Communication among providers about a patient can be difficult without a central repository for patient data. Lack of information can lead to errors or omissions in treatment, resulting in readmissions to the hospital or long-term care facility. This presentation describes the types of patient information available through health information exchanges and show how increased access to patients’ clinical information fosters smoother transitions of care, especially in a post acute care setting.
CIM/e-Marketing Award-Assignment #1: Analysis of Magicalia's e-Marketing Stra...Naja Faysal
This report presents a case study on Magicalia Publishing Group e-Marketing strategies. Their key success factor was Localization and Cross-Selling.
As part of the Chartered Institute of Marketing programs, Naja Faysal was enrolled in the Professional Development Award in e-Marketing via Cambridge Marketing College
Change Management Training Plan Powerpoint Presentation SlidesSlideTeam
The document discusses the benefits of meditation for reducing stress and anxiety. Regular meditation practice can help calm the mind and body by lowering heart rate and blood pressure. Studies have shown that meditating for just 10-20 minutes per day can have significant positive impacts on both mental and physical health over time.
The document is a statement of results for Brandon Wheeler from Cape Peninsula University of Technology for the 2016 academic year. It lists the subjects Brandon studied in his ND in Mechanical Engineering, along with the percentage scores he achieved in each subject. Most of his scores were in the 60-90% range, earning him passes or passes with distinction. The document provides important dates for applications for re-marking exams, supplementary exams, viewing assessment scripts, and graduation. It cautions that errors can still occur in published results and advises contacting the Assessment and Graduation Centre for an official academic record.
This academic transcript is for Jo McEntire and documents their coursework and degree earned at Franklin University located in Columbus, OH. It shows that Jo earned a Bachelor of Science in Business Administration in December 2015, graduating Magna Cum Laude. The transcript details the courses Jo completed each term, including grades received and credits earned. It also indicates that Jo received transfer credits from other institutions that were applied to their degree program at Franklin University.
This document provides instructions for authenticating an official transcript from Kaplan University. It explains that the transcript has a digital signature that can be validated to confirm the document is authentic and unaltered. If the digital signature is invalid or cannot be validated, the recipient is instructed to reject the transcript. The document also provides contact information for the registrar's office if further authentication is needed.
Kelvin Lee Wei Sern graduated from Universiti Tunku Abdul Rahman with a Bachelor of Science (Honours) in Actuarial Science with Merit. Over the course of his degree from 2013 to 2016, he took courses in mathematics, statistics, economics, programming, and finance. He maintained a grade point average over 3.0 and received the academic achievement of Dean's List.
Monitoring And Evaluation Of Knowledge Management ElbEwen Le Borgne
Presentation from the IKM-Emergent group presenting work on M&E of knowledge management. Presentation given during the KMIC webinar organised by USAID.
CIM/e-Marketing Award-Assignment #1: Analysis of Magicalia's e-Marketing Stra...Naja Faysal
This report presents a case study on Magicalia Publishing Group e-Marketing strategies. Their key success factor was Localization and Cross-Selling.
As part of the Chartered Institute of Marketing programs, Naja Faysal was enrolled in the Professional Development Award in e-Marketing via Cambridge Marketing College
Change Management Training Plan Powerpoint Presentation SlidesSlideTeam
The document discusses the benefits of meditation for reducing stress and anxiety. Regular meditation practice can help calm the mind and body by lowering heart rate and blood pressure. Studies have shown that meditating for just 10-20 minutes per day can have significant positive impacts on both mental and physical health over time.
The document is a statement of results for Brandon Wheeler from Cape Peninsula University of Technology for the 2016 academic year. It lists the subjects Brandon studied in his ND in Mechanical Engineering, along with the percentage scores he achieved in each subject. Most of his scores were in the 60-90% range, earning him passes or passes with distinction. The document provides important dates for applications for re-marking exams, supplementary exams, viewing assessment scripts, and graduation. It cautions that errors can still occur in published results and advises contacting the Assessment and Graduation Centre for an official academic record.
This academic transcript is for Jo McEntire and documents their coursework and degree earned at Franklin University located in Columbus, OH. It shows that Jo earned a Bachelor of Science in Business Administration in December 2015, graduating Magna Cum Laude. The transcript details the courses Jo completed each term, including grades received and credits earned. It also indicates that Jo received transfer credits from other institutions that were applied to their degree program at Franklin University.
This document provides instructions for authenticating an official transcript from Kaplan University. It explains that the transcript has a digital signature that can be validated to confirm the document is authentic and unaltered. If the digital signature is invalid or cannot be validated, the recipient is instructed to reject the transcript. The document also provides contact information for the registrar's office if further authentication is needed.
Kelvin Lee Wei Sern graduated from Universiti Tunku Abdul Rahman with a Bachelor of Science (Honours) in Actuarial Science with Merit. Over the course of his degree from 2013 to 2016, he took courses in mathematics, statistics, economics, programming, and finance. He maintained a grade point average over 3.0 and received the academic achievement of Dean's List.
Monitoring And Evaluation Of Knowledge Management ElbEwen Le Borgne
Presentation from the IKM-Emergent group presenting work on M&E of knowledge management. Presentation given during the KMIC webinar organised by USAID.
Career-Ladder provides online recruitment services and fixed fee recruitment for corporate and SME clients. Their services include job posting advice, analytics on job board traffic, and improving recruitment ROI. In addition to general recruitment, they offer fixed fee recruitment for finance and accounting roles. Their key advantage over traditional agencies is their 21st century digital skills and impartial approach since they do not receive commissions from job boards.
This document discusses career planning and paths. It outlines steps to consider one's skills, interests, and work environment preferences to determine an ideal career. The 10 steps to changing careers include self-assessment, researching options, transferring skills, training, networking, gaining experience, finding mentors, flexibility, and job hunting. Career planning is important as one's career affects a significant portion of life, earnings, identity, and well-being. The document also discusses communication skills and paths for sociology graduates.
Este documento describe un estudio sobre la aplicación de estudios de satisfacción de usuarios en bibliotecas universitarias catalanas. Explica el proceso de investigación, incluyendo los objetivos, hipótesis y metodología. La metodología consistió en una encuesta enviada a los directores de las bibliotecas universitarias públicas catalanas para recopilar información sobre la gestión de cada biblioteca y el uso de estudios de satisfacción de usuarios. Los resultados de la encuesta se analizan para verificar las hipótesis planteadas.
The document outlines a career ladder program for an organization. The program aims to (1) recognize employee accomplishments, (2) provide career paths, and (3) apply consistent criteria for job levels and compensation. It establishes multiple career levels within different job families and outlines how employees can be promoted based on meeting competency standards. Governance of the program involves leadership approval of promotions and compensation reviews at each level.
Product Career Ladder: Getting Promoted to DirectorRich Mironov
Director-level and VP Product leaders do different work than individual contributor Product Managers. How do you signal that you’re interested in “the next job up” while respecting your current manager? How have attendees gotten promoted to Director?
Medical assistants perform both clinical and clerical duties in doctors' offices, clinics, and other healthcare facilities. Their responsibilities include answering phones, scheduling appointments, and assisting physicians with patient care. Most medical assistants complete a one-year diploma program and receive on-the-job training. Employment opportunities are excellent both in Wisconsin and nationally due to an aging population and growth in healthcare organizations. Medical assistants earn between $22,390 to $38,110 annually depending on location, facility type, and job responsibilities.
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your ...CHC Connecticut
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your Practice
Presented 2/18/2016 as part of the CHC Primary Care Workforce Development National Cooperative Agreement
Ladonna R. Smith is an experienced registered nurse and nurse practitioner with over 30 years of experience in clinical, educational, and managerial roles. She has worked in various settings including hospitals, clinics, universities, and pharmaceutical companies. Her experience includes clinical roles, patient education, managing teams of nurses, and developing educational programs. She has licenses in multiple states and specializes in conditions like multiple sclerosis.
Nurses play a pivotal role in hospital quality improvement initiatives. As the staff that spends the most time at the patient bedside, nurses are well-positioned to identify issues and make improvements. However, nurses face challenges in becoming more involved due to limited resources, competing demands on their time, and the need for cultural changes. Hospitals must support nurse leadership in quality improvement through dedicated programs, accountability measures, and by valuing nurse feedback to continuously enhance care quality and safety.
Advancing Team-Based Care: The Emerging Role of Nurses in Primary CareCHC Connecticut
In this webinar, we explored the emerging role of nurses in primary care. We explored the role of nurses in the team, in complex care management, and in independent nurse visits.
This webinar was presented March 31, 2016 2:00 PM ET
How to Achieve a PCMH Certification - Small Practice - Practice-centered medi...Donte Murphy
This is a PowerPoint presentation from Dr. Khan, Medical Director, MedPeds Medical Clinic. He has a small practice and is a certified PCMH. In this presentation he shares his strategy that led to his success. This is a powerful presentation for practices of all sizes, whether large or small. For more information, feel free to email us at: marketing@amazingcharts.com.
Postgraduate residency presentation #2 from recruitment to graduationCHC Connecticut
What does the 12-month Nurse Practitioner Residency program look like? This webinar will delve into the details of the structure, design, and content of a 12-month, Federally Qualified Health Center (FQHC) based, postgraduate nurse practitioner residency program. Topics such as recruitment, screening and selection of candidates, core programmatic and curricula elements, and the essential contributions of other staff will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s first-in-the-nation nurse practitioner residency program and guests from other exemplary programs around the country.
This document outlines an agenda for a training on the role of registered nurses in primary care settings. It discusses the chronic care model, which emphasizes coordinated care systems to better manage chronic conditions. It also reviews the American Academy of Ambulatory Care Nursing standards of practice, which define ambulatory nursing practice through six standards on the nursing process and ten on professional performance. The document emphasizes the importance of nurses in areas like care coordination, patient education, and provider support in primary care settings to improve outcomes for patients with chronic conditions.
OVERVIEW -- Care by Design - Putting Care back into healthcare the University of Utah experience in building PCMH level care over the decade of 2001 to . 2011
Building the Case for Starting a Post-Graduate Residency Program for Family a...CHC Connecticut
Webinar held on September 12th 2017:
This webinar will focus on building the case for starting a post-graduate family or psychiatric NP residency program at your health center. This webinar will cover the history, benefits and logistics of the post-graduate Nurse Practitioner residency program, and is ideal for health centers that are interested in learning more about starting a program at their health center.
7 Day Services webinar - Workforce and delivering 7 day servicesNHS England
This webinar explores how use of enhanced roles can help Trusts in the delivery of seven day services, and aims to help trusts understand the practical issues associated with developing enhanced roles and implementing these into their organisations. During this session you will hear about:
* Workforce planning and the delivery of 7 day Services. Health Education England will provide an update regarding the national picture and provide insight into innovative workforce solutions which will support the delivery of 7 Day Services
* Practical examples from colleagues in acute trusts, where new roles have been utilised in delivering the 4 priority clinical standards
Key speakers:
Kevin Moore - Head of Workforce Transformation, Health Education England
Miss Fiona Kew - Consultant Gynaecologist, Modernising the Workforce: Physician's Associates – Sheffield Teaching Hospital
Darren McGuiness - Endoscopy Manager Royal Liverpool & Broadgreen NHS Trust. Seven Day Services in Endoscopy
Nicky Taggart - General Manager, Radiology and Imaging, Royal Liverpool & Broadgreen NHS Trust. Seven day services in Radiology
The document outlines expectations for surveys and certification in the new era of healthcare reform. It discusses the goals of improving patient experience, population health, and reducing costs. Requirements will be phased in over three years beginning in November 2016 focusing on person-centered care, quality assurance, and other areas. Surveys will assess whether facilities are achieving what they committed to. The changing healthcare landscape and aging population will impact skilled nursing facilities. Mastery of survey requirements is important for facilities to effectively care for residents.
Donna Mirenda provides her resume, which details her extensive experience as a nurse educator and leader in various clinical settings over the past 30 years. She holds multiple nursing certifications and degrees. Her experience includes roles as a clinical nurse manager, associate professor, and interim department chair. She has worked in hospitals, universities, and outpatient clinics. She also has international experience providing disaster relief and has received several honors and awards for her humanitarian work.
Patient Satisfaction
Patient Satisfaction Today
• Has become an important buzzword in health
care.
• Patients have access to hospital “report card”
patient satisfaction and quality scores.
– Ex: Hospital Compare
• Hospital placing high priority for patient
satisfaction due to scores being tied to
reimbursement rates.
Patient Satisfaction Today
• Patients are better informed.
• Patients want to understand their medical
care and be a part of the decision-making
process.
• Health care is featured almost daily in the
media, increasing patient expectations of the
care provided.
How is Patient Satisfaction Measured?
• Hospital Consumer Assessment of Healthcare Providers
and Systems (HCAHPS) Survey.
• Standardized survey to gather and compare data across
the nation.
• 27 questions based on:
– Physician/Nurse/Staff Communication
– Hospital Environment
– Pain Management
– Overall rating
– Recommendation of Hospital
• Conducted through mail and/or telephone.
• Conducted after patient discharge.
Sample HCAHPS Questionnaire
• During this hospital stay, how often did nurses treat you with courtesy and
respect?
1. Never 2. Sometimes 3. Usually 4. Always 5. Non Applicable
• During this hospital stay, how often did doctors treat you with courtesy
and respect?
1. Never 2. Sometimes 3. Usually 4. Always 5. Non Applicable
• During this hospital stay, how often was the area around your room quiet at night?
1. Never 2. Sometimes 3. Usually 4. Always 5. Non Applicable
• Would you recommend this hospital to your family and friends?
1. Definitely No 2. Probably No 3. Probably Yes 4. Definitely Yes
• Using any number from 0–10, where 0 is worst hospital possible and 10 is
the best hospital possible, what number would you use to rate this
hospital?
Hospital Compare
Impact of ACA on Patient Satisfaction
• Pay For Performance (P4P).
• DRG payments are adjusted based on
performance on HCAHPS (30%) and clinical
process measures (70%).
• Patient satisfaction makes up 30% of hospital’s
score.
– Recommend Hospital
– Rate Hospital 9–10
Excellent Patient Satisfaction
• Excellent customer satisfaction goes beyond
patient interaction during hospital stay.
• Organizations judged on customer service the
instant contact is made with patient or family
member (phone, face-to-face, email, etc.).
• Higher patient satisfaction with inpatient care
and discharge planning is associated with
lower 30-day readmission rates.
» Source: AM J Managed Care, 2011; 17(1): 41-48
Trickle Down Effect of Excellent Service
• Providing excellent service leads to happy
patients who are less anxious.
• Less anxious patients are more cooperative,
leading to positive results.
Patient Needs
• Customer-friendly environment.
• Compassionate, caring, and individualized
care.
• Respect for privacy.
• Cultural sensitivity.
• Timely and proper explanations about ...
OverviewWrite a 3-4 page evidence-based health care delivery pla.docxgerardkortney
Overview
Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic.
Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
•Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes. ◦Describe accountability tools and procedures used to measure effectiveness.
•Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. ◦Develop an evidence-based plan for health care delivery.
•Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. ◦Apply professional and legal standards in support of a care plan.
•Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. ◦Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
◦Correctly format citations and references using current APA style.
Reference
Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.
Context
In an effort to improve the patients' health literacy concerning heart failure, it is important that the clinic staff and the hospital staff present a consistent, evidence-based message on self-care to these patients and their families in order to decrease acute exacerbation and re-admissions. Review current evidence for clinical practice guides or protocols when developing your patient teaching plans and materials. Consider the following:
•What does the patient know about the disease process as a baseline?
•What does the patient need to do understand as far as the best self-care processes?
•Can the patient identify proper medication compliance?
•Is there a financial issue that affects compliance?
•Who buys and prepares the food in the home?
•Can the patient verbalize when to seek medical assistance?
Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
•What factors contribute to inadequate quality of care?
•How effective are organizational mandates for quality?
•How do financial concerns impact health and safety goals?
Suggested Resources
The following optional resources are provided to support you in complet.
The document discusses expanding the role of registered nurses (RNs) in primary care settings. It describes how RNs can take on responsibilities like complex care management, active schedule management, using data to monitor patient outcomes, and conducting co-visits with providers to increase access to care. Co-visits allow RNs to address minor issues while providers briefly review cases. The approach has led to improved access and patient satisfaction at Community Health Center, Inc.
Career-Ladder provides online recruitment services and fixed fee recruitment for corporate and SME clients. Their services include job posting advice, analytics on job board traffic, and improving recruitment ROI. In addition to general recruitment, they offer fixed fee recruitment for finance and accounting roles. Their key advantage over traditional agencies is their 21st century digital skills and impartial approach since they do not receive commissions from job boards.
This document discusses career planning and paths. It outlines steps to consider one's skills, interests, and work environment preferences to determine an ideal career. The 10 steps to changing careers include self-assessment, researching options, transferring skills, training, networking, gaining experience, finding mentors, flexibility, and job hunting. Career planning is important as one's career affects a significant portion of life, earnings, identity, and well-being. The document also discusses communication skills and paths for sociology graduates.
Este documento describe un estudio sobre la aplicación de estudios de satisfacción de usuarios en bibliotecas universitarias catalanas. Explica el proceso de investigación, incluyendo los objetivos, hipótesis y metodología. La metodología consistió en una encuesta enviada a los directores de las bibliotecas universitarias públicas catalanas para recopilar información sobre la gestión de cada biblioteca y el uso de estudios de satisfacción de usuarios. Los resultados de la encuesta se analizan para verificar las hipótesis planteadas.
The document outlines a career ladder program for an organization. The program aims to (1) recognize employee accomplishments, (2) provide career paths, and (3) apply consistent criteria for job levels and compensation. It establishes multiple career levels within different job families and outlines how employees can be promoted based on meeting competency standards. Governance of the program involves leadership approval of promotions and compensation reviews at each level.
Product Career Ladder: Getting Promoted to DirectorRich Mironov
Director-level and VP Product leaders do different work than individual contributor Product Managers. How do you signal that you’re interested in “the next job up” while respecting your current manager? How have attendees gotten promoted to Director?
Medical assistants perform both clinical and clerical duties in doctors' offices, clinics, and other healthcare facilities. Their responsibilities include answering phones, scheduling appointments, and assisting physicians with patient care. Most medical assistants complete a one-year diploma program and receive on-the-job training. Employment opportunities are excellent both in Wisconsin and nationally due to an aging population and growth in healthcare organizations. Medical assistants earn between $22,390 to $38,110 annually depending on location, facility type, and job responsibilities.
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your ...CHC Connecticut
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your Practice
Presented 2/18/2016 as part of the CHC Primary Care Workforce Development National Cooperative Agreement
Ladonna R. Smith is an experienced registered nurse and nurse practitioner with over 30 years of experience in clinical, educational, and managerial roles. She has worked in various settings including hospitals, clinics, universities, and pharmaceutical companies. Her experience includes clinical roles, patient education, managing teams of nurses, and developing educational programs. She has licenses in multiple states and specializes in conditions like multiple sclerosis.
Nurses play a pivotal role in hospital quality improvement initiatives. As the staff that spends the most time at the patient bedside, nurses are well-positioned to identify issues and make improvements. However, nurses face challenges in becoming more involved due to limited resources, competing demands on their time, and the need for cultural changes. Hospitals must support nurse leadership in quality improvement through dedicated programs, accountability measures, and by valuing nurse feedback to continuously enhance care quality and safety.
Advancing Team-Based Care: The Emerging Role of Nurses in Primary CareCHC Connecticut
In this webinar, we explored the emerging role of nurses in primary care. We explored the role of nurses in the team, in complex care management, and in independent nurse visits.
This webinar was presented March 31, 2016 2:00 PM ET
How to Achieve a PCMH Certification - Small Practice - Practice-centered medi...Donte Murphy
This is a PowerPoint presentation from Dr. Khan, Medical Director, MedPeds Medical Clinic. He has a small practice and is a certified PCMH. In this presentation he shares his strategy that led to his success. This is a powerful presentation for practices of all sizes, whether large or small. For more information, feel free to email us at: marketing@amazingcharts.com.
Postgraduate residency presentation #2 from recruitment to graduationCHC Connecticut
What does the 12-month Nurse Practitioner Residency program look like? This webinar will delve into the details of the structure, design, and content of a 12-month, Federally Qualified Health Center (FQHC) based, postgraduate nurse practitioner residency program. Topics such as recruitment, screening and selection of candidates, core programmatic and curricula elements, and the essential contributions of other staff will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s first-in-the-nation nurse practitioner residency program and guests from other exemplary programs around the country.
This document outlines an agenda for a training on the role of registered nurses in primary care settings. It discusses the chronic care model, which emphasizes coordinated care systems to better manage chronic conditions. It also reviews the American Academy of Ambulatory Care Nursing standards of practice, which define ambulatory nursing practice through six standards on the nursing process and ten on professional performance. The document emphasizes the importance of nurses in areas like care coordination, patient education, and provider support in primary care settings to improve outcomes for patients with chronic conditions.
OVERVIEW -- Care by Design - Putting Care back into healthcare the University of Utah experience in building PCMH level care over the decade of 2001 to . 2011
Building the Case for Starting a Post-Graduate Residency Program for Family a...CHC Connecticut
Webinar held on September 12th 2017:
This webinar will focus on building the case for starting a post-graduate family or psychiatric NP residency program at your health center. This webinar will cover the history, benefits and logistics of the post-graduate Nurse Practitioner residency program, and is ideal for health centers that are interested in learning more about starting a program at their health center.
7 Day Services webinar - Workforce and delivering 7 day servicesNHS England
This webinar explores how use of enhanced roles can help Trusts in the delivery of seven day services, and aims to help trusts understand the practical issues associated with developing enhanced roles and implementing these into their organisations. During this session you will hear about:
* Workforce planning and the delivery of 7 day Services. Health Education England will provide an update regarding the national picture and provide insight into innovative workforce solutions which will support the delivery of 7 Day Services
* Practical examples from colleagues in acute trusts, where new roles have been utilised in delivering the 4 priority clinical standards
Key speakers:
Kevin Moore - Head of Workforce Transformation, Health Education England
Miss Fiona Kew - Consultant Gynaecologist, Modernising the Workforce: Physician's Associates – Sheffield Teaching Hospital
Darren McGuiness - Endoscopy Manager Royal Liverpool & Broadgreen NHS Trust. Seven Day Services in Endoscopy
Nicky Taggart - General Manager, Radiology and Imaging, Royal Liverpool & Broadgreen NHS Trust. Seven day services in Radiology
The document outlines expectations for surveys and certification in the new era of healthcare reform. It discusses the goals of improving patient experience, population health, and reducing costs. Requirements will be phased in over three years beginning in November 2016 focusing on person-centered care, quality assurance, and other areas. Surveys will assess whether facilities are achieving what they committed to. The changing healthcare landscape and aging population will impact skilled nursing facilities. Mastery of survey requirements is important for facilities to effectively care for residents.
Donna Mirenda provides her resume, which details her extensive experience as a nurse educator and leader in various clinical settings over the past 30 years. She holds multiple nursing certifications and degrees. Her experience includes roles as a clinical nurse manager, associate professor, and interim department chair. She has worked in hospitals, universities, and outpatient clinics. She also has international experience providing disaster relief and has received several honors and awards for her humanitarian work.
Patient Satisfaction
Patient Satisfaction Today
• Has become an important buzzword in health
care.
• Patients have access to hospital “report card”
patient satisfaction and quality scores.
– Ex: Hospital Compare
• Hospital placing high priority for patient
satisfaction due to scores being tied to
reimbursement rates.
Patient Satisfaction Today
• Patients are better informed.
• Patients want to understand their medical
care and be a part of the decision-making
process.
• Health care is featured almost daily in the
media, increasing patient expectations of the
care provided.
How is Patient Satisfaction Measured?
• Hospital Consumer Assessment of Healthcare Providers
and Systems (HCAHPS) Survey.
• Standardized survey to gather and compare data across
the nation.
• 27 questions based on:
– Physician/Nurse/Staff Communication
– Hospital Environment
– Pain Management
– Overall rating
– Recommendation of Hospital
• Conducted through mail and/or telephone.
• Conducted after patient discharge.
Sample HCAHPS Questionnaire
• During this hospital stay, how often did nurses treat you with courtesy and
respect?
1. Never 2. Sometimes 3. Usually 4. Always 5. Non Applicable
• During this hospital stay, how often did doctors treat you with courtesy
and respect?
1. Never 2. Sometimes 3. Usually 4. Always 5. Non Applicable
• During this hospital stay, how often was the area around your room quiet at night?
1. Never 2. Sometimes 3. Usually 4. Always 5. Non Applicable
• Would you recommend this hospital to your family and friends?
1. Definitely No 2. Probably No 3. Probably Yes 4. Definitely Yes
• Using any number from 0–10, where 0 is worst hospital possible and 10 is
the best hospital possible, what number would you use to rate this
hospital?
Hospital Compare
Impact of ACA on Patient Satisfaction
• Pay For Performance (P4P).
• DRG payments are adjusted based on
performance on HCAHPS (30%) and clinical
process measures (70%).
• Patient satisfaction makes up 30% of hospital’s
score.
– Recommend Hospital
– Rate Hospital 9–10
Excellent Patient Satisfaction
• Excellent customer satisfaction goes beyond
patient interaction during hospital stay.
• Organizations judged on customer service the
instant contact is made with patient or family
member (phone, face-to-face, email, etc.).
• Higher patient satisfaction with inpatient care
and discharge planning is associated with
lower 30-day readmission rates.
» Source: AM J Managed Care, 2011; 17(1): 41-48
Trickle Down Effect of Excellent Service
• Providing excellent service leads to happy
patients who are less anxious.
• Less anxious patients are more cooperative,
leading to positive results.
Patient Needs
• Customer-friendly environment.
• Compassionate, caring, and individualized
care.
• Respect for privacy.
• Cultural sensitivity.
• Timely and proper explanations about ...
OverviewWrite a 3-4 page evidence-based health care delivery pla.docxgerardkortney
Overview
Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic.
Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
•Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes. ◦Describe accountability tools and procedures used to measure effectiveness.
•Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. ◦Develop an evidence-based plan for health care delivery.
•Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. ◦Apply professional and legal standards in support of a care plan.
•Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. ◦Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
◦Correctly format citations and references using current APA style.
Reference
Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.
Context
In an effort to improve the patients' health literacy concerning heart failure, it is important that the clinic staff and the hospital staff present a consistent, evidence-based message on self-care to these patients and their families in order to decrease acute exacerbation and re-admissions. Review current evidence for clinical practice guides or protocols when developing your patient teaching plans and materials. Consider the following:
•What does the patient know about the disease process as a baseline?
•What does the patient need to do understand as far as the best self-care processes?
•Can the patient identify proper medication compliance?
•Is there a financial issue that affects compliance?
•Who buys and prepares the food in the home?
•Can the patient verbalize when to seek medical assistance?
Questions to Consider
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
•What factors contribute to inadequate quality of care?
•How effective are organizational mandates for quality?
•How do financial concerns impact health and safety goals?
Suggested Resources
The following optional resources are provided to support you in complet.
The document discusses expanding the role of registered nurses (RNs) in primary care settings. It describes how RNs can take on responsibilities like complex care management, active schedule management, using data to monitor patient outcomes, and conducting co-visits with providers to increase access to care. Co-visits allow RNs to address minor issues while providers briefly review cases. The approach has led to improved access and patient satisfaction at Community Health Center, Inc.
Clinical pathways provide a standardized, multidisciplinary care plan for specific diagnoses or procedures. They outline key steps, interventions, and expected outcomes for patients' hospital stays. Developing clinical pathways requires input from physicians, nurses, and other healthcare professionals to establish best practices based on evidence and optimize resource utilization and quality of care. Nurses play an important role in following the clinical pathway for patients, informing the team of any variances, and collaborating with other professionals.
Nursing has long included an educational role in patient care. Major developments established patient education standards and recognized teaching as a nursing function. Current trends emphasize empowering patients through self-management education and preparing nurses for evolving health education roles. However, barriers like lack of time challenge effective teaching. Ongoing research aims to improve teaching methods and evaluate educational outcomes.
Nursing has long included an educational component, with patient teaching recognized as a core nursing function. The nurse educator role has evolved in several ways, such as through the establishment of standards and mandates requiring patient education. While nurses face barriers to effective teaching like lack of time, their role as educator extends beyond patient teaching to include students, staff and the public. Ongoing issues involve ensuring education is tailored to diverse learners and coordinated between healthcare teams.
Medical education is changing to meet the demands of our evolving health care system. One of these changes is the development and implementation of competency-based medical education (CBME).
The document discusses the role of registered dietitians in the healthcare system. It describes dietitians as working in clinical settings like hospitals and long-term care facilities using the nutrition care process of assessment, diagnosis, intervention, and monitoring. Dietitians are part of interdisciplinary teams along with doctors, nurses, and other professionals. The document also outlines how dietitians must develop critical thinking skills through education, experience, and continuing education to provide medical nutrition therapy and work in the evolving U.S. healthcare system.
Similar to Continuous Workforce Development: The Next Rung on the Medical Assistant Career Ladder (20)
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
Can Allopathy and Homeopathy Be Used Together in India.pdfDharma Homoeopathy
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
Visit : https://massagespaajman.com/
Call : 052 987 1315
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...nirahealhty
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)bkling
Your mindset is the way you make sense of the world around you. This lens influences the way you think, the way you feel, and how you might behave in certain situations. Let's talk about mindset myths that can get us into trouble and ways to cultivate a mindset to support your cancer survivorship in authentic ways. Let’s Talk About It!
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)
Continuous Workforce Development: The Next Rung on the Medical Assistant Career Ladder
1. Jessica Langley, MS, Exec. Director of Education and Provider Markets, National Healthcareer Association
Lindsay Gainer, RN, MSN, Director of Clinical Services and Innovation, North Shore Physician Group
Audrey Lum, RN, MPA, Chief Clinical Officer, Union Health Center
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of PAHCOM.
Continuous Workforce Development: The Next Rung on the
Medical Assistant Career Ladder
2. Tell us what kind of imprint they have made within your practice.
3. Why are we here?
• Care for chronic diseases accounts for 75% of our
nation’s spending.
• 1% of health dollars are spent on public efforts to
improve overall health
• Nearly half of Americans suffer from chronic
conditions.
• Seven out of every 10 deaths in the US are
attributed to a chronic condition and almost half of
the patients fail to receive the appropriate treatment.
4. Continuous Workforce
Development with a
focus on Medical
Assistants
• Professional Evolution
• Trends and Drivers
• Challenges and Obstacles
• Training and Skills Gaps
• Elevating the Profession
• Why Career Laddering
• Examples
– North Shore Physicians Group
– Union Health Center
Agenda:
5. • $2.8 trillion in health
expenditures
• Millions more patients entering
the health care system
• Shortage of 130,000 physicians
and 260,000 registered nurses
by 2025
• 50% of the 18 million
individuals employed in the
U.S. healthcare workforce are
front line health care workers
5
Healthcare Trends and Drivers
277h Annual PAHCOM Conference
• Care Coordination (ACOs and
PCMHs) and Population
Management
• Healthcare Regulation/MU
• Electronic Health Records
• Emphasis on Clinical
Outcomes
• Performing to “Top of License”
• Engage and Invest in Front
Line Workers
• Career Advancement
Opportunities
7. Challenges and Obstacles
• Lack of Standardization
– Scope of practice, curriculum, training, education, etc.
• Professional Acceptance (trust and support)
• Lack of MA Skills and Professionalism
• Executive, Provider, and Staff buy-in
• Training Demands (time, resources)
7277h Annual PAHCOM Conference
8. Training and Skills Gap
Gaps that are critical to patient
outcomes.
• Communication in all aspects – with
patients, providers, supervisors;
written and oral
• Critical thinking, problem solving,
knowing when to ask for help
• Documentation and note taking
• Injections
• Knowledge of anatomy and
physiology
• Medical terminology
• Medications and pharmacology
• Taking patient history and vitals
• Triage and evaluating symptoms,
including abnormal lab values
Gaps that are important to the efficiency
and effectiveness of the practice.
• Coding and billing
• Communication skills and abilities,
including tailoring communication to
audience (e.g., providers, patients
from diverse backgrounds)
• Computer skills, including database
management
• Multi-tasking
• Prioritization and managing work
load and patient flow; time
management
• Professionalism in all aspects –
behavior, presentation, punctuality,
interactions with staff and patients,
meeting office expectations
• Teamwork
• Telephone skills and etiquette
• Writing ability, including grammar
and spelling
10. Why are we focusing on career laddering?
• Is the need being expressed by employers or MAs?
• What is the driving force to implement a career ladder?
• What % of MAs are able/motivated to move forward in their careers?
• What kind of post-onboarding training, assessments, or certificates do you offer your
MAs today?
• What training are you currently offering, will be offering – is it voluntary or required?
• What is your training philosophy around MAs? Is it valued and is budget allotted for
training?
11. Career Laddering Examples
• North Shore Physicians Group
– Lean Transformation
– Enhanced Medical Assistant Role
– Clinical Curriculum Redesign
– MA as flow manager
• Union Health Center
– Health coaching for chronic patients
– Curriculum Design
– Career Ladder: PCA’s, Health Coach, Floor Coordinator
• Southcentral Foundation
– Nuka Model of Care
– Performing to Top of License
– “Grow-your-own” strategy
– Career Steps: CMA I, CMA II, and CMA Supervisor
• Northwestern Memorial Physicians Group
– Clinical Career Ladder Program for MAs
– Requirements: 1 year of employment, must be certified,
must be in good standing
– 3 Levels: MA, MA I, and MA II
12. Team Based Care Examples
• Cabin Creek Health System
– Preventative medicine and chronic disease management
– Senior Medical Home
– MAs as health coaches
• University of Utah Community Clinics
– Team-based model of care
– 5:2 ratio of MAs to providers
– MAs as Ambassadors
• Massachusetts General Hospital
– MAs as Clinical Partners
• Kaiser Permanente – Northern California
– Population Management Assistant
• Cambridge Health Alliance
– Planned Care Site Coordinators
• St. Peter Family
– Diabetic Care Manager
• University of Utah Hospital and Clinics
– Medical Practice Assistant
13. Benefits and Outcomes
• Increased professional engagement/team work
• Maximize practice/operational efficiency
– Increased patient load
– Higher patient engagement
– Reduced ER visits/Re-admits
– Lower no show rates
• Consistent and standard skill training
• Increased employee retention
• Increased employee and patient satisfaction
14. NORTH SHORE PHYSICIAN GROUP
LINDSAY GAINER, RN, MSN
DIRECTOR OF CLINICAL SERVICES AND INNOVATION
Career Laddering and Team Based Care
15. • Multi-specialty, multi-location
physician group
• 11 Primary Care, 8 Specialty
offices, 1 Urgent Care, 1
Extended Care program
• Locations - 8 mile radius of
NSMC
• Diverse patient population:
income, ethnicity, education
• Group employs inpatient and
outpatient specialties – 365
Physicians
NSPG Practice Profile
21. Medical Assisting Training
• No standard education upon practice entry
• Needed consistent, baseline competencies
for all MAs
– Clinical Curriculum Redesign
• Increased need for clinical skills (PCMH)
• Physicians needed more assistance
• Needed fundamental redesign of care model
Enhanced Responsibilities
• MAs as Flow Managers
• Expanded Rooming Process
• Ancillary Services
• Population Management
• Health Coaching
• One Call Resolve
Focus on Medical Assistants
22. Goals of Training
• Create baseline standard competencies for all MAs
• Utilize MAs more effectively in patient care delivery
• Empower MAs as critical members of the care team
• Improve MA job satisfaction and retention
• Impact MA quality and performance
• Improve provider work-life balance and satisfaction
23. Best Practices
Flow Manager
Provider and MA work side-by-side at flow
station
Single piece flow for all work –No Batching.
MA is the gatekeeper for all work at the flow
station
MA is empowered to ensure provider is in
flow and on time
Huddles Level Loading
Redefining Roles
New MA responsibilities performed by
providers or nurses in the past
Practicing to “Top of License”
24. Leadership and Professional Development
Medical Assistant
Council
Employee Education
Assistance Program
Recognition of
National Certification
Career Ladder
25. NSPG Medical Assistant Council
• Formed in 2010
• MA representative from each
site
• Focused on standardizing and
improving clinical processes
• MA Council members serve as
Process Advocates
Employee Education Assistance
Program
• Launched in 2011
• Funds may be used for a variety
of job-related professional
development or continuing
education activities
• Lifetime maximum of $2500
• Employee commits to 2 years of
employment
• NSPG physicians contribute to
the fund annually
26. • National certification recognized in 2011 • MA Career Ladder launched in Fall 2013
Career Ladder
28. • All current staff received training
• Training was highly rated by staff
• Managers report improved
teamwork
• Increased staff involvement with
patient care
• Trustworthy and credible clinical
skills
• Strengthened professionalism in
clinical relationships
Outcomes
30. • Comprehensive primary and
specialty care center in New
York, New York
• 10+ PCPs and 30+ specialists
• Received NCQA Level 3
recognition in 2010
https://www.youtube.com/watch?v=2qDd-eUDMzw
Union Health Center Practice Profile
31. Recognizing a Need
Secured 2
Grants
Developed
its own 12
month
didactic
and clinical
curriculum
Trained
MAs to
take on
patient
education
and
coaching
activities
32. Initial MA Training Curriculum
• Dedicated two-hour weekly sessions
help during clinic workday over nine
months
– Defined scope of MA role in
patient care
– Identified gaps in MA
communication and clinical skills
– Reviewed basic MA curriculum,
tailored to current skill levels
– Taught basic interviewing skills
and principles, motivational
interviewing, techniques of self-
management support
Ongoing Commitment to Education
• Weekly Team Refreshers
– Two-hour session every other week for
PCAs and health coaches
• Continuous Process Improvement
– Teams encouraged to identify inefficient
processes and protocols, pilot potential
solutions, successful solutions can be
rolled out across the practice
• Health Coach Shadowing
– Opportunity for select PCAs with
advanced knowledge to learn from
health coaches, train to earn promotion
Training Opportunities
33. Training Topics for MAs
Health
Coach
Chronic Disease
Management
Medical
Terminology and
Charting
Communication
Motivational
Interviewing
Self-
Management
Support
34. Career Ladder Empowers MAs
• 1 floor coordinator per team
(6 providers)
• 27% pay increase
Floor
Coordinator
• 2.5 health coaches per
team (6 providers)
• 13%-20% pay increase
Health Coach
• 1 PCA per
provider
Patient Care Assistant
(PCA)
https://www.youtube.com/watch?v=01MD4o5jGng
35. Floor Coordinator
•Manages patient flow in clinic across all provider teams
•Reviews scheduled patients with PCP each day during huddles
•Closes communication gap between PCP and care team
Health Coach
•Works one-on-one with patients (12-19 patients/day) to establish self-
management goals, conduct telephonic follow-up
•Leads group visits for patients with chronic conditions
•Meets with social worker and RN case manager to discuss complex cases
Patient Care Assistant (PCA)
•Assist PCP with managing patients on the DM registry
•Provides basic patient education on chronic conditions, self-management
•Works with care team to review charts for preventative protocols
•Manages vital signs, rooms patients, pre-visit planning
Career Ladder Levels
36. Challenges
• Gaining the trust and support of providers
• Training PCAs to implement the care model
• Building PCAs confidence in expanded role
• Changing patient base
37. Strategies to Improve Provider, Patient Buy-In
Engaging in Program
Development
•Clinical staff actively involved
in ongoing training
development and supervision
•Care team RN ensures MAs
are performing designated
duties effectively
•Nutritionist attend a “train-
the-trainer” program to learn
effective teaching techniques
and share with the team
Fostering Ongoing
Collaboration, Teamwork
•Providers lead group visits,
encouraged to share any
patient concerns with health
coach and rest of the team
•Team meetings to discuss
potential adjustments to
health coach role, address
inefficiencies, barriers in
workflow
•Task forces formed to pilot
potential solutions and
provide update on progress at
subsequent meetings
Educating Patients and
Caregivers
•Providers encouraged to
mitigate patient resistance to
new model through warm
handoffs to health coaches
and PCAs
•Patient education materials
detail the benefits of the PCA
and health coach involvement
39. 1. Create the incentive for change/sense of
urgency - staff turnover, staff satisfaction,
professionalism, career development within the
company.
2. Assess financial impact of salary increases to
organization to get Executive buy-in.
3. Assess baseline competencies, educational
preparation, and certification of current employees.
4. Design an internal educational program to
assure standard competency across organization.
5. Design the requirements for the career ladder /
Re-write and create new job descriptions.
6. Educate managers on the process of promotion
and the application process so that they can coach
their staff who wish to advance on the career ladder
7. Go-live with ongoing central support and coaching
of managers
How can you start thinking about creating a career
laddering program?
42. 42
Thank you!
277h Annual PAHCOM Conference
Jessica Langley, MS
Exec. Dir. Of Education and Provider
Markets
National Healthcareer Association
Jessica.langley@nhanow.com
(913) 661-6587
Lindsay Gainer, RN, MSN
Dir. Of Clinical Services and Innovation
North Shore Physicians Group
lgainer@partners.org
(978) 573-4361
Audrey Lum, RN, MPA
Chief Clinical Officer
Union Health Center
alum@unionhealthcenter.org
(212) 812-3562
Editor's Notes
Engelberg Center for Health Care Reform at Brookings
Redesigning the Care Team: The Critical Role of Frontline Workers and Models for Success
March 2014
Patel, Nadel, West