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Medication reconciliation case study
Medication reconciliation case study
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A continuous and appropriate financial management is highly essential to sustain and integrated a healthcare program. To build a sustainable integrated program cost calculation and pro formas are necessary to create monthly metrics, program accountability and fiscal sustainability this helps to improve oversight and management of programs and practice (Corso, Hunter, Dahl, Kallenberg and Manson (2016). Contrasting care delivery culture and methodology between physical and behavioral health providers creates barriers and challenges in an integrated care program. Medical providers treat symptoms and deliver care to patients in an abrupt and fast pace style (Enthoven, 2009) while behavioral health providers uses a flexible approach that focuses
The capital management plan consists of several steps, such as planning, analyzing, selecting, executing, and following up with the selected ones to reevaluate whether there are factors in the organization that may influence the decision of the selection based on needs and demand for the proposed project. Healthcare organizations must inhere a strategy to stay ahead of their competitors so that they can maintain their patient volume. By measuring the quality of care through performance, patient satisfaction, experience, and cost, all play a role in having patients choose your hospital. Today, many healthcare organizations have adopted the triple aim strategy of great quality, great patient experience at a reasonable cost. With the tracking of their patient experience and continuously improving the quality of care at a reasonable cost, to stay one step ahead of their competitors and to maintain and increase patient volume has been successful help in the healthcare market.
Federally Qualified Health Centers (FQHC), often seek special designation that will separate them from other community health centers in the area and bridges the gap between clinical care and specialties they provide; Patient centered medical home (PCMH) is the desired federal designation that describes the coordination of care between internal medicine and specialties for the patient population they serve. Such services are rarely culturally sensitive. What deems a culturally sensitive patient centered care are a diverse paradigm within the medical environment; A study completed by Tucker, Marsiske, Rice, Herman & Nielson (2011) demonstrates that paradigms of policies, language, and empowerment are funneled into two coordinated care components:
CareGroup IT department became the sole IT organization for a decentralized or standardized IT system across a three way merger of the Beth Israel Hospital, the Deaconess Hospital, and the Mount Auburn Hospital. CareGroup believed they had the most advanced IT system with the best mailing system and the most efficient backing up program. An expert researcher was experimenting with an application designed to locate and copy information across the network automatically. Right after he set up the application he received a call from his wife saying she was in labor and he went on a paternity leave for three weeks. In his absence the application continued to collect information from across the network till November 3rd when the rogue software program progressively began to collect terabytes of data.
Llewellyn, S. (1993) Linking costs with quality in health and social care: new challenge for management accounting, Financial Accountability and Management, Vol 9 No 3, Aug 1993
Having a common goal for the team and understanding each members role in reaching this goal – allows each of the healthcare professionals to focus on the overall outcome for the patient and the most effective means of reaching such outcome through inter-professional healthcare
Integrated systems have a huge interest in developing and aiding ideas that provides care at a lesser expense. Therefore, they are usually the first ones to implement innovations that will ultimately change the overall health care system. Kaiser Permanente, Geisinger Health System, and HealthPartners are the nation’s highest leading performers when it pertains to quality and expense. Effective and successful unsettling innovations within the health care system will give further care at a lesser expense than we can even envision. “Many of today’s great, integrated systems were once disruptive innovators but they now provide more for less only by present standards.” Sequentially, their most recent organizational models and expense structures
William Collinge quotes Chuang Tzu in his American Holistic Health Association Complete Guide to Alternative Medicine saying, "Heaven, Earth and I are living together, and all things and I form an inseparable unity" (13). Tzu's comment contrasts the traditional American dream of individualistic power and solidarity, but no matter how ethnocentric or arrogant the Western society can be at times, the influence of the world is still present. The health care system is a prime example of how the unification between world cultures brings benefits to society. The Western culture has been developing and refining scientific methods of health care for centuries. Illnesses that were incurable in the past are now treatable with drug medications and by complex surgeries. But along with the absence of the old illnesses, come new ones. People are living longer and chronic and degenerative illnesses are more common. Due to the development of new illnesses, Western medicine has been consulting the traditions and treatments from other cultures for aid in diagnosis and health care. In The American Holistic Health Association Complete Guide to Alternative Medicine, William Collinge states that, "the joining together of conventional and alternative traditions may well permit us to have a more balanced quality of life. At the least, it has helped to bring the concept of health back to medicine" (Collinge xxi). Collinge's use the word "balance" in his description of the quality of life is interesting, because a form of alternative medicine whose central focus is on the balance of the body is Chinese medicine. Due to the onslaught of new chronic and degenerative illnesses, Western culture initiated the search for ...
I agree, it is extremely unfortunate that the foster care system has so many disadvantages to work with and that Child Protective Service agents take such a bad rap for all the hard work they do. Child Protective Service agents do what they feel is in the best interest of the child with the resources they have available, but there are not always enough of those resources. There are still so many children who fall through the cracks in the child welfare system because the agencies who work to help them are understaffed and underfunded, which makes it hard to save all the children who need help. Plus, there are not enough foster families, foster families with proper training, or residential treatment centers for children, which is why so many
After analyzing our most recent annual report from 2012. We noticed that our operational cost is approximately $20,000 over our revenue. Looking at our data from previous years, the $20,000 over-budget has occurred in the past. In 2010, Partners in Health had approximately $90,000 in unused funds which carry over at the end of ...
In the United States, Social Security, Medicare, and Medicaid all impact the economy and population in some way. These federal and state programs offer to help meet the income and health care needs of the American people. These programs help those who might not be able to work due to certain illnesses as well as helping those who can’t afford health care. Though, every program has its strengths and weaknesses. Unfortunately, with the good, comes the bad and that can mean a need to reform as well.
To understand the expenses and resource use, GAH will aim to keep accurate financial and operational information, which would include cost accounting systems for clinical service lines. The major objective for this core competence will be to ensure that the healthcare organization will have the capability to analyze the operational information to reduce the drivers of unnecessary costs by embracing improvement methodologies, for instance, Lean Six Sigma and thus increase value and efficiency, improve productivity and reduce
In accordance with one of their main principles to redesign primary care services and structures, organizations are implementing new ways of delivering care. Using new methods allows organizations to build on and improve the quality of old methods (McCarthy & Klein, 2010). For example, the Center of Global Initiatives is studying a way to improve healthcare though Psychology. This relates to the topic of cultural competency mentioned earlier because they believe that psychologists are better equipped to handle cultural situations than other most other health professionals. Also, having knowledge of the human mind and emotions will aid medical professionals in handling stressful medical situations. Studies have shown that a content patient heals faster and is more cooperative, which in turn decreases the time and amount of care needed (Weir,
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.
Lipson, J.G. & Dubble, S.L. (Eds). (2007). Culture & clinical care. San Francisco, California: The Regents, University of California.
[1] Goldratt, Eliyahu M. and Cox, Jeff (2004). The Goal: A Process of Ongoing Improvement. Retrieved from http:// ishare.edu.sina.com.cn