Changes are in the works for EMS as we know it today. Mobile Integrated Healthcare is the future of EMS and will require new management styles and operating procedures. The concept of Mobile Integrated Healthcare evolved from a vision in the EMS agenda for the future. The agenda describes EMS becoming community-based and fully integrated with the overall health care system. The agenda also described that EMS of the future would have the ability to not only provide acute illness and injury care, but also identify health risks, provide follow-up care, provide treatment of chronic conditions, and community health monitoring. Several services in recent years began undertaking the task of creating and implementing a model to accomplish these goals. MedStar in Fort Worth, Texas began an experimental program and has seen excellent results. Their program initially focused on frequent callers and grew to working with hospitals preventing readmissions and treating and monitoring chronic high risk patients in their homes.
Development of Mobile Integrated Healthcare is organic at this point. The program gives vision for the future but is vague in application and practice. The local programs in place now are responding based on need in the community. Each program I researched is operating with different goals and protocols. The one goal all the programs have is to eliminate unnecessary transports to emergency rooms. The purposes of Mobile Integrated Healthcare programs are to fill in gaps in today’s health care system. The Mobile Integrated Healthcare program reduces unnecessary ambulance transports, reduces hospital readmissions, evaluates home hazards, pairs patients with primary care physicians, and monitors patients with chronic medical c...
... middle of paper ...
...
Planned change is needed to be designed and implemented in an orderly and timely manner for a successful transition to the EMS of the future. Reactive change later is harder on the organization. This huge of a change put together in a hurry will have a multitude of problems.
Perhaps the biggest challenge in managing change within the organization is employee resistance to the change. (2) Keith R. Dutton, M.S. an instructor of organizational development manager at Illinois State University says “Change usually brings about the “10/80/10” rule: 10% of employees will actively embrace the change, 80% will be fence-sitters, and 10% will actively fight it. Your job is to recognize this and understand it. The 10% against the change will have the influence and ability to negatively infect the 80%. As such, you need to focus your efforts on influencing the negative 10%”
...ward understanding the cost benefit of telemedicine applications. Hospital Topics: Research and Perspectives on Healthcare
Change affects more than just a program or a process within an organization, change affects employees, collecting data on employee’s readiness and willingness to accept a change will help leaders know if the organization is socially ready for change (Cole, Harris, and Bernerth, 2006). A change might be positive for an organization but if the employees who will be affect by the change are lost in the process then it could create a greater issue than not making the change. Leadership needs to communicate and inspire the employees to be positive toward the change, seeking to enhance their job satisfaction not make changes that will increase their desire to leave. This data is best collected early in the change initiative allowing leadership to properly cast the vision while addressing concerns. This requires leadership to create platforms for employees to engage in the change initiative freely (Ford, 2006). Employee attitudes can be measured through these dialogues providing leadership with necessary measureable data (Hughes, 2007).
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.
“Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status” (American Telemedicine Association, 2013). Telemedicine is the use of technology such as email, mobile devices, and computers to communicate health information (Mayoclinic.com, 2014). Telemedicine has enabled the use of communication technologies by healthcare professionals for the evaluation, diagnose, and the treatment of patients in rural areas (GlobalMed.com, 2014). Telemedicine is used in a variety of health care services like primary care, patients monitoring, health information sharing, health education (America Telemedicine Association, 2013). These services are delivered using various mechanisms such as video conferencing, personal health apps, e-visits (Mayoclinic.com, 2014). These technologies have been proven to increase access, to be cost efficient, to improve quality, and intensify patients’ satisfaction according to the America Telemedicine Association.
There are numerous MMCs (Mobile Medical Clinics) supporting CHF, which dedicate themselves for delivering services in areas such as medical, mental health, dental care. “Many of them are serving since the inception of the foundation, while some...
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.” Telehealth allows a lower level healthcare practitioner to communicate with a physician or specialists when necessary. Remote rural areas use a Physician Assistant or a Nurse Practitioner on location in remote areas. When procedures call for a physician, an internet or satellite link provides a teleconference with a physician who can prescribe appropriate treatment (Gangon, Duplantie, Fortin & Landry 2006). This could be implemented in lower income urban areas, allowing free clinics to lower costs, and require fewer physicians.
During this course, I have learned that no matter how simple or basic a change may appear to be it requires planning from of every aspect. Someone once said if you don’t prepare, be prepared to fail. This has been a life lesson because one of my shortcomings as a leader is that I tend to not do in-depth planning and just forge ahead; this has caused failures in my past.
In conclusion use of new technology has immense effect on the U.S health care system delivery. It enables services at primary prevention level, advanced secondary treatment strategies and qualitative tertiary rehabilitation services. These technologies support successful implementation of
These clinical staff will make house calls to United Healthcare clients secured by Medicare who face perpetual, and conceivably costly, conditions, for example, diabetes or congestive heart failure (Triad Business Journal, 2013). It 's a speculation United Healthcare trusts enhances tolerant health through more financially savvy, higher-quality care, and thus, helps the organization 's main concern (Triad Business Journal, 2013). It is expected that the House Calls system will be looking after 75,000 Medicare patients before the current years over (Triad Business Journal, 2013). United Healthcare right now covers around 250,000 seniors in the state with its Medicare Advantage items. Moreover with the strategic plan to hire more nurses and healthcare providers, such as in home visits offer the opportunity to assess the patient’s medication regimens, offer routine physical evaluations and react to any healthcare demands (Triad Business Journal, 2013). United Healthcare plans and suppliers envision such normal, preventive care will take off emergency room office visits or healthcare facility stays for more genuine, and costly, problems in the future (Triad Business Journal,
As mobile medical clinics can’t always have the availability to treat all those in need. Medical facilities are becoming more widespread over places and now making mobile medical clinics obsolete. I feel that there still is a need for mobile medical as even though there are medical facilities available, transportation is not always possible for some people to use these facilities. Concentration on the technology and offering the best possible care should be the main focus rather than worrying about a particular combination of conditions that could emerge that would render the MMCs obsolete. This focus would encourage the expansion of the mobile medical
Prevention of resistance is most effective when implementing change. Preventing the weight of inertia in a workplace allows the change to happen in a timely manner with minimal problems. As Lee (2004) emphasizes, leaders have the ability to effect change and performance. If someone is accountable for outcomes and poor habits, outcomes will improve. The manager must show a caring attitude over the process of change and welcome any positive innovation. This caring attitude will become contagious to the employees working under him and become a priority to them as well. Approaching the change in an accepting, open-minded manner can decrease the vulnerability and frustration associated with change. How the change is presented can make the biggest difference in the outcome of the change. The manager must show that blaming will be avoided at all costs. One will only ask why, not who, to avoid the feeling of belittlement. This can allow employees to become comfortable with voicing their opinions and mistakes, which can allow an even greater range of improvement. The manager must also encourage...
ED volumes are not the prime element of overcrowding, ED overcrowding as a condition in which the identified need for emergency services exceeds available resources in the ED, and this situation happens in hospital EDs when there are more patients coming to the Ed than staffed, treatment beds and waiting times outstrip a reasonable period (Barish, Mcgauly & Arnold, 2012). Mobile health (mHealth) is described as the use of mobile and wireless technologies for many health purposes (Ventola, 2014). Researchers and representatives consider mHealth has the ability to enhance health care delivery and outcomes, offer a platform for customized medicine, and support patients in disease management (Ventola,
The change process within any organization can prove to be difficult and very stressful, not only for the employees but also for the management team. Hayes (2014), highlights seven core activities that must take place in order for change to be effective: recognizing the need for change, diagnosing the change and formulating a future state, planning the desired change, implementing the strategies, sustaining the implemented change, managing all those involved and learning from the change. Individually, these steps are comprised of key actions and decisions that must be properly addressed in order to move on to the next step. This paper is going to examine how change managers manage the implementation of change and strategies used
The world is constantly changing in many different ways. Whether it is technological or cultural change is present and inevitable. Organizations are not exempt from change. As a matter of fact, organizations have to change with the world and society in order to be successful. Organizations have to constantly incorporate change in order to have a competitive advantage and satisfy their customers. Organizations use change in order to learn and grow. However, change is not something that can happen in an organization overnight. It has to be thought through and planned. The General Model of Planned Change focuses on what processes are used by the organization to implement change. In the General Model of Planned Change, four steps are used in order to complete the process of change. Entering and Contracting, Diagnosing, Planning and Implementing, and Evaluating and Institutionalizing are the four steps used in order to complete the process of change in an organization. The diagnostic process is one of the most important activities in OD(Cummings, 2009, p. 30).
Tele-health is applicable for communication with and monitoring of patients beyond the hospital setting. Furthermore, it also had an impact on health care use by redu...