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Coordination within health care organization
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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
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Physical health providers often focus on treating symptoms in an abrupt and fast pace style. On the other hand, behavioral health providers are more relaxed use open dialogue and focus on the emotional well-being of the patient. These cultural dynamics causes resistance in behavioral health staff’s acceptance and adjustment to provide integration services with the PCP. Reverse integration has unique challenges that range from system-level, clinician-level, member-level and payer level (Gleason, Truong, Biebel, Hobart, Kolodziej, …show more content…
Ervin, William and Merrick (2014) report that to address needed cultural change in support of fuller integration of care, healthcare provider education and training programs must include training of practitioners on the diverse, often-complex, and unique care needs of individuals receiving integration of care services. Training should include: (1) the benefits of integration of care to patients and healthcare workers. (2) how to increase collaboration and coordination of care between the behavioral and physical health teams. (3) how to engage behavioral health patients and refer to the primary care program or vice versa (4) how to measure patient outcomes using the principles of Triple
Integrated Managed Care Organization- The organization is properly aligned for the primary driver being cost cutting services. Since all entities within the organization are responsible and affected by any expenses endured on any entity being unfavorable or favorable, the foundation serves as a primary motivator to reduce costs at all levels. This alignment eliminates any financial gains from driving high utilization of services or higher intensity services within the organization. Ultimately, this system allows the physician medical group to drive patient care, being responsible for the clinical care decisions as opposed to health plan making those decisions as designed in other organizations. This is the preferable model for Medicaid
Engage with individuals and families member when providing services and implement trauma informed care principles.
Nirit Sharam and his wife, two kids, and elderly mother were looking to find a primary care physicians and community support to help with his child that had diabetes and his mother who had multiple health difficulties. They found a local hospital called Uniontown general hospital, The hospital operated Health and Wellness Centre that included both hospital run clinics and physician/specialist offices and a range of other health-related services (Case study in integration, 2014). The hospital Had different types of integration services such as vertical, clinical, and physician
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 changes to health policy and the re-organisation of the NHS in recent years which has led to improve integrated governance, has all developed as a result of the catastrophic failings that occurred in Mid-Staffordshire healthcare Trust. The Secretary of State for health, Andrew Lansley, announced a full public inquiry to parliament on the 9th June 2009 into the role of the commissioning, supervisory and regulatory bodies in the monitoring of Mid-Staffordshire Foundation Trust (Midstaff inquiry online, 2013). This inquiry was led by Robert Francis QC, who proposed recommendations to ensure that similar events do not repeat in future. The Francis report made 290 recommendations which included improved support for compassionate, caring and committed care, as well as stronger healthcare leadership (Health Foundation Online, 2014).
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.
First fundamental challenge is “aligning health care resources with patient’s needs” (Fiscella, 2011). The second challenge “relates to revitalization of primary care, particularly for underserved patients” (Fiscella, 2011).
Anderson, A. R., & O’Grady, E. T. (2009). The primary care nurse practitioner. In A. B. Hamric, J. A. Spross, & C. M. Hanson (Ed.), Advance practice nursing and integrative approach (4th ed., pp. 380-402). St. Louis MO: Saunders.
The demand of a constantly developing health service has required each professional to become highly specialised within their own field. Despite the focus for all professionals being on the delivery high quality care (Darzi, 2008); no one profession is able to deliver a complete, tailored package. This illustrates the importance of using inter-professional collaboration in delivering health care. Patient centric care is further highlighted in policies, emphasising the concept that treating the illness alone whilst ignoring sociological and psychological requirements on an individual is no longer acceptable. Kenny (2002) states that at the core of healthcare is an agreement amongst all the health professionals enabling them to evolve as the patient health requirements become more challenging but there are hurdles for these coalitions to be effective: for example the variation in culture of health divisions and hierarchy of roles. Here Hall (2005) illustrates this point by stating that physicians ignore the mundane problems of patients, and if they feel undervalued they do not fully participate with a multidisciplinary team.
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
From patients not wanting people of color to deliver care to them and patients from different religion having difficulties with the value of care. Healthcare organizations are working tremendously to develop cultural competence in it facilities. An article titled “Why Diversity matters in Health Care?”, defines cultural competence as “the ability of systems to provide care to patients with diverse values, beliefs and behaviors, including the tailoring of delivery to meet patients’ social, cultural and linguistic needs.” Diversity is one important aspect in the healthcare system because different people from different backgrounds, cultures and religions all seek care one or the other. Having this change in the healthcare system will really help deliver the quality of care to all patients. Strengths-based practices that will be effective in helping with healthcare diversity, will be to respect the differences of patients’ cultures and background. Also staffs have to be culturally sensitive about everything associated with the patients’ social identity too. Even with domestic violence that goes on among African American women, a patient who has been abuse can come into the hospital and staff must show respect and treat them as
The Integrated health care is an approach of interdisciplinary of collaboration and communication among health professionals. The characteristic is unique because of the sharing information which in the team members and related to patient care to establishment of treatment whether biological, psychological, and social needs. The interdisciplinary health care team includes a diverse and variety group of members (e.g., specialist, nurses, psychologists, social workers, and physical therapists), depending on the needs of the patient for the best treatment to the patient care.
New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America: Final report (DHHS Pub. No. SMA-03-3832). Rockville, MD: Author.
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
The program will aim to measure its performance and will assess for service capacity, flexibility and delivery of services. The clinic will provide client questionnaire cards after every consultation in order to better assess for client satisfaction. The client questionnaire will focus on quality of service, recommendations, and treatment satisfaction. The questionnaires will be reviewed weekly and be look upon as an important tool for client input and overall program improvement. Internally the team along with the supporting staff will conduct a self assessment by using the Behavioral Health Integration Capacity Assessment (BHICA) that is aim at measuring service delivery and will help evaluate the program’s ability to implement integrated