In order to evaluate XYZ healthcare’s transition from current practices to patient centered care the term must first be defined. Patient Centered care is care that is “respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions.” (Epstein et al, 2010) Patient centered care also involves improving patient satisfaction and results while also reducing costs for diagnostic testing, prescriptions and unnecessary care. (Rickert, 2012) Simply stated, patient centered care is doing more with less, but better and with improved patient satisfaction and results. The theory behind patient centered care is that with effective and proactive relationships between providers and patients, costs will fall as patient compliance and knowledge increases. In order for the provider team and patients to effectively communicate, the latest communication tools need to be employed. Social media and smart phones can be used to keep in patients and their providers connected. In order to build effective relationships, medical providers need to know the patients' family dynamic, cultural identification and religious beliefs. (Epstein et al, 2010) Only by knowing the patients background can a provider better facilitate the patient's decisions about treatment options, compliance and ability to self manage recovery and healing. (Epstein et al, 2010) Patient centered care is not a one size fits all, cookie cutter approach to medicine. Patient centered care includes individually tailored treatment plans and coordinated transitions between providers. XYZ’s transition from fee for service reimbursement to patient centered care is best served by forming a patient- centered medical home, managing high cost cases, actively engaging patients in treatment plans and embracing technology to facilitate patient care.
The purpose of a patient centered medical home is to bring together all of XYZ's services and specialties under one coordinated umbrella. A patient centered medical home is a coordinated team of providers whose goal is to improve the health of a community. (Stange, Nutter, Miller, et al 2010) The team is rooted in Primary Care with Specialists and specialty care integrated into the overall care of the patient. A PCMH aims to personalize, prioritize and integrate care to improve the health of XYZ's patient population. (Stange, Nutter, Miller, et al 2010) A PCMH achieves these goals by building patient partnerships, reorganizing physician practices and improving XYZ's practice capabilities.
Building more effective patient partnerships will increase patient engagement in their health.
Due to the increasing financial implications, patient satisfaction has become a growing priority for health care organizations, as well as transitioning the health care organization’s philosophy about the delivery of health care (Murphy, 2014). This CMS value based purchasing initiative has created a paradigm shift in health care in which leaders and clinicians must focus on patient centered care and the patient experience which ultimately will result in better outcomes. Leaders and clinicians alike must be committed to the patient satisfaction. As leaders within the organization, these groups must be role models and lead by example for front-line staff. Ultimately, if patients are satisfied, they are more likely to be compliant with their treatment plans and continue to seek follow up care with their health care provider, which will result in decreased lengths of stay, decreased readmissions, increased referrals and decreased costs (Murphy, 2014). One strategy employed by health care leaders to capture the patient experience, is purp...
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.
Patient Centered care is a concept where the healthcare providers stand in the patient’s position and think about how the patients want to be treated before navigating into how they themselves want to continue with the procedure. It is a strong commitment for the healthcare personnel to be able to manage and regard the patients as thinking and feeling people with the potential to develop and adjust. Thus, the healthcare team needs to be compatible, open-minded and courteous in order to provide the best care possible for the patients.
If I was to become the CEO of a large health care organization, I would investigate and analyze all the information to determine what needs to be improved within the organization in order to make the best decision for the company. There are three major elements of quality: structure, process, and outcome”(Burns, Bradley, & Weiner, 2011, pg 251). One way to improve the quality of care in my organization is to be passionate and excited about the engagement of consumers. The patients need to be able to have access to the right information to educate themselves about their health care decisions. If they are active working with the physicians it can reduce emergency hospital visits and improve treatment and quality of life that is associated with different chronic diseases (Aulbach, 2015). As for my staff, I would ensure that they have all the equipment as well as the
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
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).
As part of the health care reform, many hospitals have focused their marketing strategies on population health management as part of the transformation to value-based care. Managing population health requires a close relationships with physicians, partnerships with organizations in the community, and expansion into preventive and outpatient care and therefore must be implemented further. Likewise, comprised as key components are investing in technology - to connect with physicians, customers and the community and gather data necessary for improving quality (Takvorian, 2015) and merging with other hospitals and health care systems - consolidation as a strategy to gain capital necessary for health IT investments, outpatient facility construction, physician partnerships and other projects (Johns Hopkins Bloomberg School of Public Health, 2015; Ropak, 2012).
Patient-centered care is a broad topic that can be discussed on a daily basis within the healthcare world. Patient-centered care is when healthcare providers and facilities provide care that is respectful to the patient’s preferences, needs and values. It can also be described as physicians who practice patient-centered care can improve their patients’ clinical outcomes and satisfaction rates by improving the quality of the doctor-patient relationship, while at the same time decreasing the utilization of diagnostic testing, prescriptions, hospitalizations, and referrals (Rickett, 2013). Unfortunately, ideal patient-centered care is hard to come by, especially in all 50 states because there is a shortage of money and proper resources needed
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
Today healthcare cost is constantly rising. It is important to ensure that patient 's health are maintained and supported outside the clinical settings such as their homes and communities. Healthcare organizations play an important role in serving people to provide an effective health care and improve the patients ' outcome. They focus on activities and strategies to provide a high quality care for many communities. This is their way of helping people and their community healthy. Organizations have a way of improving the patient 's outcome through monitoring of patients especially those who have high medical needs.
Disease management, as defined by the Care Continuum Alliance (CCA), 2011, is a multi-disciplinary, comprehensive, continuous, and coordinated method to achieving desired outcomes by utilizing preventive measures and evidence-based practice guidelines to alter the natural course of the disease; therefore, improving the overall health for a population. These outcomes include processes of reducing healthcare costs while improving the quality of life for individuals by preventing or minimizing the efforts of a disease through integrative care (CCA, 2011). Program success relies that a comprehensive system be in place that incorporates the patient, physician, and health plan into one system with one common goal (Menon, 2002).
The balance between quality patient care and medical necessity is a top priority and the main concern of many of the healthcare organizations today. Due to the rising cost of healthcare, there has been a change in the focus of reimbursement strategies that are affecting the delivery of patient care. This shift from a fee-for-service towards a value-based system creates a challenge that has shifted many providers’ focus more directly on their revenue. As a result, organizations are forced to take a hard look at the cost of services they are providing patients and then determining if the services and level of care are appropriate for the prescribed patient care.
Patient-centered care recognizes the patient or designee as the source of control and full partner in
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
Over the past five years, numerous legislative acts have fundamentally changed the way the country thinks about healthcare. Nowhere have the changes been felt more than for those delivering care. However, often providers do not stop and consider how the changes affect patients, which is unfortunate as patient acceptance and participation in their healthcare can improve outcomes. Murphy (2011) concurred that healthcare should revolve around the patient rather than the patient treated as a passive participant. Her viewpoint extended to implementing health information technology (HIT) that is patient-centric and collaborative in helping patients become a full partner in their preventative self-care and disease management.