How to Implement Relationship-Based Care

Relationship-Based Care is best implemented through a shared leadership structure. The process of implementation is based on empowering frontline caregivers to develop a unit-specific plan for implementing the principles of RBC in their departments, while executive leaders and managers form a coordinating council to do more strategic, organization-wide work on RBC. This structure serves as the ideal vehicle to implement decentralized decision making and empowerment of staff members in designing their own practice and systems.

Susan Wessel, Creative Health Care Management consultant, discusses the broader implications of Relationship-Based Care on the business of health care.

A Tailored Approach

There is no single approach to implementing Relationship-Based Care. Although we work with a time-tested model for bringing RBC to hospitals and organizations, the exact path you choose depends on your vision, your current situation, and your existing strengths and resources.

Our role is to do a comprehensive assessment and then partner with you to select the starting point that makes the most sense for your unique organization. We then provide you with the services and tools required to achieve your goals.


Relationship-Based Care will support the key strategic goals of most health care organizations including:

  • Increased patient satisfaction
  • Refocus on the organization’s mission, strengthening patient-centered care
  • Strong staff satisfaction and engagement
  • Increased physician collaboration and teamwork
  • Excellence in nursing practice as evidenced by Magnet® designation and other national awards
  • Increased clinical quality and safety

It All Begins with a Shared Vision

Leaders within your organization select Relationship-Based Care as a means to achieve meaningful change within their hospital or organization, and all of this begins with leaders having a common vision for its implementation. Learn more about creating an effective vision for change.

The 8 Dimensions of Relationship-Based Care

The RBC model provides the conceptual framework as well as a vision for delivering care with strong underlying values and principles. It also provides the practical infrastructure for putting into action the education and leadership needed to make your organization successful along with effective ways to measure that success.

RBC Model CMYK Copyright-Shadow 2011-01

For a deeper dive into the 8 Dimensions of RBC, click here.


Primary Nursing is the Heart of Relationship-Based Care

Primary Nursing is the system of nursing care delivery used in Relationship-Based Care. Creative Health Care Management provides comprehensive education and ongoing support for organizations implementing Primary Nursing. To learn more about Primary Nursing’s origins and characteristics, click the Wikipedia icon below:


Inspiration, Infrastructure, Education & Evidence
(I2E2 Formula)

The I2E2 formula of Inspiration, Infrastructure, Education & Evidence, is a model for sustainable change. It is an in-depth, yet elegantly simple formula for inspiring and leading real change at all levels of an organization. It is not a step-by-step guide to recreating the newest business model, but rather a new way of thinking about change. Our clients tell us that the I2E2 formula helps them to stay on the right track for positive change no matter what else is going on in the organization. Learn More.

i2 e2 illustration

MAGNET®, Magnet Recognition Program®, ANCC®, Magnet®, and the Magnet Journey® are registered trademarks of the American Nurses Credentialing Center. The products and services of Creative Health Care Management are neither sponsored nor endorsed by ANCC. All Rights Reserved.