Improving Patient Outcomes: A Case Study

Introduction This paper will use a case study to look at the importance of patient focused practice, with reference to an elderly patient with other care responsibilities. It will also look at its relevance to interprofessional learning and working within the role of the radiographer and two other healthcare professionals. The need to apply this knowledge is shown by examples of failures, due the lack of engagement, commitment and understanding of the multidisciplinary team to provide good clinical care as shown by the enquiry into the Mid-Staffordshire Hospital between 2005 and 2009 (Slatyer et al., 2016 pp140).

It’s a value care for U.S patient population. Back to the digital health care prediction, Dr. Brown indicated that the vast amount of untapped data could have a great impact on health that exists outside of medical systems. However, there were challenges when it came to collecting healthcare data. First, the unstructured big data which presents in medical literature. How do we know which one to read? Second, a data associated with a single patient in an electronic medical record (EMR). An electronic medical record came with a structured data and an unstructured data. There was a question about the HIPPA regulation, and Dr. Brown assured that IBM adhered to the regulation completely. All these pooled data were placed in the Watson Cloud that aggregated the data together to perform different analytics. It’s all automated system. Then, IBM acquired Truvan that tracked insurance and reimbursement data and enabled to see overall

An additional component of healthcare is data. This is important because this allows health professionals to gather and analyze information to complete the task at hand the best way possible. This would allow doctors and nurses to be able to treat patients the most efficient way while trying to keep cost relatively low at the same time. Moreover, if the health

Dr. Stephen Bekanich presented an overview of the Better Quality & Improved Patient Outcomes report (attachment III).

During this clinical intervention, I caught a mistake by the physician entering in the prescription. The patient was prescribed CIpro for an infection while in the ICU, however the dosage was too high based on the patient’s renal function. Over the last few days the patient’s renal function has continued to decline, as a result it is important to decrease the patient’s dose accordingly to prevent toxicity. I calculated the correct dose for the patients and recommended to the Certified Nurse Practitioner working in the unit. The nurse practitioner agreed and changed the dose of the Cipro to adjust for the decline in renal function. I think that it is important to have pharmacy involved with patient care because pharmacist are trained to monitor

This was evident by one manager who told me that since the adoption of their tele-ICU system, they had been able to implement many more quality-of-care initiatives in their ICUs -- and to update their quality-improving protocols much more frequently. This intertwining of the technology with the clinical quality improvement initiatives makes evaluating the effects of the technology more challenging. But having interviewed senior tele-ICU managers, and studied health system transformation and quality improvement, I believe that such multidimensional analyses and thinking are crucial for appreciating what is required for delivery system reform to improve both quality and cost-efficiency.

What if a single initiative could increase reimbursement revenue, make passing audits easier, and improve patient care? One industry expert estimates two-thirds of hospitals already have this type of program, and are currently reaping the benefits (Rollins). With the implementation of our own clinical documentation (CDI) program, we can join them.

The nation collects volumes of health information, however much of the data remain siloed and difficult to compile. These healthcare big data siloes are making it difficult for insurers, providers, pharmacies and others to truly work together to coordinate care (Clough, 2016). Furthermore, these stakeholders are inhibiting coordinated care through their prevention of using real world data for decision making. Consequently, each patient must still take control of their healthcare and provide physicians, pharmacists, healthcare facilities, and other stakeholders with updated information on their situation, visits, and

It’s quite terrifying to think about what I was doing at nineteen. Always looking for a new challenge, a way to “stretch my brain,” I was hired to dispense the medications for a sixty bed assisted living at that age. I’m not sure what the hiring manager saw in me, but I began an adventure of collecting a cornucopia of medical experience from that point on. My background now encompasses over 10,000 hours of inpatient, outpatient, specialty and general medical care. The opportunity to deliver care in a variety of settings lends to my well-rounded knowledge and diverse background that I know would be valuable to my cohort.

 Delivering high quality care means using resources as effectively as possible to deliver the best outcomes for patients. Leaders at all levels of trust need to deliver high quality care including safe, patients care with financial balance, while striving to operate more efficiently and effectively.

Smith et al, (2010) state for successful partnership working a mutual understanding between of local context are required, as well as understanding the responsibilities and accountability around reporting mechanisms. It can ensure improvement in the quality of care by shared decision making, this can be done in ensuring a plan of care is put in place on transition when care is integrated (DH, 2013). The NHS organisations and local authorities are making progress in finding solutions to share service user’s information (Ham & Walsh, 2013).

Excellent post, what a great way to make the patient/family a part on his/her cares team, improving “patient centered care”. What patient-centered care means to you, “people are scared and just want to be involved, trying to involve the patient and the families in their care is the biggest part of patient-centered care for me. From helping them with education of an illness or medication or just letting them know a time for a test and what is to be expected”, touched on a big part of what it means to me However in our organization, (me as a critical care nurse, ICU/Open-heart, and trauma), our patients are not always stable enough to participate electronically in their care , if not we involve the family (or one designee), to be present during

The United States healthcare system is costly. The U.S. healthcare system has many technological advances, sophisticated procedures, and well- educated and prepared professionals. However, it is not accessible to every individual. Nowadays, the modern technology allows healthcare professional to perform less invasive procedures and detect many diseases at early stages. Nonetheless, patients can feel dehumanized because healthcare professionals tend to trust the machines instead of looking at the patient (Black, 2017, p. 281). I personally believe that carefully listening to the patients provides caregivers essential information to treat their afflictions.

Reporting An elderly male patient presented for care of chronic interdigital ischemic foot wounds. Due to a previous yeast infection this patient was being treated with boric acid as recommended by the infectious disease team as part of a multidisciplinary care team. However, as this infection had cleared it was recommended that this treatment was ceased. This distressed the patient as he believed that the boric acid was preventing further deterioration of his wounds and was not consulted on the change of his management plan.

Yes, I agree with the article. We live in a country now that uses information to improve patient healthcare. One statement that pointed out to me was when he mention how “no matter which party controls Congress and the White House, pressure to control costs will continue”. Healthcare cost will continue to go up and will be hard to balance. Managing data electronically is supposed to help manage and decrease cost but it will continue to go up low out-of-pocket costs paid by consumers and by not knowing the full costs associated with health care. Another rise is prescription medication will continue to go up.