Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.).
Daniel & Rosenstein (2008) define collaboration in health care as “health care professionals assuming complementary roles and cooperatively working together, sharing responsibility for problem-solving and making decisions to formulate and carry out plans for patient care.”
They are able to use secure messaging to ask point related questions and receive shorter response times than waiting on a phone calls. This method is efficient with the doctors as well, they are not being overloaded with incoming phone calls and patients avoid miscommunication or missed phone calls. Once they leave their doctor they are able to review doctors' notes in the case the patient did not remember what was discussed. Health information exchange has many benefits, however there are many challenges as well. HIEs have to select one or more vendor to deliver services in a successful manner. In their selection, they have to make sure the vendor is the best. They must offer experienced consulting services and support staff and offer a solution suite to meet their stakeholder's needs. Legal costs and time used to create data sharing agreements are directly proportional to the number
No matter how hard we may try, the importance of interprofessional collaboration in the healthcare system cannot be stressed enough. Of course, interprofessional care has a wide range of advantages in the smooth operating of a team. What is also to be taken into account, however, is the unbounded benefits from the patient’s perspective. As we all know – unfortunately many from our own experiences – the road to recovery requires not only the carefully calibrated skills and expertise of the individual but also the cooperation and constant communication of a vast team of healthcare providers. Through this complex operation come the many advantages to the patient’s treatment and overall health.
A healthcare system should include an interprofessional team that works well together. If everyone in the interprofessional team is not cooperative or passionate about building the group, this may impact a patient’s outcome. The goal of an interprofessional team within a healthcare system is to provide the finest quality of care for their patients. If one or multiple cannot put the effort to work with others, the intended result may be corrupt. It is vital for healthcare interprofessional teams to function as a whole to provide the greatest result.
The word ‘team’ can be defined as a group of people working together towards a common goal. A team also generally is known as a group of people with different skills and different tasks, who works together on a common project, services, or goal. Then, the important thing in teamwork is ‘collaboration’, which is the act of working effectively with others to achieve a common goal. Collaboration acts as the lifeblood in the team, even the team is not large enough, but the collaboration is required.
The Institute of Medicine (IOM) has a strong stance on nurses and leadership. They believe that nurses are a vital component to health care system and nurses in leadership roles can have a positive impact on such. Nurses are in all sorts of roles within the health care systems ranging from a staff nurse, nurse managers, to advance practice, all the way to congress (Finkelman & Kenner, 2013). In addition, they even serve in the boardroom within some health care organizations. Leadership doesn’t necessarily mean a nurse in a manager position, but a nurse who has an influence on staff. (Finkelman, et al, 2013). The importance to having all health care members working together in leadership roles is imperative to positive changes within the health care setting. Nurses can give an insight on matters that only a nurse can, and this is an important viewpoint that needs to be included when
The Articles of Confederation were adopted on November 15,1777, and was the first step towards having a song and structured government. When it comes to the Articles of Confederation, you must keep in mind that this was the first form of government EVER for americans, which is why it was so weak. It worked a little bit for a while but getting people to agree with it was difficult. But it was decided upon because despite them being their own country for the first time, they still needed a government system and at that specific time, they needed to take that baby step for the sake of this country, regardless of the lack of strength of the content. You see, when congress got the Articles of Confederation, they had to send it to the states. The
One of the first things we will discuss is what an integrated physician model actually is. As defined by our text book “an integrated physician model is the result of a series of partnerships between hospitals and physicians developed over time.” Since that is the text book definition lets try and clear it up just a little bit. The integrated physician model really is a very generic term that is showing an effort by both the physician and hospital for a very wide range of purposes. For instance, optimize cost and clinical outcomes, and for a hospital and physician to work under a cohesive structure.
The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care. The nursing process also called the problem-solving approach originated in 1967 and consists of four stages; assessment, planning, implementation and evaluation (APIE) (Yura and Walsh, 1967). However, Barrett et al (2012) reasons, two further stages need to be considered within the problem-solving approach meaning APIE becomes ASPIRE, the systematic nursing diagnosis and recheck complete the acronym ASPIRE. Barrett et al (2012) also states, to be fully successful in meeting the needs of the individual a nursing model needs to be incorporated in to the process to ensure every aspect of information is considered.
I enjoyed reading your post. I would like to expand on your post about promoting interprofessional collaborative care with occupational therapy. Care coordination is dependent on a deliberate organization of patient care activities between two or more participants, including the patient (Moyers & Metzler, 2014). As you mention, accountable care organizations and patient-centered medical homes are excellent examples that benefit from interprofessional collaboration.
Creating value through collaboration has been a topic of concern over the last 50 years as the spending in health care has increased. The goal is to provide quality and affordability and because of past efforts, enrollment increased drastically while it created a shortage of providers.
Accountable Care Organizations (ACOs) are comprised of doctors, practitioners, and hospitals, to give healthcare services to patients. The goal of coordinated care is provide high quality of care through an integrated service model while avoiding unnecessary duplication of services and preventing medical errors. The ACO is evaluated through a quality metrics to assess care provided to patients in a cost efficient manner.
Hope is not lost for our nations veterans, there are initiatives that may be implemented in order to improve the quality of care. We have identified four key areas that we feel will improve the quality of care for our nations veterans. These areas are; Patient Aligned Care Teams (PACTS), the program of vocational rehab, positive media relations, and universal electronic medical records.
The Baylor Scott and White Health (BSWH) Nursing Professional Practice Model serves as the foundation for professional nursing practice. The model is based on the Synergy Model for Patient Care developed by the American Association of Critical Care Nurses (AACN). The synergy model incorporates the care delivery system of nurses, who have the authority, accountability and autonomy to ensure safe patient passage in the clinical decisions of patients and nurses in nursing