The incorporation of CdLS medical management into a multispecialty clinic approach has as not yet yielded scientific inquiry, indicating an opportunity for the proposed research. Furthermore, clinical studies integrating pediatrics, genetics, and multisystemic disorder management in general is underrepresented in the medical and scientific literature today. More broadly, research evaluating perceptions of a multispecialty approach towards multisystemic medical management has been mostly limited to the fields of oncologic and pediatric medicine.
Existing research has demonstrated that patients, families, and health care providers perceive many advantages to a multispecialty clinic approach for multisystemic disorders. First, in a review of multispecialty clinic operations, Makary (2011) explains that a principal benefit of a multispecialty clinic is their intrinsic ability to diagnose critical problems early on in the disease process. These clinics also have the potential to intervene before further disease progression. Here, patient safety is improved when all treatment options are discussed among multispecialty team members, rather than depending on accurate and expeditious transmissions of medical communication between separate clinicians. In this way, multidisciplinary teams intend to make a complex health care system safer and more navigable for the patient (Makary, 2011).
Second, patients have cited increased satisfaction in multispecialty clinics as compared to traditional clinics due to the common presence of a study coordinator or nurse navigator figure (Gantos-O’Brien, 2010; Lamb et al., 2011). Gantos-O’Brien reported that the advantages perceived by patients were access to an individual who served as a constant point of ...
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... nursing contributions were often ignored or not voiced (Lamb et al., 2011). Thus, Lamb (2011) called for increased leadership training for all medical professionals involved in multispecialty teams.
Research investigating family satisfaction with a multidisciplinary pediatric clinic found that families identified several logistic issues as disadvantages of attending a multispecialty clinic (Schurman and Friesen, 2010). As compared to a traditional clinic, families were dissatisfied with increased paperwork, scheduling issues, travel required to get to the multispecialty clinic, time spent waiting prior to the team-family conference, and length of the visit (Schurman and Friesen, 2010). Indeed, many of these disadvantages are intrinsic to a multispecialty clinic approach and would require additional financial or staffing resources to better meet patients’ needs.
The Crowded Clinic: Critical Analysis The Crowded Clinic Case Study (Colorado State University - Global, n.d.) discusses the issues of practice management as they apply to access to care. Access to care may be as inconvenient as lengthy patient wait times to issues far more serious that may have a profound effect on the health and well-being of a single patient or an entire cohort. In order to properly address the issue and look for a remedy, it is necessary to understand the underlying conditions that create the problem before creating the means to manage the change required to correct the problem. The Crowded Clinic has multiple issues, including social and operational, which are creating the associated inaccessibility to services.
During the late 1970’s, Dr. Irwin Press, PhD, became interested in how patients’ social, emotional, and cultural needs relate and compare to their clinical care needs. He wanted to know if these comprehensive needs were being met by hospitals, and also whether or not meeting these needs improved overall care and decreased health care claims (History & Mission, 2015). After joining forces with Dr. Rod Ganey, PhD, an expert in statistics and survey methodology, Press Ganey Associates was formed (History & Mission, 2015). This company is the distributor of the Press Ganey Patient Satisfaction Survey, a highly ridiculed (Zusman, 2012) patient satisfaction survey. According to Zusman (2012), this survey was distributed to 40% of hospitals in the United States. As of the 2010 implementation of the Affordable Care Act, value-based purchasing initiative is now required for Medicare and Medicaid patients. The survey that was chosen to replace the Press Ganey Patient Satisfaction Survey and represent patients’ experience in the...
For patients, when ACOs are fully functional they represent an increase in patient experience in several ways. First ACOs allow open communication between physicians from different specialties coordinating together to determine solutions. Second, ACOs also establish a single point of contact for all questions concerning care. Finally, these organizations represent a centralized network of physicians for the patient, creating a team to deliver comprehensive care. In fact, there is mounting evidence that suggests the potential benefits of care coordination in ACOs for both patient experience and quality, including reduced hospital admissions, improved quality of chronic disease management, improved patient satisfaction, and better access to specialty care (Stille, 2005). For providers, ACOs provide an opportunity for better collaboration on the various modalities they use on their patients, as well as improved workflow and communication. There are several stakeholders in which the large scale implementation of ACOs would affect. Federal and state government health insurance programs like Medicaid and Medicare, one type of stakeholders. With the implementation of ACOs and the shared savings model, Medicaid and Medicare now have a financial incentive to partner with healthcare organizations to deliver better outcomes at lower costs. If done correctly, Medicaid and Medicare stand to save large
Starfield, B, Cassady, C, Nanda, J, Forrest, C, & Berk, R. (1998). Consumer experiences and provider perceptions of the quality of primary care: implications for managed care. The Journal of Family Practice, 46(3), 216-226.
Management and leadership are very important skills to have as a baccalaureate nurse. Through this course I was able to identify and understand the different styles of leadership as well as the style that best fits the characteristics I can offer as a member of an interdisciplinary team. After completing the multifactor leadership questionnaire I was able to better understand my strengths and weaknesses. Collaborating with each other as a team helps complete each other and provides our patients with the most positive experience in their times of
Each child will probably have many different kind of health issue during his or her infancy or childhood. In addition, for some children these illnesses are mild, they come and go, and they do not have negative influence on their everyday life and development. On the other hand, for some children, there are some chronic illnesses that have a huge effect on their daily life during childhood. Indeed, a chronic health condition is a health issue that last more than 3 months, and it has a big effect on on a child’s daily life, activity, and development. As a result, it demands more hospitalizations, extensive medical care, emergency care, and/or home health care. According to Weiner, “Each year in the US, 6 million children ranging
It is no secret that the current healthcare reform is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify ways to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal.” (Bailey, Jones & Way, 2006, p. 381).
I believe this can only benefit the hospital and patient care, and have a new way that the patient is cared for. Treating the whole family, instead of just the patient is what the future is all about. Implementation of this type of care requires creating a partnership between the patient, physicians, nurses, and patient’s families. This can only improve performance improvement, and treat the patient the way we would want to be treated. My goal is to decrease the patients and families anxiety throughout their hospital experience, and keep the whole family informed of the patients treatment plan.
Laureate Education, I. (Producer). (2010). Intro to healthcare delivery part I [DVD]. In The nurse leader: New perspectives on the profession.Baltimore, MD
As an advanced practice nurse (APN), one must interact with other medical professionals cooperatively and collaboratively to ensure the best outcomes for his or her patient population. Interprofessional collaboration happens when providers, patients, families, and communities work together to produce optimal patient outcomes (Interprofessional Education Collaborative Expert Panel, 2011). This type of teamwork and cooperation ensures that all of the providers caring for a patient act in a cohesive manner in which everyone including the patient plays a role in the management of the individual’s health. The purpose of this discussion is to evaluate interprofessional practice and provide the view of a
2 With that being said, most health care facilities place an emphasis on coordinated and integrated interactions between the clinician and patient. This may include open communication, and shared decision making, ensuring that the patient is an active participant in his or her own care. Research shows that when a patient is treated with dignity and respect, and includes the family and caregivers in the decision making, better outcomes are to be reported.
One of my clinic experiences can prove how important interprofessional communication is for optimal patient care. A new admission patient received on Friday in the afternoon on a heavy
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also positively influences teams and individual nurses” (Malloy & Penprase, 2010.) Let’s explore two different leadership styles and discuss how they can enhance or diminish the nursing process.
Nurses are uniquely qualified to fill a demand for change through leadership. Unlike business minded individuals whose primary outcome concern is monetary, a nurses’ primary concern is organic: a living, breathing, tangible being. In a leadership role, a nurse might consider an organization as if it were a grouping of patients, or perhaps an individual patient, each limb with its own characteristics and distinct concerns. They can effectively categorize and prioritize important personal and professional matters and are therefore ideally positioned to lead change efforts. Perhaps most importantly, effective nurse leaders can provide clarity to the common goal and empower others to see their self-interests served by a better common good (Yancer, 2012).
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.