Patient Centered Care Model Paper

rganizing the delivery of health care around the needs of the patient may seem like a simple and obvious approach. In a system as complex as health care, however, little is simple. In fact, thirty years ago when the idea of “patient-centered care” first emerged as a return to the holistic roots of health care, it was swiftly dismissed by all but the most philosophically progressive providers as trivial, superficial, or unrealistic. Its defining characteristics of partnering with patients and families, of welcoming―even encouraging―their

Patient Centered Care(PCC)-a model to deliver high quality patient care, enhance cost effectiveness of the service, and maximize patient satisfaction. Along with patient care, the education and research informations are fundamental aspects of the model supporting creativity and innovation.

Overview of the Patient Centered Medical Home project piloted by Geisinger Health System in Danville, Pennsylvania

broad range of individual patients. The patient should be able to benefit maximally from the care he/she receives.

This essay aims to describe briefly what is meant by patient-centred care. It will also focus and expand on two key aspects of patient dignity - making choices and confidentiality. Patient-centred care (PCC) is an extensively used model in the current healthcare system (Pelzang 2010:12). PCC is interpreted as looking at the whole person and considering their individual values and needs in relation to their healthcare. By implementing a PCC approach it ensures that the person is at the very centre of any plans that are made and has a dynamic role in the decision making process (Pelzang 2010:12).

In the formative peer view assignment, you were asked to review an article on promoting dignity in healthcare setting and how this forms the basis of patient centred care. Following on from this you are now asked to:-

The author has been employed in the healthcare field for over fifteen years that has allowed the time to observe the transformation of the primary care practice. This paper will examine the industry using Aspirus, Inc. as the reference point; however encompassing an examination of other healthcare institutions. Evidence suggests the Patient Centered Medical Home (PCHM) model, also known as the medical come, of care can offer many benefits, including improved quality in the patient experience and disease management and lower costs to the patient and system because of reduced emergency room visits or hospital admissions. The main objective of this paper is to highlight the challenges and explore what the PCMH model will be like in five years within the primary care setting of a healthcare organization.

In a day and age where everything is becoming mobile and consumer-driven, healthcare is no exception. Patients are now able to drive healthcare industry spending and have access to more health services. “A growing body of evidence suggests that the patient-centered medical home is an effective model to transform primary care and serve as a foundation for accountable care organizations, working together in integrated communities of care” (Harbrechet & Latts, 2015). Patient centered care could change the outdated medical models by focusing on patient-doctor relationships and what the patient deems important in their healthcare (Kahn, 2014). “Patient centered care has a triple aim: to improve individuals’ health; achieve improved population health; and reduce cost trends. A complementary goal was to improve satisfaction for patients and health care teams“ (Harbrechet & Latts, 2015). Early studies suggest that this type of care will also improve efficiency and lend us closer to the frontier of health production. The Patient Centered Health model is the fastest growing healthcare delivery system innovation (O’Kane, Barr, &Scholle, 2014). This is largely due to the Affordable Care Act and its impact on health coverage (Fifield, Forrest, Burleson, Martin-Peele, & Gillespie, 2013; Harbrechet & Latts, 2015). This paper will focus on how patient centered medicine impacts efficiency in healthcare.

There are five core competencies needed for health care professionals and they are provide patient centered care, work in interdisciplinary teams, employ evidence based practice, apply quality improvement, and utilizing informatics. In this paper, I will go into further detail how providing patient centered care is challenging, how to overcome the challenges, how it relates to my chosen profession, and how this competency can impact delivery of care to patients.

This essay is based on the Case study of a patient named as Mrs Ford. It will be written as a logical account, adopting a problem solving approach to her care. She is elderly and has been admitted onto a medical ward in the hospital, following a stroke. This essay analyses the care that she will receive and focuses on the use of assessment tools in practice. Interventions will be put in place directly relating to the assessment feedback and in line with best practice.

Patient-centered care is a philosophy of care delivery in which services are arranged around the needs of the patient. It defines healthcare delivery from the patient’s perspective and organizes the building blocks of work around the patient and her care. It consists of sequences of activities by all involved staff members who care for the patients. It is consistent with cooperative work in clinical settings. According to Schmidt and Simone, “cooperative work is constituted by the interdependence of multiple actors who, in their individual activities, in changing the state of their individual field of work, also change the state of the field of work of others and who thus interact through changing the state of a common field of work.” A patient constitutes the common field of work for clinical and non-clinical healthcare delivery workers. The patient-oriented workflow also captures the temporal order of various roles’ contributions to care delivery (Ozkaynak et al., 2013). Example: We used a patient-oriented workflow approach to evaluate a health information exchange technology intervention in terms of how the intervention affects patient care in three emergency departments. We conducted a systematic investigation of patient care, captured in a temporal sequential context. Using a patient-oriented workflow approach was valuable because we were able to monitor the overall organization of care delivery individual patient episodes, capturing the engagement of multiple staff

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.

The new implementations should be individualized around the patient’s personal values and goals. A nurse should empower the patient when times are challenging and continue to consult with the patient throughout the plan of care.

Patient centered care is all about putting the patient's wellbeing first, while providing safety and comfort. Patients have the right to express how they feel and what they want, therefore it may come a time when they disagree with their treatment plan. In such instances a healthcare provider can encourage them to participate or may even negotiate with the patient to come up with a plan that their comfortable with while also keeping their best health interest in mind. For example, I was taking care of a patient who didn't want to eat their breakfast, so I compromised with the patient and came to an agreement that he'd eat at least half of his food and if he is didn't want anymore he could save it and return to it later.

Nursing care delivery model is a method that is used by nurses as implemented by their institution in providing care to their patients. The method of care can be varied throughout different healthcare settings and carried out by a variety of organizational methods. Each delivery of care method used by an organization is determined by the effectiveness of economic issues, patient safety and quality given, and patient population. Team nursing, total patient care, primary nursing, and functional nursing are four models that have been dominant in most inpatient facilities. Functional and primary care delivery models are the most commonly used methods in the clinics (Liang & Turkcan, 2016).