The American Medical Association (AMA) terms clinical integration as a method to synchronize patient care across multiple spectrums in to achieve the highest quality of care. Several physicians and health systems lack evocative networks and data exchange with other health care entities. Many office-based providers practice unaccompanied and may not have contact to colleague benchmarking and best practices, or apparatuses that can augment communication across locations and permit clinical amalgamations. Numerous hospitals are unable to implement clinical integration due to limited resources in swaying the conduct and choices of all staff involved in patient care. Patients receive care throughout the spectrum of the healthcare system and some of these facilities within the spectrum don’t have devices in place to track patient care across diverse …show more content…
Clinical integration is an unceasing method of orientation across the care gamut that provisions the triple aim of health care: improved quality of care; reduced cost of care; improved access to care. Clinical integration does not require the procurement of practices. Independent physicians that align with systems of providers perform a substantial part in clinically integrated care. Clinical integration stresses that providers uphold a more unvarying, high standard of care. Developments in health information technology (HIT) allow health care leaders to look to numerous types of HIT solutions to support the clinical integration model. Clinical integration is a solid basis for moving in the direction of new compensation representations that recompense providers for high-quality, high-value care. Additionally, clinical integration aids in dropping total costs by handling costs at the patient level instead of at the
With clinicians and CEHRT, the ONC plans to improve healthcare quality through interoperability (Office of the National Coordinator for Health Information Technology, n.d.) The ONC will promote more appropriate healthcare decisions in real-time, patient-centered care, and prevention of medical errors (Office of the National Coordinator for Health Information Technology, n.d.). The ONC’s goal is to reduce healthcare costs by addressing inefficiencies (Office of the National Coordinator for Health Information Technology,
Connecting and teaming up with other community interested parties allows the organization to support the financial and quality goals, and coordinate care across the board giving more efficient and quality care (McKesson, 2018). This could help bring occupancy and admission levels up along with maximizing technology’s value by connecting the dots to help reduce complexities and cost. As regulatory, financial, clinical and consumer pressures influence healthcare organizations to produce and provide more effective and efficient care, healthcare technology becomes even more
The Physician/Hospital alignment model is the teamwork between physicians and hospitals to achieve the common goal of providing quality care to patients (med synergies). Physician/hospital alignment opportunities have come into play more predominantly in recent years due to quality, financial, and regulatory aspects of healthcare reform. Physicians and hospitals are more motivated to align now because the new healthcare reform requires an improvement on key aspects such as quality, cost, and efficiency. Moreover, an increase in patient numbers, a decrease in reimbursements, and a shift among new physician goals and values have contributed to the drive for this alignment. Physician/hospital alignment can be characterized in the range of tactical to transformational. Tactical alignments can include joint ventures, co-management agreements, volunteer medical staff, etc.
The federal government has taken a stance to standardized care by creating incentive programs that are mandated under the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009. This act encourages healthcare providers and healthcare institutions to adopt Meaningful use in order to receive incentives from Medicare and Medicaid. Meaningful use is the adoption of a certified health record system that acquires or obtains specified objectives about a patient. The objectives or measures are considered gold standard practices with the EHR system. Examples of the measures include data entry of vital signs, demographics, allergies, entering medical orders, providing patients with electronic copies of their records, and many more pertinent information regarding the patient (Friedman et al, 2013, p.1560).
Health care information system (HCIS) is an arrangement of information (data), processes, people, and information technology that interact to collect, process, store, and provide as output the information needed to support the health care organization (Wager, Lee, Glaser, 2013, p. 105). Having ready access to timely, complete, accurate, legible, and relevant information is critical to health care organizations, providers, and the patients they serve (Wagerm Lee, & Glaser, 2013). In the health care industry, the quality of care is one of the most important objectives for most health care organizations. The growing developments in health information technology have a great impact on the delivery of health care and have changed the systems used to record and share information. It has the potential to improve the quality of care if it is appropriately used. Health care organizations routinely apply computers and other technologies to record and transfer health information such as diagnoses, prescriptions, and insurance information.
Trinity Health understands that there are potential, and likely, issues that may arise during the clinical integration process. Trinity Health has the “Seven Cs” on which they focus in order to manage the challenges brought about by changes surrounding integration. “Culture, consolidation, consistency, coordination, cost, collaboration, and consumerism” are the key components of Trinity Health’s efforts to disperse attempts to stall progression toward clinical integration (Swedish, 2012).
The ability of healthcare to provide patients with a well rounded care process that integrates various services and tracks them over time is becoming more crucial to patients as new approaches using alternative interventions and new technology become more available. The ambulatory care continuum consists of many disciplines including outpatient testing, outpatient surgery, home healthcare, physical therapy service, and more. Patients are gaining access to new information within the ambulatory care continuum and with the advent of e-health, it is important that providers give patients the opportunity to utilize all new methods of care that organizations may provide.
Care coordination within health care systems ensures the client of an effective and short stay. Care coordination refers to the coordination between and among professional teams that serve valuable roles involved in providing care to clients. Different disciplines of health care professionals include nursing, medicine, case management, pharmacy, nutrition, social work, and allied health professionals, such as speech therapists and physical therapists. They are found in all health care delivery systems and are extremely effective when the focus is strictly on the needs of the client. Interprofessional teams are valuable because each health care professional has specialized knowledge and skills so that health care plans are determined with patients’ best interests in mind. With the communication of ideas amongst the disciplines, their roles consequently complement one another in an age of exponentially growing information. This team process of care coordination can improve quality of care, enhance client satisfaction, and reduce hospital cost by decreasing length of stay; care coordination ensures the best possible outcomes (Koch, 2014, p. 436).
Each Company has designed their systems to improve health care processes, increase patient satisfaction and reduce health care costs. Systems such as these not only impact the patient but providers too, because if processes and systems are impaired patients are unable to make sound decisions regarding their health and providers have difficulty delivering the best health care possible without the help of Interactive Patient Systems (IPS).
Integrated systems reduce medical errors by improving the clarity. Behavioral health services providers benefit from a highly-customized
The clinical experience helped me with a deeper understanding of all facets of nursing care. I found it thought-provoking how information from patient’s questionnaires and open-ended interview techniques are used to build a teaching plan. In the past, I have used the information assembled from handouts for patient teaching. Today’s patient-centered teaching is taking education strategies and thinking outside the box to make sure patient learning is occurring. In the past, we didn’t consider whether the patient learned information taught. Open-ended questions and assessing the knowledge of illness those patients already know help educators convey the concepts and focus on knowledge that patient need to learn. Patient-centered teaching uses a holistic nursing approach to teach the learner. As an educator, I realize there are gaps of knowledge for what patients are taught and what patients learned. According to Bastable (2014), new evidence supports the roles of nursing educators in promoting patient-centered teaching (p.16). The patient–centered teaching approaches help fill these gaps in knowledge and educate patients to make sure learning is occurring.
Physicians, administrators, staff, and patients who are affiliated within the healthcare organization should understand the importance of interoperability by coming together to ease ...
Today, April 15, 2017, I concluded my fifth week in my rotation at Norton Women’s and Children’s Hospital. I became more familiar with the role of a child life specialist at Norton Women’s and Children’s Hospital, as well as gained independence in patient interactions with great opportunities for debriefing and self-reflection.
Thrasher, E. H., & Revels, M. A. (2012). The Role of Information Technology as a Complementary Resource in Healthcare Integrated Delivery Systems. Hospital Topics, 90(2), 23-32. doi:10.1080/00185868.2012.679908
Much can be learned from the experience of others; and, for that reason, I elected to review the implementation practices of three healthcare organizations. In 2006, Jefferson University Physicians (JUP) began the adoption of the Physician Quality Reporting System (PQRS), a pay-for-performance (P4P) initiative offered by the Centers for Medicare & Medicaid Services (CMS) (Berman et al., 2013). Since this project was one of the early attempts at integrating HIT, their analysis of the process provides an excellent example of traditional project management techniques. Similarly, the Minnesota Hospital Association (MHA) took part in a pilot project in 2007 to evaluate the benefits of creating a hybrid database of clinical and administrative data (Pine et al., 2012). However, this project involved an in-depth analysis of interoperability and, thereby, describes various IT management approaches. Lastly, the electronic health record (EHR) implementation process of Glide Health Services (GHS), a nurse-managed health center (NMHC), was selected to depict the value of including change management practices (Dennehy et al., 2011).