4. Evaluate your two goals. (Did you meet them? Explain the reason for meeting or not meeting these goals?) Reflecting on today’s community experience, I would state that I did meet the two goals I set for myself - Enhancing my communication skills and learning about the job description of an RN Care Coordinator. Prior to coming into today’s experience, I expected that I would come in contact with patients during the day, but I actually did not actually assess or speak to one patient in the clinic. While I hoped for more interaction, during the three-hour period, one cannot predict the workload for a Care Coordinator. Although I did not communicate with patients, inside the clinic, we did communicate with patients via the telephone. Related …show more content…
Through speaking with both Tara Belle and another team member, I learned that care coordination thrives on three components – Social drive, self-efficacy, and community resources. Care coordination utilizes a patient’s socially environment to understand patients motives in health care – Social economic status/financial well-being, friends and family, access to health care/transportation, Medicare/Medicaid, and housing. The social components, of a patient’s life, are often what either hinder or contribute to a patient’s well-being. They impact the ability to acquire, pay, and follow through with care. Self-efficacy relates to a patient’s belief in his or her ability to succeed in specific situations or accomplish a task. Because self-efficacy is grounded in feelings of self-confidence and control, it is an appropriate predictor of motivation and behaviors. If a patient believes in his or her ability to succeed with a health care treatment plan, he or she is more likely to comply and seek out opportunities to acquire health. Lastly, care coordination implements community resources, such as therapy groups and nursing facilities, to assist patients in transitioning between an inpatient hospital and a home. These community resources give the patient’s support, supplies, and guidance in health …show more content…
Although I did not personally encounter a critical thinking experience, I can implement the process into a patient we discussed. One of the patients was a 76-year-old male diagnosed with Osteomyelitis, who had two drainage/irrigation tubes perforated, inserted and brought out through the skin between 3 and 4 cm from his wound. I am unaware of this exact treatment options, but from what the patient stated, he stated that the drainage/irrigation tubes would come out of place. Rather than seeking out treatment immediately, the patient would wait two to three days, become septic, and end up in the emergency department. In fact, the patient had a total of fourteen emergency department visits within the last twelve months. The goal of the Care Coordinator stood as educating the patient to contact the Care Coordinator immediately after he felt/noticed that the tubes were out of place, rather than waiting for a possible infection to occur. Upon contacting the Care Coordinator, a message would be sent to the primary physician, an appointment would be scheduled that day, and the patient’s tubes would be repositioned back into
Managed Care Systems: What are the economic benefits of Managed Care Systems? The economic benefits of managed care systems are derived from providing the best quality care for a lower price. When people are able to afford healthcare and utilize it earlier, their health outcomes will be better and cost of treatment will be lower. Managed care systems allow insurance companies to be in contract with health care providers so that they can provide health care at lower prices.
Patients are encouraged to complete the MyStory: Personal Health Inventory to begin the process of determining their health care goals and needs. This allows the health care provider to understand the patient and make a personalized plan (VA Patient Centered Care, n.d.). In 2010 the VHA began developing the Patient Aligned Care Team (PACT). The goal of this
UnitedHealth Group is a particularly broadened health and well-being company headquartered in the United States, and a leader worldwide in helping individuals live more beneficial lives and helping improve the health system work for everybody. We are focused on presenting inventive methodologies, items and administrations that can enhance individual wellbeing and advance more advantageous populaces in neighborhood groups. Our center abilities in clinical aptitude, propelled innovation and information and well being data remarkably enable us to meet the developing needs of a changing healthcare environment.
A patient 's motivation to adhere to prescribed treatment by increasing the perceived importance of adherence, and strengthening confidence by building self-management skills, are behavioral treatment targets that must be addressed concurrently with biomedical ones if overall adherence is to be improving (Mathevula, 2013a and Mathevula, 2013b). c. Health care team/ health system related factors: Relatively little research has been conducted on the effects of the health care team and system-related factors on adherence. Whereas a good patient-provider relationship may improve adherence, there are many factors that have a negative effect. These include, poorly developed health services with inadequate or non-existent reimbursement by health insurance plans, poor medication distribution systems, lack of knowledge and training for health care providers on managing chronic diseases, overworked health care providers (Stroke Association.
The main objective of this program is to get individuals more involved in their care by making it convenient
This learning actively greatly assisted in building my confidence, which I required in order to be successful in the new graduate RN role. Good collaborative working relationships are based on clear communication and collaboration with the patient and all members of the healthcare team. (Kieft, et al. 2014 ) This semester I had no issues with regards to speaking with physicians and other members of the healthcare team, and I continued to actively participated and contributed to daily rounds on all 3 critical care units.
Patient centered care efforts will improve health care and will assist with eliminating disparities. Patient centered care will promote patient
Not only did I have hands on experience with patients but I also performed clerical duties such as scheduling appointments, recording demographic and insurance coverage information. At Piedmont Hospital I provided accurate education on procedures that were needed for new patients. Over the summer observing at Emory Hospital I accessed the effectiveness of therapy plan by observing patients’ reponses and observed patients during PT procedures to determine discomfort or pain. The last place that I completed my observation hours was at the Childrens Hospital of Atlanta in providing cold pack treatments and operated and maintained therapy equipment. Last but not least, I assisted the patients in administering active and passive therapeutic exercises.
a. According to Yoder-Wise (2015) complexity, formalization and centralization are characters that classifies a organization.(p. 141) All of these characteristics apply to Health care organization, but to what degree does a healthcare organization use each of these characteristics? In today 's Health Delivery organization I see a vision or movement toward shared governance. With this being said Health organization are more focused on decreasing hierarchies or complexity and using decentralization; Magnet Recognition Program is an example. (Yoder-wise 2015 p. 149) I have choice these to component because I have noticed a lot of hospitals achieving or wanted to achieve Magnet status. With the shared governance model management and administration
Patient centered care focuses on getting to know the older person as an individual such as their values, Aspirations, health, social needs, preferences and providing care specific to their needs. It enables the older person to make decisions on what kind of options with assistance available, promoting his/her Autonomy and independence. It involves them in such way to be included in shared decisions between healthcare teams and families, so the can be control with a choice of specific care / services. It provides information that is tailored for the individual in order to assist them in decision making based on evidence, helping them to understand their options and consequences of this. Supporting a person on his/her choice and letting them pursue their stated wishes, As a patient centered approach so they are involved as equal partners in their care ( Manley et al,
Upon arriving to the unit this morning, I quickly realized today was going to be a chaotic day with the current patient census, and all of the new admissions. I was able to assist the night charge nurse with today’s assignments, while she helped with the code, and the day began. I informed my team that today was going to be a long day, and encouraged them to use each other and myself for help. I recommended they taking a few minutes to coordinate their work after receiving report. At 0745, when Jane informs me that the patient in 408 has fallen, I am quick to get into the room and do an assessment again.
Patient Goals: Pt’s primary goal is to improve both static and dynamic balance in order to decrease his frequency of falls. Pt wants to increase bilateral LE strength to improve his ability to perform functional tasks such as, sit to stands. Pt also requested to become educated on and provided with a HEP to improve his posture. Pt’s final goal is to increase his endurance during ambulation so he can remain independent without an AD.
I had the pleasure of interviewing an LPN named Bernadette Rogers which is employed at Northwell Health Stern Family Center for Rehabilitation. In this interview, I learned that a systematic approach to how you began your day can determine how efficiently you perform your job duties. In addition, there are several elements that surprised me about this position. The first thing was the two-week training period that she underwent. I would have thought that the facility would have provided a lengthier orientation for a newly graduated nurse.
Community-based care (unlike hospital-based care) is able to identify resources and create healthy alliances that would otherwise remain hidden and
Based on this case the cost driver is to properly distribute the direct cost among the different divisions. Dr. Julian would like to control her departments costs by having them distributed fairly among the divisions without affecting the hospital’s reimbursement/revenue. Carroll University Hospital is currently using the standard costing unit, which is based on the cost of bed/day for inpatients. Currently the present cost accounting system that is being used at CUH takes the total direct cost of the departments, then allocates the indirect costs and distributes it among the departments evenly regardless of the actual resources being used in those departments, and without considering that there may be some patients in these divisions that may require more resources than others, this method does not seem to recognize the different activities,