...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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...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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...Multidisciplinary Teams In Health Care Martinez, Juan Grand Canyon University: UNV 515 December 16, 2015 Multidisciplinary Teams In Health Care Hospitals are integrating a variation of team-based health care delivery concepts for staff working in intensive care units, emergency rooms, and operating rooms. Team-based health care delivery often referred to as multidisciplinary teams, improve communication between different levels of healthcare workers. According to Epstein (2014), multidisciplinary teams are responsible for improvements in patient outcomes, improved patient and employee satisfaction, and most importantly a decrease in adverse events (AE). Case Description Peter, a 24 year-old male involved in a traffic collision has suffered internal bleeding due to liver trauma and is in need of a surgery and a blood transfusion. Past medical history includes asthma, diabetes, and a significant drinking problem that started at a very young age. It is important to note that the patient is a Jehovah’s Witness and his mother raised him without a father figure. Health Care Delivery Team The multidisciplinary team delivering care to the patient include: the paramedics that arrived at the scene of the accident, extracted the patient from the car, and transported the patient to the emergency department, the registered respiratory therapist that assisted in intubating the patient and was appointed to make sure the patient had ample respirations...
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...Maine Medical Center 2008 Davies Organizational Award Minerva Ndikum Medical Informatics 6208 DE PhD Philip Aspden This paper compares and contrasts eight different views of two winners of Davies enterprise award. The HIMSS Nicholas E. Davies award recognizes excellence in the implementation and use of health information technology, specifically electronic health records (EHRs), for healthcare organizations, private practices, public health systems, and community health organizations. The Award honors Dr. Nicholas E. Davies, an Atlanta-based practicing physician, president-elect of the American College of Physicians, and a member of the Institute of Medicine Committee on Improving the Patient Record, who died in 1991 in a plane crash. This paper will compare and contrast the eight difference, the process by which each organization decided to implement an EHR, the goals of each implementation, the governance process for planning and implementation and how stakeholders were involved in each case, the functionality that was implemented in each case, including clinical decision support tools and data sharing with external organizations, how security and data integrity issues were addressed in each case, how user satisfaction with the implementation in each case was addressed and give the results, and how each implementation’s success in meeting the original goals of Sentara healthcare system who won the award in 2010 and Eastern Maine Medical Center...
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... One of the most common type of vascular dementia is the Multi-infarct dementia which is caused by minor strokes or (which sometimes are called “mini strokes” or silent strokes”) that at times could go unnoticed. Unlike Alzheimer's disease, there are no licensed treatments for vascular dementia (O’Brien and Thomas, 2015) Multi-infarct dementia is more common in older men than women around the ages of 60 to 75 years old. Vascular dementia is really rare in anyone younger than 65. Global, 48.5 million people have dementia, about 70% of that is Alzheimer’s and around 10% are vascular dementia, there are 7.7 million new cases every year. This case study looks further into Vascular Dementia and the people who have them and shows how a great care system and collaboration can help the patient. A case study will be conducted for the patient while using a long term nursing home. Case Description Tania Joseph, female, age 78, was recently checked into a long term nursing home. Tania was healthy until a year ago, which was when Tania was involved in a terrible car accident and had a concussion but after a couple of days was told that she would recover nicely. A couple of days later she had a serious of strokes...
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...issue affect nursing practice, healthcare delivery and health outcomes for individual, families and/or communities? · What are the values and the ethical positions that underpin my perspectives? · What criteria will I use to evaluate the success (outcomes) of my proposed policy change? I will use both, a top-down and bottom-up approach, in order to analyze and bring the nursing perspective to policy makers and stakeholders. By identifying the values and ethical perspectives that underpin my position, I will develop criteria to evaluate the success of my work which will lead to the creation of a policy brief that can be sent to decision makers and create a plan to work with an organization/community to promote policy change at the local level. Nursing research to support my position is vital in guiding me to my conclusion and will include principles of community based participatory research (CBPR). Keywords/Terminology: · Top-down approach – one in which a person or regulatory agency (an authority) sets a policy and expects compliance – this is an authoritarian approach and involves a series of steps, which is considered a step-wise approach. This approach requires one to think about what steps are needed for implementation;...
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...different people within the same medical facility, resulting in overlapping coverage. A customer would contact a Hill-Rom sales representative who would try to locate the appropriate service or support resource. 2. How did Hill Rom segment their customers before the reorganization? Hill-Rom’s segmentation strategy was based on the size of the health care facility, depending on attributes such as number of staffed beds and medical care specialties. For example, the more beds a hospital had and the more services it offered, the greater the likelihood that capital funding would be set aside on a regular basis to replace or acquire equipment. 3. What disconnect did the project team discover in sales resource allocation? The project team found Hill-Rom’s sales approach based on facility size alone to be problematic. While the size of the facility was indeed important, it was not useful for discerning patters of purchasing behavior or for understanding customer needs, which could be quite heterogeneous. Less obvious characteristics such as customer’s capital spending, profit margins, occupancy rate and facility’s mix of insurance payers also affected purchase behavior. 4. How did they segment their customers as a result of their study? Based on the characteristics in (3), Hill-Rom segmented its customers into eight segments and divided these segments in two groups: Key and Prime customers. Key customers had higher capital expenditures on medical products. They not only bought...
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...the situation in which a correct ethical decision must be made and the different outcomes of such decisions. In this essay, the main topics to be covered will be the appropriate approach to making an ethical decision, potential courses of action and their potential consequences. After reading this paper, the reader will have a more extensive knowledge in ethical decision-making and a stronger opinion in the case. In this case study, George and his partners who own and operate a chain of rehabilitation centers become minority owners of a hockey team. During one of the most important games of the season, the star player gets checked into the boards and sustains a head injury. After 15 minutes, the player’s mental status begins to improve. Although he still couldn’t remember the details of his injury or the time immediately preceding it, his motor coordination was better. George and the team physician decided to let the player return to the game under close observation. The ethical decision that must be made is this: Would the athlete be allowed to go back to play after sustaining a head injury? The types of ethical issues presented in the case are: Autonomy, Beneficence, Non-Malfeasance and most importantly fidelity. Because these various stakeholders often have different interests and goals, health care professionals are often conflicted about the proper course of treatment for an injured athlete. Conflicts of interest are common in these situations. In this case, the fact that...
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...and Daniel Tomlinson The Mayo Clinic ABSTRACT For many decades, Mayo Clinic has been ranked as one of the top medical institutions in the world. The entire health care industry has been experiencing immense challenges. Given the current and historic success of Mayo, what does Mayo need to do from an HR perspective to maintain this standard of excellence? This case identifies the strategies used by Mayo to achieve excellence in employee and patient satisfaction. The case describes how this complex service organization fosters a culture that exceeds customer expectations and earns deep loyalty from both customers and employees. The role of HR is analyzed to explain how strategic HRM enables the organization to achieve its strategic business objectives. INTRODUCTION Mayo Clinic is the first and largest integrated, not-for-profit group practice in the world. Doctors of every medical specialty work together to care for patients, joined by common systems and a philosophy that "the needs of the patient come first." More than 3,300 physicians, scientists and researchers and 46,000 allied health staff work at Mayo Clinic, which has sites in Rochester, Minnesota, Jacksonville, Florida, and Scottsdale/Phoenix, Arizona. For many decades, Mayo Clinic has been ranked as one of the top medical institutions in the world. Over the past few years, the entire health care industry has been experiencing immense challenges. Mayo is not immune to these challenges and faces the risk of losing...
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...environment of mutual respect and consideration. Cross cultural communication can enhance patient-provider relationships and improve quality of care outcomes. Cultural unfamiliarity hinders autonomy of the patient and threatens an optimum level of care health care professionals are sworn to strive towards. Language barriers and mediated conversations hinder communication and foster an environment filled with confusion and apprehension. This essay reviews a scenario featuring a health care team’s disregard for communication barriers and its impact on an Iranian man diagnosed with cancer. Recommendations are offered on traditional American College of Healthcare Executives (ACHE) approaches to cross cultural medicine as they apply to this scenario. The ultimate objective is for health care providers and administrators to be aware of the possible impacts elicited by the lack of attention to language barriers and to provide approaches to combat these obstructions of quality health care. Keywords: cross-cultural medicine, cultural miscommunication, cultural awareness Lost in Translation Hospitals in the United States are not restricted to serving a single language population or culture. Many medical professionals consider cultural barriers a hindrance and do not make time to familiarize themselves with other cultures before providing care. This unawareness results in ethical dilemmas that question autonomy of the patient and does not promote beneficence. First, this essay examines...
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...Organizational Change Plan 09/08/2014 Marnelle Paul HCS 587 Professor: Virginia Weatherston Many health care organizations in New York, including Long Island are moving toward the continued growth of improved documentations and communication. It is a big change of moving from paper-based nursing documentation to Electronic Medical Record (EMR) as required by the department of Health law that documentation of nursing intervention be done appropriately, and the care given be evaluated accordingly to improve the quality of care that nurses are rendered. This proposed change that is selected is designed for a long term care facility in Syosset, Long Island, with the vision to maintain excellence in care. The need in this health care facility for the change will be examined as well as the organizational and individual barriers to the change. Even though there are factors that might influence the change, there are also factors that will influence the organizational readiness for the change. The success of the changed will depend on the right theoretical model approach, and the right availability of internal and external resources. This new change will allow other providers to have access to the medical records without having to fax or mail them which may delay care. When a patient requires more intensive care such as cardiac distress that requires a transfer to a more skilled facility, the EMS transporter must wait for all the paper work to be done, including...
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...January 23, 2012 Table of Contents Authors.......................................................................................................................................... 3 Acknowledgments ......................................................................................................................... 4 Executive Summary ...................................................................................................................... 5 Provider Survey ......................................................................................................................... 6 Standards of Care Economic Model .......................................................................................... 7 Recommendations .................................................................................................................... 8 Care Management ................................................................................................................................ 8 Payment Reform ................................................................................................................................... 9 Workforce Supply ............................................................................................................................... 10 Background and Role of the Diabetes Working Group ............................................................... 12 Background ......................................................
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...The Significance of Having a Multidisciplinary Team 3 Abstract The growing prevalence and hospital acquired pressure ulcers is an immediate concern. The major challenge is the A major challenge is the lack of knowledge and skills in wound identification, management, treatment and prevention. This, along with other factors, creates poor patient care and vast costs to the pertinent facilities. The solution is to have interprofessional collaboration. The utilization of current advanced practice nursing staff as a resource for floor nurses and other involved healthcare workers is a must. This would obtain certification in wound care and be responsible for the ongoing continued education for wound prevention, monitoring and maintenance. The staff will be educated and trained at quarterly intervals on wound identification, staging, prevention, maintenance and monitoring. Key words: wound care, evaluation, pressure ulcers, multidisciplinary, specialist, evidence The Significance of Having a Multidisciplinary Team 4 Problem Identified The Centers for Medicare & Medicaid Services (CMS) declared in October of 2008 that it will no longer provide reimbursement for hospital acquired pressure ulcers (HAPUs) because it is a preventable occurrence (CMS, 2014). Even though the percentages of occurrences have declined since then, HAPUs continue to cause financial strain on institutions (estimated $9.1- $11.6 billion dollars loss annually)...
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...1. How was the Hill Rom sales force organized prior to the reorganization? Multiple-specialty sales forces called on different people within the same medical facility, selling individual products without communicating a big-picture approach. 2. How did Hill Rom segment their customers before the reorganization? Before the reorganization, Hill Rom segmented their customers essentially based on the size of the health care facility, determined by attributes like the number of staffed beds and medical care specialties. Also, Hill Rom considered other characteristics which included financial metrics such as the customer’s capital spending and profit margins, operating metrics such as occupancy rate, and even a facility’s mix of insurance payers. 3. What disconnect did the project team discover in sales resource allocation? A time and cost analysis revealed that the company was making a significant effort to sell to and serve both Key and Prime customers segments in the same manner, resulting in high overall sales costs. Salespeople typically were expected to cover all facilities in a given geography and felt compelled to make regular calls on each account. So some sales teams were taking a highly consultative approach when the account’s profile and purchase behavior warranted another approach. The cost of sales for prime customers was four to five times higher than it was for key customers. The sales force had basically been treating all customers the same way and trying...
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