RELATIONSHIP-BASED CARE

MODEL
Amy J. Herrington
Ferris State University

Relationship Based Care Model

Theoretical care delivery model

Task focused to relationship based
Related Outcomes

Carabetta, M., Lombardo, K. & Kline, N.E., 2013; Hedges, C.C., Nichols, A. & Filoteo, L., 2012.

Relationship Based Care Model

Based on three relationships

Nurse

with patient
Nurse with colleagues
Nurse with self

Weydt, A., 2010.

Relationship Based Care Model

Framework
Leadership
Teamwork
Professional

Nursing Practice
Patient Care Delivery
Resource-Driven Practice
Outcomes Measurement

Woolley, J., Perkins, R., Laird, P., Palmer, J., Schitter, M.B., Tarter, K., George, M., Atkinson, G., McKinney, K. & Woolsey, M., 2012.

Business Perspective

Increased Employee Satisfaction Decrease in

Turnover Rate
Improved Care Increased
reimbursement/Decreased Costs
Improved Patient Satisfaction/Improved HCAHPS
scores

Winsett, R.P., 2011; Ledersma, C.R., 2011; Gerrie, J. & Nebel, A., 2010; Cropley, S., 2010.

Metro Health

Mission: Improve the health and well-being of our

communities.
Vision: Taking health care to a better place.

Metro Health, 2013.

Metro Health

Values
1.
2.
3.

4.

Strive for excellence.

Treat others with integrity, respect and compassion.
Use effective communication and teamwork.
Demonstrate a commitment to our universe: the
environment, the community, the organization and
one another.

Metro Health, 2013.

The Metro Way

Corporate Goals

To provided the:
Best patient experience
Best employee experience
Best physician experience
Best community experience

Metro Health, 2013.

Interdisciplinary Concerns

Model can be applied across all disciplines and all

employees of organization
Non-employees may not buy-in
Select specialties/units may have a harder time with
implementation

Implementation

Develop Model of Care Committee

RBC Leadership Training
Meetings to develop strategic plan to utilize RBC
framework
Identify first units/disciplines to experience roll-out
Managers and 3-6 individuals attend intensive training
Rolled out to first units over two week span with
speakers, events and activities
RBC implemented on remaining units.

Mellott, J., Richards, K., Tonry, L., Bularzik, A.M., & Palmer, M., 2012; Schneider, M.A. & Fake, P., 2010.

Evaluation

Committee meetings every month

Meetings with managers & individuals from units
every two months
Assess patient satisfaction through surveys
Monitor patient outcomes related to quality and
safety
Assess employee and physician satisfaction

Conclusion

The Relationship Based Care Model supports Metro

Healths mission, vision and values.

References
Carabetta, M., Lombardo, K. & Kline, N.E. (2013). Implementing primary care in the
perianesthesia setting using a relationship-based care model. Journal of PeriAnesthesia
Nursing, 28(1), 16-20.
Cropley, S. (2012). The relationship-based care model: Evaluation of the impact on patient
satisfaction, length of stay, and readmission rates. The Journal of Nursing
Administration, 42(6), 333-339.
Gerrie, J. & Nebel, A. (2010). Improving patient outcomes with relationship-based care. Nurse
Leader, 51-54.
Hedges, C.C., Nichols, A. & Filoteo, L. (2012). Relationship-Based Nursing Practice. Journal
of Perinatal Nursing, 26(1), 27-36.
Ledersma, C.R. (2011). Relationship-based care: A new approach to caring. Nursing
Management, 41-43.

References
Mellott, J., Richards, K., Tonry, L., Bularzik, A.M., & Palmer, M. (2012). Translating caring
theory into practice: A relationship-based care experience. Nurse Leader, 44-49.
Metro Health. (2013). About Metro Health. Retrieved from http://metrohealth.net/about-metro/
Schneider, M.A. & Fake, P. (2010). Implementing a relationship-based care model on a large
orthopaedic/neurosurgical hospital unit. Orthopaedic Nursing, 29(6), 374-378.
Weydt, A. (2010). Marys story, relationship-based care delivery. Nursing Administration
Quarterly, 34(2), 141-146.
Winsett, R.P. (2011). Implementing Relationship-based care. The Journal of Nursing
Administration, 41(6), 285-290.
Woolley, J., Perkins, R., Laird, P., Palmer, J., Schitter, M.B., Tarter, K., George, M., Atkinson,
G., McKinney, K. & Woolsey, M. (2012). Relationship-based care: Implementing a
caring, healing environment. MedSurg Nursing, 21(3), 179-184.