Care Coordination - 6 views

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  #1 onturner on 26 Oct 14

   

  Hajewski, C.j., Shirey, M.R. (2014). Care Coordination: A model for the acute care hospital setting. The Journal of Nursing Administration. 44(11): 577-585.
  
  In this article, the authors evaluate a patient care delivery model that redefines foles to streamline care coordination processes in response to the new reform health legislation. According to the article, the Department of Health and Human Services released rules to support care coordination processes and made incentives available to reward accountable care organizations that lower costs while meeting evidence-based quality performance standards. The theoretical framework used is the quality-caring model, and shows promise in it's application toward our rural OB/GYN maternity unit. The goal is to have staff RNs on the unit coordinate care for most patients as part of their scope of practice. To guide the change, a unit-based nursing care tam was organized to include a primary nurse, nurse manager, team leader, case manager. The team also met weekly with the CNO, a six sigma expert, the nursing clinical information analyst, and the manager of case management.
  A report in the Wall Street Journal, however, reports that many ACO's have complained about the stringent rules and benchmarks, stating that the spending benchmarks are unrealistic because it is not adjusted to reflect local economic conditions As a result, currently, only 19 of 32 original participants remain, the rest having dropped out of the Pioneer Accountable Care Organizations Program, applying to the Medicare Savings Program instead.
  
  (2014, Aug 11). The Biggest Misconceptions People Have About the Medical Profession. The Wall Street Journal.

   

  <div class="cArrow"> </div><div class="cContentInner">Hajewski, C.j., Shirey, M.R. (2014). Care Coordination: A model for the acute care hospital setting. The Journal of Nursing Administration. 44(11): 577-585. <br /> <br /> In this article, the authors evaluate a patient care delivery model that redefines foles to streamline care coordination processes in response to the new reform health legislation. According to the article, the Department of Health and Human Services released rules to support care coordination processes and made incentives available to reward accountable care organizations that lower costs while meeting evidence-based quality performance standards. The theoretical framework used is the quality-caring model, and shows promise in it's application toward our rural OB/GYN maternity unit. The goal is to have staff RNs on the unit coordinate care for most patients as part of their scope of practice. To guide the change, a unit-based nursing care tam was organized to include a primary nurse, nurse manager, team leader, case manager. The team also met weekly with the CNO, a six sigma expert, the nursing clinical information analyst, and the manager of case management. <br /> A report in the Wall Street Journal, however, reports that many ACO's have complained about the stringent rules and benchmarks, stating that the spending benchmarks are unrealistic because it is not adjusted to reflect local economic conditions As a result, currently, only 19 of 32 original participants remain, the rest having dropped out of the Pioneer Accountable Care Organizations Program, applying to the Medicare Savings Program instead. <br /> <br /> (2014, Aug 11). The Biggest Misconceptions People Have About the Medical Profession. The Wall Street Journal.</div>

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  #2 Phyllis Wright on 29 Oct 14

   

  It was interesting in this study that there were not statistical improvements between the two units, specifically pointing to lower costs of care and and quality outcomes. Also telling was the last sentence under limitations: "Evaluation of the balance or patient care requirements .....was complex and time consuming." Truly indicative of the complexity of this Complex system.

   

  <div class="cArrow"> </div><div class="cContentInner">It was interesting in this study that there were not statistical improvements between the two units, specifically pointing to lower costs of care and and quality outcomes. Also telling was the last sentence under limitations: "Evaluation of the balance or patient care requirements .....was complex and time consuming." Truly indicative of the complexity of this Complex system.</div>

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