Patient Centered Care: A Case Study

Findings of the study were successful. It showed that staff understood person centred care and practised it daily. They learned a new set of skills to apply this framework uniquely to

Hospital Readmission has a high burden to both healthcare systems and patients. Most readmission is thought to be related to the quality of healthcare system. In the US, nearly 20 percent of Medicare patients are readmitted within 30 days after discharge and related with an estimated annual cost of 17 billion (1). Hospital readmission for patients early after an inpatient stay can be a traumatic experience (2).

Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.

Family-Centered care is a philosophy that strives for optimal health care of the patient as well as the family as a whole (Kuo, Houtrow, Arango, Kuhithau, Simmons and Neff, 2011). This view of health care wasn’t always thought to be the best form of care. There was a time when parents were not allowed in the hospital wards with their children. In order to understand the historical changes that have brought us to today’s philosophy of family-centered care, we must first look at what family-centered care is and why it is important. We must then look back on the historical background of children in the hospital setting and the gradual changes that occurred over time. Finally, we will review the research on child development and the importance

According to Baldwin (2003) health care disparities are the differences in health and health care between population groups including race, socioeconomic status, age, location, gender, disability, and sexual orientation. Disparities limits the improvements of quality health care which could result in unnecessary health care expenses. Factors that are contributing to disparities within today’s society are lack of access to quality health care and the number of individuals who are uninsured. As the population continue to grow and become more diverse health care disparities will continue to increase. Patient centered care efforts will improve health care and will assist with eliminating disparities. Patient centered care will promote patient

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,

First, we are clinicians to which these patients seek for our expertise to address their health problems. Secondly, we are diagnosticians whereby we seek the underlying causes of our patient’s health issues. Third, we are educators to which we help our patients cope and understand their health conditions. And lastly, we aspire to be the catalyst for a positive change in our patient’s concept of wellness and health. And truly, when we achieve our roles as catalysts for change for our patients we exude the transformative power of physical

Patient participation in their care has proven to have a myriad of benefits including improved clinical outcomes, decreased healthcare acquired infections (HAI), increased compliance to treatment regimens, increased patient satisfaction resulting in reduced hospital costs and length of stay (Phillips, Street & Haesler, 2014; Arefian et. al, 2016). Priorities of patients and families may differ from that of the health services. Hence, the need to provide care that is respectful to patient’s preferences, needs and values. Health care organizations and policy makers will need to embrace new norms and make substantial changes in their culture, processes, and structure (Barry & Edgman-Levitan, 2012). This can only be done through support from senior management and nursing leaders (Carman et al., 2012). In turn, nurses would be able to cater care to their patients. Nurses play an essential role to nurture patient’s motivation for participation. Nurses need to encourage confidence for patients to become more involved in their care, especially during medical rounds, updates and allow them not to be coerced into their treatment by giving holistic information to make an informed decisions. Nurses spend the most amount of time with patients and that time can be used to build rapport and share knowledge with their patients. Nurses would

Overall, patients are going to be rendered more diagnosis-centered care, with an interdisciplinary look at each case inpatient, as well as outpatient. Patients will be given a work-up and plan for success, no longer as a “quick-fix”, but a long term plan of care to control chronic diseases outside of the acute care setting. Looking at a study from Connecticut, “By revamping the discharge process and working with post-acute providers, UConn Health Center/John Dempsey Hospital, Farrington, CT, reduced thirty-day heart failure readmissions from 25.1% in August 2010 to 17.1% in March 2012. Key initiatives included follow-up appointments within seven days in the hospital heart clinic, revising nursing education, adding automated dietician, social worker, pharmacy, and cardiology consults with the diagnosis order set, and collaborating with the community providers to smooth the transition of care” (“Hospital Initiative”, 2012). Another group, the Quality Partners, a nonprofit group established to be a Medicare improvement organization, tested an intervention to reduce thirty-day hospital readmissions. As a Medicare-funded pilot program, it involved coaches meeting with patients to empower them to reach out to community providers when symptoms begin, rather than when waiting until there is a need for the hospital (“Intervention Lowers”, 2011). These studies display the opportunity for change when healthcare

It seems critical how responding adequately to the displeasure with our clinic among many members in the community. To some extent, it is highly demanding of how a new practice manager ends up cleaning the past mess and branding our ambulatory Care positively. Mostly in health care, patients and their surroundings tend to value a brand whose products and services can make their lives more significant. Indeed, patients want to identify with a market/branding plan they can get accessible, affordable, and quality healthcare. Knowingly, we need to consider our past few weeks and evaluate the University of Central Florida Community Care Center from the ground up to fulfill the following questions—What can be done to change our image? What can we do to make a difference in our employment as a newly hired practice manager? And what happened to get us to this point?

This week I was only in the PACU for one day and that day I was assigned the team lead role. My priorities while in that role included floating around where I was needed, providing care for not only the patient assigned to myself and my coassign, but also giving a helping hand to my fellow classmates when it was appropriate. I felt appreciated and I felt equally appreciative towards my classmates as I was able to see my role as the student in a different light. I found myself taking mental notes of how my classmates implemented care and interacted with their patients. This gave me ideas of how to improve my own care. I feel that being in a smaller group and in an open room where we were all able to see each other going through the same experience gave us all a boost in confidence. In previous CPR entries I have talked about my own problems with confidence and I feel that being in the PACU assigned as the team lead facilitated in addressing my personal priority of becoming more assertive.

The need for population health management in our health care system is incredibly important. In order for our health care system to work there has been many different approaches in order to intertwine each system within the health care world. “Whether the goal is getting a handle on population health, taking on risk based contracts, or improving the patient care experience, hospital leaders and physicians are separately learning the same tough lesson- they can’t do it alone.” (Morrissey, 2015). With that said, clinical integration is the key changing our system.

Medicaid accounts for 16 cents of every U.S. healthcare dollar, 24 cents of every State budget dollar. Of the 60 million Medicaid beneficiaries in the U.S., Seniors and Persons with Disabilities (SPD) who represent just one-fourth of program enrollees yet account for 70% of overall Medicaid cost. As California (Medi-Cal) is the largest Medicaid program in the nation with total 12 million beneficiaries as of Jan 2015, almost one in three Californians are in the Medi-Cal program, seeking solutions to manage and ensure the efficiency of care delivery has an extensive impact to the State’s budget and resource allocation.

The article “Defining ‘Patient-Centered Medicine’” by Charles Bardes in The New England Journal of Medicine explains the differences between the normal care and patient-centered medicine. To understand what patient-centered medicine is, you must know one of the main differences is that “…it seeks to focus medical attention on the individual patient’s needs and concerns, rather than the doctor’s” (782) which as a patient, is a high priority. The patient-centered medicine you are given will be personalized specifically for you and will work around your way of life. In the article, another author explains patient-centered medicine in more depth by saying that it will “ 'take into account the patient, the social context in which he lives, and the

In Ireland, following on from the Mental Health Commission, it can be seen that there is a move towards family centered care (Murphy et al (2015). Quality is fast becoming a central part of the mental health service and was a guiding aspect of the strategy “shaping a healthcare future: a strategy for effective health care in the 1990’s” (MHC, 2007). The main principles include person centeredness, quality, equity and accountability. The main objective is to ensure that quality and safety of care is sustained and regularly evaluated.