Continuum of Care

Services are provided through various health clinics, hospitals, schools, community centers, and public housing centers. In the United

offering a wide range of health services such as health education, prevention of diseases, treatment and other social benefits.

The fact that there are broad spectrums of services available within the Kaiser Permanente network makes it easier to coordinate patient care. For example the Northern California site has implemented programs that focus on five “imperatives of personal care”, which are: patients have to have a primary care doctor, they need to be able to see that physician, patients that call have a short telephone wait, patients should receive timely appointments and have a great care experience (Commonwealth fund June 2009). Care management definitely plays a crucial role in health care. When the patients needs are met and quality care is received the result is patient satisfaction and potentially cost saving for the organization. Patients not only have to deal with health issues, many experience challenges within their environment and certain limitations depending on socioeconomic status. Therefore , coordination of patient care is key to the success of any health care delivery system.

The Continuum of Care is the variety of health care services provided to numerous individuals who are in need of it. All the various Long Term Care providers work as a unit, helping an individual handle their disability with various health care amenities accessible. The Continuum of Care, as stated in Long Term Care: Managing Across the Continuum (2010), is “comprehensive, integrated, and client-oriented”. All the services offered should be client-based and cater to the client’s needs and suitable care. The client’s should be able to obtain services when it is needed from the provider, making it comprehensive. All the different Long Term Care providers should be interconnected between one another, because their goal is all the same. Their goal is to care for the client’s needs. The Continuum of Care consists of: nursing facilities, sub acute care, assisted living, residential care, elderly housing, and a variety of community-based services (Pratt, 2010). All these different providers work together to care for the individuals within the health care industry, creating the continuum and making it integrated. The continuum has many positive attributes, along with many barriers. The range of barriers are: poor transitions from Long Term Care setting to setting for the clients, the continuum is reimbursement-driven, it is fragmented and uncoordinated, it is under staffed with medical professionals, and there are major language and literacy problems.

Healthcare is often driven by consumers and insurance companies; there is strong pushes for insurance companies to start paying better through Patient Care Medical Homes (PCMH) or Accountable Care Organizations (ACO) rather than paying at a per-visit basis (Hamlin, 2015). With PCMH or ACOs payment is made on a continuum of care, encouraging the provider to be involved in all aspects affecting health of the patient (Derksen, & Whelan,

Stakeholders are a big part of a healthcare organization. They play a major role in the Healthcare Delivery System that plays a part in the performance and the health of the organization. Five of the major stakeholders consist of government, providers (which includes doctors, nurses, pharmacists, and other healthcare providers), patients, insurance companies, and pharmaceutical companies. Based off of the healthcare delivery system where it stands now, there are some recommendations that the stakeholder can do to have a positive effect on the healthcare delivery system.

It has been proven that stakeholders, either an individual or an health care organization play a key role within strategic implementations and policy developments

Health care stakeholders are individuals, groups, organizations or institutes that may affect or can be affected by the health-care providers in one way or another. Their effect on the healthcare depends on their views, interests, and contributions which differ from one stakeholder to the other. Therefore, this paper will dwell on analyzing about the stakeholders in the healthcare and their communication strategy. Some of the major stakeholders in Healthcare include; the public, the National Government, the healthcare professionals, the pharmaceutical industries among others (Hammer, 2016). To provide good, more efficient and better health-care services, these stakeholders must collaborate and communicate strategically to meet the set goals in the health sector.

“Running a health care organization is a team sport. It is very important that all members of the team-whether on the medical staff, in management or on the board-understand the role of governance and what constitutes effective governance” (Arnwine, 2002). Running a hospital is a difficult task. Several factors need to be seriously thought of and considered in every decision and undertaking. Unfortunately, all the three important factors in governing a hospital is not always in harmony. As likened to a team sport, if the three major components are not working with each other as a team, there will be tension and a great divide will be experienced. And often times, the patients will be in the middle and will be greatly impacted. This writer believes that there are several factors that contribute to the tension that usually exists among the medical staff, the board and administration. One factor is the disconnect, where each entity is not seeing each other eye to eye and their visions may be different from each other. Another factor may be the lack of communication in order to bridge the gap and to build a respectful and a relationship wherein there is trust for each end every member of the group. Often times, the medical staff is concerned with ensuring that patients are cared for in a manner that their practice is protected as well as the patients are getting the appropriate care. On the other hand, the board of trustees may be focused in ensuring that that

When talking about healthcare reform, one must always think about the stakeholders. Stakeholders are “people and organizations that have a stake (interest) in what a healthcare organization does and that could affect the healthcare organization” (Olden, 2011). There are many different stakeholders in our case study but we will focus on the main ones.

In the physical realm of patient-centered care pain, comfort, sleep, and rest are important aspects of the fourth dimension of patient-centered care. Patient-centered care is the complete focus of the medical team on providing respectful care to meet patient needs, preferences and values guide decisions on each individual patient care. To understand the subjective view of the patient, these four aspects are at the forefront of their needs within the hospital setting to provide the best patient outcome. Nurses provide good patient-centered care by actively partnering with patients to determine care priorities and plans to tailor their level of involvement, according to their preferences, and being flexible by changing the care plan as the situation changes including providing smooth transitions between care goals. By doing this, nurses can assist patients with all pain by providing comfort and assuring the patient that there will be no deficiency of their quality of sleep.

Evolving Practice of Nursing and Patient Care Delivery Models Informal Presentation to Educate Nurses about How the Practice of Nursing is to Grow and Change Healthcare in the United States constitute of a robust system with the potential to provide reliable and quality care services to American citizens. The healthcare system incorporates the assistance of nurses to undertake its numerous activities (Folland, Goodman, & Stano, 2016). Current changes in the modern world that include technological advancements have a more significant impact on the future of the nursing profession. Nurses need to understand the changing factors and attain necessary education and training to enable them to adapt to the various changes.

is a continuum of care for critically ill or critically injured patients, which impairs one or more vital organ systems. Some illnesses or injuries the critically ill patient may suffer from are serious infections, a serious trauma with life threatening conditions (gun shot, car accidents, and knife wounds). Critical Care Units treat people with life threatening illness, traumas, organ failure, and more. Patients are treated to prevent these conditions or to keep them from occurring, if such conditions are present the patient is cared for in order to alleviate/treat said conditions. In the unit vital functions are monitored, the treatment the patient receives is invasive. Basically, all means are provided to keep the patient alive. Keeping

The report with its conclusions will help us dissect the fundamentals of administration at the hospital. We have used the data to make useful recommendations for upgrading the working of the various departments of the hospital. We have also made an effort to suggest improvement in the existing administrative conditions. Organized and reasonable recommendations are suggested at the end of this report.

In response to Medicare’s continued engagement of an outcomes-based model for patient care reimbursements, GAH/CC supports the implementation of the patient-centered care standard, evoking the holistic approach in healthcare delivery. As discussed in Crossing the Quality Chasm, established patient-centered care