Patient engagement involves patients actively participating in their own healthcare through shared decision making and self-management. Research shows patient engagement can improve health outcomes and potentially reduce costs. Telemedicine also improves access to care, especially for remote patients, and increases patient satisfaction by facilitating faster diagnosis and treatment. Both patient engagement strategies like shared decision making and telemedicine can benefit patients and providers. However, more research is still needed to determine best practices and the full cost-savings relationship of patient engagement.
The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Revie...CHC Connecticut
Dr. Nwando Olayiwola, Associate Director, Center for Excellence in Primary Care, Assistant Professor, University of California, San Francisco addresses the 2014 Weitzman Symposium on The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Review of Evidence
Dr. Edward Wagner, Director (Emeritus) MacColl Center, Senior Investigator, Group Health Research Institute addresses the 2014 Weitzman Symposium on The Future of Primary Care
Clinical Workforce Development NCA Informational WebinarCHC Connecticut
Learn more about training and technical assistance offered through Community Health Center Inc.'s National Cooperative Agreement (NCA) on Clinical Workforce Development. Hear more about FREE Learning Collaboratives opportunities to enhance or implement a model of Team-Based Care at your Health Center, and how to implement a Post-Graduate Residency program for Nurse Practitioners and Post-Doc Clinical Psychologists.
This presentation explains the concept of the patient-centered medical home (PCMH), its function and its intended effects. A brief overview of the history of PCMH is also provided, as well as a discussion of its operational characteristics, its principles and outcomes, and what is expected in the future for the PCMH model.
Wendy Davis: Leveraging Public Health Capacity to Improve Health System Effic...NASHP HealthPolicy
Many provisions of the ACA hold promise for public health agencies. The reorganization of the healthcare system in the wake of health reform also poses challenges for the public health system. This session will address how public health agency roles may change, opportunities to use public health agencies to lower health costs and improve health outcomes, and the integration of categorical funding streams to build a comprehensive public health system in a post-health reform world.
The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Revie...CHC Connecticut
Dr. Nwando Olayiwola, Associate Director, Center for Excellence in Primary Care, Assistant Professor, University of California, San Francisco addresses the 2014 Weitzman Symposium on The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Review of Evidence
Dr. Edward Wagner, Director (Emeritus) MacColl Center, Senior Investigator, Group Health Research Institute addresses the 2014 Weitzman Symposium on The Future of Primary Care
Clinical Workforce Development NCA Informational WebinarCHC Connecticut
Learn more about training and technical assistance offered through Community Health Center Inc.'s National Cooperative Agreement (NCA) on Clinical Workforce Development. Hear more about FREE Learning Collaboratives opportunities to enhance or implement a model of Team-Based Care at your Health Center, and how to implement a Post-Graduate Residency program for Nurse Practitioners and Post-Doc Clinical Psychologists.
This presentation explains the concept of the patient-centered medical home (PCMH), its function and its intended effects. A brief overview of the history of PCMH is also provided, as well as a discussion of its operational characteristics, its principles and outcomes, and what is expected in the future for the PCMH model.
Wendy Davis: Leveraging Public Health Capacity to Improve Health System Effic...NASHP HealthPolicy
Many provisions of the ACA hold promise for public health agencies. The reorganization of the healthcare system in the wake of health reform also poses challenges for the public health system. This session will address how public health agency roles may change, opportunities to use public health agencies to lower health costs and improve health outcomes, and the integration of categorical funding streams to build a comprehensive public health system in a post-health reform world.
What Patients Really Expect from Medical Treatment: A Comprehensive Guidenowmedical ltd
As healthcare services become increasingly accessible, more and more people are expecting the best possible medical treatment. Patients want to be sure that they will receive the highest quality of care and that their expectations for their health will be met.
76 CHAPTER 4 Assessing Health and Health Behaviors Objecti.docxpriestmanmable
76
CHAPTER 4
Assessing Health and Health Behaviors
Objectives
this chapter will enable the reader to:
1. Describe the expected outcomes of a nursing health assessment.
2. Identify the components of a nursing health assessment conducted for an individual client.
3. Examine life span, language, and culturally appropriate nursing health assessment tools for children, adults, and older adults.
4. Compare the similarities and differences among the various approaches to assessing the family, mindful of cultural influences.
5. Evaluate the criteria for conducting a screening in the community.
6. Compare the similarities and differences among the various approaches to assessing
the community.
Athorough assessment of health and health behaviors is the foundation for tailoring a health promotion-prevention plan. Assessment provides the database for making clinical judgments about the client’s health strengths, health problems, nursing diagnoses, desired health or behavioral outcomes, as well as the interventions likely to be effective. This information also forms the nature of the client–nurse partnership such as the frequency of con- tact and the need for coordination with other health professionals. The portfolio of assessment measures depends on the characteristics of the client, including developmental stage and cul- tural orientation. The nurse assesses age, language, and cultural appropriateness of the various measures selected.
Cultural competence is the ability to communicate effectively with people of different cultures. Providing culturally competent care is the cornerstone of the nursing assessment. The nurse’s aware- ness of her own attitude toward cultural differences and her cultural worldview and characteristics
Chapter4 • AssessingHealthandHealthBehaviors 77
are critical to her understanding and knowledge of various cultures. Recognizing that diversity exists in all cultures based on educational level, socioeconomic status, religion, rural/urban residence, and individual and family characteristics will ensure a more successful encounter (The Office of Minority Health, 2013). An online cultural educational program, designed specifically for nurses and featur- ing videotaped case studies and interactive tools, is available.
The Enhanced National Standards for Culturally and Linguistically Appropriate Services, based on a definition of culture expanded to include geography, spirituality, language, race and ethnicity, and biology, provides a practical guide to culturally and linguistically sensitive care (The Office of Minority Health, 2013).
Technology is having a significant impact on health care. The Electronic Health Record (EHR) promotes involvement of the client in developing a dynamic, tailored database. The EHR offers great promise to improve health and increase the client’s satisfaction with his care. Data aggregation, cross-continuum coordination, and clinical care plan management are critical com- ponents of the.
The Changing Paradigm of Healthcare Shift Towards Patient Care.pptsyalimam
Jaldee Healthcare CRM software revolutionises the way patient care is ensured. The healthcare professionals as well as the patients benefit with practice management software systems. Schedule a free demo to know more about Jaldee Health CRM software and how it helps every doctor grow their practice and offer patient-centric care. Visit www.jaldeehealthcom or contact +917306823011.
Running Head PERTINENT HEALTHCARE ISSUE1PERTINENT HEALTHCAR.docxtodd581
Running Head: PERTINENT HEALTHCARE ISSUE 1
PERTINENT HEALTHCARE ISSUE 2
Analysis of Pertinent Healthcare Issue
Students Name:
Institutional Affiliation:
Impact of increasing cost in a health organization
Introduction
The cost of receiving healthcare service is becoming a serious national healthcare concern. It has been established that the United States spend more on healthcare, in relation to the national income than any other industrialized nation. However, achieving minimum cost means having to make certain hard compromises which have never been easy. For example, low expenditure on research and development, limitation in terms of the choices of health coverage or healthcare providers and having to wait for long before using new technologies. The health system has gone through a series of transformational changes that has seen the cost of healthcare provision sky-rocket. The most affected are among the 41 million uninsured Americans who are unable to cater for the cost of insurance as well as the underinsured whose coverage program cannot cater for their overall health needs. The major catalyst behind the rising cost of healthcare has been; the rising number of aging population that take great benefit from the technologies created for lengthening life span, lifestyle choices like adoption of sedentary lifestyle and unhealthy eating habits resulting to obesity and cardiovascular disorders among others.
Cost impact on health organization.
Increasing cost has impacted the national health organization/system in so many ways. The impacts are not only experienced by the patients but the providers, employers, payers (insurance bodies) and even other employees within the health organization. Firstly, an array of transformational changes has been made i.e. payment transformation where a shift has been made from volume-based (fee-for service payment) which has high cost implications to value-based models and also the development of primary care in attempt to counter increasing cost. The turnover of healthcare providers has also faced a fair share of cost impact. The providers burdened by the feeling of denying patients services due to inability to cater for cost or lack of insurance loses meaning of services and morale to continue with the service. Consequently, advancement in training and education improve the providers’ patient service and more enhanced application of Evidence-Based practice appears costly and unaffiliated hence promoting low morale. Morbidity and mortality cases has been on the rise. Advanced technology used in diagnosis/treatment of serious medical conditions has become expensive and some of them are not covered by the insurance (core payments) hence late interventions taken after serious damage. The is also an indication of lowered patient engagement as far healthcare decision making is concerned since patients with financial challenge have limited options and are sometimes forced to comply with the physici.
Running Head PERTINENT HEALTHCARE ISSUE1PERTINENT HEALTHCAR.docxglendar3
Running Head: PERTINENT HEALTHCARE ISSUE 1
PERTINENT HEALTHCARE ISSUE 2
Analysis of Pertinent Healthcare Issue
Students Name:
Institutional Affiliation:
Impact of increasing cost in a health organization
Introduction
The cost of receiving healthcare service is becoming a serious national healthcare concern. It has been established that the United States spend more on healthcare, in relation to the national income than any other industrialized nation. However, achieving minimum cost means having to make certain hard compromises which have never been easy. For example, low expenditure on research and development, limitation in terms of the choices of health coverage or healthcare providers and having to wait for long before using new technologies. The health system has gone through a series of transformational changes that has seen the cost of healthcare provision sky-rocket. The most affected are among the 41 million uninsured Americans who are unable to cater for the cost of insurance as well as the underinsured whose coverage program cannot cater for their overall health needs. The major catalyst behind the rising cost of healthcare has been; the rising number of aging population that take great benefit from the technologies created for lengthening life span, lifestyle choices like adoption of sedentary lifestyle and unhealthy eating habits resulting to obesity and cardiovascular disorders among others.
Cost impact on health organization.
Increasing cost has impacted the national health organization/system in so many ways. The impacts are not only experienced by the patients but the providers, employers, payers (insurance bodies) and even other employees within the health organization. Firstly, an array of transformational changes has been made i.e. payment transformation where a shift has been made from volume-based (fee-for service payment) which has high cost implications to value-based models and also the development of primary care in attempt to counter increasing cost. The turnover of healthcare providers has also faced a fair share of cost impact. The providers burdened by the feeling of denying patients services due to inability to cater for cost or lack of insurance loses meaning of services and morale to continue with the service. Consequently, advancement in training and education improve the providers’ patient service and more enhanced application of Evidence-Based practice appears costly and unaffiliated hence promoting low morale. Morbidity and mortality cases has been on the rise. Advanced technology used in diagnosis/treatment of serious medical conditions has become expensive and some of them are not covered by the insurance (core payments) hence late interventions taken after serious damage. The is also an indication of lowered patient engagement as far healthcare decision making is concerned since patients with financial challenge have limited options and are sometimes forced to comply with the physici.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
Business Strategies in Healthcare (1).pdfTEWMAGAZINE
The healthcare industry is a vast and complex ecosystem that provides medical services, manufactures medical equipment and pharmaceuticals, and develops healthcare technology. Given its critical role in society, the strategies businesses employ within this sector are very important.
These strategies determine the success of individual companies and impact the overall quality, accessibility, and affordability of healthcare. This article explores key business strategies in healthcare, focusing on innovation, patient-centric care, strategic partnerships, and technology integration.
From Patients to ePatients Driving a new paradigm for online clinical collabo...ddbennett
CareTech eHealth Innovation Series
From Patients to ePatients Driving a new paradigm for online clinical collaboration and health management
David Bennett, SVP, Interactive Solutions
StayWell Custom Communications
Anthony Chipelo, Director, Portal Strategies
CareTech Solutions
2. Federal Policy Brief
TITLE
Patient Engagement. People actively
involved in their health and health care
tend to have better outcomes—and, some
evidence suggests, lower costs
3. Patient Engagement
calls for reforms to achieve a patient-centered health
care system, wherein individual patient preferences,
needs, and values are respected and patients guide all
clinical decisions
combines patient activation (a patient’s knowledge,
skills, ability, and willingness to manage his or her
own health care) with interventions designed to
promote positive patient behavior, such as obtaining
preventive care.
4. Patient Engagement
Shared Decision Making=
When there are multiple, reasonable
treatment options, each with their own
risks and benefits, the correct path to follow
should be guided by a patient’s unique
needs and circumstances
5. Shared Decision Making
Decision aids such as: booklets, videos,
websites, and interactive media are used
All of these helpful aids will give patients
information on the risks and benefits of
various treatment options and help them
make the choice that most reflects their
personal values.
6. Research on Patient Engagement
Patients who received enhanced decision-making
support had overall lower medical costs and fewer
hospital admissions than for those who received only
the usual support
People with the least skills and confidence to actively
engage in their own health care (patient activation)
incur costs between 8-21% higher than patients with
higher activation levels
7. Patient Engagement
May be affected by such factors as: cultural
differences, gender, age, and education
For patients to engage effectively, they must have a
certain degree of health literacy
One strategy to incorporate into practice is the
“teach-back” method
8. Teach-Back Method
The provider will ask the patient to explain
back to them what they have learned, such
as: their own understanding of their
condition, the options available to them,
and their intentions to act on the
information
9. Future Research
More studies need to be conducted to
determine the best practices for engaging
patients, as well as determining the extent
of the relationship of patient engagement
to health care cost savings
10. Patient Engagement
Efforts are under way to hold health care
organizations accountable for engaging patients.
The National Committee for Quality Assurance
surveys patients and ask about whether clinicians
engage them in shared decision making or provide
support for them to manage their conditions to
determine if this quality measure is being met.
11. State Policy Brief
Shared decision making and being engaged
in their care, increased compliance for such
issues as:
blood sugar testing for gestational diabetes
CPAP use
12. Telemedicine
Definition:
The use of interactive audio, video, or other
telecommunications or electronic
technology by a licensed health care
provider to deliver health care services at a
site other than the site the patient is
located.
13. “Telemedicine Recommendations”
This report addressed that effective
use of telemedicine can increase access
to health care, reduce health
disparities, and create efficiencies in
health care delivery
14. Telemedicine Benefits
Has the potential to increase access
and reduce the cost of care.
Both consumers and providers can
benefit from telemedicine
15. Telemedicine
Consumers can experience increased access to
providers, quicker and more convenient treatment,
better continuity of care, and a reduction in lost work
time and travel costs
Providers can experience instant access to other
providers, a reduction of medical errors, and
increased efficiency with reduced travel and research
times
17. Telemedicine
Telemedicine offers an alternative to the traditional
method of care delivery (face to face)
Health care organizations faced with provider
shortages, access disparities and budget challenges,
are adopting telemedicine in order to connect
geographically-remote patients with specialists, to
allow scarce specialists to be available across
networks, and to provide remote monitoring of
patients
18. Telemedicine
It is recommended that payments
accurately reflect the cost of delivery for
providers and the effectiveness of the
treatments must be proven to payers and
patients.
Payment must be sufficient to cover actual
costs, but should not favor telemedicine
over face-to-face services
19. Telemedicine legislation
According to the Department of Health
and Mental Hygiene, telemedicine should
be used to address access to care issues
related to specialists being located a long
distance from patients and not as a
replacement for in-person care
20. TELEMEDICINE
Current fiscal and policy notes:
SB 494 regarding developing strategies and
recommendations for advancing telemedicine
technologies
SB 496 regarding the reimbursement of telemedicine
services by Medicaid
SB 776 regarding establishing a Task Force on the use
of telehealth to improve Maryland health care
21. Policy recommendations
To establish a Task Force on the use of telehealth
to improve Maryland health care
This task force must assess factors related to
telehealth and identify opportunities to use
teleheath, as well as collaborate with
organizations such as the Rural Maryland Council,
and make recommendations regarding the use of
telehealth in the State
22. Patient Engagement & Telemedicine
Patient engagement combines patient
activation with interventions designed to
promote positive patient behavior
Interventions such as telemedicine
improves time-to-diagnosis, facilitates
access to care for patients in remote
regions, and increases patient satisfaction
23. References
Capistrant, G. (2013). Letter to Maryland House of Delegates. Retrieved from:
http://www.americantelemed.org/docs/default-source/policy/ata-comments-on-mar
Commission on Maryland Cybersecurity Innovation and Excellence-Duties.
Maryland General Assembly 2013 Session, SB 494. Retrieved from:
http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=sb0494&stab=01&pid=billpa
and http://mgaleg.maryland.gov/2013RS/fnotes/bil_0004/sb0494.pdf
Health Policy Brief: Patient Engagement. (Feb. 14, 2013). Health Affairs, 1-5.
Retrieved from:
http://healthaffairs.org/healthpolicybriefs/brief_pdfs/healthpolicybrief_86.pdf
Homko, C.J., Santamore, W.P., Whiteman, V., Bower, M., Berger, P., Geifman-
Holtzman, O., and Bove, A.A. (2007). Use of an Internet-Based Telemedicine
System to Manage Underserved Women with Gestational Diabetes Mellitus.
Diabetes Technology & Therapeutics, 9(3), 297-306. doi: 10.1089/dia.2006.0034
24. References
Maryland Medical Assistance Program – Telemedicine. Maryland General Assembly 2013
Session, SB496. Retrieved from:
http://mgaleg.maryland.gov/2013RS/fnotes/bil_0004/sb0494.pdf and
http://mgaleg.maryland.gov/2013RS/fnotes/bil_0006/sb0496.pdf
Stepnowsky, Jr., C.J., Palau, J.J., Marler, M.R., and Gifford, A.L. (2007). Pilot
Randomized Trial of the Effect of Wireless Telemonitoring on Compliance and
Treatment Efficacy in Obstructive Sleep Apnea. Journal of Medical Internet Research,
9(2), e14. doi: 10.2196/jmir.9.2.e14
Task Force on the use of telehealth to imfprove Maryland health care. Maryland General
Assembly 2013 Session, SB 776. Retrieved from:
http://mgaleg.maryland.gov/webmga/frmMain.aspx?
id=sb0776&stab=01&pid=billpage&tab=subject3&ys=2013RS and
http://mgaleg.maryland.gov/2013RS/fnotes/bil_0006/sb0776.pdf
Telemedicine Recommendations. Maryland Quality and Cost Council, December 2011.
Retrieved from:
http://mhcc.dhmh.maryland.gov/hit/Telemedicine/Documents/sp.mhcc.maryland.gov/
telemed/md_telemedicine_report.pdf