Furthermore, the National Quality Forum (NQF) and the National Priorities Partnership (NPP) and have developed best practices in order to align with the National Quality Strategy (NQS) (Nash et al., 2012). This is outlined in of 5 different areas; Health Care Home Practice Statement, Proactive care plan and follow up, Communication, Information Systems and Transitions (Nash et al., 2012). The Health Care Home practice statement states that the patient should be given the chance to choose the Home Health Care Home that gives the finest chances to grow their rapport with health care providers (Nash et al., 2012). The Proactive care plan and follow up states that health care providers ought to have prearranged and efficient structures, strategies
The author is a registered nurse care pathways coach at the Alabama Quality Assurance Foundation with responsibilities for decreasing avoidable hospitalizations in a local long-term care facility. He has 22 years of experience in the nursing profession, including psychiatric, medical surgical, and geriatric nursing. He has developed an interest in providing advanced nursing practice as a nurse practitioner using holistic approaches as he has matured as a nursing professional. His desire to improve access to primary health care and improve the quality of care for the poor and elderly is a decisive influence on his future as an advanced practice nurse.
As our health care system continues to evolve and become more focused on a preventive and coordinated approach to patient care, we too must progress and create programs that follow such principles. The Patient-Centered Medical Home (PCMH) model follows similar ideologies and recently has gained increasing support. The patient’s primary care physician, who will provide preventive and continuing care for the patient, directs this medical model. The PCMH model of care is comprised of a health care team working together to serve their patient and provide quality care.1 The model works to empower the patient by promoting communication with not only the physician but with the nursing staff, specialists, and other health care providers. Every patient
The quality of the home care must meet the essentials of the patients or service seekers. But it never means to fulfil the basic needs or requirements of the individuals who are seeking the service. On the other hand, if the home care is not able to meet the basic needs of the patients then this is important to analyse the certain reasons behind this (Janamian, et. al., 2014).
For this practice guideline, the original development panel of six members included; a Chief Nursing Officer, Charge Nurse, Clinical Nurse Specialist, Clinical Practice Facilitator, a Professor from a School of Nursing, and an Education Coordinator. The revision panel members included; a Chief of Nursing & Professional Practice, an Assistant Lecturer from York University, a Clinical Nurse Specialist, Clinical Practice Facilitator, a Nursing Professional Development Educator, an Internist/Geriatrici...
There is no place like home is a well-known adage that the healthcare industry has recently embraced as it enters in the early years of the 21st century. According to the Joint Commission, the home is the best place for healthcare, and it has proven to benefit the patients in many ways, because the cost of care is lower, the patients are happier and the environment is friendlier (Dilwali, 2013). CMS defines home care as “prescribed services delivered in the patient’s home such as nursing care; physical, occupational and speech language therapy; and medical social services” (Dilwali, 2013, p. 269). Home care includes disease prevention, health promotion and illness related services (Stanhope & Lancaster, 2014). The goal of home care is to ensure that the client’s health improves while increasing the individual’s independence. This
As a leader in health care, the leadership should encourage and inspire their staff, become involved and engages, and constantly push quality improvement. Supporters of the quality advantage and quality improvement ought to be within the healthcare organization, teams, and leadership roles. It’s also important to incorporate safety and enhancement that rewards for improvement and pushes to enhance quality. Quality improvement teams should include the most suitable shareholders. Multidisciplinary teams, tactics, and plans should be developed because these are very crucial to quality improvement. Leaders should use clear and precise representations, examples, and terminology when communicating with others. Evidence- based practice can also
The Potter article, The Strategy The Will Fix Health, lays out a strategic value agenda for high quality healthcare. This value agenda has six interconnected components. First, organize into integrated practice units. The leaders at Cleveland clinic and ThedaCare consolidated hospitals, outpatient clinics and Cosgove went further to integration care coordination through establishing disease focused Institutes. Second, measure outcomes and costs for every patient At the Cleveland Clinic the Institutes defined and developed shared outcome measures. Dr. Cosgrove saw patient outcomes as “the ultimate measure of quality.” He wanted outcomes to be reported internally as well as externally. Outcomes were also compared to available benchmarks. ThedaCare
HealthSouth is one of the nation’s largest providers of post-acute healthcare services in the United States operating 123 hospitals in 36 states. HealthSouth is a leader in inpatient rehabilitation, managing patients who have suffered strokes, head injuries, fractures, or succumbed to a debilitating illness that changed their functional abilities. HealthSouth recently purchased Encompass Home Health in order to provide further care at the bedside to keep patients at home after discharge. HealthSouth headquarters is based in Birmingham, Alabama, and was founded in 1984. The entire company employs over 27,000 people with revenues over 3.2 billion dollars.
The publication from the institute of medicine has garnered much interest since its publication in 2010 focusing on the future of nursing and the implementation of this with in the nursing community. The nursing profession has over 3 million members and is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 IOM (Institute of Medicine). One of the recommendations is that of a nurse residency program for new nurses or nurses transitioning into new clinical practice areas. The area I work in is home health and this is a growth area the need for a residency program cannot be over stated home health is not the
Our nation’s healthcare system requires constant monitoring for quality and innovations and guidelines for increasing the quality of care. This process is difficult and complex and requires many separate organizations with differing approaches and objectives in order to be effective. Fortunately, there are many such organizations that strive to continuously increase the health care standards and practices in our nation. They also assist the consumer in making educated decisions on which medical facilities will best suit their needs. Reviewing a few of these quality improvement organizations and the roles they play will increase our understanding of their roles within our nation’s healthcare system.
Step three involves developing a care plan that will include all cultural factors involving the patient’s care. Step four is implementation of the care plan by the healthcare team and those involved with the patient’s care. Step five is the last step and evaluates the care plan to make sure that the quality of care is acceptable and is based on scientific evidence and best practices. If there are any changes or adjustments that need to be made to the patient’s care, modifications will be made to the care plan and these steps should be repeated (Andrews & Boyle, 2016).
Reflecting on my home visit experience, I have realized that although it was not completely intentional and planned, each phase of the nursing process was present as the interviews progressed. The initial visit mainly consisted of the assessment phase because it was the first contact with my client and there was a lot of information to discover. This time allowed me to determine objective and subjective data, which includes the concerns my client had about falls, as well as additional information that was shared. The assessment phase continued into the second home visit in hopes of collecting additional data that would help to develop a nursing diagnosis (Potter, Boxerman, Wolf, Marshall, Grayson, Sledge & Evanoff, 2004). Near the end of the first home visit, my client and I collaborated on a health goal of fall prevention, which can also be referred to as the nursing diagnosis. The next step, which is planning, took place within part of the first home visit. I observed the client and her available resources, coming up with ideas on how this goal could be achieved, such as registering for some exercise classes (see home visit #2 plan in Appendix A for more specific suggestions). The implementation phase began in the second home visit when I provided my client with the fall prevention pamphlets and presented my suggestions (see Appendix C for pamphlets and all health information provided to client). This phase continued into the final home visit as a follow up on subjects she requested to know more about (see home visit #3 plan in Appendix A). I did not get the opportunity to complete the evaluation phase, as we didn’t have the time for a full-length final visit. A hypothetical situation of my final home visit would be to foll...
The current practice of nursing is expected to evolve as the ways in which patient care is delivered continues to develop. The Patient Protection and Affordable Care Act (PPACA) has inspired new models of care that improve accessibility, continuity of care, cost efficiencies, and the accountability of health care systems. Concepts, such as Accountable Care Organizations (ACOs), Primary Care Medical Homes (PCMH), and Nurse-Managed Health Clinics (NHMC) are necessary to support the initiatives of health care reform, which includes developing methods of advancing approaches in the continuum of care to improve patient outcomes. Considering recent initiatives, it is crucial that the role of registered nurses evolves to meet the changing demands
As a registered nurse, I endeavour to provide patient centered care. I am currently working as a registered nurse at Churches of Christ Care Clive Burdeu Aged Care Services. I am experienced in administering medication, taking patient measurements, basic wound management, educate residents on medication and total wellness care, and conduct their daily activities with dignity and comfort. My time as a nurse has taught me to be adaptable and resourceful and I have the ability to take initiative and supervise others. I am also familiar with electronic documentation such as ICARE and Autumncare software to update or access residents’ database. During this time, I have been recognized as a dedicated and reliable person who has the ability to provide high quality of care.
The Omaha System is a research based, comprehensive practice and documentation standardized classification designed to describe client care. Designed to enhance clinical practice, documentation, and information management. Intended for the continuum of care for individuals, families and communities including all ages, geographic locations, social economic status, spiritual belief and cultural values. The Omaha System start in the 1970s when the Visiting Nurse Association of Omaha began reviewing their home health and public health client records and developing a problem oriented approach. The goal of The Omaha System is to provide a useful guide for practice, a method for documentation, and a framework for information management. Envisioned