This document provides an overview of the US health care delivery system. It discusses challenges like reducing costs while maintaining quality, improving access, and encouraging healthy behaviors. It also covers different levels of care like preventative, primary, secondary, tertiary, restorative, continuing care and settings within each level. Issues discussed include the nursing shortage, evidence-based practice, quality/safety, and the future of health care needing to address the uninsured while improving quality through nurse participation.
Primary health care is the first level of contact between individuals and the health system, providing essential care for common health problems. It aims to provide universally accessible care that is scientifically sound, socially appropriate, and prioritizes those most in need. Evidence shows primary care-oriented systems lead to better health outcomes, lower costs, and greater equity. The document proposes a holistic ecosystem approach that incorporates contributions from all stakeholders to make primary health care centers more attractive and effective in underserved rural areas. It suggests training local students and providing incentives to work in these areas, as well as leveraging technology and public-private partnerships to expand access to primary care.
UPMC is a large integrated delivery and finance system with 62,000 employees and $10 billion in revenue. It operates 20+ hospitals, senior living communities, insurance plans, and international services across 18 countries. UPMC aims to promote high quality, low cost care through its integrated structure. In 2011, UPMC launched several initiatives in hospitals, long-term care facilities, and communities focused on palliative care, transitions of care, quality improvement, consistent staff assignments, end of life training, and palliative care consult teams. The health plan developed a Care Through Transitions model to provide functional assessments, interdisciplinary care planning, and transitional care days to reduce avoidable hospitalizations. ClinicalConnect is an HIE system that connects
This document discusses trends and expectations for general practice and primary care in New Zealand towards the year 2030. It outlines that patients will expect quality, convenient, affordable and integrated care from competent professionals. There will be a focus on patient-centeredness, with information systems that communicate clinical information securely between providers and allow patients to access their own records. The future of primary care will rely on strong clinical leadership within a system that is primary care-led and flexible to meet local needs.
Integrated care seeks to address fragmentation in health and social care systems that allows individuals to "fall through the gaps" in care. It is centered around the needs of patients, especially those with complex, long-term conditions like frail older people, people with chronic diseases, and people with mental health issues. Examples provided illustrate integrated care achieved through multi-disciplinary teams, pooled budgets, and coordination of services across primary, community and hospital settings to better meet patient needs.
Home health nursing services allow individuals to receive healthcare in their own homes, providing comfort and dignity. Services may include skilled nursing, physical therapy, occupational therapy, social services, and more. Care is provided through developing a treatment plan with the patient's physician, making regular visits to work towards goals, and documenting progress for quality assessment.
This document summarizes a presentation on integrated care and support given by representatives from NHS England and ADASS. It discusses the context of integration between health and social care services, identifies three "wicked issues" challenges to integration, and outlines next steps. Graphs and figures are included showing relationships between long-term conditions, costs of care, and the potential impact and cost savings of integrated models of care. The presentation addresses definitions of integration, evidence challenges, barriers such as information governance, and emphasizes the importance of person-centered coordinated care and building the capacity of patients to engage in self-management.
Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Latino Health Forum 2014
Primary health care is the first level of contact between individuals and the health system, providing essential care for common health problems. It aims to provide universally accessible care that is scientifically sound, socially appropriate, and prioritizes those most in need. Evidence shows primary care-oriented systems lead to better health outcomes, lower costs, and greater equity. The document proposes a holistic ecosystem approach that incorporates contributions from all stakeholders to make primary health care centers more attractive and effective in underserved rural areas. It suggests training local students and providing incentives to work in these areas, as well as leveraging technology and public-private partnerships to expand access to primary care.
UPMC is a large integrated delivery and finance system with 62,000 employees and $10 billion in revenue. It operates 20+ hospitals, senior living communities, insurance plans, and international services across 18 countries. UPMC aims to promote high quality, low cost care through its integrated structure. In 2011, UPMC launched several initiatives in hospitals, long-term care facilities, and communities focused on palliative care, transitions of care, quality improvement, consistent staff assignments, end of life training, and palliative care consult teams. The health plan developed a Care Through Transitions model to provide functional assessments, interdisciplinary care planning, and transitional care days to reduce avoidable hospitalizations. ClinicalConnect is an HIE system that connects
This document discusses trends and expectations for general practice and primary care in New Zealand towards the year 2030. It outlines that patients will expect quality, convenient, affordable and integrated care from competent professionals. There will be a focus on patient-centeredness, with information systems that communicate clinical information securely between providers and allow patients to access their own records. The future of primary care will rely on strong clinical leadership within a system that is primary care-led and flexible to meet local needs.
Integrated care seeks to address fragmentation in health and social care systems that allows individuals to "fall through the gaps" in care. It is centered around the needs of patients, especially those with complex, long-term conditions like frail older people, people with chronic diseases, and people with mental health issues. Examples provided illustrate integrated care achieved through multi-disciplinary teams, pooled budgets, and coordination of services across primary, community and hospital settings to better meet patient needs.
Home health nursing services allow individuals to receive healthcare in their own homes, providing comfort and dignity. Services may include skilled nursing, physical therapy, occupational therapy, social services, and more. Care is provided through developing a treatment plan with the patient's physician, making regular visits to work towards goals, and documenting progress for quality assessment.
This document summarizes a presentation on integrated care and support given by representatives from NHS England and ADASS. It discusses the context of integration between health and social care services, identifies three "wicked issues" challenges to integration, and outlines next steps. Graphs and figures are included showing relationships between long-term conditions, costs of care, and the potential impact and cost savings of integrated models of care. The presentation addresses definitions of integration, evidence challenges, barriers such as information governance, and emphasizes the importance of person-centered coordinated care and building the capacity of patients to engage in self-management.
Elena Reyes, PhD, Associate Professor & Director of Behavioral Medicine, Florida State University College of Medicine, Regional Director Southwest Florida
Latino Health Forum 2014
Naomi Fulop: Integrated care lessons from the researchNuffield Trust
1) The evidence on integrated care shows some improvements in care coordination and partnerships but mixed results on costs, utilization of services, and patient outcomes.
2) Successful integration requires focusing on clinical integration rather than just organizational integration and ensuring supportive local contexts.
3) Key challenges to integration include overcoming cultural differences between organizations, avoiding negative impacts on community services, providing the right incentives, and being patient as integration takes significant time.
Krames Patient Education is the only choice for enterprise-wide patient education. In this presentation, practices will learn who Krames Patient Education is and What we can do for you.
We will review Patient-Centered Care and Patient Education; The Case for a Patient Education Investment, The Krames Differencet; Return on Investment; and Krames Solutions.
The document discusses the patient-centered medical home (PCMH) model for healthcare delivery. It defines key principles of the PCMH model, including having a personal primary care physician, care coordination by an interdisciplinary team, and a focus on comprehensive, high-quality care. The document argues that the PCMH model should be adopted now because the current healthcare system is broken and unsustainable due to rising costs and quality issues. It also outlines how various stakeholders could benefit from the PCMH model through things like improved health outcomes, reduced costs, and enhanced care coordination.
Judith Smith and Chris Ham: Commissioning integrated care - what role for cli...The King's Fund
Dr Judith Smith, Head of Policy at the Nuffield Trust, and Professor Chris Ham, Chief Executive of The King’s Fund, share the findings of their recent research into how NHS commissioners have been commissioning better integrated services and care for people in local areas.
The document discusses strategies for transforming healthcare delivery through population health management, care coordination, and virtual care technologies. It provides examples of how partnerships between healthcare organizations and technology companies have implemented programs utilizing telehealth, remote patient monitoring, and digital platforms to improve outcomes, lower costs, and enable aging in place. Case studies demonstrate how these approaches have reduced hospital admissions and lengths of stay, ICU transfers, mortality rates, and costs while improving quality of life.
Delivered by Prof Frances Ruane, Chairperson of the Expert Group on Resource Allocation in the Health Sector, Executive Director of the ESRI at the IPHA Annual Meeting 2010.
Nick Goodwin: making a success of care co-ordinationThe King's Fund
Nick Goodwin, Chief Executive at the International Foundation for Integrated Care, looks at how care could be better co-ordinated around people with complex needs, and the challenges around delivering joined-up care.
The document discusses health care delivery systems and nursing care delivery models. It provides an overview of the types of health care services including primary, secondary, and tertiary prevention. It also describes various health care agencies and providers. Factors affecting health care delivery are discussed as well as several nursing care delivery modalities/frameworks for care such as managed care, case management, patient-focused care, and differentiated practice.
The Complexities and Challenges of Health and Aged Care System
The three primary goals of healthcare organisations today are:
• improve the experience of care
• improve the health of the population and
• reduce per capita costs of delivery.
This requires healthcare organisations to engage and impact the health of one person at a time. This can only be achieved with the right people, processes and information systems in place.
Challenges and Opportunities in Nursing in Canadaanne spencer
This document discusses challenges and opportunities in nursing in Canada. It outlines the agenda which includes an overview of Canadian nursing, challenges and opportunities, and a focus on documenting nursing in a digital age. Some key challenges discussed are chronic understaffing, political restructuring, and issues around licensure and scope of practice. Opportunities mentioned include nursing leadership, a national nursing report card, and nursing informatics. The remainder of the document focuses on documenting nursing data in electronic health records, including standards like C-HOBIC and requirements for capturing and analyzing nursing data.
The document discusses the development of an integrated mental health management system in New South Wales, Australia. It proposes the following phases:
1. Developing a rapid functioning prototype to integrate existing mental health apps, services, and the My Health Record system for consumers.
2. Creating a multi-stage project involving consumer engagement, a functioning prototype, deployment, and integration with broader eHealth initiatives.
3. The goal is to empower consumers to safely access and share health information, engage with providers through digital channels, and receive personalized, integrated care for their mental health needs.
This document summarizes a study evaluating the implementation of an integrated care policy called Partners in Recovery (PIR) for people with severe and complex mental illness in Western Sydney, Australia. PIR aims to improve coordination of clinical and other support services for these individuals. The study is prospectively evaluating PIR's impact on individual recovery outcomes, service delivery processes, and system integration over three years. Preliminary findings after the first year will describe any indications of improved system integration found so far and factors facilitating or impeding the integration process. The study setting presents challenges as the target population and their needs were previously unknown, requiring discovery during implementation. However, this practice-based enactment also allows for positive innovation and regional variation in services.
This document discusses the key concepts of community health nursing. It defines community health nursing as a synthesis of nursing knowledge and public health science and practice that uses nursing processes to promote population health. The main tenets of community health nursing are comprehensive population assessment, partnership, primary prevention, health promotion, outreach, concern for overall population health, and interdisciplinary collaboration. The document outlines the standards of care and performance for community health nursing and lists attributes such as population focus, health orientation, autonomy, creativity, continuity, collaboration, intimacy and variability. Finally, it identifies common roles of community health nurses including caregiver, educator, counselor, and roles oriented toward clients, care delivery, and populations.
Developing non-clinical approaches and are pathways to fundamental socioeconomic issues that are presented in the primary care and secondary care settings
Polls show overwhelming evidence that patients WANT to be involved in their medical records and health data, so they can partner with their clinicians for better health. Survey results from Society for Participatory Medicine 2014 and 2015 surveys.
Mental Health Forum May 2016 Walter KmetWalter Kmet
Walter Kmet, CEO of WentWest and WSPHN, discusses opportunities to improve integrated care delivery through the Primary Health Network framework. The framework focuses on integration at the whole-of-system, care/population group, and patient-centric levels. Kmet also emphasizes the importance of understanding population health needs, organizing care delivery through protocols and performance review, and strengthening payment, governance, information, leadership and other supports to build an integrated care system.
Universal Health Care: Cote D'Ivoire. Africa is not ready for universal private health care. Health workforce is inadequate. Hospitals are lacking resources and crumbling.
Staff training is not up to standard. Opening the door to more people will only increase cost and deteriorate the quality of care further.
The document discusses the future of nursing and healthcare. It outlines challenges facing the US healthcare system including rising costs and access issues. It also discusses challenges and opportunities for nursing including an aging population, need for higher levels of education, and calls to expand nursing's leadership role. The IOM report on nursing recommends increasing the proportion of nurses with bachelor's degrees and doubling the number with doctorates by 2020 to help transform the healthcare system and improve outcomes.
Community-based Chronic Care ManagementBrent Feorene
The document discusses strategies for community-based chronic illness management to reduce costs and improve outcomes. It outlines several programs that have shown promise, including transitional care programs and house call programs. Transitional care programs of varying intensity use nurses and nurse practitioners to coach patients after hospital discharge. House call programs provide primary care to high-risk elderly patients in their homes through visits from physicians and nurse practitioners. Evaluation of these programs has found reduced utilization, lower costs, and improved outcomes and quality of life.
The document discusses integrating primary health care in New Zealand by establishing multi-disciplinary teams to better manage patients with long-term conditions. It provides examples of Group Health, a not-for-profit health maintenance organization, that implemented a medical home model with improved coordination and patient experiences. Preliminary results from Group Health showed reductions in hospitalizations, emergency visits, and care costs despite increased primary care spending.
Naomi Fulop: Integrated care lessons from the researchNuffield Trust
1) The evidence on integrated care shows some improvements in care coordination and partnerships but mixed results on costs, utilization of services, and patient outcomes.
2) Successful integration requires focusing on clinical integration rather than just organizational integration and ensuring supportive local contexts.
3) Key challenges to integration include overcoming cultural differences between organizations, avoiding negative impacts on community services, providing the right incentives, and being patient as integration takes significant time.
Krames Patient Education is the only choice for enterprise-wide patient education. In this presentation, practices will learn who Krames Patient Education is and What we can do for you.
We will review Patient-Centered Care and Patient Education; The Case for a Patient Education Investment, The Krames Differencet; Return on Investment; and Krames Solutions.
The document discusses the patient-centered medical home (PCMH) model for healthcare delivery. It defines key principles of the PCMH model, including having a personal primary care physician, care coordination by an interdisciplinary team, and a focus on comprehensive, high-quality care. The document argues that the PCMH model should be adopted now because the current healthcare system is broken and unsustainable due to rising costs and quality issues. It also outlines how various stakeholders could benefit from the PCMH model through things like improved health outcomes, reduced costs, and enhanced care coordination.
Judith Smith and Chris Ham: Commissioning integrated care - what role for cli...The King's Fund
Dr Judith Smith, Head of Policy at the Nuffield Trust, and Professor Chris Ham, Chief Executive of The King’s Fund, share the findings of their recent research into how NHS commissioners have been commissioning better integrated services and care for people in local areas.
The document discusses strategies for transforming healthcare delivery through population health management, care coordination, and virtual care technologies. It provides examples of how partnerships between healthcare organizations and technology companies have implemented programs utilizing telehealth, remote patient monitoring, and digital platforms to improve outcomes, lower costs, and enable aging in place. Case studies demonstrate how these approaches have reduced hospital admissions and lengths of stay, ICU transfers, mortality rates, and costs while improving quality of life.
Delivered by Prof Frances Ruane, Chairperson of the Expert Group on Resource Allocation in the Health Sector, Executive Director of the ESRI at the IPHA Annual Meeting 2010.
Nick Goodwin: making a success of care co-ordinationThe King's Fund
Nick Goodwin, Chief Executive at the International Foundation for Integrated Care, looks at how care could be better co-ordinated around people with complex needs, and the challenges around delivering joined-up care.
The document discusses health care delivery systems and nursing care delivery models. It provides an overview of the types of health care services including primary, secondary, and tertiary prevention. It also describes various health care agencies and providers. Factors affecting health care delivery are discussed as well as several nursing care delivery modalities/frameworks for care such as managed care, case management, patient-focused care, and differentiated practice.
The Complexities and Challenges of Health and Aged Care System
The three primary goals of healthcare organisations today are:
• improve the experience of care
• improve the health of the population and
• reduce per capita costs of delivery.
This requires healthcare organisations to engage and impact the health of one person at a time. This can only be achieved with the right people, processes and information systems in place.
Challenges and Opportunities in Nursing in Canadaanne spencer
This document discusses challenges and opportunities in nursing in Canada. It outlines the agenda which includes an overview of Canadian nursing, challenges and opportunities, and a focus on documenting nursing in a digital age. Some key challenges discussed are chronic understaffing, political restructuring, and issues around licensure and scope of practice. Opportunities mentioned include nursing leadership, a national nursing report card, and nursing informatics. The remainder of the document focuses on documenting nursing data in electronic health records, including standards like C-HOBIC and requirements for capturing and analyzing nursing data.
The document discusses the development of an integrated mental health management system in New South Wales, Australia. It proposes the following phases:
1. Developing a rapid functioning prototype to integrate existing mental health apps, services, and the My Health Record system for consumers.
2. Creating a multi-stage project involving consumer engagement, a functioning prototype, deployment, and integration with broader eHealth initiatives.
3. The goal is to empower consumers to safely access and share health information, engage with providers through digital channels, and receive personalized, integrated care for their mental health needs.
This document summarizes a study evaluating the implementation of an integrated care policy called Partners in Recovery (PIR) for people with severe and complex mental illness in Western Sydney, Australia. PIR aims to improve coordination of clinical and other support services for these individuals. The study is prospectively evaluating PIR's impact on individual recovery outcomes, service delivery processes, and system integration over three years. Preliminary findings after the first year will describe any indications of improved system integration found so far and factors facilitating or impeding the integration process. The study setting presents challenges as the target population and their needs were previously unknown, requiring discovery during implementation. However, this practice-based enactment also allows for positive innovation and regional variation in services.
This document discusses the key concepts of community health nursing. It defines community health nursing as a synthesis of nursing knowledge and public health science and practice that uses nursing processes to promote population health. The main tenets of community health nursing are comprehensive population assessment, partnership, primary prevention, health promotion, outreach, concern for overall population health, and interdisciplinary collaboration. The document outlines the standards of care and performance for community health nursing and lists attributes such as population focus, health orientation, autonomy, creativity, continuity, collaboration, intimacy and variability. Finally, it identifies common roles of community health nurses including caregiver, educator, counselor, and roles oriented toward clients, care delivery, and populations.
Developing non-clinical approaches and are pathways to fundamental socioeconomic issues that are presented in the primary care and secondary care settings
Polls show overwhelming evidence that patients WANT to be involved in their medical records and health data, so they can partner with their clinicians for better health. Survey results from Society for Participatory Medicine 2014 and 2015 surveys.
Mental Health Forum May 2016 Walter KmetWalter Kmet
Walter Kmet, CEO of WentWest and WSPHN, discusses opportunities to improve integrated care delivery through the Primary Health Network framework. The framework focuses on integration at the whole-of-system, care/population group, and patient-centric levels. Kmet also emphasizes the importance of understanding population health needs, organizing care delivery through protocols and performance review, and strengthening payment, governance, information, leadership and other supports to build an integrated care system.
Universal Health Care: Cote D'Ivoire. Africa is not ready for universal private health care. Health workforce is inadequate. Hospitals are lacking resources and crumbling.
Staff training is not up to standard. Opening the door to more people will only increase cost and deteriorate the quality of care further.
The document discusses the future of nursing and healthcare. It outlines challenges facing the US healthcare system including rising costs and access issues. It also discusses challenges and opportunities for nursing including an aging population, need for higher levels of education, and calls to expand nursing's leadership role. The IOM report on nursing recommends increasing the proportion of nurses with bachelor's degrees and doubling the number with doctorates by 2020 to help transform the healthcare system and improve outcomes.
Community-based Chronic Care ManagementBrent Feorene
The document discusses strategies for community-based chronic illness management to reduce costs and improve outcomes. It outlines several programs that have shown promise, including transitional care programs and house call programs. Transitional care programs of varying intensity use nurses and nurse practitioners to coach patients after hospital discharge. House call programs provide primary care to high-risk elderly patients in their homes through visits from physicians and nurse practitioners. Evaluation of these programs has found reduced utilization, lower costs, and improved outcomes and quality of life.
The document discusses integrating primary health care in New Zealand by establishing multi-disciplinary teams to better manage patients with long-term conditions. It provides examples of Group Health, a not-for-profit health maintenance organization, that implemented a medical home model with improved coordination and patient experiences. Preliminary results from Group Health showed reductions in hospitalizations, emergency visits, and care costs despite increased primary care spending.
The document discusses several models of health and wellness, including definitions from WHO and various theorists. It outlines the US healthcare delivery system, including levels of care from preventative to continuing care. Settings of care are discussed from school-based to home health. Factors driving a shift to more community and home-based care include costs, demographics, and consumer preferences. The future of healthcare is discussed in terms of evidence-based practice, electronic health records, and alternative therapies.
Home Care Services: Empowering Independence and Well-being | Enterprise WiredEnterprise Wired
The core ethos of Home Care Services lies in enabling patients to receive professional healthcare without needing hospitalization or residing in long-term care facilities.
The document provides an overview of the Patient Centered Medical Home (PCMH) model as implemented in the Army Medical Department. It discusses the history and principles of the PCMH approach, including having a personal physician, care coordination across different providers and settings, a focus on quality and safety, and enhanced patient access. The Army's experience to date includes establishing PCMH teams in 11 medical treatment facilities, with plans to expand implementation in phases to improve patient experience, health outcomes and costs.
Home health care services are diverse and tailored to meet the unique needs of each individual. The core components of healthcare include: 1. Skilled Nursing 2. Therapy Services
HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...ramseyr
The document discusses primary health care and major frameworks. It defines primary health care as essential health care that is universally accessible, scientifically sound, and socially acceptable. The WHO defined primary health care in the Alma-Ata Declaration. Primary health care focuses on health promotion, illness prevention, care of the sick, advocacy, and community development. It discusses frameworks for primary health care including the chronic care model and people-centered primary care. It also identifies challenges in access, coordination of care, and prevention in Australian primary health care.
Innovation in Care Delivery: The Patient JourneyJane Chiang
The document describes innovations in care delivery at Massachusetts General Hospital aimed at improving the patient experience. It discusses the implementation of innovation units to test changes to care delivery and identifies three key areas of focus: implementing relationship-based care, enhancing the role of the attending nurse, and standardizing processes. The goals are to improve patient and staff satisfaction, clinical quality, and reduce costs.
The document discusses community health nursing and public health nursing. It defines community health nursing as focusing on promoting and preserving the health of entire communities by providing nursing care to individuals, families, and groups within the context of the community. Public health nursing is described as combining nursing skills with public health and social assistance to promote health, improve living conditions, rehabilitate illness/disability, and be part of overall public health programs. The roles of community health nurses are also outlined.
The document discusses community health nursing and public health nursing. It defines community health nursing as focusing on promoting and preserving the health of entire communities by providing nursing care to individuals, families, and groups within the context of the community. Public health nursing is described as combining nursing skills with public health and social assistance to promote health, improve living conditions, rehabilitate illness/disability, and be part of overall public health programs. The roles of community health nurses are also outlined.
Easy to discuss and understand by the summarize topics of 3 which is Community Health Nursing, COPAR and Primary Health Care. Sources from different presentations and Shield book. MOSTLY COMPLETE AND COMPREHENSIBLE!!!
This document discusses various roles and specialties within the nursing profession. It describes roles such as advanced practice nursing, nurse midwifery, nurse anesthesia, geriatric nursing, pediatric nursing, psychiatric nursing, community health nursing, and nursing administration. It also discusses emerging roles like forensic nursing, disaster nursing, telephone nursing, and prison nursing. The document highlights the education required and key responsibilities for different nursing specialties.
This document discusses various roles and specialties within the nursing profession. It describes roles such as advanced practice nursing, nurse midwifery, nurse anesthesia, geriatric nursing, pediatric nursing, psychiatric nursing, community health nursing, and nursing administration. It also discusses emerging roles like forensic nursing, disaster nursing, telephone nursing, and prison nursing. The document highlights the education required and key responsibilities for different nursing specialties.
This document discusses various roles and specialties within the nursing profession. It describes roles such as advanced practice nursing, nurse midwifery, geriatric nursing, psychiatric nursing, school nursing, occupational health nursing, forensic nursing, correctional nursing, disaster nursing, and nursing administration. It also discusses expanding roles and opportunities in nursing internationally due to factors like increasing health needs, economic conditions, research and knowledge growth, and support from governments and private organizations.
The document provides an introduction to palliative care and a holistic approach. It defines palliative care according to the WHO as improving quality of life for patients facing life-threatening illness through preventing and relieving suffering. Key principles of palliative care discussed include taking a holistic, patient-centered approach and using a multidisciplinary team. Factors affecting provision of palliative care and strategies for improving services are also outlined.
International trends in nursing are driven by health needs, economic conditions, new knowledge and procedures from research, and specialization. Nursing roles are expanding with opportunities in education, community health services, private nursing homes, and military services. Nursing continues to develop through research and collaboration with other health professionals. Advanced practice nursing roles require graduate degrees and allow nurses to specialize in areas like primary care, geriatrics, and disease management.
This document discusses proposals to improve healthcare in London through the creation of an Academic Health Science Centre (AHSC). Key points include:
- An AHSC would integrate strategies for clinical services, education, and research through a single governance structure to speed the translation of discoveries into patient treatments.
- It would align the leadership and operational management of academic and clinical activities.
- Evidence from other countries shows that AHSCs can achieve demonstrably better clinical outcomes compared to non-AHSC hospitals, as shown through lower hospital mortality ratios.
- In London, Imperial College Healthcare NHS Trust was established through the merger of two hospitals and their integration with Imperial College London, creating the UK's first Academic Health Science Centre.
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
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2. Challenges to Health Care
Reducing health care costs while maintaining
high-quality care for patients
Improving access and coverage for more people
Encouraging healthy behaviors
Earlier hospital discharges result in more patients
needing nursing homes or home care.
3. Emphasis on Population Wellness
Health Services
Pyramid
Managing health
instead of illness
Emphasis on wellness
Injury prevention
programs
{Fig 2-1 here}
4. National Priorities Partnership
National Priorities:
Patient and family engagement
Population health
Safety/eliminating errors as possible
Care coordination
Palliative care for advanced illnesses
Overuse/reducing waste
5. Institute of Medicine (IOM)
Nurses need to be transformed by:
Practicing to the full extent of their education and
training
Achieving higher levels of education and training
through an improved education system that
provides seamless progression
Becoming full partners, with physicians and other
providers, in redesigning the health care system
Improving data collection and the information
infrastructure for effective workforce planning and
policy making
6. Case Study
Amy Sue Reilly is a 15-year-old white female of Irish
descent. She is a freshman at a Catholic high school.
Although her parents are divorced, Amy Sue reports
that her family (she has two brothers and lives with
her mother) is very close, and that her parents work
together to meet all their children’s needs.
Amy Sue has had asthma since she was 5 years old.
She has been able to control her asthma by taking
oral medications and by using inhalers when needed.
7. Health Care Regulation and Competition
Regulatory and competitive approaches
Professional standards review organizations
(PSROs)
Created to review the quality, quantity, and cost of hospital
care provided through Medicare and Medicaid
Utilization review committees (URs)
Review admissions, diagnostic testing, and treatments
provided by physicians who cared for patients receiving
Medicare
8. Health Care Regulation and Competition
(cont’d)
Prospective payment system (PPS)
Diagnosis-related groups (DRGs)
Capitation
Resource utilization groups (RUGs)
Profitability
Managed care
9. Health Care Regulation and Competition
(cont’d)
Patient Protection and Affordable Care Act
Access to health care for all
Reducing costs
Improving quality
Provisions include
Insurance industry reforms
Increased funding for community health centers
Increased primary care services
Improved coverage for children
10. Health Care Settings and Services
1. Preventive
2. Primary
3. Secondary
4. Tertiary
5. Restorative
6. Continuing
11. Health Care Accreditation/
Certification
Reasons:
To demonstrate quality and safety
To evaluate performance, identify problems, and
develop solutions
Accreditation earned by the entire organization
Specific programs or services within an organization
earn certifications.
The Joint Commission and others
12. Preventive and Primary Health Care
Preventive Care
Primary care
Focuses on improved health outcomes for an entire
population
Requires collaboration among health professionals,
health care leaders, and community members
Health promotion lowers overall costs:
Reduces incidence of disease
Minimizes complications
Reduces the need for more expensive resources
Occurs in home, work, and community settings
13. Secondary and Tertiary Care
Also called acute care
Focus: Diagnosis and treatment of disease
Disease management is the most common and
expensive service of the health care delivery
system.
20% require 80% of health care spending.
Fastest growing age group of uninsured?
Postponement of care by uninsured
14. Secondary and Tertiary Care (cont’d)
Settings
Hospitals
Rural
Hospitals
Intensive Care
Units
Psychiatric
Care
Resource efficiency, word redesign
Discharge planning—nurses’ role
15. Restorative Care
Serves patients recovering from an acute or
chronic illness/disability
Helps individuals regain maximal function and
enhance quality of life
Promotes patient independence and self-care
abilities
Requires multidisciplinary approach
Settings:
Home Care
Rehabilitation
Extended Care
16. Restorative Care: Home Care
Provision of medically related professional and
paraprofessional services and equipment to patients
and families in their homes for health maintenance,
education, illness prevention, diagnosis and treatment
of disease, palliation, and rehabilitation
Involves coordination of services
Focuses on patient and family independence
Usually reimbursed by government (such as
Medicare and Medicaid in the United States), private
insurance, and private pay sources
17. Restorative Care: Rehabilitation
Focus: To restore patients to their fullest physical,
mental, social, vocational, and economic potential
Includes physical, occupational, and speech
therapy, as well as social services
Occurs in many health care settings, both
inpatient and outpatient
18. Restorative Care: Extended Care
Extended care facility
Provides intermediate medical, nursing, or custodial
care for patients recovering from acute illness or
disabilities
Skilled nursing facility (intermediate care)
Provides care for patients until they can return to
their community or residential care location
19. Continuing Care
For people who are disabled, functionally
dependent, or suffering a terminal disease
Available within institutional settings or in the
home:
Nursing Centers or Facilities
Assisted Living
Respite Care
Adult Day Care Centers
Hospice
20. Continuing Care: Nursing Centers or
Facilities
Provide 24-hour intermediate and custodial care
Nursing, rehabilitation, diet, social, recreational, and
religious services
Residents of any age with chronic or debilitating
illness
Omnibus Budget
Reconciliation Act of 1987
Regulated by standards:
Interdisciplinary functional assessment is the
focus of clinical practice: MDS, RAIs
21. Continuing Care: Assisted Living
—Offers a long-term care
setting with a home
environment and greater
resident autonomy
—Provides services such
as laundry, assistance with
meals, personal care,
housekeeping, and 24-hour
oversight
—Allows residents to live
in their own units
22. Respite Care
The service provides short-term relief or “time off”
for persons providing home care to an ill,
disabled, or frail older adult.
Settings include home, day care, or health care
institution with overnight care.
Trained volunteers allow family caregivers to
leave the home for errands or social time.
23. Adult Day Care Centers
Provide a variety of health and social services to
specific patient populations who live alone or with
family in the community
May be associated with a hospital or nursing
home or may operate independently
Offer services to patients such as daily physical
rehabilitation and counseling
24. Hospice
Family-centered care that allows patients to live
and remain at home
Focuses on palliative (not curative) care: comfort,
independence, and dignity
Provides patient and family support during
terminal illness and time of death
Many hospice programs provide respite care,
which is important in maintaining the health of the
primary caregiver and family.
25. Issues in Health Care Delivery
Nursing shortage
Competency
Evidence-based practice
Quality and safety in health care/ Patient-
centered care
Health care organizations are being evaluated on
the basis of outcomes such as prevention of
complications, patients’ functional outcomes, and
patient satisfaction.
26. Issues in Health Care Delivery
(cont’d)
Magnet Recognition Program
Nursing-sensitive outcomes
Nursing informatics and technological
advancements
Globalization of health care
27. The Future of Health Care
Change opens up opportunities for improvement.
Health care delivery systems need to address the
needs of the uninsured and the underserved.
Health care organizations are striving to become
better prepared to deal with these and other
challenges in health care.
The solutions necessary to improve the quality of
health care depend largely on the active
participation of nurses.
Editor's Notes
To meet these changing conditions, organizations must run as businesses. Technology, new medications, and shortened lengths of stay increase the cost of doing business.The health care system is faced with rising costs, increased access to services, growing populations, improved quality outcomes, and threats of bioterrorism.Nurses face major challenges to prevent gaps in health care across health care settings, so individuals remain healthy and well within their own homes and communities.
The Core Functions Project developed the Health Services Pyramid.The shift from managing illness to managing health includes an emphasis on wellness, and the environment has enhanced quality of life.The emphasis has led to improvements in water, sewage, immunizations, and living conditions. Patient teaching has promoted better diet habits, decreased tobacco use, and improved blood pressure control. Injury prevention programs advocating seatbelt use, child seats, restraints, and helmet laws have enhanced quality of life and decreased mortality rates.[See Box 2-1 (on text p. 17) for common health care definitions that should help students begin to integrate terminology.] [Figure is on text p. 17.]
How is health care changing? One example can be seen in the National Priorities Partnership, a group of 28 organizations from a variety of health care disciplines that have joined together to work toward transforming health care.They bring an increased focus on wellness and prevention, working through a six-part approach.
Nursing is a caring profession with a set of ethics, values, and standards. Nurses will change with the times; however, nurses will always keep patient needs first as they are challenged with new roles and responsibilities.[What are some ways you can see yourself implementing the IOM recommendations?]
What concerns would you have if you were Amy Sue’s school nurse about Amy Sue getting the medical care she needs? [Discusstransferring medication to and from school, keeping her inhalers with her when she visits her dad, acclimating to a new routine in high school, etc.]
[Lead a discussion on what level or type of care is offered in each of these health care settings.]Larger health care systems have integrated delivery networks (IDNs) that include a set of providers and services organized to deliver a continuum of care to a population of patients at a capitated cost in a particular setting. Nurses are especially important as patient advocates in maintaining continuity of care throughout the levels of care.
The Joint Commission (formerly The Joint Commission on Accreditation of Healthcare Organizations) accredits health care organizations across the continuum of care, including hospitals and ambulatory care, long-term care, home care, and behavioral health agencies. Other accrediting agencies have a specific focus, such as the Commission on Accreditation of Rehabilitation Facilities (CARF) and the Community Health Accrediting Program (CHAP).
Preventive care focuses on reducing and controlling risk factors for disease through activities such as occupational health programs. [Ask the class for some examples of primary care. Discuss health education, proper nutrition, maternal/child health care, family planning, immunizations, and control of diseases.] Table 2-2 presents examples of preventive and primary care services.
Hospital emergency departments, urgent care centers, critical care units, and inpatient medical-surgical units provide secondary and tertiary levels of care. Because of work redesign, more services are available on nursing units, thus minimizing the need to transfer and transport patients across multiple diagnostic and treatment settings.Discharge planning is a centralized, coordinated, multidisciplinary process that ensures that the patient has a plan for continuing care after leaving a health care agency. [What are some ways that nurses help with discharge planning? Discuss.]An ICU is the most expensive health care delivery site because each nurse usually cares for only one or two patients at a time, and because patients in the ICU require complex treatments and procedures.Patients who suffer emotional and behavioral problems such as depression, violent behavior, and eating disorders often require special counseling and treatment in psychiatric facilities. The Balanced Budget Act of 1997 changed the designation for rural hospitals to critical access hospital (CAHs) if certain criteria were met. The CAH provides inpatient care to acutely ill or injured people before transferring them to better-equipped facilities.
As one of the fastest growing industries within the United States, assisted living offers privacy, independence, and security.Some facilities provide assistance with medication administration, although nursing care services are not available directly.However, this industry has little regulation, no fee cap. It may not be the most financially sound plan for some individuals.[Photo is on text p. 22.]
The American Nurses Credentialing Center (ANCC) established the Magnet Recognition Program to recognize health care organizations that achieve excellence in nursing practice. [See Boxes 2-8, Magnet Model and Forces of Magnetism, and 2-9, Nursing Quality Indicators (both on text p. 26).]Nursing informatics uses information and technology to communicate, manage knowledge, mitigate error, and support decision making.Nurses gain or use information when they organize, structure, or interpret data. Knowledge develops when nurses combine and identify relationships between different pieces of information. Technological advancements influence where and how nurses provide care to patients and can help nurses improve direct care processes, patient outcomes, and work environments. [Ask students what they think of recent technological advancements—do they help or hinder the nurse’s effectiveness?]Globalization, the increasing connectedness of the world’s economy, culture, and technology, is one of the forces reshaping the health care delivery system.Children, women, and older adults are vulnerable populations most threatened by urbanization.