Integrated Care Structure

This assignment will define and analyse the need for a chosen service improvement within the pathway of mental health, as well as evaluating the suggested service. Demonstrating how this service can inform and benefit integrated practice, discussing the ways in which the agency’s statutory obligations and responsibilities impact on both individual and group decision making. The chosen service improvement for this assignment is the introduction of a mental health nurse into primary care services, for example, a GP Surgery. Focusing on service users with mental health issues in the community and therefore in the care of the local Primary Care Trust (PCT).

Health Information Exchange (HIE) has become a major component in today’s healthcare. Health information exchange provides a secure way for providers to appropriately access and electronically share a patient’s medical information. Therefore, reducing duplicate testing, minimizing medication errors and providing a link among electronic health records (EHR) in order to provide quality healthcare.

The health and social care act 2001 says that there is an importance to involve and to consult service users/ patients which can help shape and create their own care plans. Which can result in more and more individuals who are suffering from a mental health issue/ problem can access the services as they won’t feel like they are being discriminated against. The mental capacity act 2005 and the mental health act 2007 says that the reason behind involving service users is to overcome some initial barriers of the more traditional services and this was outlined in some of the current developments that are happening within these laws. The mental capacity and mental health act shows that there will be the removal of the standard traditional service so they can move forward and introduce a more approachable service which enabled service users and communities to become more

Vertically integrated health care system that I have chosen is the Veterans Administration (VA) it's accountable for a large patient population for military veterans. As stated, The Veterans Health Administration is America’s largest integrated health care system with over 1,700 sites of care, serving 8.76 million Veterans each year (VA.GOV). The services that's provided to veterans is health care, rehabilitation, employment, education, home loan guaranties, and life insurance coverage. VA control costs by buying in bulk and control costs by engaging in a deep, single-source relationship with each patient. The Assistant Secretary for Management oversees all resource requirements, development and implementation of agency performance measures,

America's healthcare system is fragmented with a lack of coordination, that tends to be insufficient in using its resources (Enthoven, 2009). This fragmentation has lead to unsustainable cost, poor overall quality of care, and treatment inequalities (Strange, 2009). While there have been initiatives to integrate healthcare in the past, the need today is direr than ever (Ramagem et.al, 2011). If more healthcare systems would use vertical integration, we could see the three systems of care: hospitals, long-term care, and mental health be utilized in a more conformed pattern. Vertical integration utilizes inpatient hospitals, mental health services, rehab centers, long-term care, and other related health care services and incorporates them

David is a 58-year-old man who has been admitted to a psychiatric ward in a public hospital and agreed to stay voluntarily. This paper will discuss the ways in which David may be able to participate in his intervention plan. Firstly by exploring how to undertake a person centred approach and then outlining how this approach is used in practice through a person centred plan. In this paper the barriers to participation that David may face will also be investigated. Starting with the challenges of implementing consumer participation before addressing the barriers that may be faced from a consumer perspective and then also the barriers that may be faced from the service provider perspective. In the latter part of this paper I will also provide

people with complex health care issues in terms of quality, cost and access to care (Agency for

Managed care in simple can be defined as an organized approach to delivering healthcare services in an efficient way to enrolled members by negotiation of prices and payments with the providers. Managed care is one of the dominant influence that as transformed the healthcare delivery system in the United States since the 1990s. Managed care has two different contexts to it.

Leidos Health enables better patient care by allowing healthcare providers and patients to share and access information from any location. Our healthcare consultants have deep electronic health record expertise, knowledge of the unique operations of the healthcare environment, and a legacy of large, complex systems integration experience, which allows for secure collaborative care.

The world of health care is constantly changing everyday by it changing there are less hospitals being opened than clinics. It seems as if people will rather open a clinic this a hospital in which would have all things necessary for health care. Some clinics will specialize in a certain area of health care and not all. The only good part about this is that there are some clinics that are offering emergency services. In my geographic area, there are both horizontally and vertically integrated health care systems available.

Managing the complex care needs of hospitalized patient population is a national concern. Effective collaboration and teamwork is essential in providing safe hospital care. Most recently, there has been a greater emphasis on interdisciplinary care. It is well documented and accepted that interdisciplinary care represents best practice in terms of treatment planning and care for patients but integration of it into workflow is challenging. In an attempt to address this Interdisciplinary Plan of Care (IPOC) rounds were trialed.

Clay Carsner, Dr. Carolina Espinoza-Strelec, and Dr. Ruy Carrasco, collectively, presented the Clinical Integration report.

The chronic condition selected by this author to be managed with the chronic care model is Chronic Obstructive Pulmonary Disease (COPD). The Chronic Care Model (CCM) is a research-based method of managing chronic illness with an emphasis on the dissemination of information and disease management strategies (Nickitas, Middaugh, & Aries, 2011, p. 320). A thorough educational approach to managing the symptoms of COPD has the potential to help patients avoid exacerbations by implementing self-management strategies. This fits with the key concepts of the CCM. According to Nash (2016), the CCM enables the creation of “well prepared, proactive clinical teams by using clinical information systems, decision support,

Integrated health systems talk to each other about their patients or constituents thereby providing the best care possible. Understanding racial, ethnic and other global disparities helps provide a balanced care. Health care providers and public health professionals who understand “ways in which race, ethnicity, and SES” combine and influence health outcomes is important in addressing health disparities across the “socioeconomic spectrum” and among minority groups ( Williams, Priest, Anderson (2016). Health systems and services should be integrated with available community services like mental health, nutritional health, counseling, day care centers, and public health education programs. Providers should think of providing complete services

The Hospice and Palliative Nurse Association 2015-2018 Research Agenda discusses the structure and processes of care and the component of palliative are. The document mentions that these components are: interdisciplinary composition, engagement and collaboration, volunteer involvement, education and training of team members, the quality improvement process, staff support, and appropriateness of the care setting (HPNA, 2014). The components of structure and processes of care affect the delivery of palliative care and the priorities offered to patients and families. One of the priorities is: Research is needed on the types of new and innovative delivery systems in hospice and palliative care. Research is needed