The Partnership Model

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The Partnership Model of Care Delivery
Marjorie S. Wiggins, RN, MBA Vice President of
Nursing/Chief Nursing Officer Maine Medical
Center Clinical Nurse Leader Implementation
Conference June 16, 2004 Washington, DC
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The Partnership Model is a model of care delivery
that is founded on the belief that to deliver
effective, high quality care a series of
partnerships need to be in place.
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Nurse Patient Nurse Physician Nurse
Clinical Nurse Leader (CNL)
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Websters definition
Part-ner. A person who takes part in some
activity in common with another (associate) one
or two persons engaged in the same business
enterprise and sharing its profits and risks each
is an agent for the other two players on the
same side or team. Part-ner-ship, n. The
relationship of partners joint interest
association a contract by which such an
association is created.
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Design Methodology for the Partnership Model
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• Create a steering committee of stakeholders
• Senior Management
• Direct Care Givers
• Physicians
• Department Directors
• Nurse Managers

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Create a vision of excellence in patient care
delivery
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Implement a comprehensive assessment of care
delivery examine in detail the care and service
delivered by the nurse and other providers.
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Create a design team to review/examine role of
CNL, RN and other care givers.
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Reorganize work responsibilities around CNL and
non-RN care providers to ensure each role is
functioning at its highest level.
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Create clear and specific job descriptions with
identified functions and responsibilities of each
role.
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Steering Committee should review comprehensive
assessment to identify barriers to work flow and
system failures and assign rapid cycle
performance improvement teams to lead initiatives
to streamline processes to support patient care.
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Identify specific outcome measures that are
important for evaluation of pilot. Obtain
baseline data before pilot, i.e. LOS recidivism,
complications, patient satisfaction, staff
satisfaction. Consider using data sets that
already exist in your institution. Plan for time
line of data review.
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Identify pilot units. Consider the units that
have strong leadership to manage the pilot
through the change process.
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Communicate the concept and intent of the pilot
to physicians, clinical and non-clinical
stakeholders.
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Educate the staff on role changes. Provide them
education as necessary to strengthen staff
competencies of communication, delegation,
assessment, data analysis, evidence-based
practice, etc.
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• Pilot the model - continually evaluating
• role clarity
• system efficiency
• communication flow
• patient outcomes
• staff satisfaction

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Seek input from stakeholders throughout the
pilot.
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Communicate progress and outcomes of pilot to
Physicians, clinical and non-clinical staff.