A Team Based Approach For Primary Care

Patient-centered care refers to the view that patients and their family members are partners in developing a care plan. This stems from the belief that the patient is in control and that the care provided is rooted in respect that addresses the patient’s personal needs and values (Barnsteiner & Sherwood, 2012). Creating a partnership with a patient that allows them to grasp the goals and methods of their plan of care and includes them in the decision-making process can prevent errors from occurring. This gives the patient the opportunity to correct any

Fields related to healthcare often utilize this model to address patient’s needs. St. Luke approach to team case management is effective in positive outcomes for their patients and families from a holistic point of view. In palliative care or nurse-led care, case managers with specific expertise to help individual care needs (Joo & Huber,20123). By regular case review, care plan meetings, evaluation of care, and constant direct contact with patient and families. Case management in hospice and palliative care agencies are very comprehensive in nature. Coordinating direct care services is the key component to positive outcomes (Spettell et al., 2009).

In the beginning of this activity, I did not know much about collaboration between different healthcare professionals. It helped me to clarify the meaning of a healthcare team and also to understand the role of different professionals in the team. Different team members have their specific roles and all of them work together to achieve a common goal –healthier patient. They work independently, but when it comes to decision making they seek advice from other healthcare provider in order to do the best for the patient. Not only doctor, physiotherapists, pharmacists and etc. are considered being part of the team. Patients must also be considered part of the decision making process,

Multidisciplinary rounds approach calls for various members of the medical profession to synchronize individual skills, knowledge, and expertise in order to provide quality care for patients (IHI, 2015). The team members consist of nurses, physicians, “ancillary clinicians, and staff” (IHI, 2015, p.4). Each member contributes to the care of the patient individually, but in a cohesive manner (IHI, 2015). The multidisciplinary rounds care model strongly encourages and utilizes parental involvement during rounds (IHI, 2015). Multidisciplinary rounds also solicit parents and family members to communicate with the care team care as well as care team communications concerning the patient to the family (IHI, p.4). For each patient, the rounds are conducted daily (IHI, 2015). For each patient, goals are set daily (IHI, 2015). This ensures daily communication among care team and with patient and the families of the patient (IHI, 2015). The idea is to establish good coordination of care; thus, making safe and efficient care more consistent (IHI, 2015). As the protocols or the guidelines are clearly communicated among care teams, risks are identified, and staff are educated, the quality of health care improves (IHI, 2015).

Professional associations, payers, policy makers, and other stakeholders have advocated for the patient-centered medical home model. Interventions to transform primary care practices into medical homes are increasingly common, but their effectiveness in improving quality and containing costs is unclear.

The Patient-centered Medical Home (PCMH) will be assessed to evaluate the effectiveness of other health care organizations (HCOs) to compare and contrast values and mission. In addition, program cost-effectiveness will be examined considering health insurance providers and HCO. As a health care administrator, it is beneficial to truly understand the basis and goals of the PCMH to effectively execute the medical home model and successfully provide the best care for each patient.

The patient- centered medical home is designed to improve quality of care through a team-bases coordination of care, which would treat the majority of a patients needs at once by increasing access to care and empowering patients to be a part of their own care (U.S Department of Health and Human Services, 2014). In order for these homes to work, the authors suggest that specialists might be the best candidates to certain conditions, however for these specialist to function in the capacity that is needed in these medical homes, they would have to have interest and proficiency to manage other conditions that fall outside of their

The Patient-Centered Medical Home seeks to improve health system delivery through respect, coordination, and involvement of caregivers. The Patient-Centered Medical Home (PCMH) involves a team of nurses, legal consultants, pharmacists, therapists, insurance consultants, medical assistants, and physicians working together at one location to provide expert care in the health issues they are specialized to address. Team-based care is designed to make primary care meet the needs of patients by providing collaboration among medical professionals. Patient-centered care can potentially improve both clinical outcomes and satisfaction rates while improving quality of care and reducing costs (Rickert, 2012).

Patient-Centered Medical Homes (PCMH) are growing in popularity as the right thing to do improve patient care. PCMH are growing in popularity, as there is early evidence of their effectiveness (Egge, M. 2012). The PCMH concept has been widely promoted as a way to enhance primary care and deliver better care to patients with chronic conditions. This model of care has stimulated the attention of payers, Medicaid policy makers, physicians, and patient advocates, as it has the potential to address several of the limitations of the current healthcare system (Wang, J. et al 2014). Currently, primary care in the United States is focused on acute and episodic illness, it inadvertently limits comprehensive, coordinated, preventive and chronic care (Bleser, W. et al 2014). The PCMH address these limitations through organizing patient care, emphasizing team work, and coordinating data tracking (Bleser, W. et al 2014). A PCMH and HMO have some similarities but are markedly different.

The role of nurse practitioner is valuable when discussing collaborative care. There are so many levels of care, so many health entities, and so many insurer criteria involved that it is instrumental to have a role that can work towards help bring all aspects together. In addition to diagnosing, treating, and managing care, the role of the nurse practitioner is to manage simple and episodic acute health issues along with chronic disease (Sangster-Gormley, Martin-Misener, & Burge, 2013). It is important to note that although this is a function of this role, nurse practitioners also practice from a holistic point of view which allows them to help manage patient conditions or wellness in a more complete fashion. This includes helping patients have access to care beyond primary and secondary care settings. This encourages nurse practitioners to work alongside other health care and allied health professions, and families to create an individualized plan for every patient (van

Health care has evolved and is continuously evolving. The management of care now involves different clinicians to better assess, diagnose and cure a patient. The clinicians evolved from a general practitioner to a team now comprised of Physician’s Assistant, Nurse, License Practical Nurse and Specialists. These health care professionals now compose a team of health care providers that are essential in a patient’s over all health care. The team-based approach is a delivery system that provides a patient an all-encompassing health care delivery system. “ By practicing in a team-based care model, physicians and other

Providing comprehensive care to patients requires a team of different providers which includes: social workers, care coordinators, nutritionists, educators and pharmacists. This meets the physical and mental health needs of the patient through a team based approach to care. As clinician providers they have to ensure that PCMH is effectively serving patients with complex health needs are met (Rich et al, 2012).

A tragic hero is a protagonist, usually of noble birth or high-standing, who brings about his own downfall by a choice brought on by a character flaw. Tragic heroes learn from their mistakes and stand up to their fears no matter the consequences. Many novels, such as Macbeth, have a tragic hero. Some may argue if Macbeth is a tragic hero or not. However, he is in many ways. Some may see Macbeth as a villain due to his vile actions but he is, in fact, a tragic hero. Macbeth fulfills the characteristics of a tragic hero throughout the entire play. From being passionate about being King, to fighting for what he wanted, to risking his life for a title, Macbeth is seen as a tragic hero. Although it did not end in his favor, Macbeth is a tragic hero.

Giorgio di Chirico painted Piazza d'Italia in 1939. It is an oil painting of an Italian town square, or piazza. There is a dream-like quality to this painting, created by the vast empty space, as well as by the green sky that becomes yellow on the horizon. The piazza ground is a yellowish-brown, and the shadows cast on it are dark green. The shadows are cast diagonally, going down on the left. Black outlines delimit the flat areas of colour that are the objects in this painting. Both the horizon line and the vanishing point of the linear perspective are in the center of the painting.

An author of Puritan descent, Nathaniel Hawthorne uses the knowledge he has about the position of women in Puritan society to communicate the flaws of their religion driven community. In the Scarlet Letter, Nathaniel Hawthorne seems to imply, on many occasions, that there is no such thing as a conventional description of a woman. He seems to insinuate that being a different woman, a pioneer like Hester, Mrs. Hibbins, or the young unnamed women of this novel is not an inferior position and by doing so criticizes some of the key elements of the moral code of Puritan society. In puritan society religion was vital to the development of their moral codes, ethics and values. Church and state were united and thus, sins in the Bible were