Using Predictive Analytics to Improve Healthcare Outcomes

John W. Nelson, PhD, MS, RN, is President and Founder of Healthcare Environment. He has worked in 46 countries with over 400+ healthcare facilities using advanced analytics to improve outcomes management for staff and patients, with results of cost savings up to $5.7 million. He co-authored the book Measuring Caring with Dr. Jean Watson and has authored or co-authored over 50 scholarly works. He has served as a graduate adjunct professor, mentored graduate students, and presented at numerous global industry conferences. He has worked with government organizations including the CMS in the US and the NHS in the UK. Jayne Felgen, MPA, RN, is President Emeritus and Consultant at Creative Health Care Management. She has expertise in Relationship-Based Care® and is the originator of the I2E2 implementation strategy. Mary Ann Hozak, MSN, RN, is Administrative Director of Cardiology at St. Joseph’s Health in Paterson, New Jersey, USA. She has over 10 years’ experience in Relationship-Based Care® methodology and participated in most of the research projects reported on in this book.

Contributors xi

Foreword xv

Preface: Bringing the Science of Winning to Healthcare xvii

List of Acronyms xix

Acknowledgments xxv

Section One Data, Theory, Operations, and Leadership 1

1 Using Predictive Analytics to Move from Reactive to Proactive Management of Outcomes 3
John W. Nelson

2 Advancing a New Paradigm of Caring Theory 19
John W. Nelson and Jayne Felgen

3 Cultivating a Better Data Process for More Relevant Operational Insight 33
Mary Ann Hozak

4 Leadership for Improved Healthcare Outcomes 43
Linda Valentino and Mary Ann Hozak

Section Two Analytics in Action 53

5 Using Predictive Analytics to Reduce Patient Falls 55
Tara Nichols, Lance Podsiad, Josephine Sclafani Wahl, and John W. Nelson

6 Using the Profile of Caring® to Improve Safety Outcomes 67
John W. Nelson and Kenneth Oja

7 Forecasting Patient Experience: Enhanced Insight Beyond HCAHPS Scores 83
Mary Ann Hozak and John W. Nelson

8 Analyzing a Hospital-Based Palliative Care Program to Reduce Length of Stay 93
Kate Aberger, Anna Trtchounian, Inge DiPasquale, and John W. Nelson

9 Determining Profiles of Risk to Reduce Early Readmissions Due to Heart Failure 103
Mary Ann Hozak, Melissa D’Mello, and John W. Nelson

10 Measuring What Matters in a Multi-Institutional Healthcare System 125
Kay Takes, Patricia Thomas, Gay Landstrom, and John W. Nelson

11 Pause and Flow: Using Physics to Improve the Efficiency of Workflow 135
Jacklyn Whitaker, Benson Kahiu, Marissa Manhart, Mary Ann Hozak, and John W. Nelson

12 Lessons Learned While Pursuing CLABSI Reduction 153
Ana Esteban, Sebin Vadasserril, Marissa Manhart, Mary Ann Hozak, and John W. Nelson

Section Three Refining Theories to Improve Measurement 169

13 Theory and Model Development to Address Pain Relief by Improving Comfort 171
Tara Nichols and John W. Nelson

14 Theory and Model Development to Improve Recovery from Opioid Use Disorder 183
Alicia House, Kary Gillenwaters, Tara Nichols, Rebecca Smith,and John W. Nelson

Section Four International Models to Study Constructs Globally 197

15 Launching an International Trajectory of Research in Nurse Job Satisfaction, Starting in Jamaica 199
John W. Nelson and Pauline Anderson-Johnson

16 Testing an International Model of Nurse Job Satisfaction to Support the Quadruple Aim 217
John W. Nelson, Patricia Thomas, Dawna Cato, Sebahat Gözüm, Kenneth Oja, Sally Dampier, Dawna Maria Perry, Karen Poole, Alba Barros, Lidia Guandalini, Ayla Kaya, Michal Itzhaki, Irit Gantz, Theresa Williamson, and Dominika Vrbnjak

17 Developing a Customized Instrument to Measure Caring and Quality in Western Scotland 237
Theresa Williamson, Susan Smith, Jacqueline Brown, and John W. Nelson

18 Measuring the Effectiveness of a Care Delivery Model in Western Scotland 259
Theresa Williamson, Susan Smith, Jacqueline Brown, and John W. Nelson

Epilogue: Imagining What is Possible 287

Appendix 291

References 409

Index 427