The health care system has developed significantly in the way it operates, and is constantly changing with time, to achieve the best outcomes for both the HCP and the patient. Conducting research is fundamental, as it provides nurses/paramedics with an increasingly sound evidence base, from which they are able to adapt to and better their practice (Burns & Grove, 2007). Research is a systematic enquiry, which utilises disciplined methods to be able to solve problems and answer questions (Polit & Beck, 2008). Evidence-based practice in health care relates to the process in which the practitioner, utilising the research, obtains empirical evidence regarding the effectiveness of the range of options, and then determines the relevance
The growth of managed care and payment mechanisms employed by insurers and other payers in an attempt to control the rate of health care spending has also had a major impact on health care utilization. Efforts by employers to increase managed care enrollment, as well as major Medicare and Medicaid cost containment efforts such as the Prospective Payment System for hospitals and the Resource Based Relative Value Scale for physician payment, created incentives to shift sites where services are provided. Clinical documentation in the health record is critical to the patient, the physician, and the healthcare organization. Hospitals, in particular, have become more dependent on physician (provider) documentation in order to comply with the Centers for Medicare and Medicaid Services (CMS) regulations regarding quality and reimbursement. Place of service affects your reimbursement: Facility, non-facility designations make a difference In 2008, the Office of Inspector General (OIG) for the department of Health and Human Services intends to focus on Place of Service errors for services submitted by physicians.
Quality Improvement Report HCS/588 Measuring Performance Standards November 18, 2013 Quality Improvement Report Quality Improvement (QI) in healthcare is essential. There is always a need to improve healthcare organizations patient satisfaction as well as improving health outcomes. These improvements are the focus of management and it is the goal of management to assemble various employees within the organization to accomplish these goals. Organizations must have the personnel with the ability and insight to integrate a system that will provide distinct contributions such as a safer and effective healthcare environment (Lamb, Zimring, Chuzi, & Dutcher, July). This paper will address the foundational frameworks of QI, the various stakeholders’ definition of quality, the various roles of clinicians and patients in QI.
Strategic Plan Part I- Organizational Structure Jennifer Janke HCS/589 Health Care Strategic Planning Sheryl Mc Gee, PhD April 13, 2015 Strategic Plan Part I - Organizational Structure Strategic planning is necessary in health care organizations since change is a continuous aspect and implementation is necessary. For this project, Health South Sunrise Rehabilitation Hospital is the chosen organization that is moving forward by improving itself to provide better services to their patients. Mission and vision statements as well as values are important to be communicated with employees, stakeholders, and everyone else. Strategic planning will have successes and failures, but leaders need to think positive at all times. This paper will
Basic elements of effective communication construct patients and caregivers by sharing concerns and building trust. There is so much information available now that is making people build their self-confidence and part of effective communication distinguishing between helpful and harmful information. The basic rules of health care communication involve costs. Since there have been stricter review processes, referral systems, and reimbursement guidelines, many people worry about getting optimal care because they opt for managed care which saves them money (du Pre, 2005). Even Medicaid has accountability for quality.
A Vision for the Future Melanie Reynolds NUR/391 June 13, 2011 Patricia DeBruin Health Care and Nursing Today The health care system today is facing many challenges and opening many doors for opportunity and growth that will directly influence the nursing profession and more important the delivery of patient care. The expanding roles of nurses, the influence of evidenced-based practice, the importance of research and the trends in health care are directing the nursing profession toward a powerful evolution into a future of opportunity. The days of Florence Nightingale have long passed, but the example that she set for attending to the needs of patients is emerging to a higher standard today. Healthcare today is demanding nurses to keep up with and transform the nursing practice to meet the demands emerging today in health care. Influence of Evidence-Based Practice Evidence-based practice developed to facilitate a higher quality of care and the best patient outcomes.
According to Sollecito and Johnson (2013). “At often times Quality management is a systemic and continuous development that organization used to deliver products, services, and to distribute merchandise that will meet or exceed consumer expectations. Quality management in healthcare has evolved over the years to address increased demands from consumers related to the quality of care as well as to address problems in patient outcomes” at often times the meaning of quality is elusive because it looks different from one individual to another. According to Shannon (2012). “Risk management involves a process of making and carrying out decisions that will assist in the prevention of adverse events and minimize the effects of those events.
With values in service excellence, quality and safety, growth and profitability, and staff achievement, it’s important to remain knowledgeable of the national trends in healthcare as it may have a larger impact in how Trinity may deliver healthcare to the orthopedic, cardiovascular, and cancer centers. Another large trend seen in healthcare is the shift from fee-for-service model to a fee-for-value based system. In the current fee-for-service system reimburses providers for healthcare, where physicians and healthcare professionals have incentives to provide more for the patient in the form of tests ordered and procedures made. The fee-for-value system works on an equation of quality over cost over time, which provides patients with safe, appropriate, and effective care with enduring results at reasonable costs. (Binder, 2014).
In many professions, nursing especially, one can find rationale for every action. Rationale can be defined as the fundamental reason to account for something (Potter & Perry, 2006). While rationale may be present in many professions the importance of rationale may only be distinctly evident in a certain few. In nursing, rationales are used in everyday practice as nurses interact with patients (Potter & Perry, 2006). The way in which a nurse practices can greatly affect the outcome of the patient (Potter & Perry, 2006).
The Electronic Medical Record, Dollars or Sense? Anne Wolfersberger Ball State University Abstract In recent history, it has become increasingly necessary, that facilities, especially inpatient acute care hospitals, implement an electronic medical record. Clinical information technology is recognized by champions of healthcare quality as a means to save lives, improve less than optimal care, and reduce costs (J Healthcare Finance 2004). There are several advantages to adopting the EMR, from reducing preventable adverse drug events to improving drug prescribing. On the patient side it has been shown that patient compliance with medication regimens as well as follow up appointments and preventative care greatly increase with the