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Access to healthcare essay
Access to healthcare essay
Access to healthcare essay
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Patient Centered Medical Home Model While looking at patient centered medical home (PCMH) it is important to understand the value of the model and why it has been the center of the health care community for some time. Research indicates that the United States statistically spends more capital per gross product than any other country, yet the often fails to meet quality standards and is by far less efficient. Therefore there has been a push to organize primary care in a way that models high quality care while meeting the full range of the patient care and their needs. At the core of PCMH holistic care. Holistic care is care that is focused on the whole person. This form of care coordinates health care all elements of the person, not just …show more content…
“Such coordination is particularly critical during transitions between sites of care, such as when patients are being discharged from the hospital. Medical home practices also excel at building clear and open communication among patients and families, the medical home, and members of the broader care team,” (U.S. Department of Health & Human Services, 2016). The moment care is being coordinated within teams the accessibility then becomes a key component of the PCMH model. Under accessibility services in the PCMH model there is a shorter wait times when patients have urgent needs. Third party pay organizations are involved in area of the model and often provide around the clock telephone access, or electronic such as email to clinicians. Access is created in response to the preference of the …show more content…
As the Center for Medicare Service (CMS) look at utilizing the templates outlined for Accountable Care Organizations (ACOs) the health care system is seeing more of the PCMH model is being widely implemented. In order for the PCMH model to enhance the quality of patients, physicians, advanced practice nurses, physician assistants, nurses, pharmacists, nutritionists, social workers, educators, pastoral clergymen, and care coordinators remember quality is the result of the sincere effort that with the skillful execution is not an accident and it represents a cascade of wise choices. “PCMH is a conceptually sound approach to organizing patient care and appears to hold promise, especially for improving the experiences of patients and staff involved in the health care system,” (Jackson et al.,
SGH has been plagued with patient quality issues, therefore SGH finds itself in a situation which is inherently antithetical to the mission of the hospital. The costs of healthcare continue to rise at an alarming rate, and hospital boards are experiencing increased scrutiny in their ability, and role, in ensuring patient quality (Millar, Freeman, & Mannion, 2015). Many internal actors are involved in patient quality, from the physicians, nurses, pharmacists and IT administrators, creating a complex internal system. When IT projects, such as the CPOE initiative fail, the project team members, and the organization as a whole, may experience negative emotions that impede the ability to learn from the experience (Shepherd, Patzelt, & Wolfe, 2011). The SGH executive management team must refocus the organization on the primary goal of patient
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...
Some critics have stated that there is not yet any quantifiable improvement in patient outcomes in comparison to the traditional model. Additionally some critics have voiced that some “practices may receive recognition without making fundamental change”.4 Another prominent flaw is the lack of funding to convert practices into PCMH. The cost to cut down patient flow, reconfiguring medical record systems, and get approval from insurers is more than many sites can handle financially. For the PCMH model to be accessible to some practices with the hopes of implementing such a program, capital funding would need to be made available from federal, state, and local entities. This limits many providers because many practices are not able to provide the necessary capital to start such a program. In addition to medical practices not having the necessary capital, providers must then work with a decreased patient load with the anticipation of possible reimbursement in the future.3 These points make it clear that the transition to a PCMH model would require hard work and commitment from the involved providers to make it
The current focus on new healthcare models is a reaction to long-standing concerns around quality, cost, and efficiency. Accountable Care Organizations model focus on integrated healthcare to promote accountability and improve outcomes for the health of a defined population. The goal of integrated healthcare is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors (CMS, 2014). The following paper will analyze an ACO’s ability to change healthcare in the United States.
Holistic nursing to me is a practice of applying both subjective and objective patient assessment into the plan of care. Not only do we need to look at the physical condition of the patient, but also their social and environmental factors that influence their state of health. When this application process is incorporated into the patient plan of care, we are incorporating all aspects of the patient’s life that help define and create their ideal state of health. In review of several nursing theories discussed by Montgomery-Dossey and Keegan (2012), which incorporate the aspect of holistic nursing practice, I found that Jean Watson’s Theory of Transpersonal Caring was most closely linked to aspects of my current nursing practice.
...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.
There are certain aspects that come into both designs as they are both geared towards the goal of delivering quality services to the patients but then the approach they give is different. Ambulatory models are known to be very much technology oriented in that the quality that it provides is very much enabled by technology (Hamel et al., 2015). This it has done by the consistent management of its health records electronically, and the advantage this has brought is that it has allowed the providers to offer their care services through multiple sites and has gone ahead to promise coordination. And thus this has led to the reduction if not total elimination of diagnostic tests that would be otherwise considered redundant. On this, PCHM is also not left behind its commitment to the provision of safe, high-quality care has been done through
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
Care coordination will be essential to help maintain the health of the client. Care coordination is the process that transpires between
The caregiver must ask questions and truly listen to what the patient is presenting. The patient-clinician relationship is one built on shared respect and includes the planning of goals with the patient involved. The patient should be supported and provided all treatments options with their decisions accepted and carried out. Only then, can the patient truly have a choice in their care. The caregiver should be challenged to improve communications skills if they are lacking. This is seen when centers use SBAR and team huddles. SBAR aids the caregiver in providing quick and accurate communication to care for a patient’s needs. Using team huddle, the patient’s specific needs for the day are relayed to the team. he healthcare provider has a duty to do no harm and the way to achieve this is by careful, thorough, and educated communication between the patient and the clinician. And finally, healthcare providers must learn to set aside cultural differences. The patient has a right to the best care, regardless of race. If the healthcare provider keeps the focus on communication, providing fair and equal treatment, assessing the patient needs, listening to the patient, the patient can be assured of safe
For over a century the improvement of health care has been championed by individuals and groups from Florence Nightingale to The Institute of Medicine (IOM). In the time of Ms. Nightingale, cleanliness and nutrition became the focus of improvement. Now, in the twenty and twenty-first century, the IOM has established guidelines and practices that bring the greatest balance between patient centered care and organized medicine since the early days of reform. Utilizing science to identify practices that produce measurable and quantifiable for the patient, six fundamental values called Aims, were developed to create a safe, effective, accessible healthcare system. Theses Aims state that Health Care must be safe, effective, patient centered,
It provides the fluidity and multidimensional complexity that is definitive of any patient’s experience that a nurse might play a part. In both experiences of transitions and the theory that attempts to understand it evolve and emerge, the gap seems to be in the implementation due to system breakdown. We are all aware that there is fragmented care, and it’s not for lack of concern by HCP and policy makers alike (Geary and Schumacher 2012). The health care system has been transforming to allow for more positive health outcomes across the continuum and attempts to identify and close the gap on the health disparities. Care coordination seems to be the missing link with not only Mr. C, but with many of the clients we have met throughout the term. Care coordination has been identified by the Institute of Medicine as one of the key strategies for potentially closing this gap. A working definition formed by the Agency for Healthcare Research and Quality reveals that care coordination is the deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient's care to facilitate the appropriate delivery of health care services. Organizing care involves the marshaling of personnel and other resources needed to carry out all required patient care activities, and is often managed by the exchange of information among participants responsible for different aspects of care (www.ahrq.gov). In a critical analysis of Quality Improvement Strategies, they found that care coordination for patients with diabetes showed improved outcomes, and that both disease management and case management improved glycemic control (Shojania, McDonald, Wachter, and Owens
Holistic definition of health: holistic health refers to the person as a whole instead of looking at their separate illnesses and problems. Holistic health connects all aspects of our existence. These include our body, emotions, mind and spirit and it enthuses for them to all be balanced and neve...
The field of health care has seen remarkable accomplishments achieved within the past few decades. One of the more significant changes is seen in the field of public health; and the shift in perspective that health organizations are having in the areas of prevention and treatment of diseases. The idea of providing a more patient-centered experience and being accessible to patients in order to improve their health outcome is steadily on the rise. All of these accomplishments, to include the Affordable Care Act has initiated innovation between treatment, prevention, and cost effectiveness in providing quality service. In moving forward, it is important that health care organizations as well as future and current health care professionals have an understanding of the future of health care delivery.
People admire good health and want to stay healthy throughout their lives. Every individual of every race and culture look for the easiest methods to be healthy and if they get sick, they start looking for the alternate ways to regain their health. Holistic health is an alternate approach to acknowledge that health depends on the wellness of the whole body, mind and spirit. In holistic health, a person is the responsible for her own treatment depending on his or her choice and belief. Holistic health would increase the further steps to approach the prevention and healing process of the illness in current health care system and will be effective to provide the better treatment for the patients.