Patient Credentialing identifies people who have a certain diagnosis and have achieved certain levels of competency in understanding and managing their disease (Watson, Bluml, & Skoufalos, 2015). Patient Credentialing (PC) was developed to meet 3 core purposes: (1) enhance patient engagement by increasing personal accountability for health outcomes, (2) create a mass customization strategy for providers to deliver high-quality, patient centered collaborative care, and (3) provide payers with a foundation for properly aligning health benefit incentive (Watson et al., 2015). The goal is for patients to achieve a proficiency in managing their chronic conditions to promote chronic conditions competencies and self-management.
When we see patients, we must remember that we are not simply treating a disease. We are caring for people with lives, hobbies, jobs, families, and friends, who are likely in a very vulnerable position. We must ensure that we use the status of physicians to benefit patients first and foremost, and do what we promised to when we entered the profession: provide care and improve quality of life, and hopefully leave the world a little better than it was
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Ja Young, thank you for breaking down what the difference are between diagnostic, formative, and summative assessments that demonstrates mastery of nurse practitioner competencies. After reading your post, I also felt it is important to examine the mastery of “policy” through courses such as health policy, which we will be taking in our program. It is important for nurse practitioners to not only understand the changing policies regarding scope of practice, but also how to advocate and contribute to the development of health policies (Dzubur, 2015). As nurse practitioner students, we can increase our exposure to political changes to practice by joining organizations such as California Association of Nurse Practitioners (CANP) and attending events such as Lobby day.
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 merits of certifications in the health care field is a necessity. Certifications in the clinical laboratory aids with picking qualified candidates to handle certain conditions. A certification is a process that acknowledges, whether you have the competency with meeting predetermined standards in a specialized field. Many organizations determine the standards for certification in the healthcare field. MLT certifications standards are set and determined by a board called, American Society of Clinical Pathologist (ASCP). This board is the officiator of determining board standards throughout the country. Gaining the credentials from this board, declares that you meet the competency and the standards in the clinical laboratory. The only set
Patient-centered care recognizes the patient or designee as the source of control and full partner in
The person pursues healthcare service with great expectations such as quality health care, latest technological interventions and low cost for their service. Nowadays, one of the challenges facing by the health care providers is providing appropriate care and identifying their needs in a cost effective and comprehensive way without compromising the quality of care. Center for Medicare and Medicaid Services (CMS) reported “an rise in healthcare spending from $2.34 trillion in 2008 to $ 2.47 trillion in 2009, the largest one year increase since 1960” (Pickert, K, 2010). “The action to improve the American health care delivery system as a whole, in all of its quality dimensions such as efficiency, effectiveness, equitability, timeliness, patient-centeredness, and safety for all Americans” (IOM, 2011).
WHO (2005). Preparing a health care workforce for the 21st century. The Challenge of Chronic Conditions. World Health Organization, Non-communicable Diseases and Mental Health Cluster, Chronic Diseases and Health Promotion Department. http://www.who.int/chp/knowledge/publications/workforce_report.pdf?ua=1 [Accessed 1/4/2014]
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
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
We must be able to openly listen to our patients needs and communicate effectively in order to empower our patients. They need to know that we are listening, that we understand, and that we are going to provide them with the knowledge and information needed to make their own choices. We must first be empowered in order to help empower them. Constraints Empowering our patients can be very difficult when we are faced with institutional and professional constraints.... ...
This views all subordinates equally and recognizes individual values and strengths of all members. Creating an environment where patients are respected, well-informed and empowered acknowledges their needs and goals as paramount (Marquis & Huston, 2015). Personal persuasion and reward is usually used rather than coercive power to influence others in a healthcare setting to get tasks at hand completed.
PHRs are a type of record accessible to healthcare workers that contain health related information such a diagnoses (Curtis et al., 2011). The records effectively and efficiently organize patient information in order to help healthcare workers and the patient manage their health. Information found on PHRs helps healthcare professionals provide better care; they can relate how past and current conditions will affect client treatments, education and outcomes. In contrast to the States, Canadian institutions are slow to effectively utilizing PHRs primarily based on the belief that they are not considered crucial to client centered care (Curtis et al., 2011). PHRs sole purpose is often thought of as only keeping a record of all relevant health information; however, the primary purpose of the PHR is to improve clients’ health care outcomes (Ozok et al.,
These enhancement strategies are typically designed to improve organizational processes and make healthcare more efficient (Ginter et al., 2013). In addition, enhancement strategies may also “direct towards innovative management processes, speeding up the delivery of products of services”(Ginter et al., 2013). One such enhancement strategy is to maintain a health patient-provider relationship through professionalism. Professionalism is defined as “the ability to align personal and organizational conduct with ethical and professional standards that include a responsibility to the patient and community, and a commitment to lifelong learning and improvement” (Garman, Evans, Krause, & Anfossi, 2006). Given that there is a constant change in the working environment, especially due to rising consumerism and competition, it is important for the healthcare leaders to maintain an awareness of current practices (Garman et al., 2006). Also, maintain healthy relations with their fellow colleagues and participate in professional associations such as the American Health Care Association (AMCA) to stay proactive in their organizations (Garman et al., 2006). Additionally, both the delivering and receiving of constructive feedback is another hallmark of professionalism (Garman et al., 2006). This is a great strategy that could help our organization in educating their leaders, which can further bring
...ow using knowledge, empathic and reflective dimensions play such a huge role in ones job and I can associate it with my prior experiences now. I want patients to walk out my room feeling like I have made a positive change in their life, whether it is small or big. Responsibility comes with playing such an important role in other people’s lives and it is how I embrace this responsibility that will determine how I change the lives of others. Not only do I want a good relationship with my clients but also with my co-workers because I might be able to make a small difference in someone’s life, but it’s us Health Professionals working together that will make the greatest difference.