The Government commissioned the Review of Choice in End of Life Care14 (“the Review”) to provide independent advice on improving the quality and experience of care for adults at the end of life, their careers and others who are important to them, by expanding choice. The Review, which was focused on adults, demonstrated clearly that high quality care and personalised care based on people’s choices and preferences are inseparable. People
Health Management Information System (HMIS) is a process of collection, processing, and reporting the relevant information to health care providers and managers for effective and efficient planning and service delivery. It is one of the critical elements of managing, in an integrated fashion, various public health programmes under the department of Health. Properly organized, implemented and used HMIS can alone contribute very significantly to improve program delivery and thus the outcome. Thus accurate, relevant and up-to-date information is essential for the health service providers /manager at all levels so that they can initiate action on the gaps in the system based on evidence and information. Conventionally, information from Sub-centers
Risk Management Plan is an overarching, conceptual framework that aims to achieve the goal of patient safety and guides the healthcare organization to develop a holistic program for improving quality without compromising the patient safety initiatives. Risk management plan should be operated by creating a formal, structural and written document which should become an integral component of healthcare organization's standard business practice. In this paper, I am playing a role of a Chief Risk Management Officer for a large metropolitan not-for-profit teaching hospital and I am assigned with a case for which I will be creating a comprehensive risk management plan by performing a root cause analysis and complete risk analysis. This paper will
Clinical research is from acute to chronic care experience throughout life span. It involves health promotion and preventive care for individual, families and communities in different settings. It is important for nursing research to widen the scope in order to have a greater impact in future. The aspect of health promotion and preventive care are very important because some diseases are better prevented than treated and while some changes are irreversible such as aging are part of human experience. Health systems and outcomes research focuses on how health care delivery influences quality, cost and experience of patient.
The results of these studies strengthened the author’s belief that the community benefits from the implementation of this public health program. The author is currently a pediatric cardiothoracic operating room nurse and is knowledgeable on the complications and mortality due to the late detection and delayed surgical treatment of CCHD in newborns. The author believes that changes in normal newborn screening routine is beneficial and should be implemented in nationwide. The author will use her analytic philosophy to conduct more studies that will yield new recommendations to improve patient outcomes. Moreover, the author plans to evaluate multiple evidenced-based practices that are being implemented in her facility and publish articles in the
In any healthcare profession, continued growth in technology, changes in patient population, access to nursing education, and current events have an influence on the duty of a nurse and with patient outcomes. Nurses are frequently on the front lines in the healthcare setting, so it is worth thinking about the healthcare trends that are both internal and external to patients and service providers. A trend is defined as a general direction in which something is developing or changing. The one thing that you can expect in any healthcare profession is change. Whether it is the economy, technology, law, education, or collaborative healthcare, these all contribute to how an administrator does his or her job.
Research is designed to contribute to knowledge which has resulted in the formation of evidence based practice. The influence of evidence-based practice is endorsed across nursing practice and education. The need for an effective, safe, and efficient health system has resulted in the call for evidence based practice to become the bases for new knowledge being transformed into working clinical procedures, being effectively implemented and working for the advantage of the patient and the entire care team. Evidence based practice is an approach to problem solving and an aid for decision making which integrates best evidence and patient care data. If delivered in an environment of caring and in a supportive organisation, the highest quality
A patient’s bill of rights is a list which contains some guarantees for people that are receiving medical care. The bill was presented by the American Hospital Association with the aim that it will contribute to more effective care. Patient’s bill of right among other things ensures patients information, fair treatment and autonomy over any other decision by health care providers. The uses of bill of rights in clients care cannot be overemphasized. Firstly, it assures sense of fairness in health care system because one major goal is to meet patients’ needs.
Clinical integrations’ importance stems from the opportunity to coordinate services in the current environment in an affordable way while delivering high-quality care (Harrison, p180, 2016). With innovative quality improvement programs like the electronic health records, management of chronic care programs, and centralized scheduling these tools make it easier to integrate healthcare systems, so information is retrieved quickly making it menial to make decisions. Likewise, the Accountable Care Organizations (ACO) allows for the integration of patient care through which the primary care providers are responsible for coordinating. Since Medicare is the driver in healthcare, the idea of integration was to monitor healthcare from patient and payer perspective (Harrison, p180, 2016). For Medicaid patients, the care continuum stretches to the primary care provider to provide care at a lower cost.
Providers are being held more accountable for the care they provide and expect to receive payments for. The ambulatory care model is expected to help in decreasing the number of impatient stays, hospital acquired illnesses and injuries, and increase provider and patient awareness and focus on lifestyles that promote long term healthy living and habits. According to the American Institute of Architects who helps build ambulatory centers, “Advances in technology have enabled more care to be delivered through noninvasive procedures and administering drugs, and have also allowed the management of care to be more seamless and portable. Flexibility in the delivery of care allows for more treatment to take place away from the hospital, in ambulatory settings, in the doctor’s exam room, or even in the comfort of the patient’s home. This separation of ambulatory from inpatient care creates complexities as providers try to support patient comfort and recognize the need for some similar support structures that are costly to duplicate in multiple locations.