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Patient clinician communication 7 principles
Effective communication in healthcare setting
Effective communication in healthcare setting
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psychiatrist must be credentialed at each facility that they provide service at and if the psychiatrist is across a state line, they must be licensed in both states, which is time consuming and costly.
After telepsychiatry was implemented into the respondent’s Emergency Department and physicians and nurses were in constant contact with a mental health professional, and became accustomed to its use, they began to get a greater understanding of the issues facing a mental health patient. Subsequently, the use of telepsychiatry decreased over time. The decrease in use of telepsychiatry, decreased the costs incurred by the facilities because many insurances do not cover telepsychiatry.
This lack of insurance coverage for telepsychiatry could be
Thathamkulam led the initiative to revise and wrote Telecare’s Computer Downtime Policy (Memorandum 118-Tele-015). He has further contributed to minimizing costs to the Houston MEDVAMC, as he has developed documentation protocols to ensure quality documentation for SI/HI callers who called from the After Hour off Site Call Centers. He served as a preceptor to new RN staff, he emphasized the importance of RNs including the Financial Disclaimer in all symptom calls received to help control cost due to negligence by failure to inform Veterans in regards to the disclaimer and failure to address the disclaimer in documentation. As a chair person in one of the Performance Improvement projects for Abandonment Rate Committee, he identified that the Telecare unit was experiencing a high rate (36.7%) of caller abandonment according to 2014 abandonment rate data. This was a problem that had been occurring for the last few years. In collaboration with Pharmacy team, IT team and mental health team, he decided to cut short the documentation policy for Telecare nurses, who are receiving symptom calls including suicidal calls. One suicidal call usually takes approximately 30 minutes to one hour, that back up other patients’ calls in the queue. It automatically resulted in increasing the abandonment rate for the incoming calls. He initiated and created a committee to resolve this issue. The committee meets on a monthly basis to evaluate the situation, and he initiated a plan of action that recommended management to hire additional staff and alert to revisit the documentation policy in order to reduce the current abandonment rates. Mr. Thathamkulams’ vast experiences in Mental Health, he was managed to convinced the Telecare management team and suicidal prevention team by eliminating some of the unnecessary suicidal protocol, which helped to reduced the call handling time to 25minitus per each suicidal call. He also monitored about calling procedures of staff to make sure that
...ions model, Parrinello (2012) described the process of implementing new guidelines to screen for metabolic syndrome in a suburban psychiatric day treatment hospital. Guided by Rogers' diffusion of innovations model, Schaumberg, Narayan, & Wright (2013), developed, implemented, and evaluated a new evidence based practice project, Advanced Practice Nurse (APN) Psychiatric Bridging Intervention. By successful implementation of APN, clients required only 30-minute for initial psychiatric evaluation appointments compared to the typical 60-minute appointment. Moreover, Peeters, de Veer, van der Hoek & Francke (2012) examined the applicability of four perceived attributes in Rogers' diffusion of innovations model, which may influence the adoption of home telecare by elderly or chronically ill people, relative advantage, compatibility, complexity and observability.
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth benefits conclusively. This change in health care delivery presents new ethical concerns, and new relationship boundaries between health care professionals, patients, and family members. This paper will discuss telehealth benefits in specific patient populations, costs benefits of using telehealth, and concerns of using telehealth.
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.
Telepsychiatry has been used for many years and is highly regarded as an area where the use of telemedicine has been successful. It has been defined as “The delivery of healthcare and the exchange of healthcare information for purposes of providing psychiatric services across distances” (Woo...
Among the main aims of health care reform and improvement is expanding healthcare access to different populations, which have been subjects to underserving for a long period. These include the poor, the previously uncovered, rural societies, and the minorities, to mention just a few. Great challenges definitely lie ahead, since several individuals start seeking access to the primary healthcare clinicians (Arnaert & Delesie, 2001). Telenursing assures to be a crucial tool to meet such needs. It refers to making use of the telehealth technology in conducting nursing practice and delivering nursing care. Because of the quick telemedicine technology adoption within the healthcare institutions, telenursing emerges as a fresh tool that provokes discussions
Improving health is in the best interest of everyone, including non-health professionals. Health managers need to be constantly looking for ways to improve access to health care, the quality of the care, and cost containment. 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.”
Telemedicine is a new comer to the field of medicine and it is the treatment of patients by means of telecommunications technology. Telemedicine is carried out in a variety of ways whether it is by smart phone, wireless tools or other forms of telecommunications. Examples of telemedicine include: 1) transmission of medical images 2) care services at the home of the patient 3) Diagnosis at distance 4) education and training of patients. The diversity of practices in what is known as telemedicine raises many questions and one of those questions, which is extremely important, relate to the safety of the practice and the risks involved.
The economic impact of telehealth is a critical factor to examine when looking at the feasibility of incorporating such technologies into practice. Exploration of economics is also essential as it has been posited that telehealth has the potential to deliver care to individuals that is cost saving in nature (Wade, Karnon, Elshaug, & Hiller, 2010). Furthermore, the estimated expenditure on telehealth services and technology is expected to reach into the billions of dollars (Berger, 2010). However, there are myriad individual elements that may be considered in the broad subject of economics, which complicates determining the economic impact in a parsimonious way (Bergmo, 2009; Wade, et al., 2010).
“To study the abnormal is the best way to study the normal” (William James). Psychiatrists never give up on any of their patients and always help anyone who asks for it. Psychiatrists have a never ending work schedule. Sometimes their patients call them even without an appointment because they are really struggling and they have to go talk to them. Psychiatrists also have to get at least eight years of school and an additional three or more years of an internship (“Career Information Center” 142- 43) . Psychiatrist must also have good communication skills. If they do not then their patient will feel like they do not care about them and they are not listening and the psychiatrists will be putting even more pain and pressure on them (Social Skills Training) . Even though psychiatrists must go through many years of school and training, all of their hard work is pays off knowing that they help people every day.
Kansas is considered a rural state in the United States. Merriam-Webster (2012) defines rural theoretically as “open land” or “relating to the country, country people or life, or agriculture”. The U.S. Census Bureau considers rural to be “open country and settlements with fewer than 2,500 residents” (Cromartie, 2007). Nearly 17% of the U.S. population lives in rural areas, which is about 80% of all U.S. territory (Cromartie, 2009). What this means that there is more land mass compared to the people inhabiting the land; rural communities have fewer people living in larger, more remote areas. Individuals living in rural communities have different cultures and experiences than those living in urban communities, which can become problematic in regards to healthcare.
Telemedicine is a tool that enables providers to deliver health care services to patients at distant location, and it is often promoted as a means of addressing the imbalances in the distribution of health care resources (Wager, Lee, & Glaser, 2013, p. 156.)
Psychiatrists provide treatment to patients is different than that of most other physicians. They must not only diagnose and treat their patients medically, but must also make sure that the patient is not a threat to themselves or anyone else. They will meet with patients on regular basis; this could be bi-weekly, weekly, or two or more times a week. A psychiatrist must get to know their patients, and learn everything about them. By doing this, they can evaluate their situation and give advice and support accordingly. The psychiatrist would usually start off by doing a thorough history of the patient; documenting any information that may be relevant. This information could include medical history, any abuse as a child/adolescent, and any other knowledge that could lead to a better understanding of the patients needs. The psy...
The digital age has brought about many changes in the way we conduct business, education, entertainment and mental health. The trend to incorporate technology into our mental health programs, while in its infancy, continues to grow in popularity and use by both educational and private mental health providers. There has been a great deal of discussion on the methods, ethics, problems and benefits of this new technology, however little research has been done on the effectiveness of this method of counseling on clients. For years, the counseling profession maintained a strict face-to-face technique of meeting with clients. This trend is being challenged as more people are finding it difficult to arrange appointments, find specialists, transportation, child care and a host of other issues that conflict with the ability to receive therapy.
Telehealth nurses use the nursing process to provide care for individual patients or defined patient populations over a telecommunication device” (Stokowski, 2008). Computer technology allows for nurses to facilitate care at a distance and although still in its transitioning phases, telehealth and telenursing will hopefully rectify the problem of the nation’s nursing shortage. The term ‘telenursing’ is not completely new. What was once the more popular ‘advice nurse’ or phone ‘triage nurse’, is now the new and improved telenurse. Telenursing allows for a nurse have real-time 2-way interaction with the patient.