...Team-Based Health Care Delivery Maria Reodique Grand Canyon University: HCA-515-0101 June 16, 2015 Introduction Health care has evolved and is continuously evolving. The management of care now involves different clinicians to better assess, diagnose and cure a patient. The clinicians evolved from a general practitioner to a team now comprised of Physician’s Assistant, Nurse, License Practical Nurse and Specialists. These health care professionals now compose a team of health care providers that are essential in a patient’s over all health care. The team-based approach is a delivery system that provides a patient an all-encompassing health care delivery system. “ By practicing in a team-based care model, physicians and other clinicians can care for more patients, better manage those with high-risk and high-cost needs, and improve overall quality of care and satisfaction for all involved” (Zawora, O’Leary & Bonat, 2015). Case Description A female 36-year old patient underwent an annual physical exam. The primary care physician ordered full blood panel. The result showed elevated levels of LDL and ALT (alanine aminotransferase). The gastroenterologist confirms that the patient has chronic Hepatitis B. The levels are not high enough but still needs to be watched carefully. The patient is already suffering from high blood pressure and is over weight. The patient migrated from an underdeveloped nation that includes in its diet high sodium content and fatty foods. Patient...
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...Team Based Health Care Delivery Oliver Solis Grand Canyon University Analysis of Contemporary Health Care Models HCA-515-0101 March 5, 2014 Team Based Health Care Delivery Introduction The paper that I will be presenting will discuss the latest model in health care delivery that was developed by researchers and medical professionals to come up to a better quality health service delivery to all. This is called the “Team based health care delivery” which simply defines as the collaboration between hospitals, physicians and other medical professionals that will work as a team to provide a quality and excellent care to the patient (American Hospital Association, “n.d.”, p. 2-8) Patients Case This case that I will be presenting is a case of a seventy year old man with hypertension that was admitted at the emergency room for CVA (Cerebro Vascular Accident). Upon arrival of the patient at the hospital ER stroke neurologist and the ER physician are the front liners that will see the patient. A nurse should be attending too to administer any medication and apply intravenous solution and of course take all the vital signs of the patient. .The patient must be evaluated within 45 minutes and the first 15 minutes is the most crucial in this case. Increased pressure in the brain should be monitored closely. Blood sugar is also a big factor and should not be neglected because it plays a special role too. Body temperature is another indicator that should not be forgotten to be...
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...Sciences HCS/531 Version 3 Health Care Organizations and Delivery Systems Copyright © 2012, 2011, 2007 by University of Phoenix. All rights reserved. Course Description This course is a comprehensive approach to health care delivery systems that provides the student with an in-depth understanding of health systems and organizations. Students will examine historical evolutions of the health care industry and recent impacts that influence the delivery of health care. Policies Faculty and students will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Shi, L., & Singh, D. A. (2012). Delivering health care in America: A systems approach (5th ed.). Boston, MA: Jones and Bartlett. All electronic materials are available on the student website. Assignment Breakdown Week One Individual Assignment: Significant Health Care Event Paper 10 Week Two Learning Team Assignment: The Evolution of Health Care Paper and Timeline 10 ...
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...Team Based Approach Health Care Delivery Gretchen DeBose Grand Canyon University: HCA-515 July 21, 2014 Introduction Health care has not always been seen as something to be described as a team sport. In the olden days, people were seen by one doctors who knew all there was to know about healing and caring for the patient. This doctor probably lived in the community and was referred by other people within the neighborhood. He or she was available to attend to the needs anytime and any day or night. Nursing care was provided by family who would do their best to assist the sick. Health care has changed from the “good old days” and have continue to change the way of caring for patients as a whole. “The clinician operating in isolation is now seen as undesirable in health care-a long ranger, a cowboy, an individual who works long and hard to provide the care needed, but whose dependence on solitary resources and perspective may put the patient at risk.” (Mitchell 2012) Case Description In this paper, I have chosen to look at how a team-based approach can assist in fighting depression with patients who are diagnosed with diabetes and heart disease. A patient with this diagnosis can complicate their health care needs. Depression sometimes comes with diabetes or heart disease and oft times makes a healthy outcome nonexistent. Doctors and their staff on a team-based approach are in place to find new ways for patients to control their chronic disease and try...
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...Accountable Care Organization is a healthcare organization characterized by a payment and care delivery mode. lt seeks to tie provider reimbursements to a quality metrics and reductions in the total cost of care for an assigned population of patients. A group of coordinated health care providers form an ACO, which then provides care to a group of patients. The ACO may use a range of payment methods, (e.g. capitation, fee-or-service with an asymmetric or symmetric shared savings). The ACO is accountable to the patients and the 3rd party payer for quality, appropriateness, and efficiency of the health care provided. The Centers for Medicare and Medicaid Services (CMS), an ACO is considered an organization of health care providers that agree to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program. This paper identifies the differences between HMO’s and ACO’s but also correlates the similarities between ACO’s and Patient Center Medical Home (PCMH). The ACO’s place a degree of financial responsibility on the providers in hopes of improving care management and limiting unnecessary expenditures while continuing to provide patients freedom to select their medical services. The success and challenges of ACO are identified and explored. By increasing care coordination, ACO’s can help reduce unnecessary medical care and improve health outcomes, leading to a decrease in utilization of acute care services...
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...significant for the delivery of cost-efficient and quality health care. With the help of different types of information systems in healthcare service organizations, they have become able to contribute in better health service management and delivery of quality healthcare (Blum, 2012). Use of different information systems also affirms the knowledge base necessitated for clinical and administrative decision making as discussed here in this paper. Description of different Categories of Information Systems Clinical: Information Produced: A clinical information system (CIS) is a compilation of a variety of information technology applications that allows for a central repository of information associated to patient care throughout distributed locations. This repository comprises the patient's history of sicknesses and his/her interactions with care providers by encryption of knowledge competent to assist clinicians determine about the patient's state, treatment options, and wellness activities (Sittig et. al., 2002). The repository also converts the position of decisions, actions ongoing for those decisions, and applicable information useful to perform those actions. As well, the database also produces information about the patient, including his/her genetic, environmental, and social contexts. Users of the System: Key users of this system and information produced by it are health care providers...
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...Patient-Centered Health Care Home Many people in the United States do not have access to high quality primary care. There is substantial evidence indicating that sufficient access to high quality primary care results in lower overall health care costs and lower use of higher cost services, such as specialists, emergency rooms, and inpatient care. A large amount of the nation’s dollars are spent on health care. This large budget affects providers, patients, employers, and payers such as Medicaid, Medicare, and private insurers. This is a primary concern in many states including, Minnesota. There are significant gaps in the quality of health care that patients in the United States receive. The current health care payment and delivery system is particularly poor at providing care for people with chronic conditions. As a result of these factors, policy makers debated over proposals that can actually be effective. Some of these proposals aimed for reducing cost, focusing on patient, and improving quality of care. An example of a proposal that focused on patient-centered care and increased quality of care is the creation and introduction of Patient-Centered Health Care Home (PCHCH), also known as “Medical Home.” The introduction of the PCHCH in Minnesota will increase patients’ accessibility to health care services, give them power to be involved in decisions regarding their care, have continuity of care with their physicians, prevent duplication of services, reduce health care cost, and...
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...CHAPTER 8 HEALTH SERVICE DELIVERY MODULE 8.1 Overview This chapter presents the health delivery module of the assessment. Section 8.1 defines health service delivery and its key components. Section 8.2 provides guidelines on preparing a profile of health service delivery for the country of interest, including instructions on how to customize the profile for country-specific aspects of the health delivery process. Section 8.3 presents the indicator-based assessment, including detailed descriptions of the indicators. Section 8.4 discusses how to summarize the findings and develop recommendations. 8.1.1 What Is Health Service Delivery? The World Health Organization (WHO) defines service delivery as the way inputs are combined to allow the delivery of a series of interventions or health actions (WHO 2001b). As noted in the World Health Report 2000, “the service provision function [of the health system] is the most familiar; the entire health system is often identified with just service delivery.” The report states that service provision, or service delivery is the chief function the health system needs to perform (WHO 2000). As such, Figure 8.1 (see also Chapter 1, Figure 1.1) shows the relationship between service delivery and the other modules of this health systems assessment and their relationship with health system objectives. Because of the limited time to conduct this assessment, more emphasis will be placed on personal health (as opposed to public health) services and service...
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...Patient-Centered Care Delivery Model, a Multidisciplinary Team Approach NR532 Healthcare Operational Planning and Management Patient-Centered Care Delivery Model, a Multidisciplinary Team Approach Increased emphasis from the Institute Of Medicine (IOM) and the Patient Protection and Affordable Care Act (PPACA) on improving quality, safety and reducing care cost has brought forth challenges among hospital executives (Cama, 2009). Nurse executives must develop low cost, innovative and effective ways to deliver patient care. The focus of this manuscript is to develop and implement a care delivery model emphasized in a patient-centered care delivery model using multidisciplinary team approach. Patient-centered Care Delivery Model According to the Institute of Health Improvement (IHI), “patient-centered family care is care through a patient’s experience that is coordinated, informed and grounded in respectful interactions with providers that are consistent with the patient’s values, expectations and care decisions” (Balik, 2011). Evidence-based practice has drastically increased this past decade with one of its cornerstones being “patient-centered care and nursing being at the frontline to lead this change. Professional nurses are prepared to effectively lead the healthcare team to achieve patient and organizational goals. Patients are unique in every facet of their needs and therefor multiple disciplines are critical to best deliver patient-centered outcome (Cama, 2009)...
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...main priority of health care delivery for every dollar spent” (Porter). The concept is valued by the customers in medical health care to determine the best qualities and solutions in the healthcare system. To implement value-based healthcare, transformation needs to become done by both health providers...
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...fifth teen health systems in the United States in 2013 for quality outcomes, patient care and efficiency by Truven Health Analytics (Banner Healthcare, 2013). This organization is headquartered in Phoenix, Arizona and also operates in six additional Western states such as Alaska, California, Colorado, Nebraska, Nevada and Wyoming. Banner Healthcare consists of twenty-four hospitals that employees 37,000 people nationally and 29,000 in Arizona alone (Banner Healthcare, 2014). Banner Healthcare stands firm and believes in their mission to make a difference in the communities’ lives by providing and focusing on the highest quality care and service. This organization provides high quality care through medical care and emergency services in addition to renowned cutting-edge research. A variety of specialty services such as organ transplant, high-order multiple births, pediatric care, cancer care, behavior health, and rehabilitation are also offered (Banner, 2013). Banner Healthcare Network has a strong allegiance to the community to provide affordable, high quality care. Banner Health is committed to making the right choices in healthcare because it will affect the future. BHN utilizes a multitude of teams that focus on the evidence-based practice as well as practice-based evidence to define, design, and implement clinical practices, polices, and standing orders that improve patient care (Banner, 2013). They have made a strong commitment and dedication to the health and well-being...
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...KENYA METHODIST UNIVERSITY SCHOOL OF MEDICINE AND HEALTH SCIENCES DEPARTMENT OF HEALTH SYSTEMS MANAGEMENT AND MEDICAL EDUCATION Name: Esbon Mwangi Gakuo Registration Number: HSM-3-3870-3/2014 COURSE TITLE: HEALTH SERVICES MANAGEMENT COURSE CODE: HSMG 517 Trimester III 2014 1. CONTINOUS ASSESSMENT TESTS ASSIGNMENT # 1 1. Identify a tier 2 health facility of your choice. 2. Based on the above facility, answer questions 1 to 6 of reading assignment 1 in the reader. Instructor: Susan Njuguna Date of Submission: 12th October 2014 1. Identify a tier 2 health facility of your choice. Name of Facility | Sub-County | County | Catchment Population | Gatugura Dispensary | Gichugu | Kirinyaga | 13,768 | 2. Based on the above facility, answer questions 1 to 6 of reading assignment 1 in the reader. Question 1 Why do we want an essential health package? What is it going to be used for? Who are expected to benefit? If we want currently under-served populations to benefit, are we being realistic that they will be able to access the new EHP? Question 2 How will we define it? Cost it? What work needs to be done? Who should be involved in its development? Question 3 What timeframe are we talking about in terms of achieving implementation? Question 4 Which providers are expected to implement the EHP? How will they be supported? What changes need to be made to budget allocations; training and distribution of health workers; medicines lists, reporting forms etc? Queston 5...
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...Evolving Practice of Nursing and Patient Care Delivery Models The Speech Hello, my fello nurses. Thank you for being here at the Summit of Nursing Evolution. My name is Chhay Yann-Ly and I am a nurse. We are living in an era where the United States (US) health care system is going through tremendous changes and challenges, with sky-rocketing health care costs, fragmented and poor quality of care, high volume of aging population, and passage of the Patient Protection and Affordable Care Act (PPACA) in 2010. A summary of the PPACA is basically to improve the health care delivery system, expand coverage, and control cost (Democratics Senate Gov/Reform, n. d.). With these changes, comes the evolutionary nursing professional transformation process. This speech is a crash course on the evolving practice of nursing and patient care delivery models. The goal of this speech is to discuss the continuity or continuum of care in relation to accountable care organizations, medical homes, and nurse-managed clinics health care models. Since nursing is the backbone of health care, all of these care delivery models require a robust nursing contribution for success (American Nurses Association (ANA), 2010). The first model is the accountable care organizations (ACO). ACOs is a “shared savings” with Medicare (part A & B). The ACO, according to the ANA (2010), is “a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility...
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...the public. Therefore, everyone at every level has a part to play in driving up standards of safe, effective, patient-centred care. The consistent delivery of safe, high quality care relies on contributions from a wide range of organisations, individuals and stakeholders. The Welsh Government’s, Achieving Excellence: The Quality Delivery Plan for the NHS in Wales (2012/2015) sets out their ambitions for achieving excellence in Welsh Healthcare by 2016. Their vision is for a quality driven NHS, focused on providing high quality care and excellent patient experience. These standards “are key to underpinning the vision, values, governance and accountability framework for the new NHS Wales” and are seen as a key tool, alongside the guidance from the 1000 Lives Quality Improvement Campaign and other initiatives in helping to drive up clinical quality and patient experience. The aim is been to map the quality standards more closely with service specific and professional standards and quality requirements such as the National Service Frameworks (NSF), National Institute for Clinical Excellence (NICE) and its Intelligent Targets so that there is potential for a common language across all health services. Healthcare Inspectorate Wales uses these standards to undertake a level of testing and validation each year with each Health Board, but the onus is on health board and services to demonstrate they are...
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... April 27, 2014 PROFESSIONAL DEVELOPMENT OF NURSING PROFESSIONALS In 1970, The National Academy of Sciences established the Institute of Medicine (IOM), a non-governmental, non-profit organization, developed to provide advice on the national level that addresses issues of medical care, education, and research. Through research, collected data, and nurse-led solutions, the IOM created an informative report in 2010 called The Future of Nursing: Leading Change, Advancing Health, which provides specific recommendations on the improvement of the nursing workforce and the healthcare delivery system. The report is directed towards various entities; individual policy makers, national state and government leaders, licensing bodies, educational institutions and consumer advocates, are just to name a few. Three particular recommendations, transforming education, transforming practice and transforming leadership, will be further discussed to display how each transformation will impact changes in the nursing profession and the health care delivery system. Transforming Education The first recommendation to be discussed that will impact change in the nursing profession and the health care delivery system is the transformation of education. The IOM report states that “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2010, p. 163). Several educational pathways have become available for...
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