TOPIC: Care Coordination: A significant Hurdle Facing Healthcare Quality PURPOSE: This article reviews the current literature on care coordination. It highlights some of the barriers during care transition, solutions to some of the barriers, and influence of information technology on care coordination. SEARCH STRATEGIES: Multiple search engines such as CINAHL, Pubmed, Medline AND PsychInfo were searched using keywords such as, “care coordination”, “care coordination and information technology”. METHODOLOGY: Matrix method Introduction “The Agency for Healthcare Research and Quality defined care coordination as “the deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient’s …show more content…
Eight local hospital systems, a behavioral healthcare network, home healthcare providers, a lab, and over 1,400 physicians—Home health visiting nurses (HHVN's) clinical leaders participated in the project. The patient introduced the use of interactive video monitoring units and vital sign monitoring devices to at risk individuals with CHF. Application of telehealth played a significant role in the success of the project. Home diuretic protocol was developed and implemented. Finding revealed 10.5% decrease in hospital readmission rates, improve collaboration and care coordination among clinicians and others, health care leaders and, improved patient engagement, and improved patients’ ability to remain independent in their homes. It is evident that increased utilization of advance telehealth will enhance care coordination health care providers and improve health outcomes for patients. Another pilot project led by Sorocco, Bratkovich, Wingo, Qureshi, & Mason (2013) demonstrated that integration of Care Coordinated Home Telehealth (CCHT) and Home Based Primary Care (HBPC) are clinically beneficial to veterans with multiple health condition. Six veterans with comorbidities and their care givers were enrolled concurrently in both CCHT and HBPC. The project was coordinated by a psychologist on HBPC team tailored to enhance care coordination and health outcomes for veterans living with serious medical conditions and mental illnesses. CCHT provider provided home-based telehealth and telemental services through the use clinical technological video, and also reviewed vital signs and physical symptom daily. the LifeView system by American TeleCare was utilized due to its potential to allow for complete integration of CCHT and HBPC. Other technologies were used as well. In the event of any
The strategy implemented by Express Clinic was external search, finding information from one or more sources when an internal search inadequate. Patients rely on the internet to search for valuable information, and external information searches have increased including the development of rating services. How information is presented is vital for marketers, and they need to be involved in pretesting and presenting the
Leading up to the collapse of the Caregroup, a researcher on the CareGroup network started an experiment with a knowledge management system application. The software was designed to locate and automatically copy information across the network. The researcher left the software up and running in its initial configuration. The software hadn’t been tested for the environment and began copying data in large volumes from other computers. By the afternoon of November 13, 2002 (the day of the collapse) the software was moving large terabytes of data across the network.
The patient may need assistance caring for himself following discharge from the hospital. The daughter lives too far to assist her father on a daily basis. The case worker needs to determine how much the daughter is willing to assist her father during the transition. The daughter may be willing to become her father’s caregiver during the initial recovery period. She would also be a good support system by providing medication reminders, encouraging medication compliance, dietary restriction compliance and promoting positive health behaviors.
“Give me liberty or give me death” was a quote that was said by Patrick Henry. This political slogan we, Americans, use has a different meaning as when it was first said by Henry. It is still used today by many people from all different countries.
Collaboration is a complex process that requires intentional knowledge sharing and joint responsibility for patient care. Sometimes it occurs within long-term relationships between health professionals. Within long-term relationships, collaboration has a developmental trajectory that evolves over time as team members leave or join the group and/or organization structures change. On other occasions, collaboration between nurses and physicians may involve fleeting encounters in patient arenas (Lindeke PhD RN, CNP, & Sieckert, BAN,
Telemedicine can make specialty care more accessible to rural and medically underserved communities and can easily connect providers a...
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth benefits conclusively. This change in health care delivery presents new ethical concerns, and new relationship boundaries between health care professionals, patients, and family members. This paper will discuss telehealth benefits in specific patient populations, costs benefits of using telehealth, and concerns of using telehealth.
The purpose of telemedicine is to remove distance as a barrier to health care. While telehealth is an accepted resource to bridge the gap between local and global health care, integrating telehealth into existing health infrastructures presents a challenge for both governments and policy makers (HRSA, 2011). Today there are policy barriers that prevent the expansion of telehealth, including reimbursement issues raised by Medicare and private payers, state licensure, and liability and privacy concerns.
Bowles, K., Holland, D., & Horowitz, D. (2009). A comparison of in-person home care, home care with telephone contact and home care with telemonitoring for disease management. Journal of Telemedicine and Telecare, (15), 344-350. doi: 10.1258/jtt.2009.090118
Kirsebom, M., Wadensten, B., & Hedstrom, M. (2013). Communication and Coordination during transition of older persons between Nursing Homes and Hospital Still in Need of Improvement. Journal of Advanced Nursing, 69, 886—895. DOI: 10.1111/j.1365-2648.2012.06077.x.v
This definition provides a goal for teams to strive for and outlines the important outcomes of high quality interprofessional collaboration. Highlighted in this definition is the need for participation and on-going collaboration and communication among caregivers who are focused on provision of seamless care. According to the WHO Study Group on Interprofessional Education and Collaborative Practice, (2008), collaboration is “an active and on-going partnership, often between people from diverse backgrounds, who work together
Telepsychiatry has been used for many years and is highly regarded as an area where the use of telemedicine has been successful. It has been defined as “The delivery of healthcare and the exchange of healthcare information for purposes of providing psychiatric services across distances” (Woo...
Improving health is in the best interest of everyone, including non-health professionals. Health managers need to be constantly looking for ways to improve access to health care, the quality of the care, and cost containment. Often, the biggest barriers to accessing healthcare are cost and location. Lower income individuals just do not have the resources to have optimal healthcare, or cannot take the time away from employment to deal with health issues. One potential solution to help with these problems could be “telehealth.”
Clinical integration is needed to enable the coordination of patient care across conditions, providers, settings, and time in order to reach the care that is safe, timely, effective, efficient, equitable, and patient-focused. However, to achieve clinical integration, we need to encourage changes in provider culture, redesign payment methods and incentives, and update federal laws Also, clinical integration provides an opportunity to organize services through centralized scheduling, electronic health records, clinical pathways, management of chronic diseases, and innovative quality improvement programs (Harrison, 2016). Also, strategic planning is important in clinical integration because it outlines what is expected between the hospitals and physicians. Many healthcare facilities have limited resources, consequently, it is crucial to guarantee that capital spending needs and operating performance measures of physician’s strategies can be identified and calculated before a partnership is made. Also, clinically integrated care community needs good governance, where the goals and incentives of leadership and management are associated (Health, 2017). Furthermore, an important area to focus on is creating a physician-led culture of continuous quality improvement, using tools and technology to integrate information from different systems
...ions model, Parrinello (2012) described the process of implementing new guidelines to screen for metabolic syndrome in a suburban psychiatric day treatment hospital. Guided by Rogers' diffusion of innovations model, Schaumberg, Narayan, & Wright (2013), developed, implemented, and evaluated a new evidence based practice project, Advanced Practice Nurse (APN) Psychiatric Bridging Intervention. By successful implementation of APN, clients required only 30-minute for initial psychiatric evaluation appointments compared to the typical 60-minute appointment. Moreover, Peeters, de Veer, van der Hoek & Francke (2012) examined the applicability of four perceived attributes in Rogers' diffusion of innovations model, which may influence the adoption of home telecare by elderly or chronically ill people, relative advantage, compatibility, complexity and observability.