Practice Model

Once revered by the volume of care provided, insurance companies now emphasize value of the care provided. In order to remain successful in a market such as this, healthcare institutions must adopt a new culture where the patient experience is central to the care provided. This culture needs to envelope a new mindset where the patient, and patient family are considered equal, active participants in their care.

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

Budzi, Lurie, Singh, and Hooker (2010) state, “Nurse Practitioners’ (NP) interpersonal skills in patient teaching, counseling, and patient centered care contribute to positive health outcomes and patient satisfaction.” According to their research they encourage healthcare systems in the U.S. to hire more NPs to allow for better access affordable, and quality care (Denisco & Barker, 2016). With the demand for primary care providers, The NP role aids in delivering a solution to some of the healthcare issues that exist today. Organizations like the Institute of Medicine (IOM) and Centers for Medicare and Medicaid (CMS) all agree to allow nurses to practice to their full abilities to make healthcare more accessible and affordable, especially for the aging baby boomers and less accessible rural neighborhoods, and densely populated urban areas. Research has proven that NPs that provide primary care have similar health outcomes to primary care physicians (DeNisco et. al., 2016). NPs particularly take pride in their holistic approach, forming therapeutic relationships between other providers of the healthcare team, patients, and their families, aiding the informed decision making process, use of the evidence based practice approach in health management (Brown, 2005). Some of the other actions or qualities that

In 2001, the US Institute of Medicine’s seminal report, ‘Crossing the Quality Chasm: A New Health System for the 21st Century’, recommended six goals for improvement in healthcare, with one focusing on patient-centred care (Institute of Medicine [IOM], 2011). Furthermore, various international organisations, such as the Institute for Patient- and Family-

Quality patient centered care is vital to a hospital or clinic’s ability to treat whole patients. Dabney and Tzeng (2013) address the necessity to implement patient-centered care into clinic and hospital settings. The article clarifies what patient-centered care and service quality is by consolidating many works and sighting benefits medical professionals can observe in their practice.

Similar to ACOs, PCMHs provide patient care that is comprehensive, patient-centered, coordinated, accessible, safe and high quality (Agency for Healthcare Research and Quality [AHRQ], n.d.). In this model patients are assessed in a holistic approach (ANA, 2010). Care is coordinated by PCPs who arrange for appropriate “team members” to provide care for patient specific needs, allowing for continuity of care and reducing duplicate medications and labs (ANA, 2010). Team members support PCPs, are state-designated or community–based teams, and includes nurses, pharmacist, educators, care coordinators, dieticians, social workers, specialized physicians, integrative medicine providers, chiropractors, PAs, and behavior health providers (ANA, 2010; Cherry & Jacobs, 2016). PCMHs use best evidence-based practices to coordinate and integrate care, improve quality of care,

Responsible health teachings that are planned to help prevent illness, reduced morbidity, improve health and wellness practices and manage chronic conditions effectively with increasing patient care results. In this respect, Nurse Practitioner must stay consistent in maintaining a culturally sensitive patient-centered care environment by recognizing patients as part of the decision-making process (National Organization of Nurse Practitioner Faculties, 2016). The development of evidence-based practice and evaluation practicing of learning become vital parts by providing a significant response to improving the teaching-learning process and, more likely, participate in the competent and excellent in the management of patient care (National League of Nursing, 2016). Health care is continuously developing and improving; Nurse Practitioner must be committed to lifelong learning to continue with the stated fast-paced revolutions. Additionally, NP collaborates with other members of the health care team to promote healthy partnership within the organization to providing optimal care and transition to the care continuum accordingly (National League of Nursing, 2016). Nurse Practitioner decision-making is affected by their ethical principles to make simple decisions

The Patient Protection and Affordable Care Act (PPACA) with the creation of the Patient-Centered Outcomes Research Institute (PCORI) has sought out to provide health care providers and other organizations in the medical field, research and data to make better decisions about providing healthcare. These decisions are of course centered on patient-outcomes and cost effectiveness. Since the creation of the PCORI it has focused on very general topics in the medical field and may not address a large enough scope of issues before its reauthorization in 2019. The PCORI needs to focus on more specific and quickly effective issues to maintain its relevancy

The patient centered medical home was developed to improve the quality of care provided within the health care system. This ideal focuses around exactly as it sounds, the patient. The primary goals of the patient centered medical home model is to enhance primary care through means of better access, coordination of care, prevention, quality, and safety (Smith, 2013). There are various methods used, but the most recognized is multiple care specialties operating under one physician. Many various medical professionals and services form the patient care team within this system. The team is led by the patient’s primary care physician. The physician and care team will

I have learned to engage in practice-informed research and research –informed practice while at Mason and partners clinic as there are many challenges faced by the community we serve. The community faces many barriers as most of the Manassas clients are mostly undocumented Latino immigrant families. I have learned that many of the patients are used to living in crisis and continue to live in crisis as they migrate to the United States. Many of these patients run away from their countries due to corruption and violence. I have learned to meet people where they are and assist them in getting the most each time they are referred to social work while at the clinic. I continue to learn through Seminar 495 and 496 of what are the best approaches

Professional practice models can help guides nursing practice in any healthcare setting. Nursing care models are commonly adopted by Magnet organizations because they promote staff autonomy, shared decision making, patient-centeredness, and quality care. Nurses most often develop PPMs which reflect not only nursing values but the organization’s values as well. This paper will explore several elements of the Brigham and Women’s Hospital’s (BWH) Professional Practice Model (PPM). First, the model’s fundamental nursing framework will be identified. Next, a brief discussion on how the model promotes patient-centeredness, evidence-based practice, and interdisciplinary collaboration will be presented. Lastly, a summary of how the model fosters quality, safety, informatics, shared governance and leadership will be reviewed.

The current health care sector is too costly and too fragmented with a lot of variation in care even with established evidence based guidelines. Providers lack the tools, support and information they need to offer the coordinated health management that can reduce cost and improve outcomes. Primary Care Physicians are constrained in their abilities to perform any proactive care that involves avoiding Hospital or ER visits, and influencing healthy lifestyles.

The Center for Healthcare Research and Transformation is a think-tank non-profit organization borne of our very own university in a partnership with Blue Cross Blue Shield of Michigan designed to bring light to best practices and opportunities to improve health care policy and practice. The organization stands as a neutral advocate. Its purpose is stated simply: “to promote evidence-based care delivery, improve population health and [overall] expand access to care” (Center for Healthcare Research & Transformation (CHRT), 2015). Having formed back in 2007 as a result of the University of Michigan selling its M-Care health plan along with its HMO subsidiary, the then Blue Care Network, with an endowment of funds for five years, the center began its partnership with one of the most renowned insurance companies in the state.

Evaluation and Quality “Mayo Clinic defines quality as a comprehensive look at all aspects of a patient's experience. Mayo Clinic patients seek excellence in care, medical knowledge, experience and technology (TM Corporate website, 2017).”Reading through the website one can realize why the Mayo Clinic defines quality in such a way. Not only does it provided outstanding care to its patients it makes sure it is known around the world for the amazing care it provides to each and every patient that walks into one of its facilities. “Mayo Clinic takes pride in the quality health care provided at each of its three clinic locations and in the Mayo Clinic Health System, a network of clinics and hospitals in more than 70 communities in Iowa, Minnesota

The magical Mayo Clinic has what every hospital is looking for; exceptional patient care, top of the industry research, and an impeccable budget. Mayo Clinic is considered a leader in cancer, heart disease, respiratory disorders, and urology in research as well as patient care. It is a rarity that a hospital is ranked at the top of the U.S. ratings in so many specialties. According to Kotler and Keller, “The clinic’s two interrelated core values trace back to its founders and are at the heart of the all the organization does: placing the patient’s interests above all others and practicing teamwork” (2012). Mayo Clinic is so good at customer service because the doctors