Clinical Care Delivery Model

Lake Forest Hospital's Clinical Care Delivery Model is an organized framework for facilitating the responsibility, accountability and authority to practice nursing. 

Our model reflects the decision-making position of the direct care nurse as the primary caregiver.  It also displays the resources that other members of the Department of Nursing and hospital staff provide to nurses in order to practice Relationship-based Care within the Professional Practice Model.

The Lake Forest Hospital Patient Care Services team includes:

  • Registered nurses (RNs)
  • Patient care technicians (PCTs)
  • Unit secretaries
  • Clinical directors and managers,
  • Chief nursing officer (CNO)

Resources provided to the clinical staff include:

  • Advanced practice nurses (APNs)
  • Clinical educators
  • Infection control and safety coordinators
  • Clinical pharmacists
  • Case managers
  • Social workers
  • Dietitians
  • Speech therapists
  • Physical and occupational therapists
  • Respiratory therapists
  • Providers of spiritual support
  • Clinical informatics specialists

Patient Care Plan

The plan of nursing care for each patient is developed, instituted and managed by a credentialed Lake Forest Hospital RN. Patient care is coordinated through a multidisciplinary approach.

Patient Care Assignments

Patient care assignments on the nursing units are made in a collaborative manner between the charge nurse and primary care nurse.  Patient acuity, staff competency, available resources and the environment of care are all taken into consideration when establishing and revising staffing plans that will meet the individualized needs of the patients, families and staff members.

Web-based six-week staffing schedules are accessible by all staff two weeks prior to going live. A core schedule is developed, modified and maintained by all nursing units to assure the appropriate staffing mix that meets the clinical needs of the unit and supports a staff work-life balance. Our Clinical Recruitment/Retention and Staffing/Scheduling Council oversees the clinical staffing plans for nursing.

Patient Satisfaction

Patient satisfaction feedback is provided through direct surveys, which are managed by an external organization on a monthly basis.  The surveys are communicated quarterly, and the summary results are made available on the organization's intranet to be reviewed at unit and organization meetings.

Lake Forest Hospital RNs also participate in the National Database of Nursing Quality Indicators (NDNQI®) satisfaction survey annually, with results being reviewed at biannual nursing business meetings, unit and organization quality meetings.

Patient Admission

Patient’s admission placement is led by Case Management which utilizes an electronic system using externally established criteria at the point of entry and throughout the patient’s stay to assure unit placement meets the individualized needs of the patient. An organization-wide visibility system is used to support the patient's admission, care, transfer and discharge processes to assure a seamless patient throughput experience.


The Illinois Nurse Practice Act (225 ILCS 65/) is used to guide, define and direct professional nursing practice in all settings at NLFH.