Patient Centred Care Essay
For instance, it is possible for business practices, regulatory requirements and reimbursement impacts on the care that is centered on patients within the healthcare organization in different ways. These include the aspect of not being able to meet the required quality of services required through the use of certain business practices. For instance, it may be related to the mode of payment as well as the specific kinds of services that are provided. This limits the patients in terms of the nature of services that they can get. The regulatory requirements in the same sense guide the healthcare organizations on the particular services that they are allowed to offer. This idea is mainly based on the fact that it is through PFCC that the right way to provide healthcare services through the respect of the beliefs of the patients and their personal preferences can be considered.
This is warranted on the moral grounds as opposed to the likely healthcare outcomes. Currently, the PFCC model takes into consideration most of the activities that are centered on the patients as well as the need to include their families. For this reason, there is a greater need for the patients to be more activities in the ability to develop and continue the care that is provided. Thus, the patient and their families are considered to be part of a team. d. They make use of benchmarks such as Medicare reimbursements and make the need to meet such measurements important as outlined by CMS. They are composed of the home health, sub acute, palliative, acute and hospice services. Thus, a pay for performance standard or PPS has been set through the Affordable Care Act (ACA).
It may lead to the reduction of payments made to the hospital in case they are not able to fulfill the placed benchmarks. HH also provides management care through the coordination of varied services, such as services that are relevant to diagnosis, management and reconciliation of medication, referrals for community resources and direct care. There has been the adoption of PCFF for the regional best practice that draws it ideas from the evidence based studies hence its amendment into the policies as indicated by Archer et al. Organizational evaluations The use of the PFCC Self Assessment tools for organizations ensures that their scores range from one to five. Since HH is outside the hospital, there are many aspects of the tools that do not apply to this agency.
Thus, most of these areas get the low score of one. This portion on of responsibility is written to encourage the approach of the firm for the patient to participate in the care through the adoption of a healthy lifestyle and the consideration of the rights of other patients despite the fact that the PFCC is not mentioned in any of these documents (The Kaiser Papers, 2000). Advisors In this sector, most of the elements scored ones apart from the focus on the patient or the family advisory council, which is found in the hospital setting. During this time, the patients and their families do not take part in the HH committees. This is an indication that in the setting of HH, the conferences that deal with patient care are scheduled twice a month.
The patients are encouraged to attend a few meetings throughout the year in order to address the varied communication issues. Subsequently, it is reviewed by a representative from the PCMC after which an internal investigation is done to reach a resolve. However, at times, the complaints and the resolve are kept within the employee’s file. During this time, patients are not considered to be part of the task force, the QI teams, the risk and the safety committees. Personnel This area is concerned with five scores apart from the aspect of new employee orientation (NEO) that scored a one due to the fact that there is no inclusion of patient input within the regional presentation or training. HH has front line staff who are given a performance appraisal annually.
It mainly makes use of the Epic Systems Electronic Health Record or EHR. It enables the provision of a snapshot of the first pane that is viewed during the assessment of the patient chart. In this page, there is the display of lots of important data such as the number of the medical record, date of birth, ethnicity, race, religious preference, special needs and the spoken language. The system is also able to sort out and track the provisions by KP to consider the trends and the gaps. There are translation services for all members in all departments throughout the day. Care Support This domain ranged from one to five. The patients in HH can access phones to the HH CNS after the hours with issues of urgent care.
Visits for home health are done within the operation hours where the families and caregivers are allowed to stay during the direct care as long as the privacy of the patient is maintained. Gaps in Patient and Family Centered Care Most of the elements in HH have been addressed in the tool although the services are located outside the hospital settings. There are offices that offer daily services for the HH. The payment of a hospital that does not meet the core measured standards will be reduced significantly. It is therefore recommended that the standards of some of the current practices and plans be applied for the future and provided to guide the facilities towards a successful PFCC (The Joint Commission, 2014).
The Accountable Care Organizations (ACO) get a higher reimbursement rate as demanded by the ACA. The Centers for Medicare and Medicaid Services (CMS), which is among the highest healthcare payers also outlines the PFCC importance through the launch of a program that listens to the voice of the patients. This includes the PF into the national goals by providing the examples for some of the facilities to provide their policies and procedures (Centers for Medicare and Medicaid Services, 2014-b). Strategy and Financial Implications The need to change the NEO to take a patient speaker into consideration comes with a little financial impact since it would require voluntary intervention. It is possible for patients to present their partnership ideas and collaboration. They may be able to share personal experiences that would provide a proper connection with the audience.
The KP already owns the ethnographies, which makes the only needed cost to be the changes to the NEO and the cost incurred from printing an agenda on new orientation. It will also include the presentation of the back story on the ethnographies and the provision of the results at no extra cost by the Regional representative in the PG in accordance with her contract to take part in training. The main function of the committee will be to make plans on the dissemination of information through the determination of the mode and method at the NEO. Thus, they will deliberate on whether to have a presentation by a speaker or to include and audio visual communication strategy and then agree on the duration of the presentation that will maintain the attention of the audience.
Specific tools for Team Building One of the most appropriate tools to use is the Keirsey tool for self assessment and the sorting of temperaments. This is because it provides the chance for the individuals to gauge their own weaknesses and strengths. It is possible for the differences in personalities to present barriers in such cases where every individual has a different point of view. The other opening activity could be the encouragement of the team members to introduce themselves by talking about their jobs, provide one external interest and one fact that they possibly do not know about themselves. This is an ice breaker that could still make use of the group settings in KP. Moreover, engaging themselves in an open discussion where they discuss their experiences as patients or caregivers will also be important in determining the thought processes of the members.
Divergent and Convergent Method A number of challenges are presented by the need to work in a group. This can be handled by narrowing down to the specific idea that help in the development of the PDSA Cycle. This may help them accept the illnesses and strive to make better physical and emotional goals. References Archer, N. , Fevrier-Thomas, U. , Lokker, C. , McKibbbon, K. Retrieved October 21, 2015, from http://partnershipforpatients. cms. gov/about-the-partnership/patient-and-family-engagement/the-patient-and family-engagement. html Epstein, R. M. org/tag/patient-centered-care/Keirsey. com. (n. d. Keirsey Temperment Sorter-II. aspx Domain Element1 Low toHigh Donot know Leadership/ Operations Clear statement of commitment to PatientFamily Centered Care and Patient/Familypartnerships 1 2 3 4 5 X Explicit expectation, accountability, measurementof Patient Family CenteredCare 1 2 3 4 5 X Patient/Family inclusion in policy, procedure,program, guideline development, Governing Boardactivities 1 X 2 3 4 5 Mission, Vision,Values Patient Family Centered Care included in Mission, Values, and/or CoreValues 1 2 3 4 5 X Patient/Family “friendly” Patient Bill of Rightsand Responsibilities 1 X 2 3 4 5 Advisors Patient/Family serve on hospitalcommittees 1 X 2 3 4 5 Patient/Family participate in quality and safetyrounds 1 X 2 3 X 4 5 Patient and family advisorycouncils 1 2 3 4 X 5 Quality Improvement Patient/Family voice informs strategic /operational aims/goals 1 X 2 3 4 5 Patients/Families active participants on task forces,QI teams 1 X 2 3 4 5 Patient/Family interviewed as part ofwalk-rounds 1 X 2 3 4 5 Patient/Family participate in quality, safety, andrisk meetings 1 X 2 3 4 5 Patient/Family part of team attending IHI, NPSF,and othermeetings 1 X 2 3 4 5 Personnel Expectation for collaboration with Patient/Family in job descriptions & Policies in Performance AppraisalProcess 1 2 3 4 5 X Patient/Family participate on interview teams,search committees 1 2 3 4 5 X Patient/Family welcome new staff at newemployee orientation 1 X 2 3 4 5 Staff/physicians prepared for & supportedin Patient/Family Centered Carepractice 1 2 3 4 5 X Environment AndDesign Patient/Family participate fully in all clinicaldesign projects 1 X 2 3 4 5 Environment supports patient and family presenceand participation as well as interdisciplinarycollaboration 1 2 3 4 5 X Domain Element3 Low High Donot know Diversity& Disparities Careful collection and measurement; race / ethnicity/ language 1 2 3 4 5 X Patient/Family provided timely access to interpreter services 1 2 3 4 5 X Navigator programs for minority and underservedpatients 1 2 3 4 5 X Educational materials at appropriate literacy levels 1 2 3 4 5 X Charting and Documentation Patient/Family have full and easy access to paper/electronic record 1 X 2 3 4 5 Patient and family are able to chart 1 X 2 3 4 5 CareSupport Families members of care team, not visitors, with24/7 access 1 2 3 4 5 X Families can stay, join in rounds & change of shiftreport 1 X 2 3 4 5 Patient/Family find support, disclosure, apology witherror andharm 1 2 3 X 4 5 Family presence allowed/ supported during rescueevents 1 2 3 4 X 5 Patient/Family are able to activate rapid responsesystems 1 X 2 3 4 5 Patients receive updated medication history at eachvisit 1 2 3 4 5 X main Element4 Low High DoNot Know Care Patient/Family engage with clinicians in collaborative goal setting 1 2 3 4 5 X Patient/Family listened to, respected, treated aspartners incare 1 2 3 4 5 X Actively involve families in care planning andtransitions 1 2 3 4 5 X Pain is respectively managed in partnership with patient andfamily 1 2 3 4 5 X Domain Element2 Low High Donotknow Information/ Education Web portals provide specific resources forPatient/Family 1 2 3 4 5 X Clinician email access from PF is encouraged andsafe 1 X 2 3 4 5 Patient/Family serve as educators/faculty for cliniciansand otherstaff 1 X 2 3 4 5 Patient/Family access to / encouraged to useresource rooms 1 2 3 4 5 X.
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