NICHE: Nurses Improving Care for Healthsystem Elders

Troy Brown, RN


October 21, 2016

In This Article

Costs of Establishing and Implementing Program

There is an initial up-front cost for joining the NICHE program, as well as implementation costs, including paying staff to participate in training. "For instance, if you put in a skin injury reduction program, you're probably going to have to buy mattresses and different sorts of nursing supplies," Dr Gilmartin said.

"We make the case [that the program is worth the cost of membership] by focusing on gains in clinical quality and clinical efficiency. Members do pay for membership, but for their membership, we're offering a large bundle of continuing education and practice development," she added.

The membership fee is based on the size of the hospital, and if more than one hospital in a healthcare system will be joining, the scale is adjusted as the system adds hospitals.

"We're willing to work with people as well; there's always room for negotiating. The same is true for long-term care; we understand that their resources are stretched thin, so we're mindful of that," Dr Gilmartin explained.


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