Ray Anderson presented an update of the Master Facility Plan (attachment VI.B.).
Mr. Anderson discussed the reasoning of the plan designed to align the delivery network to diversify the services that are offered and to reach a substantial share of the population, and rationalize services. Furthermore, Mr. Anderson talked about the assessment of the existing facilities and improvement that are to be made. In addition , Mr. Anderson highlighted the following items:
• Bridging Seton and Providence as the Texas Ministry Market
• Importance of looking at the urgent care needs in respect to the teaching hospital
• Complex care across the service lines that will best meet the need of the population served
• Growth plans
Care plans are the primary source of client information. We can make individual plans and requirements to suit
Throughout Unit 6 we reviewed the continuum of care in long-term care facilities and its many aspects. The continuum of care, also referred to as the delivery system of health care, is best defined as a full range of long-term care services increasing in level of acuity and complexity from one end to the other (PowerPoint). This delivery system is comprised of three substantial components. These components are the informal system, community based care, and the institutional system.
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 organization I have chosen is an Acute Long Term Skilled Care Facility. There are a total of 120 residents presently residing in this facility. Each resident requires different levels of care. Some are admitted for short term rehabilitation, wound management, post-surgical care, diabetic teaching, and medication compliance while others require long term care for behavior and other specialized care. Providing care for residents living in this facility has become more complex and requires more medical attention. However, there are not enough
Austin, A., & Wetle, V. (2012). The United States health care system, combining business, health, and delivery. (2nd ed.). Upper Saddle River, NJ: Pearson Education.
Health care in the United States is currently facing a looming crisis that requires an urgent response of intervention. With the baby boomers population on the rise, there will ultimately be an increased need for long-term care (LTC) services. Pratt (2015) defines baby boomers as “the name given to the large number of people born in the period following World War II, between 1946 and 1964” (p. 17). According to Mikulaschek (2013), “Beginning in 2010, the roughly seventy-eight million baby boomers began turning sixty-five at a rate of three to four million per year leading to growing concerns over meeting their healthcare demands” (p. 86). This brings the number from about forty million in 2010 to seventy-two million in 2030 causing them to account for almost twenty percent of the total U.S. population (Mikulaschek, 2013, p. 96; Pratt, 2015, p. 17). This alarming rate will correspond to the increasing number of elderly individuals with chronic conditions who depend on LTC services for daily functioning (Pratt, 2015, p. 17). This influx of baby boomers presents the health care industry with a plethora of issues related to costs, quality, and access to the LTC services that this population so desperately needs.
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
For services to be covered, an individual should always seek advice and specialty care arrangement through Care Manager. Usually, care
Models of Service Delivery The services that are needed in the human services field are varied, and thus the method of delivery must vary as well. There are three models of service delivery in use today: the medical model, the public health model, and the human services model. Indeed, a client may find themselves having needs met by one, two, or all three models, depending on the individual case. This paper will give a brief history and examine the roles each service delivery model performs.
Over the course of our countries history, the delivery of our health care system has tried to meet the needs of our growing and changing population. However, we somehow seem to fall short in delivering our goals of providing quality, affordable and accessible healthcare to our citizens. The history of our delivery system will show we continuously changed the delivery of our system however never mange to control cost. If we can come up with efficient ways to cut cost, the delivery of quality care will follow.
This helped me create a specialized plan of care for my patients and their families.
First, it’s called continuum care system, it deals with tracking and keeping in contact with a patient over time and to follow them thru their health care services. The breakdown of continuum care is extended care, acute hospital care, ambulatory care, home care, outreach, wellness and housing. It could follow a patient from birth to the end of life. The services could be acute healthcare, hospital, emergency, inpatient services, outpatient services, urgent care, skilled nursing home, rehab, home care visiting nurse services, hospices, wellness care, public health and care management and research.
Hospitals in the United States offer top quality care to its citizens but regrettably not everyone receives equal access to this care. There is an alarming difference between qualities of care received by some population groups relative to other population groups.
improving quality for individuals over 65 or disabled. Preventative benefits, such as wellness visits has
The U.S. Healthcare System continues to evolve and develop delivery strategies of affordable high-quality health services to all individuals. Striving to make available superior advances in U.S. health, healthcare providers delivery options, solutions and/or treatments for the American populace.