Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.
Accountable Care Organizations (ACOs) are comprised of doctors, practitioners, and hospitals, to give healthcare services to patients. The goal of coordinated care is provide high quality of care through an integrated service model while avoiding unnecessary duplication of services and preventing medical errors. The ACO is evaluated through a quality metrics to assess care provided to patients in a cost efficient manner. CMS has established five domains in which to evaluate the quality of an ACO 's performance which include 1) patient/caregiver experience, 2) care coordination, 3) patient safety, 4) preventative health, and 5) at-risk population/frail elderly health. When the ACO is successful in providing care through this system, the savings
Creating value through collaboration has been a topic of concern over the last 50 years as the spending in health care has increased. The goal is to provide quality and affordability and because of past efforts, enrollment increased drastically while it created a shortage of providers. Integrating behavioral and medical health has not been properly addressed due to stigmas and lack of education. Behavior health is more common today and costly. In efforts to integrate and improve patient outcomes and provider experiences there are many ways to achieve this goal such as train medical providers, train behavioral practioniers and embed behavioral providers in primary care settings.
Health information exchange or HIE allows doctors, nurses, pharmacists, and other health care providers and patients to access vital medical information. It also allows them to share medical information securely and electronically. HIE improves the speed, quality, safety, and the cost of patient care. For many years patient's files were stored using paper methods, transferring them by mail, fax or transferred it by hand to every appointment. Changing to electronic file improves the completeness of patient's medical records.
Should we really lower the drinking age from 21 to a younger age? I think not, from what I heard about and researden about. The exact reason for this is, because teens could get in serious danger. A lot of people get in danger from health problem, this would affect their life. Drinking age should never be lower than 21 of age because lowering (MLDA) Minimum Legal Drinking Age 21 would be medically irresponsible, Minimum Legal Drinking Age 21 reduces traffic accidents and fatalities, and lastly lowering the drinking age will invite more use of illicit drugs among 18-21.
Hope is not lost for our nations veterans, there are initiatives that may be implemented in order to improve the quality of care. We have identified four key areas that we feel will improve the quality of care for our nations veterans. These areas are; Patient Aligned Care Teams (PACTS), the program of vocational rehab, positive media relations, and universal electronic medical records. PACTS are formed when a veteran works together with multiple care disciplines in order to achieve whole person care and sustain life long wellness (VHA, 2015). These teams focus on patient medical partnerships, access to care, coordinated care among disciplines, and team based care with the veteran as the focus (VHA, 2015).
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.
A rising number of hospitals throughout the U.S. are applying a service model known as integrated health care (Kathol, Perez, Cohen 2010). The need for this is center around this area: Integration has made its approach into the health care settings gradually. This can assist in treating one’s medical and behavioral health needs within patient’s primary care provider’s office, recommending a proper evaluation as a whole person (Blout, 2003). Medical clinics have been used for a many years but its recognition is growing nationwide because of its effectiveness. Impact all parties involved, including but not limited to, patients, providers and insurance companies can be very effective.
I believe, one of the major challenges for the Canadian health care model as more providers become part of the continuum of care is the financial security that health care can finance towards resources. Resources would be limited since there would a higher demand such as increased wait time to attending care, creating a high strain on health care providers. To help decrease waiting times, health care providers would need to hire more staff which then causes a raise in public taxes to help pay those staff.
Based on this case the cost driver is to properly distribute the direct cost among the different divisions. Dr. Julian would like to control her departments costs by having them distributed fairly among the divisions without affecting the hospital’s reimbursement/revenue. Carroll University Hospital is currently using the standard costing unit, which is based on the cost of bed/day for inpatients. Currently the present cost accounting system that is being used at CUH takes the total direct cost of the departments, then allocates the indirect costs and distributes it among the departments evenly regardless of the actual resources being used in those departments, and without considering that there may be some patients in these divisions that may require more resources than others, this method does not seem to recognize the different activities,
Individualised approach to care planning essay The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care.
Working in a hospital setting with a team that has members from many disciplines can sometimes lead to issues that are easily solved if only they are acknowledged. Some of the major issues within IP care are philosophical differences, disparity in power amongst the health care professionals (HCP), communication between the members, and inexperience in team working. The solutions that are mentioned in the following paragraphs are applicable in general and are not specific to certain cases, hence, the solutions do not apply to every
Hello Melissa, Hello Melissa, I enjoyed reading your post. I would like to expand on your post about promoting interprofessional collaborative care with occupational therapy. Care coordination is dependent on a deliberate organization of patient care activities between two or more participants, including the patient (Moyers & Metzler, 2014). As you mention, accountable care organizations and patient-centered medical homes are excellent examples that benefit from interprofessional collaboration. Occupational therapy is another important care coordination model that is essential in helping people in gaining their mobility and independence.
For example, in the health care provider field, the nurses should collaborate with the other health care professional like the doctor, pharmacist, physiotherapy or the radiography in order to achieve the common goal which for the patient’s
