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.
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Direct Observation during access to food. Settings varied but study was conducted over 28 days.
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
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)..
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).
Today?s healthcare environment calls for continued cost containment while providing better, quality care. As a result of the advances of healthcare, life expectancies have increased resulting in a growing, aged population with more chronic conditions. Treatment options, outside the hospital, are the norm for most routine management of patient care, but when someone gets sick, and requires hospitalization, the combination of their age, chronicity of illness and increased comorbidity
The NHQDR 2012 is a comprehensive report that implies there are changes that need to occur at multiple levels within the health care system and public policy. The report implies that the health care system needs to become more accessible to all populations, and the disparities in quality of care need to decrease. Health care providers need to evaluate access to care, treatment quality and its effectiveness. Meanwhile public policy needs to support funded programs that will improve access to care and support preventative services.
State and local public health departments throughout the country have the responsibility for improving health in workplaces, schools, and communities through identifying top health problems within society and developing a plan to improve. Barriers the public health system has encountered over the years include: changes in the overall health system that support cost containment and improved health, and an increase in the number of individuals with insurance coverage for direct preventive services; reduction of qualified public health professional and funding at all levels of government; increasing focus on accountability, with higher expectations for demonstrating a return on investment in terms of cost and health improvement (Trust, 2013). In the near future, health departments ...
The Potter article, The Strategy The Will Fix Health, lays out a strategic value agenda for high quality healthcare. This value agenda has six interconnected components. First, organize into integrated practice units. The leaders at Cleveland clinic and ThedaCare consolidated hospitals, outpatient clinics and Cosgove went further to integration care coordination through establishing disease focused Institutes. Second, measure outcomes and costs for every patient At the Cleveland Clinic the Institutes defined and developed shared outcome measures. Dr. Cosgrove saw patient outcomes as “the ultimate measure of quality.” He wanted outcomes to be reported internally as well as externally. Outcomes were also compared to available benchmarks. ThedaCare
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...
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.
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;).
Conversely, the number of individuals suffering from a major chronic illness face countless hindrance in managing their condition is increasing, not the least of which is medical care that frequently does not meet their needs for effective clinical management, psychological support, and information. The principal reason for this could possibly be the disparity between their needs and care delivery systems essentially intended for acute illness. Evidence of effective system changes that improve chronic care is escalating (Bruce, 2001; Clark et al., 2000; Joint National Committee on Prevention, 1997; Legoretta et al., 2000; Wagner et al., 2001; Young et al., 2001).
According to Novick & Morrow’s Public Health Administration, population health is defined as the overall health outcomes and the disparities in health between population groups. The concept consists of three main components: health outcomes, patterns of health determinants,
Funding for disease prevention and health promotion nationally is highly dependent on government funding through Medicare (Australian Government, 2014). This is largely out of our control. We, as nurses, can still do our part to promote public health in every ward, department or other setting we work in. Chronic diseases are associated with economic, social and health burdens. They cause premature deaths due to diseases which have risk factors that are highly preventable. They are affected by social determinants of health (Australian Institute of Health and Welfare (AIWH), 2014), factors that Medicare need to take in to consideration when allocating funding in the annual budget (Fry, 2010). Chronic diseases are mostly managed through a community-based
The improvement of health, enforcing policies, and monitoring comes from interrelationships between governmental and non-governmental entities. Since the 21st century the apparent need for an improved public health infrastructure has been a recurring topic on the state, local, and national level. In 2010 the Affordable Care Act authorized numerous clinical health reforms, a big step towards providers being accountable. {ACOs} Accountable care organizations are conducting health assessments and reporting metrics to payers. According to Magnuson and Fu, Jr., “Public health agencies must, in turn, evolve from being the only entities capable of assessing and monitoring population health to strategic and enabling partners involved in population health practice” (2014). A sense of involvement and shared work load is needed to help shift the challenges public health officials face. Public health officials promote and protect the community. With the involvement of other organizations more polices can be enforced and created to improve population