The Populations and Conditions or Diseases Targeted There are many types of health facilities in the state of Alabama such as community health centers, ambulatory care, and patient-centered medical home. The community health centers are non-profit medical facilities targeted towards every age-group whether they have insurance coverage or don't have insurance coverage. The main focus of the community health center is the health and wellness of the patients, without any limitations as per the medical condition (Caldas de Almeida, 2015). In contrast, also defined as outpatient care, the ambulatory care can be described as the medical care that is provided on an outpatient basis such as observation, diagnosis, consultation, intervention, treatment
A Community Health Needs Assessment (CHNA) was conducted in the city of Atlanta, Georgia, with the focus on mainly Dekalb and Fulton Counties. The CHNA was conducted to identify the needs and resources in the community with the input from the community members, key stakeholders, and the public health. The CHNA would be used as a guide for the community in its future community health projects.
Two potential barriers to the Patient-Family Centered Care model are time and patient/family expectations. Nursing is a demanding job that is known for it's fast paced and often hectic environment. While caring for several patients at a time, it might be difficult to make time to discuss and involve patients and their family in all aspects of their care. This could lead to the patient/family feeling left out or even lead to fear about why information if being kept from them. To address this barrier I will set aside time to spend with each of my patients solely dedicated to discussion about the care they are receiving as well as provide an opportunity to voice questions and concerns.
Components of the ACA that affect community health centers involve maintaining adequate funding and developing teaching health centers. Health centers located in states that do not expand Medicaid could face fiscal shortfalls. This might result in provision of adequate services to the community increasing
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
Home health services all types of patients who are homebound, confined to the home expect for infrequent or relatively short absences that require considerable and taxing effort. These patients are usually recovering, disabled, and chronically or terminally ill. In order for a patient to be considered for home health they will need a patient referral, which can come from a variety of services, such as hospital discharge planners, patients, patients’ physicians, insurance companies through their case management programs, PPOs, and HMOs. Home health care provide their patients with many different specialty services and they have home health aides who are provided by skilled nursing agencies to render these services.
Patient-Centered Care is a vital step for the underserved populations. In the clinical practice attention, and focus should be priority for these disadvantage patients. As a nurse educator, I should take a proactive role to to improve the health of America's underserved populations. participating in support group will enhance the care to serve the underserved population. In United states there is a disparity in the health of racial , ethnic groups, minorities, and African Americans. Most of the underserved population lives in underserved rural areas. These population lack access for health care, because their poverty, low income, and less access to transportations. Serving in shortage area is sacred mission for health care provider. Nursing role in the underserved areas has a dominant factor to reduce children mortality rate, and reduce elderly diseases. It is an opportunity to address all the barriers that prevent this special group for health care access. It is the real challenging for nurses to use the utmost knowledge, and explore new ideas that need further investigations.
African American senior citizens face a health care crisis too. They have worked all of their lives to secure retirement, but their retirement has been threatened because of the rising cost of long-term medical care. Insurance companies have failed to provide affordable long-term care, protection that most senior citizens need. This lack of long term care and affordability has been a serious problem for the health care system. In some cities, the shortage of hospital beds is so serious that it is common for patients to stay in emergency rooms before they can be admitted to an inpatient room (Drake 109). More than one thousand hospital beds are occupied by people who could be better care for in nursing homes or through home health care (Drake 110). Of the disabled elderly 1.3 million reside in nursing homes (Drake 10). These patients are unable to perform two or more of the basic activities of daily living without assistance.
The purpose of this paper is to discuss how Electronic Medical Records (EMR), affects healthcare delivery. I will discuss the positives and negatives this issue has on healthcare and how it effects the cost and quality for healthcare services. In addition, I will identify any potential trade-offs to cost or quality. Lastly, I will discuss how the EMR affects my job as well as any challenges or opportunities this issue presents.
This essay will explain what patient centred care is, how nurses use it in practice, the benefits of using it, and the barriers that need to be overcome to able to use it, and the key principles of patient centred care. It will explain how patient centred care enables nurses to communicate and engage with the patients in a more effective way, and how it helps understand the uniqueness of each patient, which helps professionals avoid ‘warehousing’ patients (treating them all the same). It will also demonstrate how this type of care can help maintain the dignity of patients when nurses carry out tasks such as personal care.
During the last decade, patient involvement in healthcare has been on the rise. Patients are expected to be involved in health care as health systems have developed influencing CQI (Sollecito & Johnson, 2013). Individuals started to question the power healthcare institutions had. Pomey, Hihat, Khalifa, and others (2015) say that patient engagement can be defined as involvement of patients, their families or representatives, in working actively with health professionals at various levels across the health care system to improve health. Patient involvement influences the health care system as a whole. When the patient becomes involved, it allows them to gain some level of control ultimately leading to better health outcomes and lower health
“Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter’s or sculptor’s work...” (Nightingale, 1868)
Integrating Health Care Delivery at The Michael R. Zent Health Care Center Aderonke Komolafe Arizona State University Integration of Care Integration of care is the collaboration of healthcare delivery between different medical disciplines. Within the context of this study, this definition focuses on integrating behavioral and physical health services for members with medical and mental health conditions. An integrated health care delivery system works to provide continuous, comprehensive primary and behavioral health care to reduce utilization, increase cost-savings and better health (Roby and Jones, 2016). It is also accountable, both clinically and fiscally, for the clinical outcomes and health status of the population or community
A wide variety of programs and services are implemented in order to meet the diverse local needs in a community. - These programs are delivered primarily by community agencies and sometimes through hospitals or health clinics. - Those most vulnerable in a community are often targeted the greatest by community-based health care organizations in order to meet their specific needs - Housing Services: Supported/subsidised housing such as group homes and other shared accommodations, visited often by housing workers for counseling and
Primary health care is the indispensable care based on the real – world, systematically sound, socially adequate technique and technology which made unanimously available to the families and every individuals in the community through their fully involvement where the community is capable to afford at a cost to uphold at every phase of their growth in the essence of self-reliance and self-government. Primary health care in international health is associated with the global conference held at Alma Ata in 1978; the conference that promoted the initiative health for all by the year 2000. “Primary health care defined broadly at Alma Ata emphasized universal health care across to all individuals and families , encouraged participation by community members in all aspects of health care planning and implementation and promoted the delivery of care that would be scientifically sound , technically effective , socially relevant and acceptable” (Janice E.Hitchcock,2003). Primary health care is commonly viewed as a level of care or as the entry point to the health care system for its client. It can also taken to mean a particular approach to care which is concerned with containing care, accessibility, community involvement and collaboration between other sectors. The primary health care policy has some principals that have been designed to work together and be implemented simultaneously to bring about a better health outcome for the entire society.
In both types of health care, the benefits are for the patient, their families and the community in general. Even when the acute health care is mostly focused on the patient as an individual, the fact that those services are there, and are accessible in case of an emergency need; brings peace of mind to all the member of the community. While, the public health provide care in the safety of patient’s home where the patients have a higher autonomy than in the hospital, where doctors, nurses and other medical professionals regularly make decisions they feel are in the best interest of the patient (Greenwood,