Acute Care Nursing Goes Virtual

Feb 23, 2024

3 min

Michelle L. Collins, DNP, APRN, CNS, ACNS-BC, NPD-BC, NEA-BC, LSSBB

At ChristianaCare, our patients are our number one priority. That perspective keeps us thinking about new ways to deliver care, including those that allow our caregivers to put their knowledge, skills and focus to the best use.


Video: ChristianaCare Virtual Acute Care Nursing


Virtual acute care nursing is one way we are making sure our caregivers are working at the highest levels to care for our patients in our hospitals.



What is virtual nursing?


This program allows experienced nurses to practice virtually in another location. Nurses working virtually help nurses at the bedside by documenting health information, such as medication histories; providing patient education; monitoring patient lab work; completing patient admission documentation; and helping with discharge planning and care coordination.


Podcast: Virtual Nursing in the Hospital with Michelle Collins and Melanie Ries


By working virtually, these nurses help remove some of the documentation burden for our clinical staff while also improving our patient outcomes.


For example, a virtual acute care nurse can take the time to explain to a patient what their at-home care plan will look like, when to take their medications or even understand more about their condition. That allows our bedside nurses to keep their focus on the immediate needs of their patients.


How does virtual nursing work?


If a patient has a question about their medicine or wants to know more about their impending discharge, they can use a computer tablet that’s placed next to their bed to contact their virtual nurse, who will answer the call.


Patients want to feel that someone is available to talk with them, and that’s exactly what our virtual nurse program provides. While our bedside nurses work on a unit caring for multiple patients, our virtual nurses care for one patient at a time without distraction.


How is ChristianaCare using virtual nursing?


We are currently using a virtual nursing care delivery model in more than 500 of our acute care beds – that’s about 41% of all the beds we have in Wilmington and Christiana hospitals.


Nearly 19,000 patients have received this kind of innovative care at ChristianaCare. Our patients and nurses have been involved in over 53,000 calls, spending between seven and nine minutes each time they talk.


Why does this matter?


It’s no secret that nurses have been overburdened with high patient volumes and labor shortages that have affected the entire health care industry. Given this, it’s imperative to think of new models to support our caregivers, ease their workload and make sure we are providing expert care.


Improvements in patient care – along with our patient experience scores – show us the value of the program.


Virtual nursing allows us to do that.


There also are other advantages to virtual nursing. It can be an option for skilled nurses who aren’t able to handle the physical demands of the job since the interaction with patients is through a tablet.


Virtual nursing also offers an opportunity to help early-career nurses learn from experienced caregivers. A virtual nurse can provide mentoring to the bedside nurse by acting as an extra set of eyes and ears to help assess a patient or talk through a challenge. This approach can also help retain more of our early-career nurses, which is good news for all of us.


We see virtual nursing as another tool to help our caregivers serve with love and excellence. And let’s be honest — we all want good care to be as easy as pushing a button.


Thanks to virtual nursing, it is.

Connect with:
Michelle L. Collins, DNP, APRN, CNS, ACNS-BC, NPD-BC, NEA-BC, LSSBB

Michelle L. Collins, DNP, APRN, CNS, ACNS-BC, NPD-BC, NEA-BC, LSSBB

Vice President, Nursing Professional Excellence

Michelle Collins is a national nursing expert on successful infrastructures related to governance, strategic planning, and innovation.

Clinical Nursing AdvancementMagnet DesignationVirtual Acute CareNursing Professional GovernanceNursing Innovation

You might also like...

Check out some other posts from ChristianaCare

1 min

ChristianaCare Names John Lewin III Vice President, Pharmacy Services

John Lewin III, PharmD, MBA, FASHP, FCCM, FNCS, has joined ChristianaCare as vice president of Pharmacy Services. In this role, he will lead all aspects of pharmacy strategy, operations and clinical services across the hospital system, advancing ChristianaCare’s commitment to safe, high-quality, patient-centered care. Lewin brings more than 25 years of leadership experience in pharmacy and health care. He most recently served as chief medical officer at On Demand Pharmaceuticals, where he led pharmacy, quality and regulatory initiatives and supported federal partnerships to improve medication access. Lewin previously spent 16 years at The Johns Hopkins Hospital and Johns Hopkins University School of Medicine, where he held multiple leadership roles and led efforts to improve medication safety, streamline operations and strengthen collaboration across care teams. Lewin holds a Doctor of Pharmacy from Temple University and an MBA from the Johns Hopkins Carey Business School. He completed a PGY1 and a PGY2 critical care residency at the Medical University of South Carolina. A recognized leader in critical care pharmacy, he has authored numerous publications and presented nationally and internationally. He reports to Kim Evans, senior vice president of Clinical Essential Services.

3 min

ChristianaCare and Children’s Hospital of Philadelphia Agree to Join Forces, Expand Access to World-Class Pediatric Care in Delaware

ChristianaCare and Children’s Hospital of Philadelphia (CHOP) today announce a new strategic affiliation to expand access to world-class pediatric care in Delaware and surrounding communities. The collaboration, which is expected to begin in spring 2026, will enhance access to specialized pediatric care by bringing CHOP’s renowned expertise closer to home for families in the communities ChristianaCare serves in Delaware, Maryland, Pennsylvania and New Jersey. By integrating CHOP’s services with ChristianaCare’s established network, the collaboration will improve care delivery, making advanced pediatric treatments more accessible and reducing the need for families to travel long distances for care. A Bold Step Forward in Pediatric Care “This collaboration brings together two amazing organizations that are already nationally recognized for clinical excellence—and we’re going to be even better together,” said Janice E. Nevin, M.D., MPH, president and CEO of ChristianaCare. “Our affiliation with CHOP marks a bold step forward in our mission to provide the highest quality care to children and families across the communities we serve. These are uncertain times for many parents with young children in need of routine or complex medical care. ChristianaCare and CHOP are joining forces to provide world-class care, close to home, at a time when it’s needed most.” “Bringing seamless, family-centered care to our patients is a priority at Children’s Hospital of Philadelphia,” said Madeline Bell, CEO at Children’s Hospital of Philadelphia. “As one of the region’s most dynamic health systems, ChristianaCare has earned a national reputation for its bold approaches to both clinical care and innovation. Our new affiliation is driven by a shared vision: redefining what is possible in health care and ensuring that every patient — at every stage of life — receives the highest standards of care, from infancy through adulthood.” “Our team at ChristianaCare is excited to work closely with Children’s Hospital of Philadelphia to bring even more specialized care to our community,” said Megan Mickley, M.D., chair of Pediatrics at ChristianaCare. “CHOP’s leadership in pediatric medicine will complement the outstanding care already provided at ChristianaCare, ensuring that our youngest patients receive the most advanced treatments in a compassionate and supportive environment.” Initial Focus and Future Growth This affiliation between ChristianaCare and CHOP represents a significant increase in access to world-class pediatric care for communities in Delaware, Maryland, southeast Pennsylvania and southern New Jersey. CHOP, a global leader in pediatric care and research for over 165 years, is consistently ranked among the top children’s hospitals in the country, known for pioneering breakthroughs across a breadth of pediatric care areas. The affiliation will include all ChristianaCare hospitals and locations where pediatric emergency and inpatients are cared for. The collaboration will initially focus on pediatric and neonatal services. Patients at ChristianaCare will have access to CHOP’s expertise in rare and complex diseases and a wide range of newborn and pediatric services, including surgery, cardiology, neurology, radiology, ophthalmology and genetics, as well as educational and research opportunities. As the collaboration grows, it will explore further opportunities to expand pediatric care and improve health care delivery in the region.

3 min

How ChristianaCare Built a Blueprint for Better Caregiver Health and Lower Costs

By Donna Antenucci, MHA, BSN, RN, and Emily Sahm, EA We know rising health care costs can feel overwhelming for both employers and employees. As Delaware’s largest private employer — with nearly 23,000 employees, spouses and dependents enrolled in our self-funded health plan — ChristianaCare faces these challenges every day. That’s why we’re committed to finding smart, innovative solutions that improve employee health while keeping costs in check. We don’t stop there — ChristianaCare partners with businesses that have an interest in providing high-quality health care for their employees while keeping costs manageable. Prioritizing preventive care The key to a healthier, more resilient workforce is tackling health issues early in order to prevent the need for costly emergency or “rescue” care. By prioritizing prevention and early intervention, we’ve made progress in improving employee health while controlling costs. In 2023, inpatient facility costs for our employees — which include hospital admissions for surgeries, medical treatments and other care requiring overnight stays — dropped by 9%. Wellness incentives and chronic disease management that shifted care to more cost-effective outpatient settings are driving these results. One of ChristianaCare’s differentiators is CareVio®, our care coordination and chronic disease management platform. CareVio provides personalized support to help employees and their families manage conditions and stay on track with preventive care. CareVio’s diabetes program, for example, has delivered remarkable results. Nearly all participants improved their blood sugar levels in 2023, with average A1c reductions of 1.7 points. Enhancing primary care and wellness programs We’ve also focused on encouraging primary care visits through collaboration between our Population Health and Total Rewards teams. Together, we designed a voluntary wellness incentive program that rewards employees and their families for healthy choices, including support for tobacco-cessation programs to help employees quit smoking and lead healthier lives. In 2023, we expanded our wellness incentive program to include primary care visits for employees and their spouses. Over the next eighteen months, primary care utilization increased over 10%, rising from 66% to 77% as of January 2025. Employees who stay connected to primary care catch health problems early and build stronger relationships with their doctors. We’ve launched programs targeting specific health needs. Our breast cancer screening initiative, focused on women ages 52 to 74, increased participation rates from 63% to 72% in 2023, exceeding our target. Additionally, the CareVio metabolic health program is helping a growing number of participants manage complex conditions with tailored support. Flexibility is essential. That’s why we created the Center for Virtual Health, which provides virtual-first primary care to more than 1,200 employees. This program makes high-quality, preventive care more accessible. Employees can fit care into their schedules while maintaining consistent support for their health. We encourage employees to stay up to date on immunizations by offering frequent vaccination events and tying participation to eligibility for the Caregiver Rewards Program payout. By making it easy and rewarding to stay protected, we’re fostering a safer, healthier workplace for everyone. Collaborative networks and cost management In January 2023, we announced the ChristianaCare Clinical Alliance, a new clinically integrated network in partnership with Highmark. Implemented in our employee health plan in July 2024, the network connects ChristianaCare-employed and community clinicians to provide evidence-based, coordinated care. Focused on improving wellness and managing chronic conditions, the Clinical Alliance is helping caregivers and their families stay healthier while reducing costly emergency visits and hospital stays. Employees who choose Clinical Alliance providers also enjoy lower deductibles for their care. Through all these initiatives, we are making a meaningful difference for our caregivers and our costs. In 2023, thanks to our focus on prevention and smarter care delivery, we kept our overall health care cost growth below the national average. Healthier employees lead to lower expenses and a more engaged, productive workforce. By showing that we value employee health, we’re creating a stronger, more resilient workplace. To learn how ChristianaCare can help you provide better care and control costs for your workforce, contact Donna Antenucci at donna.antenucci@christianacare.org. Donna Antenucci is vice president of population health operations for ChristianaCare. Emily Sahm is vice president of Total Rewards for ChristianaCare.

View all posts