The knowledge of patient care management, influences and issues affecting patient care management across the various settings have many advantages and disadvantages. I will be comparing and contrasting hospitals and outpatient facilities providing patient care. I will also discuss the issues and identify influences to patient care. Talking about the many advantages and disadvantages that relate to the climate of declining reimbursement, managed care, integrated systems and electronic communication. Patient care is a way to make us look at what the patients’ needs are. I see that the biggest problem in patient care is how well we controlled the patient’s pain. We get a lot of bad scores because the patient says we did not control their pain. They came in with a 10 for pain and left with a 9 or an 8. We are trying to move in a direction that we don’t medicate the patient right away, we are wanting to find ways to control pain without using medication. I think that is our biggest problem is that patients expect medication when they come in but when we don’t give it to them our scores will go down. We have to find alternatives to giving medication to the patient. If we need to give the patient medication, then we need to explain “we are giving you this mediation because” and explain in details how it is going to play an effect in their body or what other alternatives they have for that medication. We have to find ways to make our patients happy and have the idea that we can’t
Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.
This, in turn, means that the patients that are in the hospital are more acute and require intensive nursing care. The role of the registered nurse must now include greater professional judgment, management of complex systems, and greater clinical autonomy (Lippincott, 2003). The pressure to contain costs and meet the needs of the rising levels of severe illnesses of inpatients make it imperative for hospitals to seek out ways to redesign delivery of care without compromising quality of care (Tappen, 2004). The structure, organization and financing of health care are rapidly changing. Patients previously hospitalized are now treated on an outpatient basis, relying on care through different delivery systems. Hospital communities are trying to increase health care services while raising prices as little as possible.
It is now time to look more closely at one of the models for hospital-physician’s integration, and discuss the advantages and disadvantages that go along for the hospitals and physicians. The hospitalist model involves a patient’s outpatient physician to transfer full responsibility of care to a dedicated inpatient physician if the patient is to be hospitalized, who would be responsible for inpatient care
Different facilities have their own benefits for caring for patients, along with their staff members as well. Healthcare reform are already urging hospitals and critical care centers to create ways to increase efficiency throughout their facility, along with, the hot topic of streamlining costs. This also has its own pros and cons which could be for the better or for the worse for all that are
In the physical realm of patient-centered care pain, comfort, sleep, and rest are important aspects of the fourth dimension of patient-centered care. Patient-centered care is the complete focus of the medical team on providing respectful care to meet patient needs, preferences and values guide decisions on each individual patient care. To understand the subjective view of the patient, these four aspects are at the forefront of their needs within the hospital setting to provide the best patient outcome. Nurses provide good patient-centered care by actively partnering with patients to determine care priorities and plans to tailor their level of involvement, according to their preferences, and being flexible by changing the care plan as the situation changes including providing smooth transitions between care goals. By doing this, nurses can assist patients with all pain by providing comfort and assuring the patient that there will be no deficiency of their quality of sleep.
Today’s healthcare environment is facing tremendous challenges in order to ensure safe, quality care, while simultaneously providing affordable care that is still able to produce revenue. With continuously escalating healthcare demands emerging from the population, healthcare providers and professionals have no choice but to accept these challenges and put forth the best possible approach to meet these demands involving patient care. New ideas for managing tests, medications, procedures, orders and delivery of care must continuously be considered by the healthcare organizations to ensure that the care they provide is appropriate, safe, efficient and cost effective. Periodically providers run into trouble
Piscotty, R. J., Kalisch, B., Gracey-Thomas, A. (2015). Impact of healthcare information technology on nursing practice. Journal of Nursing Scholarship, 47(4), 287-293. Retrieved 10 September 2015. doi: 10.1111/j.1475-6773.2010.01233.x
The delivery of healthcare has evolved and changed over the years and with the advances in science and technology, the ability to provide safe, quality care to all patients has been impacted by the changes. With the rising healthcare costs and decrease in reimbursement for care provided, organizations must look for ways of cost containment to maintain viability for the future. Fabre (2005) noted that administrators are struggling to maintain financial stability and retain competent nurses during these difficult
I will discuss and compares inpatients care and ambulatory care on bases of scope and level of service, venues for care deliver, impact o health care finance, and future trends in medicine and care delivery.
The concept of patient centeredness plays an important in the health care quality as it encompassing “qualities of compassion, empathy, and responsiveness to the needs, values, and expressed preferences of the individual patient’s’ and rooted in the idea that “health care should cure when
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.
Apart from taking responsible care of patient , the effort to better the thinking of patient positively plays eminent role in well being of health and sooner recovery(Barker, 2007). Knowing the patient ,active engagement with them , learning their needs ,concerns & their responses allows nurses to make clinical judgment (Tanner ,2006).
The executive team or chief decision makers within any hospital setting are responsible for making sure that the facility runs safely and efficiently, patients are given the highest standards of care, and the facilities are up to date and well maintained. High on the agenda will be to make sure that the facility achieves the best possible patient outcomes. The team should consist of the Chief Executive Officer (CEO), Chief Nursing Officer (CNO), Chief Finance Officer (CFO), Chief Human Resource Officer (CHRO), and Medical Director (MD).
Managers in the healthcare business are always seeking answers to key questions about how to better patient care. They are held accountable to make decisions and implementation that typically require research and funds. They have to consider all options to improve performance for healthcare facilities. Wrong information and research could lead to healthcare mistakes, but involving patients and their families keep awareness of changes, disseminating information no matter critical or nonsense. (“Commission on Growth and Development,” 2008)
Nursing involves greater purpose beside the objective of treating patients’ ailments in an efficient and effective manner. Nurses, physicians, and health care providers across the board uphold the duty to treat patients with the utmost value of care. As a universal definition of care does not exist, Anita Finkelman and Carole Kenner explain care is drawn from four perspectives: a sense of care involving compassion, knowledge and expertise that allows nurses to advocate for the patient in addition to treating the medial complication, and “…competence in carrying out all the required procedures, personal and technical, with true concern for providing the proper care at the proper time in the proper way (Finkelman & Kenner, 2013) . Combining the foundation of every perspective leads to the Institute of Medicine’s (IOM) first core competency of patient-centered care. Sans the image of patient-centered care the practice of nursing and medicine alike will lack the passion the American Nursing Association envisions for “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and care of individuals, families, communities, and populations” (Finkelman & Kenner, 2013). Therefore, the author of this paper explores the IOM’s definition of patient-centered care, implementation of the concept, and its pivotal relationship to the nursing profession.