Definitions
Disease Management
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).
Population Health Management
Population health management is the organization of health care delivered across a population with an aim to improve quality of care while managing cost (McAlearney, 2003). The intent of population health management is to improve the health by addressing a broad range of factors that impact well-being on a population-level, such as environment, social structure, and resource distribution (Kindig & Stoddart, 2003). A significant step in achieving success is by reducing inequities in health among the defined population group (Kindig & Stoddart, 2003). Population health programs include the ability to assess the health needs of a specific population, implement and evaluate interventions to improve the health of that population, and provide care for individual patients in the context of the culture, health status, and health needs of the populations of which they are a member (Association of American Medical Colleges, 1999).
Wellness Programs
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...al Environmental Medicine, 44(1), 14-20.
McAlearney, A. (2003). Population health management: strategies to improve
outcomes. Chicago, IL: Health Administration Press.
Menon, J. (2002). Disease management programs. Case Western Reserve
University. Retrieved May 27, 2011 from http://www.cwru.edu/med/epidbio
National Pharmaceutical Council. (2004). Disease management for congestive
heart failure. Retrieved May 27,2011 from www.npcnow.org/resources/
PDFs/DM_HeartFailure.pdf
United States Department of Health and Human Services. (2008). Heart failure
disease management improves outcomes and reduces cost. Agency for
Healthcare Research and Quality. Retrieved May 28, 2011 from
http://www.innovations.ahrp.gov/
Watt, D., Verma, S., & Flynn, J. (2008). Wellness programs: a review of the
evidence. Canadian Medical Association Journal, 158(2), 224-230.
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 Healthy Body Wellness Center requires an Information Security Management System (ISMS), in order to implement a plan to maintain and audit the company 's information system security objectives. This necessitated outlining the scope of the ISMS plan as well as an evaluation of the risk assessment conducted by We Test Everything LLC (WTE). We Test Everything LLC was contracted by the Healthy Body Wellness Center 's (HBWC) Office of Grants Giveaway (OGG) to provide a risk assessment of the Small Hospital Grant Tracking System (SHGTS).
The diversity among the U.S. population is very large and continue to grow, especially the Hispanic group. More so, health promotion can be defined or perceived in many ways depends on the minority group and their culture beliefs. As health care provider, recognizing and providing cultural competent is very important. In addition, assessing the health disparities among the minority group and teaching them how to promote good health will benefit along the way. Furthermore, health care providers have the role to promote good health but without proper education and acknowledge cultural awareness will be impossible to accomplish.
Case Management is to provide support to patients by making sure that they are getting the optimal care. Utilization Management is to maintain the quality of healthcare by ensuring the least costly but most effective treatment plan. However, both Utilization Management & Case Management are working together to prevent unnecessary treatment, duplication of services, long Stay (LOS) in hospital. Evidence Based Practice exists to demonstrate the value of case management and Utilization Management in order to enhance patient-centered care. The call for evidence-based in healthcare make patient’s effective, safe, and efficient. Case management use a team approach such as physicians, nurses, nutritionists, therapies and treatment to improve best
The Minnesota Public Health Intervention Wheel is classified into five main categories and each category focuses on different levels of healthcare. The first category is surveillance, disease and health event investigation, outreach, and screening, which focused on monitoring and preventing diseases in a population. The second category is referral and follow-up, case management, and delegated functions, which focused on optimizing self-care capabilities of individuals, families, groups, organizations, and/or communities by promoting access of resources. The third category is health teaching, counseling, and consultation, which educates and establishes an interpersonal relationship with individuals, families, communities and systems. The fourth category is collaboration, collaboration, and community organizing that connect individuals and organizations to identify common problems and achieve community health. The fifth category is advocacy, social mark...
According to the Healthy People Database, in 2010 the aging population was estimated at 40 million, this number is expected rise to nearly 70 million by the year 2030 (National Center for Health Statistics, 2000). At the forefront of health concerns for this aging population will be the intervention, management and treatment of chronic diseases. This increase in both this specific population as well as the required medical care will place a significant amount of stress on an already distressed healthcare system, which in turn will affect the availability of recourses and costs. Including patients in their self care with strategic health promotion such as encouragement and education geared towards specific socioeconomic groups will be more cost effective and beneficial in the management of chronic disease. Studies indicate that patients involved in self management of disease processes often have better patient outcomes.
Often in practice, we as nurses deal with a variety of diseases and treatments and often have to react to the illness that the patient presents with upon our interaction. While this is an essential piece of our practice, we also have a duty to our patients to be proactive in preventing specific health-related consequences based on their risk factors and to promote their health and well being. Health promotion as it relates to nursing is about us empowering our patients to increase their control over their lives and well beings and includes: focusing on their health not just illness, empowering our patients, recognizing that health involves many dimensions and is also effected by factors outside of their control (Whitehead et al. 2008)..
My work focuses on health research methodology and health services research. I am particularly interested in patient-centered outcomes through the methods of synthesizing, evaluating, testing, and implementing the best available evidence about interventions in practice to deliver sustainable and effective healthcare. My goal is to help in reshaping healthcare to one that pursues the goals of the patients using the best available evidence and shared decision approaches guided by the expertise of clinicians and researchers while minimizing the footprint and burden of illness and treatment on patients, their caregivers, clinicians, and the healthcare system. To help achieving this goal, I have worked and developed expertise in rigorously evaluating
Patients with chronic diseases do not receive established and operative treatments to help them successfully manage their condition. These complications are aggravated by an absence of organization of care for patients with chronic diseases. Nevertheless, the fundamental disintegration of the health care system is not unexpected given that health care providers do not have the imbursement support or other tools they need to interconnect and work together successfully to improve patient care (Brennan et al., 2009; Renders et al., 200;).
As health care professionals we strive to provide the best care that we can daily. But what drives the care that we give? Where do the protocol stem from? How do we know that we are using the best practice to give care to patients? We know through evidence base practice and evidence based management. We then need to use the knowledge that we gain to develop Innovative Care Delivery models to bring about changes for the betterment of the patient, and to help us provide the best patient centered care possible.
Cultural competency is critical in reducing health disparities and improving access to high quality health care. Included below are some of the ways cultural competent healthcare organizations and environments benefit the individual patients and the health care professionals, increased mutual respect between the patients and the patients family and the health care professional, increased trust will encourage patients participation and involvement in health care practices. Promotes the inclusion of all family and community members, assists patient and patient’s families in their care and understanding the choices they have, encourages the patients and the family to take responsibility for their individual health. Cultural competency, improves patient health, increases preventative care for the patient as they are aware of the condition they are in, saves the company money as the amount of repeated duties will be reduced, cost saves in the treatments and legal costs and decreases. The health care company will benefit from being culturally competent as it incorporates different perspectives, ideas and strategies into the decision making process, Decreases barriers that slow down the healing process, moves toward meeting legal and regulatory guidelines and improves efficiency of care and
Population Health Management (PHM) is a refined care delivery model involving a systematic effort to assess the health needs of a target population and to provide services to maintain and improve the health of that population (Sg2 Health Care Intelligence, 2014, p. 1).As health care systems search for ways to reduce spending, PHM may be considered . However, confusion and skepticism of PHM.are present. The framework for PHM includes a multi-step approach that composed of four steps similar to the public health model. The framework is composed of: 1) population identification; 2) health assessment; 3) risk stratification; and 4) health continuum. The health continuum helps establish whether or not someone within a population is low or no risk, moderate risk, or high risk for the selected health complication being addressed. Depending on where the individual falls on the continuum or how much of a risk is present ultimately determines what kind of health management intervention should be employed. Health management interventions include preventative services, lifestyle coaching, traditional care, complex care management, palliative and end of life care (Sg2 Health Care Intelligence, 2014, p. 2,).
The health care industry as well as policy makers is hastening to find ways to curtail rising health care costs and reduce lives lost amidst limited health care budgetary concerns.5 Disease management programs have been widely endorsed by both the private and government health sector as a potential solution for addressing growing healthcare costs and improving quality of medical care.1,6
When looking at the lack of coordination or integration in healthcare one needs to look towards the physicians providing the care, mainly the primary care physicians. Patients who have chronic illnesses that require long-term care lack someone to ensure that every aspect of their treatment makes sense, is adding value, and all alternatives are assesses. The Commonwealth Fund states
During the past semester, I have learned about me, my habits and my health. I intend to make changes in my routine to incorporate exercise and other healthy habits. I have already made changes to my life in recent years. However; after taking the Tactics to Coping with Stress Inventory (Weitan et al., 2009) Appendix A, I decided to change some of my existing coping strategies into more productive ones. I realized, after taking the Beliefs Inventory (Davis et al., 2008) Appendix B, that I had room for improvement in my personal beliefs and I am a perfectionist.