The document discusses patient-centered care, including its history and key concepts. It defines patient-centered care as an approach that involves patients and their families in healthcare decisions and care. It provides examples of patient-centered practices like hourly rounding and open visitation. National organizations that promote patient-centered care, like the Institute for Healthcare Improvement and World Health Organization, are also mentioned. The document aims to explain what patient-centered care is and is not, highlighting that it focuses on meeting patient needs while still allowing medical professionals to guide treatment.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
Integration of Policy, Practice and Partnership with Julie Wood, MDsfary
This document discusses integrating behavioral health care into the patient-centered medical home model. It provides an overview of the American Academy of Family Physicians, their strategic goals including practice advancement and health of the public. It describes the "Joint Principles" published in 2014 that outline seven principles for integrating behavioral health care into the PCMH. Barriers to integration include issues with payment, time, knowledge and effective referral processes, while opportunities include promoting the PCMH model and medical neighborhood approach to integrate primary care and public health.
Evolution of and Trends in Health Care - Lecture DCMDLearning
The document describes Lecture d of a course on the evolution of and trends in health care in the U.S. It discusses the patient-centered medical home model of care coordination, including characteristics like having a personal physician, team-based care, and quality/safety measures. It also introduces Accountable Care Organizations as a new model of care coordination promoted by the Affordable Care Act. Finally, it provides references for Lecture d.
This document discusses Picker Institute's Always Events® Research Agenda which provides matching grants to support projects that demonstrate how the Always Events® concept of aspects of patient experience that should always occur can be implemented in healthcare settings. It provides an overview of 21 initiatives funded through the program focused on improving patient- and family-centered care, including ensuring families understand ICU patient outcomes, incorporating patients in hospital handoffs, improving the discharge process, and facilitating kangaroo care in the NICU.
The document discusses evidence based healthcare and the process of evidence based medicine. It describes the 5 step process as asking questions, acquiring information, appraising the quality of evidence, applying the results, and assessing performance. Simple skills can help focus questions and basic rules can improve ability to critique literature. Simple math, not complex statistics, can help clearly describe study results.
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.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
Integration of Policy, Practice and Partnership with Julie Wood, MDsfary
This document discusses integrating behavioral health care into the patient-centered medical home model. It provides an overview of the American Academy of Family Physicians, their strategic goals including practice advancement and health of the public. It describes the "Joint Principles" published in 2014 that outline seven principles for integrating behavioral health care into the PCMH. Barriers to integration include issues with payment, time, knowledge and effective referral processes, while opportunities include promoting the PCMH model and medical neighborhood approach to integrate primary care and public health.
Evolution of and Trends in Health Care - Lecture DCMDLearning
The document describes Lecture d of a course on the evolution of and trends in health care in the U.S. It discusses the patient-centered medical home model of care coordination, including characteristics like having a personal physician, team-based care, and quality/safety measures. It also introduces Accountable Care Organizations as a new model of care coordination promoted by the Affordable Care Act. Finally, it provides references for Lecture d.
This document discusses Picker Institute's Always Events® Research Agenda which provides matching grants to support projects that demonstrate how the Always Events® concept of aspects of patient experience that should always occur can be implemented in healthcare settings. It provides an overview of 21 initiatives funded through the program focused on improving patient- and family-centered care, including ensuring families understand ICU patient outcomes, incorporating patients in hospital handoffs, improving the discharge process, and facilitating kangaroo care in the NICU.
The document discusses evidence based healthcare and the process of evidence based medicine. It describes the 5 step process as asking questions, acquiring information, appraising the quality of evidence, applying the results, and assessing performance. Simple skills can help focus questions and basic rules can improve ability to critique literature. Simple math, not complex statistics, can help clearly describe study results.
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.
Public Reporting as a Catalyst for Better Consumer DecisionsATLAS Conference
Greater efficiency in the process of matching patients to appropriate providers is vital to achieving the Triple Aim. As patients research and choose among appropriate providers, sound decision-making will depend on the accessibility of high-quality data that enables them to make meaningful, actionable comparisons. Online public-reporting tools, such as those published by U.S. News, CMS and others, serve as venues for consumer decision-making. Driven by current trends in data transparency, rapid advances in public reporting can be anticipated. This presentation will outline several recent and expected future developments in the evolution of key public-reporting tools, and discuss their role in facilitating patient engagement and access to appropriate care.
The document discusses the role of nurses and different models of care. It covers topics like the nursing process, assessment, biomedical and holistic models. The biomedical model focuses on the physical body, while the holistic model sees individuals as complex with psychological, social, cultural and spiritual factors influencing health. Over time, perspectives have shifted from biomedicine to recognize broader determinants. Public health aims to improve health through prevention, health promotion, and empowering individuals and communities. The document examines how nursing's role and understanding of health has evolved in relation to changes in models of care and public policy.
C-TAC 2015 National Summit on Advanced Illness Care - Master Slide Deckzbarehmi
This document provides an overview of the National Summit on Advanced Illness Care that took place on March 2-3, 2015 in Washington DC. The summit was hosted by C-TAC (Coalition to Transform Advanced Care) and brought together leaders, clinicians, researchers, and policymakers to drive improvements in advanced illness care. Over the two-day event, there were presentations on models of advanced illness care, engaging patients and families, improving clinician-patient communication, the role of research and policies to support high-quality end-of-life care for all Americans.
This document provides guidance on developing patient education programs for chronic conditions. It discusses principles of patient education including definitions, theories like the Health Belief Model and Social Cognitive Theory, and evidence supporting patient education. The document also covers needs assessment, setting objectives and priorities, educational approaches, and program planning. The overall goal is to empower patients through education tailored to their specific needs and beliefs.
How can front-line professionals incorporate the emerging brain health ...SharpBrains
(Session held at the 2014 SharpBrains Virtual Summit; October 28-30th, 2014)
12:30-2pm. How can front-line professionals incorporate the emerging brain health toolkit to their practices?
- Elizabeth Frates, Director of Medical Student Education at the Institute of Lifestyle Medicine
- Dr. Catherine Madison, Director of the Ray Dolby Brain Health Center at California Pacific Medical Center
- Barbara Van Amburg, Chief Nursing Officer at Kaiser Permanente Redwood City
- Dr. Wendy Law, Clinical Neuropsychologist at Walter Reed National Military Medical Center
- Chair: Dr. Michael O’Donnell, Editor-In-Chief of the American Journal of Health Promotion
Learn more here:
http://sharpbrains.com/summit-2014/agenda/
1) Quality and safety in healthcare aims to minimize risks of harm to patients through effective systems and individual performance. Common medical errors include medication errors, wrong-site surgeries, and misdiagnoses.
2) QSEN seeks to prepare nurses with competencies in patient-centered care, teamwork, evidence-based practice, quality improvement, safety, and informatics to continuously improve healthcare quality and safety.
3) Providing high-quality, patient-centered care requires effective communication, collaboration, and shared decision-making among healthcare team members and with patients and their families.
Satisfactions Among Admitted Patient of Tertiary Level Hospital in Dhaka City.DR. S A HAMIDI
The document provides background information on a study about patient satisfaction levels at tertiary level hospitals in Dhaka City, Bangladesh. It outlines the study objectives which are to assess and compare patient satisfaction levels regarding hospital services and identify other factors influencing satisfaction. The methodology section describes the study design as cross-sectional, conducted from May to December 2015 at Holy Family Red Crescent Medical College Hospital. A sample of 170 admitted medicine patients was surveyed using purposive sampling and structured questionnaires. Preliminary results on patient demographics and satisfaction with hospital reception are presented.
Engines of Success for U.S. Health Reform?
Eric B. Larson, MD, MPHVice President for Research, Group Health Executive Director, Group Health Research Institute
Federally Qualified Health Centers (FQHCs) provide primary care to over 24 million low-income Americans annually across over 11,000 sites. CHCI is a large FQHCs operating 14 primary care hubs and 204 sites serving over 100,000 patients annually. CHCI has integrated behavioral health, chiropractic care, and other specialties into primary care teams to improve outcomes for patients with chronic pain and complex conditions. Chiropractic visits at CHCI have increased from 453 in 2012 to over 9,000 in 2017 as the center has expanded integrated care models.
The TAP project is developing a program at UCSF to facilitate the transition of adolescent patients with chronic health needs from pediatric to adult care. This includes resident training in transitional care competencies and a transition handbook for patients to teach self-management skills.
The IPR project at the Medical College of Georgia will initiate patient- and family-centered rounds on adult medical and surgical units, initially evaluating one team for satisfaction, costs, efficiency and quality/safety.
The Resident Performance project at Carilion Clinic intends to adapt an evaluation tool for patients to assess resident performance on ACGME competencies, comparing feedback and coaching to attending-only feedback.
The document outlines steps for generating evidence for clinical nursing practice through evidence-based practice. It begins with an introduction on the importance and expectations of quality nursing care backed by evidence. It then discusses clinical nursing and the history and benefits of evidence-based practice. The document outlines key steps in evidence-based practice including identifying problems, asking questions, searching literature, appraising evidence, integrating into practice, and evaluating outcomes. It also notes challenges and implications for the nursing profession in adopting evidence-based practice.
EVIDENCE BASED NURSING PRACTICE M.Sc. nursing.pptAnurag Sharma
Evidence-based practice in nursing involves providing holistic, quality care based on the most up-to-date research and knowledge rather than traditional methods, advice from colleagues, or personal beliefs.
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.
Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
Patient, carer & public involvement in clinical guidelines: the NICE experienceGuíaSalud
Presentación de Victoria Thomas, Associate Director, Patient & Public Involvement Programme de NICE, sobre la participación de pacientes, ciudadanos y público en general en el desarrollo de guías de práctica clínica del NICE. Ponencia realizada en la Jornada Científica GuíaSalud 2010 "La participación de los pacientes en las Guías de Práctica Clínica".
Ethics and Difficult Hospital Discharges: what is "safe enough"?Andi Chatburn, DO, MA
This document provides an overview of a presentation on ethical dilemmas related to difficult discharges from healthcare facilities. The presentation covers introducing ethics as being considerate of one another, identifying situations where patient safety and preferences may conflict during discharges, applying an ethics model to discharge cases, and gaining insights for developing "safe enough" discharges. It also includes learning objectives, an ethics curriculum goal, a reminder on case discussions, ways of approaching ethics, core values, and an overview of common discharge dilemmas. The document concludes with a review of an ethics decision-making model and a bibliography.
Management of disease and person – palliative care in nigeriaJPM.socialmedia
This document discusses the management of disease and the person in modern medicine. It argues that healthcare should focus on both curing disease and caring for the whole person. The author shares their experience starting palliative care services at a hospital in Nigeria using a multidisciplinary team approach. They discuss challenges like inadequate staffing but also achievements like introducing morphine and establishing a day care hospice. The document concludes by calling for more support and collaboration to improve palliative care.
Obstetrical Nursing Communication for nurses, midwifes and healthcare providers working in women's health or the hospital setting. Student nurses will also benefit with the latest information in communication in healthcare.
This document discusses outcomes research, which examines the results of implementing healthcare practices based on scientific evidence and patient preferences/values. Outcomes can be related to individuals, groups, organizations, patients, or performance. Outcomes research is important for evaluating scientific evidence effectiveness and informing patients. The Agency for Healthcare Research and Quality and Patient Centered Outcomes Research Institute conduct outcomes research. Benefits include improving practice and informing patients, while excessive funding/time on low-impact research is wasteful. Outcomes research helps ensure best practices and patient-informed decision making.
The document provides instructions for writing a 250-300 word paragraph analyzing a specific point from Okakura Kakuzō's essay "The Range of Ideals" to explain why his thesis that "Asia is one" is problematic. The paragraph should directly engage with one point Okakura makes, provide specific details on its logical or factual mistakes, acknowledge the diversity of Asian nations and cultures, and cite the specific page(s) being referred to.
Ralph Waldo Emerson was an American essayist and philosopher born in 1803 who is considered the father of American literature. He developed the philosophy of transcendentalism and emphasized nonconformity, self-reliance, and finding inspiration from nature. Emerson had a profound influence on writers like Thoreau, Whitman, Hawthorne, Poe, and Dickinson and developed a complicated relationship with Thoreau as his former student and friend.
Public Reporting as a Catalyst for Better Consumer DecisionsATLAS Conference
Greater efficiency in the process of matching patients to appropriate providers is vital to achieving the Triple Aim. As patients research and choose among appropriate providers, sound decision-making will depend on the accessibility of high-quality data that enables them to make meaningful, actionable comparisons. Online public-reporting tools, such as those published by U.S. News, CMS and others, serve as venues for consumer decision-making. Driven by current trends in data transparency, rapid advances in public reporting can be anticipated. This presentation will outline several recent and expected future developments in the evolution of key public-reporting tools, and discuss their role in facilitating patient engagement and access to appropriate care.
The document discusses the role of nurses and different models of care. It covers topics like the nursing process, assessment, biomedical and holistic models. The biomedical model focuses on the physical body, while the holistic model sees individuals as complex with psychological, social, cultural and spiritual factors influencing health. Over time, perspectives have shifted from biomedicine to recognize broader determinants. Public health aims to improve health through prevention, health promotion, and empowering individuals and communities. The document examines how nursing's role and understanding of health has evolved in relation to changes in models of care and public policy.
C-TAC 2015 National Summit on Advanced Illness Care - Master Slide Deckzbarehmi
This document provides an overview of the National Summit on Advanced Illness Care that took place on March 2-3, 2015 in Washington DC. The summit was hosted by C-TAC (Coalition to Transform Advanced Care) and brought together leaders, clinicians, researchers, and policymakers to drive improvements in advanced illness care. Over the two-day event, there were presentations on models of advanced illness care, engaging patients and families, improving clinician-patient communication, the role of research and policies to support high-quality end-of-life care for all Americans.
This document provides guidance on developing patient education programs for chronic conditions. It discusses principles of patient education including definitions, theories like the Health Belief Model and Social Cognitive Theory, and evidence supporting patient education. The document also covers needs assessment, setting objectives and priorities, educational approaches, and program planning. The overall goal is to empower patients through education tailored to their specific needs and beliefs.
How can front-line professionals incorporate the emerging brain health ...SharpBrains
(Session held at the 2014 SharpBrains Virtual Summit; October 28-30th, 2014)
12:30-2pm. How can front-line professionals incorporate the emerging brain health toolkit to their practices?
- Elizabeth Frates, Director of Medical Student Education at the Institute of Lifestyle Medicine
- Dr. Catherine Madison, Director of the Ray Dolby Brain Health Center at California Pacific Medical Center
- Barbara Van Amburg, Chief Nursing Officer at Kaiser Permanente Redwood City
- Dr. Wendy Law, Clinical Neuropsychologist at Walter Reed National Military Medical Center
- Chair: Dr. Michael O’Donnell, Editor-In-Chief of the American Journal of Health Promotion
Learn more here:
http://sharpbrains.com/summit-2014/agenda/
1) Quality and safety in healthcare aims to minimize risks of harm to patients through effective systems and individual performance. Common medical errors include medication errors, wrong-site surgeries, and misdiagnoses.
2) QSEN seeks to prepare nurses with competencies in patient-centered care, teamwork, evidence-based practice, quality improvement, safety, and informatics to continuously improve healthcare quality and safety.
3) Providing high-quality, patient-centered care requires effective communication, collaboration, and shared decision-making among healthcare team members and with patients and their families.
Satisfactions Among Admitted Patient of Tertiary Level Hospital in Dhaka City.DR. S A HAMIDI
The document provides background information on a study about patient satisfaction levels at tertiary level hospitals in Dhaka City, Bangladesh. It outlines the study objectives which are to assess and compare patient satisfaction levels regarding hospital services and identify other factors influencing satisfaction. The methodology section describes the study design as cross-sectional, conducted from May to December 2015 at Holy Family Red Crescent Medical College Hospital. A sample of 170 admitted medicine patients was surveyed using purposive sampling and structured questionnaires. Preliminary results on patient demographics and satisfaction with hospital reception are presented.
Engines of Success for U.S. Health Reform?
Eric B. Larson, MD, MPHVice President for Research, Group Health Executive Director, Group Health Research Institute
Federally Qualified Health Centers (FQHCs) provide primary care to over 24 million low-income Americans annually across over 11,000 sites. CHCI is a large FQHCs operating 14 primary care hubs and 204 sites serving over 100,000 patients annually. CHCI has integrated behavioral health, chiropractic care, and other specialties into primary care teams to improve outcomes for patients with chronic pain and complex conditions. Chiropractic visits at CHCI have increased from 453 in 2012 to over 9,000 in 2017 as the center has expanded integrated care models.
The TAP project is developing a program at UCSF to facilitate the transition of adolescent patients with chronic health needs from pediatric to adult care. This includes resident training in transitional care competencies and a transition handbook for patients to teach self-management skills.
The IPR project at the Medical College of Georgia will initiate patient- and family-centered rounds on adult medical and surgical units, initially evaluating one team for satisfaction, costs, efficiency and quality/safety.
The Resident Performance project at Carilion Clinic intends to adapt an evaluation tool for patients to assess resident performance on ACGME competencies, comparing feedback and coaching to attending-only feedback.
The document outlines steps for generating evidence for clinical nursing practice through evidence-based practice. It begins with an introduction on the importance and expectations of quality nursing care backed by evidence. It then discusses clinical nursing and the history and benefits of evidence-based practice. The document outlines key steps in evidence-based practice including identifying problems, asking questions, searching literature, appraising evidence, integrating into practice, and evaluating outcomes. It also notes challenges and implications for the nursing profession in adopting evidence-based practice.
EVIDENCE BASED NURSING PRACTICE M.Sc. nursing.pptAnurag Sharma
Evidence-based practice in nursing involves providing holistic, quality care based on the most up-to-date research and knowledge rather than traditional methods, advice from colleagues, or personal beliefs.
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.
Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
Patient, carer & public involvement in clinical guidelines: the NICE experienceGuíaSalud
Presentación de Victoria Thomas, Associate Director, Patient & Public Involvement Programme de NICE, sobre la participación de pacientes, ciudadanos y público en general en el desarrollo de guías de práctica clínica del NICE. Ponencia realizada en la Jornada Científica GuíaSalud 2010 "La participación de los pacientes en las Guías de Práctica Clínica".
Ethics and Difficult Hospital Discharges: what is "safe enough"?Andi Chatburn, DO, MA
This document provides an overview of a presentation on ethical dilemmas related to difficult discharges from healthcare facilities. The presentation covers introducing ethics as being considerate of one another, identifying situations where patient safety and preferences may conflict during discharges, applying an ethics model to discharge cases, and gaining insights for developing "safe enough" discharges. It also includes learning objectives, an ethics curriculum goal, a reminder on case discussions, ways of approaching ethics, core values, and an overview of common discharge dilemmas. The document concludes with a review of an ethics decision-making model and a bibliography.
Management of disease and person – palliative care in nigeriaJPM.socialmedia
This document discusses the management of disease and the person in modern medicine. It argues that healthcare should focus on both curing disease and caring for the whole person. The author shares their experience starting palliative care services at a hospital in Nigeria using a multidisciplinary team approach. They discuss challenges like inadequate staffing but also achievements like introducing morphine and establishing a day care hospice. The document concludes by calling for more support and collaboration to improve palliative care.
Obstetrical Nursing Communication for nurses, midwifes and healthcare providers working in women's health or the hospital setting. Student nurses will also benefit with the latest information in communication in healthcare.
This document discusses outcomes research, which examines the results of implementing healthcare practices based on scientific evidence and patient preferences/values. Outcomes can be related to individuals, groups, organizations, patients, or performance. Outcomes research is important for evaluating scientific evidence effectiveness and informing patients. The Agency for Healthcare Research and Quality and Patient Centered Outcomes Research Institute conduct outcomes research. Benefits include improving practice and informing patients, while excessive funding/time on low-impact research is wasteful. Outcomes research helps ensure best practices and patient-informed decision making.
The document provides instructions for writing a 250-300 word paragraph analyzing a specific point from Okakura Kakuzō's essay "The Range of Ideals" to explain why his thesis that "Asia is one" is problematic. The paragraph should directly engage with one point Okakura makes, provide specific details on its logical or factual mistakes, acknowledge the diversity of Asian nations and cultures, and cite the specific page(s) being referred to.
Ralph Waldo Emerson was an American essayist and philosopher born in 1803 who is considered the father of American literature. He developed the philosophy of transcendentalism and emphasized nonconformity, self-reliance, and finding inspiration from nature. Emerson had a profound influence on writers like Thoreau, Whitman, Hawthorne, Poe, and Dickinson and developed a complicated relationship with Thoreau as his former student and friend.
Raising Minimum An explanation of the its.docxbkbk37
This document discusses the key components of an essay arguing for or against raising the minimum wage. The essay would provide an explanation of the controversy around raising the minimum wage, including the background and current state of the issue. It would articulate a clear position and support that position with reasons backed by evidence from research. The essay would also have to address counterarguments and refute them with detailed rebuttals. It would conclude by restating the main argument and possibly suggesting a solution or policy. Sources would need to be cited in MLA style and include at least 5 non-internet sources.
Rail Project A goal of the Obama administration.docxbkbk37
The Obama administration promoted high-speed rail projects across major US states to adopt more environmentally friendly transportation initiatives and improve infrastructure. California accepted billions in federal grants to begin developing a high-speed rail line, though critics argue the projected ridership and costs make the project economically unfeasible, especially given California's budget issues. Supporters counter that large public works projects can have broader economic and social benefits beyond just transportation.
Racism toward Indigenous peoples in Canada.docxbkbk37
The document outlines requirements for an 8-page research paper examining racism toward Indigenous peoples in Canada. It must be in Chicago style with footnotes and bibliography, and discuss the prevalence of racism today, key contributing factors, and the concepts of meritocracy and white privilege in developing the thesis. Specifically, it should consider how beliefs about meritocracy factor into racist attitudes, the lack of understanding of white privilege and its impact, and how understanding these concepts could foster more inclusive attitudes. Five sources are required including the article by Brockham and Morrison.
This document provides instructions for a social issue paper on class, race and gender. Students must write a thesis statement and support it using at least 3 sources from the provided additional material. The paper must be formatted in MLA style and clearly relate to topics covered in the course.
The document discusses whether the Responsibility to Protect (R2P) doctrine could justify international intervention in Syria. Some argue multilateral attacks on Syria could be legitimate under R2P based on the requirements being met. However, many UN member states remain suspicious of R2P due to concerns it could be used to justify improper unilateral military action.
This article discusses racial disparities in hospital segregation in Jackson, Mississippi in the 1960s. It describes how the city's black community organized protests and filed lawsuits to desegregate white hospitals and gain equal access to healthcare. While progress was made through these efforts, racial inequities still persisted in the quality of facilities and treatment between black and white patients. The article provides insights into the political and social challenges of promoting desegregation and reducing healthcare disparities during the Civil Rights era.
Race alone is an inadequate category for studying labor histories because it does not account for other factors like gender. When telephone operator jobs transformed from predominantly white to black workers, African American women faced discrimination and stereotyping in their roles. Bell System's hiring policies and perceptions of black women were guided by wider societal racism and sexism. Bell publications portrayed African Americans in stereotypical, demeaning ways. The New York Telephone Company initially refused to hire African Americans in 1920 due to concerns about customer prejudice, and again in the 1930s during a period of high unemployment that exacerbated racial tensions. Prior to 1940, AT&T had very limited hiring of African American women for telephone operator jobs. The Civil Rights era prompted changes to Bell
QuickBooks uses windows API to follow orders to get updates.docxbkbk37
QuickBooks uses the Windows API to connect to Intuit servers to receive updates and data. Error code 12057 can occur if QuickBooks is unable to connect to the Intuit servers. This error may be caused by issues with the internet connection, outdated SSL settings, or incorrect date/time settings. The document provides steps to resolve this error such as checking internet options settings, updating the system date and time, installing Windows and QuickBooks updates, repairing the QuickBooks installation, and running QuickBooks as an administrator. Customer support should be contacted if the error persists after trying these troubleshooting steps.
Questions What are the purposes of Just.docxbkbk37
Offenders' cognitions serve to both make themselves feel better and balance their interactions with others and environments. Childhood trauma can influence offenders' distorted views of social reality. The psychological source of mental conflicts is examined. Prejudice is discussed as influencing criminal behavior, and whether one is prejudiced towards sex offenders. The main assessment activities and issues in correctional counseling are outlined. Issues in the termination stage and types of questions to avoid in assessment are identified. The importance of helping clients with feelings and defining beneficence vs. nonmaleficence are discussed. The benefit of motivational interviewing is also examined.
Questions to Each group you read about is.docxbkbk37
Several immigrant groups in 19th century America felt anxiety over changes brought by new immigrants. Mexicans/Tejanos, Texans, and Americans feared losing land and political power to increasing numbers of newcomers. Irish, German, and Chinese immigrants also faced xenophobia and fears that they would take economic opportunities and alter American culture. These documents from the Age of Expansion show prevalent fears and distrust of foreigners among native-born Americans.
Questions that must be answered in your plus other.docxbkbk37
This document outlines 4 questions to answer in a book report: 1) The 4 big ideas in the book. 2) How the book got its title. 3) What happens to the main character at the end. 4) What is liked most about the book. It provides guidance on the content to include in the writeup.
This woman finds meaning and purpose in her family and faith. She draws strength from her family, friends, and faith in God. She believes things happen for a reason and has hope for the future. She serves on the board of her church and a cemetery organization, which she finds rewarding as it allows her to help others and make a positive difference. Her most important belief is her faith in God, and she prays daily and is thankful for her blessings. She has tried to pass on her faith and values to her daughter.
Question Libya recently announced that it is claiming a.docxbkbk37
Libya claimed a 200-mile territorial sea zone, placing armed ships to enforce the claim and calling it a "line of death." The UN Security Council condemned Libya's actions as violating international law, which only recognizes 12 nautical miles of territorial waters. Authorized by Congress, the US sent ships and jets to patrol the 200-mile zone. After a Libyan ship fired at a US jet, US forces returned fire and destroyed two Libyan ships.
Question Use the Internet or the IGlobal Resource.docxbkbk37
This document provides instructions for two questions. Question 1 asks the reader to research scientific testing procedures and write the steps to provide evidence for a scientific claim. Question 2 asks the reader to watch a NASA video about detecting methane on Mars, discuss the challenges of collecting data on Mars, and how NASA is working to overcome these challenges. The reader is instructed to submit their responses in a Word document before a deadline.
Question Please define motivation and discuss why it is.docxbkbk37
Motivation is an important factor in educating adult learners because it influences their willingness to learn. Sociocultural factors like cultural conditions can impact adult learners' needs, with some conditions more significant than others. Adults choose to learn based on access and opportunity, which influence their learning along with enhancing formal and non-formal learning activities. Neuroandragogy and andragogy are approaches to adult learning, with neuroandragogy incorporating brain research which is important to understanding adult learning and development.
Question share your perspective on personal data as a.docxbkbk37
Personal data has become a product that is collected and sold by companies, but individuals should maintain ownership over their own data. While data collection can enable useful services, people should give informed consent and have transparency about how their information is used. There are ongoing debates around balancing corporate interests, individual privacy and control, and developing policies that ensure data is handled ethically.
The document asks the reader to write a 1000+ word paper in APA format that supports the death penalty for certain crimes like rape of children, kidnapping, and torture. The paper must use at least 3 academic sources and include a word count. The reader is asked to argue that they agree with using the death penalty in cases involving those severe crimes.
Question In your what are the main workforce.docxbkbk37
The main workforce challenges facing the United States are adequate healthcare staffing and shortages of skilled professionals. The COVID-19 pandemic has exacerbated longstanding shortages and strained hospital resources. A future model of care delivery in the US must ensure adequate financing and a skilled mobile healthcare workforce. Mobile health clinics and teams of clinicians and health coaches could help increase access to affordable, tailored care that responds to community needs. However, this requires sufficient training and funding support to be successful.
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What Could Be Behind Your Mercedes Sprinter's Power Loss on Uphill RoadsSprinter Gurus
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1. LP072 Assignment: Patient Centered Care
LP072 Assignment: Patient Centered Care ON LP072 Assignment: Patient Centered
CarePatient centered care is not about the patient single handedly making non- ed
healthcare decisions, but rather involvement of the patient (and family) in doing what is
best medical practice and what is best for the patient. After viewing the PowerPoint “Patient
centered care,” search the IHI for at least one article and one IHI presentation on patient
and family centered care. Compare the concepts in all three mediums (the PowerPoint, IHI
article and presentation) in regards to content, learning and how those concepts can be
applied to a patient setting.Requirements for organization and presentation of each paper:•
Expected length: two pages, double spaced, Ariel font size 12, one inch margins,• Title page
(no abstract needed)• Use your textbook AND an additional source from the NAU library•
Summarize your research; do not copy word for word from the book, the internet, or any
other source (plagiarism policies will be enforced).• Include a reference page at the end of
your essay. Properly cite and reference all sources using proper APA format.SEARCH the IHI
websiteNAU library source attached – PDF Full TextSource: Journal of Health & Human
Services AdministrationDate: June 1,
2018lp_7_patient_and_family_centered_care.pptxpatient_centered_care.pdfUnformatted
Attachment PreviewPATIENT- AND FAMILYCENTERED CARE AN INTRODUCTION TO THE
PROFESSIONAL MODEL OF CARE PATIENT- AND FAMILY-CENTERED CARE “An approach
to the planning, delivery, and evaluation of health care that is grounded in mutually
beneficial partnerships among health care providers, patients, and families” Johnson, et. Al.
(2008). Partnering with patients and families to design a patientand family-centered health
care system.” Bethesda, MD: institute for family-centered care, institute for healthcare
improvement. PATIENT- AND FAMILY-CENTERED CARE • Redefines relationships in health
care • Places emphasis on collaborating with • • • • All patients and families Of all ages At all
levels of care In all health care settings. Johnson, et. Al. (2008). Partnering with patients and
families to design a patient- and family-centered health care system.” Bethesda, MD:
institute for family-centered care, institute for healthcare improvement. “Further, it
acknowledges that families, however they are defined, are essential to patients’ health and
well-being and are crucial allies for quality and safety within the health care system.”
HISTORY OF PATIENT CENTERED CARE 1970s • Term introduced in 1969 by Balint and
colleagues • Not-for-profit organization founded in 1970s by a patient 1980s • Women and
families helped drive family-centered changes in maternity care in the 1960s and 1970s •
US surgeon general C. Everett Koop collaborated with families to define and advance the
2. practice 1990s • Picker Commonwealth Group 1988 • Based on focus groups & interviews
with patients & families • Challenged healthcare systems to improve patient care by
considering the totality of the experience through the eyes of the patient …..And still
growing! THE PATIENT “The biggest untapped resource in health care is the patient and
their family. We systematically exclude patients and family members from helping to
redesign care to be more effective and don’t communicate that their knowledge is essential
to improve outcomes. We can’t afford to do that any more.” Donald M. Berwick, MD,
Institute for Healthcare Improvement NATIONAL ORGANIZATIONS ING PATIENT- &
FAMILY-CENTERED CARE • IHI (institute for healthcare improvement) • LP072
Assignment: Patient Centered CareMade PFCC an area of innovation and research in 2006 •
Included concept in ihi’s 100,000 lives campaign • IOM (institute of medicine) • Endorsed
PFCC framework to enhance quality and safety of health care (2001, crossing the quality
chasm: A new health system for the 21st century) • AMA (american medical association) •
In 2006 published consensus report “improving communication – improving care: how
health care organizations can insure effective, patient-centered communication” • WHO
(world health organization) • Launched world alliance for patient safety in 2004; patients &
families at center of this international effort to improve patient safety NATIONAL
ORGANIZATIONS ING PATIENT- & FAMILY-CENTERED CARE • SCCM (SOCIETY FOR
CRITICAL CARE MEDICINE) Davidson et. Al. (2007). “Clinical practice guidelines for of the
family in the patient-centered ICU: american college of critical care medicine task force
2004-2005”. Critical care medicine, 35(2), 605-622. • IHI (institute for healthcare
improvement) • Made PFCC an area of innovation and research in 2006 • Included concept
in ihi’s 100,000 lives campaign • IOM (institute of medicine) • Endorsed PFCC framework to
enhance quality and safety of health care (2001, crossing the quality chasm: A new health
system for the 21st century) • AMA (american medical association) • In 2006 published
consensus report “improving communication – improving care: how health care
organizations can insure effective, patient-centered communication” • Institute for Patient-
And=Family-Centered Care – transforming healthcare through partnerships • WHO (world
health organization) • Launched world alliance for patient safety in 2004; patients &
families at center of this international effort to improve patient safety OTHER NATIONAL
ERS • AHA (american hospital association) and NCQA (national committee for quality
assurance) • Creating a patient and family-centered physician practice recognition program
that will reward medical groups for patient and family-centered practice design and
interventions • AHRQ (agency for healthcare quality & research) and CMS (center for
medicare & medicaid services) • ed development of surveys which measure patient and
consumer experience of care across the continuum of care • TJC (the joint commission) • In
2006 published “patients as partners: how to involve patients & families in their own care” •
SPN / ANA (society of pediatric nurses and american nurses association) • LP072
Assignment: Patient Centered CareIn 2003 published “family-centered care: putting it into
action, the SPN/ANA guide to family-centered care” • AACN (american association of
critical-care nurses) • Practice alert endorsing family presence at resuscitation & invasive
procedures • ENA (emergency nurses association) • Position statement endorsing family
presence during invasive procedures and CPR • AAP (american academy of pediatrics) •
3. Department of veterans’ affairs • Robert woods johnson foundation • NPSF (national patient
safety foundation) CORE CONCEPTS (WHAT PATIENTS WANT) MYTHS ABOUT PFCC It is
costly • Attitude, kindness and compassion are free-optimize interactions with patients &
families. • In one study comparing like hospital units, PFCC resulted in • Shorter length of
stay • Lower cost per case • Shift in use from higher-cost RN staff to lower-cost ancillary
staff • Increase in patient satisfaction scores • Stone, S. (2008). “A retrospective evaluation
of the impact of the planetree patient centered model of care program on inpatient quality
outcomes”. Health environments research & design journal, 1(4): 55-69. For Nurses Only •
Review of four hospitals that successfully implemented patient-centered care for more than
5 years • RN staffing ratios and hours per patient day were unchanged after adoption of a
patient-centered care approach • Data from surgical, medical, step down and maternity
units all fell within the range of similar hospitals published in the annual survey of hours
benchmark report • Suby, c. (2008). “2007 survey of hours report. Direct and total HPPD by
patient care units”. Perspective on staffing & scheduling. Bloomington, MN. PATIENT- AND
FAMILY-CENTERED CARE WHAT IT IS • A model of care that recognizes the needs of the
patient are always the priority WHAT IT IS NOT • PFCC is not new. • Meeting the patient’s
needs should always be the priority for both the patient’s family and the staff • PFCC is not a
singular intervention (like open visiting hours). • A philosophical approach to care that
recognizes • PFCC does not mean that staff must relinquish all decision making to patients
and family members. • The needs of the patient and the patient’s family members • Patients
& families need and appreciate structure and guidance during times of crisis. • The
important role that family members play during a patient’s illness • PFCC is not a means
whereby patients lose their rights to privacy or control over their environment. • A process
that recognizes the family’s involvement as a patient’s choice • PFCC does not mean that
patients’ families have the right to be rude or abusive to staff. • Lets patients know that
family members are welcome if the patient chooses • PFCC is not difficult, but it requires a
thoughtful and caring appreciation of the needs of the patients and their families. •
Providing care that is patient and family centered means that we recognize our
responsibility to help the family, as well as the patient, survive the crisis of an illness
EXAMPLES OF PFCC PRACTICES • LP072 Assignment: Patient Centered CareHourly and
daily rounding on patients & families • Hand-off script when pt. transfers • Communication
boards in rooms • Patient advocates • Condition “H” (patient or family can dial “0” for help)
• Valet parking • Caring bridge • Family members present at deliveries • Open visitation •
Moving toward family presence during resuscitation & invasive procedures • Creation of
hospice house and palliative care program “What patients want is not rocket science, which
is really unfortunate because if it were rocket science, we would be doing it. We are great at
rocket science. We love rocket science. What we’re not good at are the things that are so
simple and basic that we overlook them.” ~LAURA GILPIN, PLANETREE PATIENT
CENTERED CARE AND TURNOVER IN HOSPICE CARE ORGANIZATIONS ERIC G. KIRBY
Texas State University ABSTRACT Hospice care has significantly changed over the past 40
years. The industry has seen a growth in utilization rates, an increase in insurance coverage,
and changing governmental funding. To reduce the significant risk of employee turnover,
hospice care organizations have responded to these pressures. This study examines
4. whether nursing turnover is affected as organizations respond to environmental pressures
for increased patient-centered care (PCC). Does the use of patient-centered approaches to
meeting client needs reduce turnover in the nursing staff? Using hierarchical regression to
analyze organizational, market, and personnel data from 695 hospices across the United
States, this study finds innovative PCC practices are significantly related to reduced nursing
turnover. Keywords: hospice, patient-centered care, nurse turnover, institutional theory
JHHSA SUMMER 2018 27 INTRODUCTION Patient centered care (PCC) is at the heart of this
study. At its core, PCC is an attempt to develop a model of care that emphasizes patient
desires while restructuring organizations to enhance employee satisfaction and reduce the
high costs associated with turnover (Shaller, 2007). It is based on the premise of involving
patients in their care delivery. PCC creates a shifting mindset from institutional efficiency
and physician-focused care towards a model better geared towards patient needs and
preferences (Avgar et al., 2011). In hospice, patients and their families determine the
appropriate level of care and care-givers use their expertise to carry out the families’ wishes
to the best extent possible. Hospices are in a sector of the health care industry that provides
end-of-life care to dying patients. The emphasis is on palliative care rather than curative
treatment, with the goal to provide the best quality of life to the patient and their families.
This care is often provided in a patient’s home, hospital, nursing home, or specialized care
unit. This study examines the effects of hospice actions on employee turnover as they
respond to changing market forces. Over 5,500 hospice programs have opened since 1974
(NHPCO, 2015). In 1975, hospices in the U.S. admitted about 1,000 patients. The first
modern hospice to operate in the United States was The New Haven Hospice, which began
in 1974. The federal government began providing hospice benefits over the next several
years. Medicare began covering hospice care in 1983, and military hospitals and patients
under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)
began receiving hospice benefits in 1991. This was also the same year it was recommended
for the Veteran’s Administration (Bennahum, 2003). By 2014, the 28 JHHSA SUMMER 2018
number of patients admitted to hospice had climbed to over 1,600,000 by 2014 (NHPCO,
2015). LP072 Assignment: Patient Centered CareAs hospice has developed, there has been
an increase in utilization rates, improvements in insurance coverage, and increasingly
innovative approaches to providing care. Health care delivery currently accounts for 17.8%
of the United States’ gross domestic product (GDP) and is expected to reach 20.1% by 2025
(CMS, 2016). As the population grows older, palliative care provision has become
increasingly profitable. As of 2015, Medicare expenditures accounted for 20 percent of the
total national health expenditures in the United States (CMS, 2016), with direct hospice
costs accounting for two percent of Medicare expenditures (NHPCO, 2015). In response to
the rapid growth of the marketplace, the industry is experiencing a significant increase in
the number of for-profit providers and an increase in the size of providers through
acquisitions and mergers. Currently, for-profit hospices account for approximately two-
thirds of the marketplace (NHPCO, 2015) The way in which hospice care organizations are
run has also changed significantly over the past 40 years. These changes have primarily
focused on improving the hospice organization’s efficiency in order to be more cost effective
and competitive, while also becoming more patient care focused in the delivery of care as a
5. means of better responding to the needs of patients and their families (Pietroburgo &
Wernet, 2004). Hospices have also come to realize that improving the turnover among their
care givers must also be a significant focus to achieve organizational goals (Hodgson &
Lehning, 2008). AN OVERVIEW OF THE LITERATURE All organizations take risks. Risk
arises from changing competitive forces within an industry. Risk JHHSA SUMMER 2018 29
management involves identifying, assessing, and prioritizing potential risks. From a
financial perspective, these can include factors such as, financial markets, legal liabilities,
credit risks, accidents, and disasters. The goal of risk management is to mitigate the impact
of risk in as costeffective a manner as possible, thus reducing its probability of occurrence
and associated loss. Within a healthcare setting, risk management is often broadly
conceptualized to include activities to identify, evaluate, and correct actions that might
adversely impact the patients or staff (Mosby’s Medical Dictionary, 2012). This impact could
lead to physical or mental harm, increase costs, or harm the organizations reputation.
Within the increasingly competitive hospice care industry, effective risk management
includes adopting strategies that respond to social forces for simultaneously improving
quality of care of patients and their families while also reducing organizational costs (Kirby,
Keefe, & Nicols, 2007). Success in the health care industry is impacted by several factors,
but one of the most significant risks is turnover among the caregivers (Waldman et al.,
2004). Impact of Employee Turnover Turnover among nursing staff can be very costly to an
organization. There is a reduction in expertise and intellectual capital, productivity loss, and
a weakening of organizational culture, just to name a few of the more significant impacts.
These indirect costs can be quite high, accounting for approximately 60% of turnover costs
(Caudill & Patrick, 1991; O’Brien-Pallas et al., 2006). Additionally, money must be allocated
to recruit, hire, and train replacements. In a recent review of nursing turnover costs, Li and
Jones (2013) found that turnover costs can reach as high as $88,000 per nurse turnover,
with total costs per organization as high as $8.5 million annually. A recent study estimated
the cost of turnover among only newly 30 JHHSA SUMMER 2018 licensed RNs at $856
million industry-wide and over $2 billion to society (Brewer et al., 2011). Another study
examining the turnover costs of less skilled certified nursing assistants estimated the
industry turnover costs at an additional $2.5 billion (Paraprofessional Healthcare Institute,
2001). LP072 Assignment: Patient Centered CareTurnover also has a significant impact on
quality of care in long-term care facilities. High staff turnover is associated with an
increased risk of mental and physical abuse as well as patient maltreatment (Natan &
Lowenstein, 2010). Although hospice workers have lower turnover than other healthcare
sectors (Stone et al., 2013), high nursing turnover in the palliative care sector is associated
with poor “quality of dying,” which is a subjective experience comprising physical,
psychological, and spiritual factors (Tilden et al., 2012). In the hospice care sector, nursing
turnover is associated with poor quality of care, increased workloads and stress for
remaining staff, higher overtime costs, the expense of using agency nurses to temporarily
fill vacancies, along with the costs associated with recruiting and hiring qualified nurses
(TCNWS, 2016). A 2013 survey of hospice and home health nurses revealed that the
consequences of nursing turnover include delayed or declined referrals, using
administrative staff to cover nursing workload, and the inability to expands services
6. (TCNWS, 2013). Patient-Centered Care In large part, patient-centered care (PCC) is based
on the theoretical model of institutional theory in which care providers are expected to be
financially responsible and while also complying with prevailing social norms. Social
institutions use a variety of mechanisms to pressure organizations in an industry to adopt
similar strategies and tactics (DiMaggio & Powell, 1983; Meyer & Rowan, 1977). In essence,
organizations face pressures from two JHHSA SUMMER 2018 31 unique classes of
environments (Meyer & Scott, 1983). The technical class of the environment environment
pressures organizations to produce their goods of services in as efficient a manner as
possible. That is, organizations are rewarded with superior performance through efficient
control of their processes. The institutional class of the external environment, on the other
hand, pressures organizations to follow prevailing norms, values, rules, and requirements to
receive enhanced legitimacy. In other words, organizations that do a better job conforming
to social expectations for the manner in which work is conducted will enjoy superior
performance. LP072 Assignment: Patient Centered CareIn most industries, one class of
environment is generally stronger than the other (Meyer & Scott, 1983). However, health
care operates in an environment in which both forces are equally strong (Scott et al., 1990).
In the hospice sector, patients and their families are increasingly demanding that health
care providers meet their expectations for the manner in which care is provided. Prior
research in the hospice care industry has shown a significant positive relationship between
conformity to social forces and organizational performance (Kirby et al., 2007). A key way
hospices are responding to institutional pressures is through the adoption of PCC practices.
The patient centered care literature has identified five factors as being the key to meeting
patient desires: (1) access to care, (2) patient engagement, (3) patient education, (4)
coordination of care, and (5) patient emotional (Avgar et al., 2011). Access to care is about
providing patients and their families more services as they receive care. The goal of
engagement and education is to allow patients to be more involved and make better
decisions with the care they receive. Coordination of care is an organizational function
involving improved communication flows and organizational efficiencies to remove
bureaucratic barriers impeding care delivery. 32 JHHSA SUMMER 2018 Finally, emotional
is about helping patients and their families cope with trying circumstances. To attract more
patients, providers are pursuing the aforementioned PCC efforts. For example, hospices
have enacted PCC factors of education, access, engagement, and by adding services such as
special bereavement programs for children, physician education programs, and alternative
treatments such as acupuncture and aromatherapy (Herbst & Cetti, 2001). Recently,
hospices have been adding PCC programs such as ‘always events,’ which are designed