Lighting the way for a brighter future.
What’s In a Name?
The California-based Nurse-led Discharge Learning (CANDLE) Collaborative is a group of dedicated interdisciplinary clinicians banding together to light the way for new partnerships across health systems that promote patient- and systems-level changes in discharge care delivery in support of new national standards for hospitalized children.
Actions speak louder than words.
This Collaborative is all about getting things done. We learn from each other so that we can maximize interdisciplinary collaboration, discharge communication, and family-centered care. Together, hospitals will iteratively develop and implement new and novel local discharge practices that promote high-quality care and are sustainable long-term, all the while sharing lessons learned with each other along the way.
By focusing on action-oriented learning and leaning on our individual strengths, this group has the opportunity to engage in a deeper understanding and application of advanced clinical content, cultivate cross-collaboration and inter-institutional teamwork in real-time, and nurture critical thinking and effective communication. The combination of didactic education, meaningful leadership development, and shared learning has the potential to aid Collaborative members in becoming strong leaders in their local hospitals and further improve interdisciplinary collaboration, discharge communication, and family-centered care. With the proper learning mechanisms in place, nurses can indeed become key champions for expanding the influence, spread, and adoption of national discharge standards that can revolutionize the way we care for children and their families.
The CANDLE Collaborative aims to advance systems-level changes in discharge care delivery for hospitalized children throughout and outside of California through the joint piloting and refining of local quality improvement interventions that support new evidence-based standards of pediatric discharge care.
Members of the CANDLE Collaborative will benefit practically, logistically, and meaningfully by actively participating in joint collaborative activities, allowing our institutions to become beacons of hope for families seeking to become untangled from the complexity of hospital discharge.
Promote and foster understanding and use of evidence-based, family-centered, and discharge-focused quality improvement methods and tools among hospital-based clinicians and leaders;
Improve patient and family outcomes through:
Identification of existing discharge planning initiatives, and;
Joint implementation of new discharge activities;
Deepen interdisciplinary collaboration by integrating the values, perspectives, and best-practices of clinicians across the care continuum within joint discharge care activities;
Leverage the organizational, clinical, and interdisciplinary knowledge and strategies gleaned from this collaborative process to produce a multimodal dissemination strategy encouraging interdisciplinary collaboration throughout implementation of the discharge standards.
Breaking barriers to build a brighter future.
Quality improvement efforts are rarely developed or shared outside of our own hospital walls. We so often confine our work to those areas that are most comfortable us: our own field, our own unit, our own area of expertise. Pilot testing, data aggregation, and dissemination of vital organizational knowledge is severely lacking. This missed opportunity of sharing vital organizational knowledge limits the scalability, relevance, and large-scale cohesion and reliability of effective, and potentially cost-efficient, innovations of discharge care. By learning from the implementation of locally-owned improvement projects between healthcare institutions, we believe the Collaborative can positively impact health outcomes for patients, support deeper integration of community resources within existing systems of care, and facilitate an elevated clinical culture that values family-centeredness, interdisciplinary partnership, and research rigor.
We are the champions.
Nurses are the bedrock of discharge care. We’re the first call if something doesn’t quite go to plan, and we’re the last to see our patients walk out our doors. However, frontline nurses and nurse leaders remain underutilized as champions of innovation in transitions of care. We have specialized knowledge of the post-discharge needs of our patients compared to other clinicians, and as such, we are in a unique position to problem-solve potential complications and ensure smooth coordination of multiple sources of care.
Our leadership in intervention development and implementation is imperative for ensuring the relevance and feasibility of long-term care plans. The Collaborative offers a combination of didactic education, meaningful leadership development, and shared learning, thereby empowering nurses across the state in becoming strong leaders in their local hospitals. With the proper learning mechanisms in place, nurses can indeed become key champions for expanding the influence, spread, and adoption of high-quality standards of discharge care.
The term “multidisciplinary” is currently all the rage in healthcare improvement circles. But we’re one step ahead of the crowd. We’re not knocking multidisciplinary efforts – it’s just that we’d rather work together in synergy than deliver care in parallel with other clinicians. We believe we give our patients our best when we interweave our practice to fully capitalize on our individual strengths, skill, and knowledge. When teams evolve from a multidisciplinary to an interdisciplinary approach, they can better maximize clinical effectiveness and efficiency.
As members of the CANDLE Collaborative, we want to set the standard for rigorous and evidence-based quality improvement. Interdisciplinary improvement teams model optimal care delivery and are equipped to attend to complex challenges in a way that single and multi-discipline efforts simple are unable to do. That is why every single one of our member’s local teams include nurses, family members, allied health professionals, physicians, and hospital administrators. We believe that bringing together a diverse cross-section of practice experts to work together has the potential to dramatically accelerate problem solving and universally bolster current standards of discharge care across member hospitals.