Home Care Set Up Analysis

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.

This Network is dedicated towards providing a truly interactive patient care experience where the patient, family and their partners in care are active, engaged and empowered participants in their care continuum. By engaging the patient throughout their care, we improve: patient satisfaction, quality and safety, and finance & operations. It allows patients and their families to take a more active role in the care process by learning more about their condition, communicating with caregivers, preparing for discharge and caring for themselves at

The patient-centered medical home model is a framework developed by the Agency for Healthcare Research and Quality aimed at improving and transforming how primary care is organized and delivered. The patient-centered medical home model has five core functions: Comprehensive Care, Patient-Centered, Coordinated Care, Accessible Services and Quality and Safety. Comprehensive Care involves the utilization of a diverse team of care (physicians, nurses, nurse practitioners, therapists, pharmacists, community health workers, social workers, case managers, educators, nutritionists, etc.) in order to meet all of the patients health care needs including physical and mental health, prevention and wellness, acute care and chronic care. Patient-Centered Care recognizes the importance of the patient in their care and developing a partnership with the patient when developing care plans. Coordinated Care emphasizes the need for coordination of services and communication among different service providers during the transition of care. Accessible services focuses on timely and responsiveness to patients by reducing waiting times and implementing telehealth communication. Finally, Quality and Safety refers to the commitment of quality improvement through the use of evidence-based medicine and clinical decision-support tools15. All aspects of the patient-centered medical

Patient-centeredness means designing a strategy that prioritizes the patient’s well being which includes meeting their needs and preferences, as well as accommodate their circumstances. In order to design strategies and identify key factors, the authors The authors collected survey data from their own experiences in providing care. Upon analyzing the surveys, the authors selected ten factors that would then serve as an imperative “Checklist” for all their operations. The implementation of patient-engaged care required the authors’ organizations to make changes in the following five categories: delivering evidence-based care, developing team-based approach and inclusion of patients and their families in making health care decisions, increasing efficiency of care delivery, innovative way of providing care, and targeting care to accommodate the needs of patient and community. The success and sustainability of patient-engaged programs depend on the degree of patient

Beverly is a 58-year-old, black female who currently lives with her daughter and previously with her daughter's boyfriend. He caused her intense stress and anxiety which is the reason she began therapy. One evening there was an altercation between Beverly, her daughter, and the boyfriend where Beverly ended up going to jail for several days. Eventually the charges were dropped, and the boyfriend left the home for good. Having the boyfriend gone has alleviated one stressor, but client is now dealing with the trauma of having been incarcerated and lack of finances, because she lost her in-home care income. Client has been resilient throughout her life. She was molested as a child, came out as a lesbian to her mother and sister who didn’t approve

As a larger proportion of the population retires and becomes more dependent on long term healthcare, many in the elderly population look to in-home care in order to have their needs met while still retaining independence and normalcy. However, the drastic increase of people looking to in-home health care is putting a strain on the workforce responsible for taking care of these individuals. As a result, family members end up taking the role of caregiver for their elder parent or family member. Those in the home care setting face a variety of issues: abuse and neglect; lack of reporting; and lack of training for caregivers, social workers, police, and those in the criminal justice system. However, these problems can be reduced

Although the phrase patient-centered care was invented several decades ago, it entered the health policy lexicon in 2001, when it was featured as one of the six aims for high-quality health care in the landmark report from the Institute of Medicine “Crossing the Quality Chasm” (Institute of Medicine, 2001).

Concept analysis is the process of clarifying vague or ambiguous concepts so that anyone who may use the term will be speaking about the same thing (Walker and Avant, 2005). This paper will focus on the concept of patient-centered care. Patient-centered care models are extensively used throughout healthcare. The concept of patient-centered care is embedded in Jean Watson’s caring theory. This paper will discuss the following: purpose of the concept of patient-centered care; uses of the concept; attributes; model cases; alternative cases; antecedents and consequences; and empirical referents.

I am very glad for being part of this short course that has a high content of education. It has been a huge experience for me, as this was the first time I have visited a home care facility, and the first time I am inside a multi-sensory room. I learned many things within some hours, and it was very helpful to read chapter 18 before the lecture to have an idea of some key concepts that the professor explains later in class. For example, sensory stimulation is the activation of one or more senses of the patient by providing several items or experiences. Also, sensory integration is another term very important, in which the objective is to enhance the brain’s capacity to perceive, remember, and motor plan. Finally, sensory diet is another term

Community nurses can be assumed to be the saving grace for families and patients within the nursing community for clients that choose to remain at home and receive medical care. Within this process, the clients will receive the majority of his or her medical care directly in the home. Nurses can intervene with doctors and pharmacy

Home health care has continued to grow over the last decade due to an increase in the elderly population, chronic illnesses, increased life expectancy, and shorter hospital stays (Helbing, Snagl, & Silverman, n.d.). Home health agencies are able to provide the community with various services such as wound and surgical care, education, intravenous and nutrition therapy, injections, and monitoring illnesses or an unstable health status. The benefit of having a home health nurse is that it is cheaper than facilitating the use of a nursing facility or hospital, and the convenience of visiting the patient in their own home (Medicare.gov., n.d.). Nurses can provide patients in the community with resources to locate a home health

In 2007, almost 3.4 million people received more than 110 million home-care visits from Medicare-certified home-care agencies (Lange, 2012). The home-care field is continuously growing in order to meet the needs of patients who wish to receive care in the comfort of their home. Patients who are critically ill and need continuous monitoring may not be advised to obtain home health care but rather stay in the hospital for care. The major difference between working as a hospital nurse and being a home-care nurse is the setting. By working in a hospital, the nurse sees many different patients, but only sees them as a patient in their hospital room. A home care nurse enters the patient’s home and is surrounded by their everyday life which can then lead the nurse to understand more of the patient’s needs, likes/dislikes, and their overall well being.

It is inevitable that individuals are bound to need medical attention at least once within their lifetime considering no person is immune to an illness or injury. However, many people dread going to the hospital or staying in a nursing home because they lack privacy, they’re expensive, uncomfortable, crowded and too busy. Many people today are seeking home health care because it’s less expensive, convenient and they prefer to receive medical attention in their home environment. Home health care allows patients to receive health care services within the comfort of their own home for their illness or injury and requires the nurse and other needed healthcare professionals to work around the patient’s schedule. Visiting Nurse Health Systems (VNHS) is an organization that strives to help patients successfully manage their health and provide patients with the best quality care in the comfort of their own home through using their wide range of health care services and through the team work of their health care professionals. They provide structure within the workplace to try and meet the needs of their patients and employees and to achieve the goals of the organization. VNHS uses it’s funding to help all that is in need of home health care.

Disease prevention is also achieved through education of life style choices and medication management. In my faciality, as a Case Manager, I work closely with Patient Centered Medical Home (PCMH) department intervening in and providing additional resources for individuals at risk, therefore with the goal of improving outcomes. PCMH has been shown to make “improvements in most aspects of patient’s experiences of care measured, including patient involvement in their care, goal setting and tailoring, and care coordination” (Reid, et al., 2009).

Patient-centered health care should be the focus of the 21st-century health care system. Such a system will ensure that patients have access to the safest and highest-quality care, regardless of how much they earn, where they live, how sick they are, or the color of their skin. Patients must be the first priority and the focus of the transformed system. Consumer-driven health