Microsystem Assessment

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The Team
The interdisciplinary team for this project was hand selected and included individuals with varying educational and practice backgrounds. These individuals have knowledge and experience with the patient population served in the microsystem. The clinical nurse leader student serves as the interdisciplinary team leader, charged with disseminating microsystem assessment data with the interdisciplinary team in-order to aid in project identification. The lead preceptor is a clinical nurse leader, who is both knowledgeable and understanding of the clinical nurse leader role. The next preceptor is the congestive heart failure coordinator with the Center for Advancing Professional Practice (CAPP), she is based on the unit and has an understanding …show more content…
Clinical microsystems are embedded in larger organizations and they are where care, quality, safety, reliability, efficiency, innovation, staff morale and patient satisfaction are created (The Dartmouth Institute, 2015). The “5 Ps” framework is a systematic approach for completing a microsystem assessment. The 5 Ps consist of “purpose, patients, professionals, processes and patterns” (Harris, Roussel & Thomas, 2014, p. 226). The microsystem assessment is essential to quality improvement in a clinical unit (Harris et al., …show more content…
C4TL serves an average of 1300-1700 patients annually. The unit serves more males than females at 54.9% compared to 45.1% respectively. Individuals aged 51 and older account for a total of 89.1% of those admitted to C4TL. Married individuals account for 51.86% of the total patient population (see Table 1). The emergency department is the highest source of admissions to C4TL (see Pie Chart 1) while internal medicine is the majority admitting service (see Pie Chart 2). Acute MI sub-endocardial infarct, coronary atherosclerosis native coronary artery, and atrial fibrillation, account for 250, 184 and 131 encounters respectively. Acute on chronic systolic heart failure, acute on chronic diastolic heart failure, account for 116 and 91 encounters respectively. Chest pain, sinoatrial node dysfunction, unspecified septicemia, and acute kidney failure round up the top ten diagnoses (see Table 2). Finally, 70.5% of the patients on C4TL are discharged home without additional resource, 10.7% are discharged with home health while 10.5% transition to skilled nursing facilities (see Table
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