Service Line Triads
The stroke center at UK Chandler Hospital was the first in the region to be designated as a
Comprehensive Stroke Center.
UK HealthCare’s Kentucky Neuroscience Institute (KNI) has received the Get With The Guidelines – Stroke Gold-Plus Quality Achievement Award by the American Heart Association/American Stroke Association for maintaining nationally recognized standards for the treatment of stroke patients. For questions, contact
Michael Dobbs, M.D., or
A new clinical leadership model has been developed for Pavilion A at UK Albert B. Chandler Hospital. This model shifts the focus to the patient’s experience across the continuum of care, rather than concentrating on individual levels of care.
Service line management is an organizational structure designed to meet the customer’s needs. To accomplish a balance between system goals and individuals, UK HealthCare proposed an interdisciplinary triad consisting of a physician leader, nurse director and hospital administrator who are responsible for the operation and overall performance of individual service lines (Karpf et al., 2007).
Neuroscience is one of the newly created service lines that occupies the sixth floor of Pavilion A. The triad is responsible and accountable for the overall operations of a population-based continuum of patient care including clinical quality/safety, service, financial efficiency and program development that is aligned with the strategic goals of the enterprise, the threefold mission of the enterprise, and the forces of nursing magnetism*. The neuroscience triad will be led by Dr. Michael Dobbs, physician leader; Julia Blackburn, nurse director; and Gary King, hospital administrator. There are 64 beds dedicated to stroke neurology and neurosurgery patients that currently make up the neuroscience floor in Pavilion A. In addition, 14 acute beds and a dedicated six-bed epilepsy monitoring unit serving general neurology patients are on the seventh floor of Pavilion H.
These units managed by the neuroscience triad will offer a patient care delivery model that will engage all members of the team and be a leader in quality, safety, service and satisfaction.
Trauma and acute care surgery center triad
The Trauma and Acute Care Surgery Center (TACS) will be led by Dr. Phillip Chang, along with a nurse administrator and an operations administrator.
The service line management organizational structure is designed to meet customer needs. It is also intended to improve customer satisfaction, community recognition of services offered and clinical outcome improvements. Quality improvement has been shown to be a proven outcome of service-line-specific inpatient units.
Trauma and acute surgical patients will be cohorted on the seventh floor of Pavilion A. The care center model supports our organizational tenets of efficiency, exemplary clinical quality and customer service, standardization of work, transparency, and elimination of non-value activities. The care center leadership will be accountable for all aspects of the day-to-day care of these patient populations – two units of 32 beds each. Twelve ICU beds, six progressive-care beds and 14 acute/telemetry beds make up the TACS. Brenda Holmes, RN, and Jan B Davis, RN, serve as the unit nurse managers.
These units in the TACS will be managed by this new patient care delivery model that will engage all members of the team, provide clear ownership and accountability for clinical, service and efficiency outcomes, and recognize the critical nature of clinical partnerships, particularly nurse and physician leaders.