounded in the basic tenets of TCAB, but further supports the nurse leader in driving innovation, culture change, and health care reform implementation. This initiative teaches nursing and interdisciplinary teams how to innovate and measure change, strengthening the organization from the bottom-up.

Time Study RN supports CIT and serves as a resource for nurse leaders seeking to transform not only the way care is delivered, but also the culture in which they find themselves working, so that innovation and transformation become a daily pattern. CIT will enable hospitals to take the necessary steps now to prepare for the future.

The Time Study RN National Benchmarking Database

The Time Study RN National Benchmarking Database was created in 2008 in response to the demand from TCAB units for shared space to compile and compare their Time Study RN data with other facilities. The database gives users the ability to compare themselves with other similar units for time spent in all work activities, including direct care and value-added care.

Unit Assessment

The Unit Assessment Report allows users to identify areas of nursing practice that are inefficient when compared to other similar hospital units.

Collaboration Report

The Collaboration Report provides an anonymous communication portal to communicate with top-performing units.

Run Charts

Run Charts are provided for all metrics so users can measure the impact of their change efforts on caregiver workload and then monitor and sustain their improvements over time.

For more information about CIT: http://www.aone.org/resources/CCIT/docs_pdfs/AONE_CIT_Brochure.pdf

For information about Time Study RN contact Nelson E. Lee – Ph. (513) 624-6629; Em. nlee@timestudyrn.com

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