Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.
What advantages and disadvantages of POMR, SOMR, and SOAP charting influence medical records and why? POMR (problem oriented medical records) Advantages: Focuses on pts care and their problems. Relevant data related to a problem all in one place making it more easier and available for all who are providing the care.
7 / D.P7: Explain how different procedures maintain health and safety in a selected health or social care setting Maintaining health and safety in health and social care is extremely important to ensure the health, safety and wellbeing of all their service users as well as other individuals service providers may come in contact with in the setting. There are several procedures that help to maintain this health and safety however they can all vary between settings for example, health and safety procedures will be slightly different and more focused on certain areas in hospitals and especially in paediatric ward compared to in drop-in centres where the needs and risk to service users are slightly different. Some of the procedures used in health and social care to maintain health and safety include; infection control and prevention, safe moving and handling of equipment and individuals, food preparation and storage, storage and administration of medication and storage and disposal of hazardous substances.
However, one focuses on management and delivery of healthcare, and the other focuses on patient’s healthcare. Although they vary differently, they also have similar pathways. (“Top Masters in Healthcare Administration,” 2018) indicates, a Health Services Manager is responsible for the decision-making and strategic planning that takes place in a hospital, long-term care facility and other organizations that are related to medical or health care (2018). Mental Health Counselor should be one that specializes in caring for others by providing assistance, medical attention, and emotional support for patients, and coworkers, and as part of a Mental Health Counselors job they must document patient information written or electronically, yet also maintain patient confidentiality (“Mental Health Counselor,” 2018). The ultimate goal of these two careers is a form of management, such as managing a facility, and teaching one-self management.
Query-based exchange is the “ability for providers to find and/or request information on a patient from other providers, often used for unplanned care. Query-based exchange is used to search and discover accessible clinical sources on a patient” For example, a query-based exchange can assist a provider in obtaining a health record on a patient who is visiting from another state, resulting in more informed decisions about the care of the patient. Consumer-mediated exchange is the “ability for patients to aggregate and control the use of their health information
Although sometimes neglected, many healthcare professionals glean information on family morbidity of particular diseases (e.g. cardiovascular diseases, autoimmune disorders, mental disorders, diabetes, cancer) to assess whether a person is at risk of developing similar problems (Rich E. C. et al, 2004) CONCEPT 3- NURSING ASSESSMENT. This concept was taken from module 1.2 entitled “purpose of health assessment” Nursing health assessment involves collecting, validating and clustering of data about health challenges of an individual, and their health needs. It is first step in nursing process. Even though nursing have always performed assessment on client prior giving nursing care, until recently assessment was considered the official domain of the physician via the
(Hogue & Prudhomme, 2012) Another point is documentation on a patient. There is a saying in the medical field if you didn’t document it didn’t happen, make sure as a case manager, everything you do is fully documented in the patient record. Develop habits that are good, you always want to document on a client when everything is fresh. It proves to the case manager’s credibility.
Intensive care unit staffing Intensive care staffing is a pure organizational issue in health care service. It will be important to understand the impact of ICU physician and nurse staffing on patients’ outcome. o Intensivists Intensivists are board-certified physicians who are subspecialized in Critical Care Medicine. Staffing ICU by intensivists lowers the resources abuse since they reduce inappropriate admission and prevent complications that prolong the ICU stay.
Our society has been leaning more towards the ambulatory service lately because it is more cost effective to the hospital and the patients. Both inpatient and ambulatory care have different scopes of services. As stated previously, inpatient care is a service that
Julian is able to recognize which patients, and which of the three divisions: gastroenterology, cardiology, and oncology is using more of a variety of resources, since some patients do require more medication, lab work, and therapeutic treatment, based on the patient’s diagnoses. The information from the third system will provide Dr. Julian the ability to recognize and distinguish that not all patients require the same amount of care, some patients due to their diagnosis require different level of nursing care, some more than others. With this third approach Dr. Julian will be able to have a more precise cost of care service given to the different patients based on their necessities. The information provided by both second and third system will provide Dr. Julian with a more efficient way to control costs. She will now able to see the differences in costs among the divisions using the second and third approach.
Case studies are often conducted in clinical medicine involving descriptive info about the person. For example, if a person was in the hospital for a particular reason that the doctor cannot yet identify, the patient may be asked a serious of questions about their health and activities to try and determine what is making them ill. The strength of performing a case study is that it allows a researcher to investigate a topic in much more detail than if they were dealing with large amounts of people. Case studies have been said to provide more of a realistic response than other types of methods. The weakness of a case study is that because only one person is being studied, there is only one viewpoint being contributed to the study.
The activities and formation of ACOs that do not fall within the "antitrust safety zone" will generally be evaluated by the Agencies under the Rule of Reason, which weighs the potential anticompetitive effects of collaboration against its potential pro-competitive effects, such as enhancing efficiency. The Policy Statement notes that the Rule of Reason will be applied by the Agencies "if providers are financially or clinically integrated and the agreement is reasonably necessary to accomplish the pro-competitive benefits of the integration." Converting from fee-for-service (FFS) model to value based reimbursement has brought many challenges to healthcare providers. These challenges include shift in payor mix, shared savings and increase in tracking provider quality and performance. The shift in payor mix relates to the decrease in commercial patients with higher reimbursement rates while Medicare and Medicaid patients with lower reimbursement rates will increase.
The mental health status of a patient is very important when you are dealing with drug abuse and suicidality. Knowing if there is co-morbidity in the diagnosis will help determine the best treatment plan for the patient. However, not all hospitals are required to run mental health screening on their patients. Often this test is left up to the desecration of the medical staff on duty at the time of the patients intake. Data Analysis Plan
http://www.bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm Health Information Specialist A health information specialist provides clerical support for assigned departments. Where ever they work, they scan, sort and distribute medical reports and records to avoid processing delays and meet established requirements. They are responsible for analyzing medical documentation to ensure the
Tammy did an excellent job by taking into consideration several things regarding her personal values. Of those that come to mind to her, when reflecting on the interview tools used, she believe honesty and accountability are at the top of her list. She believes a nurse must know her strengths and weaknesses in order to expand and improve. A potential employee must realize that the patient is the center of focus for the institution and staff and must be accountable to providing excellent care at all times. Tammy also states that effective communication would be a close second, because in order to be an effective nurse and employee, one must be able to communicate effectively.