The original project objective was, “Case manage and schedule appointments for patients who have visited local hospitals and urgent care centers for pregnancy or a general health concerns like Pneumonia, Diabetes, Cardiac disorders, COPD, and acute Asthma”. The original project was to focus on discharge navigators and budget was for one discharge navigator at one hospital. But as we did literature review and data analysis and met with stakeholders, it was concluded that we will benefit from 3 discharge navigators’ each to be placed at two hospitals and a case manager who will be hired within Clinicas’ and be placed at the referral center to make sure the flow of continuity of care is well maintained. I was able to establish that the cost savings …show more content…
Please see Appendix A for Logic Model relating program resources, activities, and expected outcomes. PROGRAM GOALS The purpose of the Clinicas Del Camino Real, Inc. (CDCR) Discharge Navigator is to improve access to care for patients who are discharged from hospitals and urgent care facilities. The discharge navigator project seeks to empower and educate patients on accessing and utilizing health care services, enabling patients and their families to achieve the most successful plan for continuity of care at CDCR and maximizing their use of available resources. The goal is to increase the number of patients seen by CDCR and decrease Urgent Care Visits. I was able to establish the goals for the discharge navigator program: Goal 1: Reduce non-emergent ED …show more content…
To address the behavioral, social and cultural factors related to individuals and population health. To help in improving the health status of the population and focus on the quality improvement concepts to address organizational performance issues. To identify important causes of patients excessive utilization of ED services and become familiar with the steps and procedures for the planning and implementation of the discharge navigator project policies and interventions. Indication of better utilization of health care by patients obtaining navigator services as compared to a control group of patients without navigator services. PROGRAM TIMELINE The program will run for one calendar year, beginning January 1st, 2017 and ending December 31st, 2017. PROGRAM
Studies indicate that nurse case management has reduced patient readmissions to the hospital and improved patient’s overall health. Case management uses assessment, planning, facilitation, coordination, and advocacy to meet the needs of the patient and family/caregiver (CMSA, 2014). Using a holistic and patient-centered approach, case managers can address each patient’s specific needs. Communication is vital between the patient/family, physician, case manager, and others departments involved in the care. The five principles that case management functions under include: 1) focus on the patient and family, 2)
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
... bedside, and reminders to take antibiotics. It is critical in plan of discharge that the patient finishes out the antibiotic regimen if prescribed, also encourage and explain the necessity of the antibiotics in treating the condition. Lastly the patient must avoid overexertion to prevent relapse or exacerbation of the infection.
In the healthcare system many times patients are just patients and appointments are just appointments. The outlook on the patients and appointments all depends on the area of practice and the health professional themselves. Working in the emergency department, the nurses and doctors there typically do not see the same patient more than once and if they do the chance of them remembering them is slim to none just for the simple fact of the pace of the department. When it comes down to Physicians in the hospital setting, the care is not just quick and done. Great patient to healthcare professional relationships are formed and for some it may feel as if they are taking a “journey”(209) with their patients as they receive their medical care. This essay will be based off the book Medicine in Translation: Journeys with My Patients by Danielle Ofri, in which Ofri herself gives us the stories of the journeys she went on with several of her patients. Patients are more than just an appointment to some people, and when it comes to Ofri she tends to treat her patients as if they are her own family.
...e medical goals of the organization. This works on the concept of medical home, where patients are treated in a homely manner. They also keep record necessary for patients, if they need to return.
The Commonwealth government. (n.d.). Educate healthcare professionals about the PCEHR system. Retrieved April 9, 2014, from http://publiclearning.ehealth.gov.au/modules/hcpIntro/index.html
Improvement in quality of healthcare: Work in interprofessional teams, employ evidence-based practice, utilize informatics, provide patient-centered care, and apply quality improvement (QI).
Many current practices in ambulatory settings reflect care that is not centered on the patient but rather on how fast providers can see and discharge patients. Very little time is spent talking with the patient in ...
Discharge planning emerged as one of the major focuses of the delivery of health care in the 1980’s. The discharge planning meant to develop treatment plans that ultimately result in the discharge of the client from the facility. The concept is built on care coordination with each discipline involved in providing care included in making a discharge plan. Client education is another essential in which collaboration is an absolute necessity. The health care professionals must understand everyone’s contributions to client education to execute their own plans. Also, information received by fam...
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.
Demonstrate Leadership and Collaboration Within Interdisciplinary Healthcare Partners and Professional, Political, and/or Regulatory Organizations to Support Changes in Healthcare.
Resource utilization is important in nursing care delivery. ANA standards of nursing providing some stratergeis regarding resource utilization. The responsibility of the public health nurse is to assess the availability of resource and individual health needs to complete the healthcare tasks. The public health nurse considering certain factors that belongs to health care cost , safety , effectiveness and impact on nursing care in the planning and nursing care delivery. Also public health nurses are evaluating as such factors are bringing the expected outcome and its effectiveness. By the help of public health nurse the client and family members can identify the health services appropriate for health care needs.
Case Management Case management has become the standard method of managing health care delivery systems today. In recent decades, case management has become widespread throughout healthcare areas, professionals, and models in the United States. It has been extended to a wide range of clients (Park & Huber, 2009). The primary goal of case management is to deliver quality care to patients in the most cost effective approach by managing human and material resources. The focus of this paper is on the concept of case management and how it developed historically, the definition of case management, the components of case management, and how it relates to other nursing care delivery models.
Nevertheless, when patients arrive at the A&E Department, a trained triage nurse will help determine the relative priority due to the patient's condition. There are five categories for nurses to classify, such as critical (immediate treatment), emergency (waiting time within 15 minutes), urgent (waiting time within a half hour), semi-urgent and non-urgent. Yet, it trend to treat the triage nurse as a McDonald’s Customer Service Ambassador in charge of the system carries out smoothly and conveniently. Apart from that, specialist out-patient clinics also have the same problem. In general, patients visit general out-patient clinics or private family doctors which make referrals due to special cases.
hospital staff to ensure patient has the best possible outcome, setting up plan for patient care and