When Baptist first piloted the new model, they did not agree on specific metrics to track to demonstrate the impact of the change.  Baptist is now going back and trying to demonstrate the impact of the 12-bed Hospital model. 

Clearly defining the role of the Patient Care Facilitator (PCF) was critical to the success of the 12-Bed Hospital.  Boundaries needed to be established for what the PCF would and would not do. (For example, while it takes a PCF more time to coach a novice than to do the work her/himself, teaching the novice is a critical part of the PCF’s role and goal of raising the standard of care.)  At the same time, it is important to allow the PCFs to continually tweak the role to suit the needs of patients and providers on their units. 

Initially, the primary focus of the PCF was on improving patient flow, moving patients efficiently in, through, and out of the hospital.  Now, the model and the PCF will need to begin focusing more on managing the needs of complex, high-acuity patients.  Providing the Advanced PCF role will help address this new challenge.