Family Centered Care Model

The economy has hit an all time low and has caused two parent households and single parent households into the workforce. As a result of this the parents are looking for childcare centers for their children. The main concern of these parents is will the centers help with the behavior and development of their children.

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.

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.

One of the aims of the Patient Protection and Affordable Care Act (ACA) of 2010 is improved integration and coordination of services for primary patient care. The patient-centered medical home (PCMH) is one of the approaches by which improvements can be established. The patient-centered medical home model is particularly well-suited for people who have chronic illness. The design of the patient-centered medical home model departs substantively from traditional reimbursement policies, in that, the ACA provides for incentives and resources to enable care coordinators to be directly recognized and compensated for their care coordination work. Care coordinators are most often registered nurses who through their work that aligns with ACA engage in quality improvement work, cost-effectiveness measures, and patient advocacy. To bring the ACA model to a human scale, the authors present a case study of a care coordinator at a patient-centered medical home in rural Maine. The table provided below provides a basic textual analysis of the study as it is published in the professional nursing journal.

As we talked, we discussed the questions as outlined in the assignment starting with patient-centered care, barriers that may hinder it, and how it can be improved. She defined patient-centered care as “The patient being involved in their care. The patient needs to feel they are empowered to ask questions regarding their care, tests, medications, and any consultation that may be scheduled.” She stated that while at our facility our staff did a “great job” accommodating patient and family cares, comforts, and concerns. We agreed, there are times that barriers prevent fully supportive patient-centered care such as, doctors who refuse discuss patient care or concerns, short staffing, and when care management is disorganized. This can be improved by encouraging

Quality patient centered care is vital to a hospital or clinic’s ability to treat whole patients. Dabney and Tzeng (2013) address the necessity to implement patient-centered care into clinic and hospital settings. The article clarifies what patient-centered care and service quality is by consolidating many works and sighting benefits medical professionals can observe in their practice.

Patient-Centered Care: Patients should have control over the care they receive. By involving patients and family members in their care it will result in better health outcomes. “The response of health care professionals to patients’ questions, concerns, and feedback directly influences how comfortable patients are with speaking up” (Spath, 2011, p. 236). As nurses we need to respect our patients’ wishes and give each

The patient’s primary role in the Patient Centered Medical Home is to communicate his or her needs to the providers. Some common requirements of patients might be: to have someone available to answer any questions that arise about their condition, medication, or next steps in their care, assistance in scheduling appointments and coordinating transportation, someone to aid them with the understanding of insurance benefits, and someone to facilitate understanding of any medical conditions in order to allow them to

The reason I chose this article is not only because patient-centered medical homes (PCMH) has national relevance but because it’s patient centric. Our system sometimes takes care of everything else but the patient. The Institute of Medicine (IOM) defines patient-centered care as "providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions" (Frampton, 2013).

This paper discusses the Patient Center Medical Home (PCMH), which is used by many HealthCare organizations around the United States (US) and the world. The goal is to look at the impact Patient Center Medical Home (PCMH) and the outcomes for Americans, and help Primary Health Care adopt the Patient Center Medical Home model. The key factors the paper will focus on are the cost and access to healthcare services how to improve PCMH in the US and challenges that faced by PCMH adoption.

In order to provide services to children and families involved with the child welfare system, FGDM’s need to come from a family centered and a strengths based approach. When families are given the opportunity to demonstrate their strengths and they are recognized, respected, affirmed they are more willing to make take initiative towards change and use those strengths as their foundation. Family focused services are focused in working with families in order to improve their level of functioning. The entire family needs to be addressed in order to provide a safe, stable, supportive, and a permanent environment for the child (Department of Social Services, n.d). When using the strength based approach with individuals seeking mental health services it has been found to increase self-esteem, self-efficacy, personal confidence, sense of hope and life satisfaction (Tse, et al., 2016).

A new clinical practice guideline, developed by the Registered Nurses’ Association of Ontario (RNAO), provides direction for nurses and other healthcare providers to shift from fee for service to value-based healthcare by placing the person and their family at the heart of every decision. The purpose of this paper is to provide an analysis and summary of the person and family centered care clinical practice guideline based on the AGREE II international assessment tool.

A personal interview was conducted with a respiratory therapist from Rapid City Regional Hospital regarding patient and family centered care and leadership. The views that the respiratory therapist had in regards to the subject were very similar to my own views. The respiratory therapist stated that patient and family centered care involves encouraging the patient and family to become involved with the patient’s care and allowing them to participate in decision-making that best correlates with the patient’s situation (M. Mackey, personal communication, November 18, 2016). Every patient who presents to the hospital has different values and beliefs of some form; therefore, health care professionals need to be able to recognize the differences

Based on the story you wrote for the discussion analyze how your microsystems does and does not provide patient and family centered care.

Nurses demonstrate the core values of professionally caring for others in two different prospects. Huber (2014), notes that “nurses have two basic roles: care providers and care coordinators” (p. 3). Most significantly nurses are valued in the setting of patient care, while the coordinator role revolves around management and organizing care, using thinking skills to coordinate complex activities. Nursing is multifaceted, although direct quality patient care is of significance, a positive leader or manager is also essential to support the recent changes to healthcare requirements. Having the right blend of qualities is vital to becoming a