Care Delivery Performance Management

Performance Management at Intermountain Healthcare Key Points   Operational focus - strategy rather than management. How will the organization prepare for the future if their primary customer (government) reduces spending? How will they address decreasing revenues caused by their increasing effiencies?

Outpatient services are medical procedures that do not requires an overnight stay. Outpatient usually cost less because many procedures and tests are done in few hours. The following are the outpatient facilities that I would considered for employment; urgent care clinic, rehabilitation center, and doctor’s office.

a patient who is admitted to the hospital that requires to stay 1 or more days for treatment.

Many people get confused when they hear the terms inpatient and outpatient. An inpatient is a patient hospitalized for more than 24 hours, but the stay can be less, depending on doctor’s orders. An outpatient is a patient that does not stay overnight in a medical facility and goes home. ICD-9-CM diagnosis codes are 3 to 5 digits long (numeric) or can be a letter followed by up to 4 digits (alphanumeric). For example, the code for Hypertension is (401.9), examination of the breast is (V76.10), and struck accidentally by a falling object is (E916). ICD-10-CM diagnosis codes are three to seven digits or characters long. The first character is a letter, and the second to seventh characters are letters or numbers. For example, sprain of unspecified

Any patient brought into the Emergency Department, is first signed in at ED receptionist desk and triaged by a triage nurse, prioritized and brought to patient room by a charged nurse either by wheelchair or stretcher or walking by the patient depending on patient’s illness. A nurse is assigned to the patient. Emergency Doctor comes in and if the patient illness is life threatening it is stabilized and the Doctor orders test such as blood work and x-ray if necessary to be conducted. Based on the test result the patient is either discharged or admitted. Certain times the emergency department is filled with a lot of patient that there is no place to sit and patients keep coming in and creating

Individuals involved in the ordering of the services must review the patient’s diagnosis, signs, symptoms, disease ICD-9/ICD-10 CM for medical necessity to determine if an ABN is necessary.

Francis, M., Rich, T., Williamson, T., & Peterson, D. (2010). Effect of an emergency department

(n) “Emergency Intervention(s)” means the intervention(s) used with consumers during the time they present an imminent danger of serious injury to self or others, which cannot be prevented by the use of a less restrictive technique.

Emergency departments are units that specialize in emergency medicine that account for the majority of inpatient admissions to hospitals. The Centers for Disease Control found that emergency department visits increased by a staggering 20 percent in the first decade of the new millennium. In 2011 alone, there were roughly 136.3 million Emergency department visits nationwide. Of that, about 11.9 % resulted in hospital admissions and another 2.1% resulted in transfers to other hospitals and facilities. Patients with private insurance only made up 34.9% of total visits, another 54.4% were covered by Medicare, Medicaid or the Children’s Health Insurance Program and another 32% fell under the category of no insurance which includes only self-pay, no charge, or charity as payment sources (National hospital ambulatory… , 2013). It is noted the total percentage of payment method used exceeds "all visits" because more than one source of payment may be reported per visit and was included in both statistics.

In my opinion, I feel that every person should be given the best medical care available and the opportunity to live a long life expectancy. As an assistant, I must make sure that the hospital follows the proper ethical guidelines and ensure that the client is aware of her choices and what is available to her as well as her rights. I will also make sure that the patient knows what the health home offers her as an elderly woman who lives alone and is in need of some assistance. Health homes in today’s society have begun to take hold in several states via the integrated care delivery models. This has been occurring in the U.S. who continues to search for modern ways to control the costs of health care. Some states have progressively become labs

On average, the guides took 27 minutes to complete. As the results indicate, Hospital A has not implemented some of the recommended practices in the following guides: Computerized Provider Order Entry with Decision Support, Patient Identification, and Test Result Reporting. The total number of these practices are 16 which accounts for 10% of the total recommended practices. Also, there is a number of practices that has been implemented partially in some areas in hospital A. These practices fall into the following guides: Computerized Provider Order Entry with Decision Support, Clinician Communication, High Priority Practice, Organizational Responsibilities, and system interfaces which account for 11% of the total recommended practices. The only guides that hospital A is fully complied with are Contingency Planning and System Configuration guides. The total number of practices that have been fully implemented across all guides is 125 which represent 79% of the total recommended practices.

The increasing numbers of vulnerable adults in the United Kingdom has been accompanied several care challenges and policy makers caught their attention to do their part and come up with legislations to combat or overcome these challenges. Giving support and providing care for an individual in their last stage or end of life is a difficult thing to do. End of life care aims to put the person at the centre of the caring process, they should be involved in every decision to make when it comes to their personal care, maintain and enhance quality of life for the person involve and family if possible and provide bereavement support for families and carers after someone passed away. In lieu to this, this will not be possible if not being back up by legislation to oversee that quality care is delivered at the highest possible.

While touring with Dr. Willig, we observed the general process of a physician who rounds for an internal medicine service on 9 South, one of UAB’s Internal Medicine floors.  The physicians rounding on this particular floor are considered “Adult Specialists” per Dr. Willig.  Patients are routed to 9 South through a variety of entry portals into the health system: the Emergency Department by way of EMS, ED walk-in patients, ambulatory surgery patients requiring post-op admission, or by direct admission from an outside hospital.   Dr. Willig explained that direct admissions are routed through Bed Control who is responsible for deciding where a particular patient will be placed within the hospital.  This decision is made using clinical judgment in reference to each patient’s particular illness/disease process as well as Teletrac, UAB’s software for tracking the clean status and availability of their patient rooms (Willig, 2017).

All things considered, essentially, anatomical pathology is included with the finding of an ailment in view of the assessment and investigation of different organs, tissues, and entire bodies. Clinical pathology, then again, is included with the examination of natural liquids like blood and pee.

Tertiary Care Services– All referrals to plan tertiary care centers are reviewed on an individual basis. The member's medical needs and the availability of requested services within the non-tertiary care network are taken into consideration.