In 2009, Blue Cross Blue Shield of Michigan (BCBSM) and its physician partners embarked on the nation’s largest patient-centered medical home (PCMH) designation program. The major goals of the program are to better manage patient care, reduce unnecessary tests, avoid unneccesary hospital admissions, and avoid emergency department visits. The project focuses on four areas of patient-centered medical home practices: care management, self-management support, care coordination, and linkage to community services. Population Blue Cross Blue Shield of Michigan’s patient centered medical home program is one of the largest in the nation. Consequently, BCBSM 's patient-centered medical home program can positively affect close to 2 million Michigan residents.…
The third concept in family centered care is participation. Families with the ability to partcipate in treatment plans for the patient results in decreased stress and anxiety, in addition to decreased hospitalization for the child (Coyne, O 'Neill, Murphy, Costello, & O 'shea, 2011). This concept was implemented when the mother was informed that if she observed her son having difficulty breathing or upset, that she can press the call bell and the nurse will come to assist her. Another example in the scenario was when the mother was holding the child during x-rays this enabled the mother to participate with the child’s care, empowering her.…
High patient to nurse ratios takes away with the nurse communicating with the patient and family effectively and developing trust. Relieving patient fear and anxiety can be a challenge when the nurse has less time to spend with the patient because of increased patient load. This does not allow the nurse to develop trust with the patient and family and discuss details about the patient and their treatment. There are ways to improve this type of care, but it will take dedication and a hospital wide effort.…
When the patient and their family are aware of the health status of the patient and the available treatment options, they can make better healthcare decisions. Thus, they become more independent and self-efficient in…
Interacting and treating a patient with mutual respect and understanding, creating a therapeutic relationship based on trust and equal power, and treating each patient as an individual are all vital factors of an individualized person centred approach to nursing care with older people. A person centred practise framework consists of four main parts. Pre-requisites, care environment, person centred process and expected outcomes. Applying principles of person centred care to each patient is extremely important especially with adults of the older age. It improves the caring experience of the older person and ensures the dignity and independence of the patient is upheld at all times.…
Person-centred care is ensuring every individual patients needs and requirements are met by the nurses or carers. It ensures patients are treated with dignity, compassion and respect and as unique individuals. Demonstrating good person centred care reassures the patient that the nurse of carer fully respects their views in the decision making of their treatment and care. Person centred care is about making the patient aware of their care plan therefore providing the patient with reassurance, support and comfort.…
Healthcare Services (Providers & Partners, N.d.). If the prospective enrollee does need this type of care, then he/she is determined eligible to attend a PACE program. If they do not need this type of care then an adult day health care or adult day care center would be the most suitable type of care for them. Once this is done, the PACE plan will schedule an assessment on the enrollee’s social and medical health from the interdisciplinary team and create a plan of care. The plan of care gets updated when needed by the interdisciplinary team to make sure the care provided is appropriate at all times for the enrollees health and social needs.…
INTRODUCTION Patient and family centered care (PFCC) guides our everyday interactions and our planning and program development. The main goal of PFCC is to create a mutual partnerships among healthcare providers, patients and families that enhance the quality and safety and care for each family and lead to the best health outcomes. The PFCC approach places an effectiveness on building relationships between patients, families, and healthcare providers. Family plays a main role in ensuring the health and well-being of patients. Health care practitioners have the expertise and experience in assuring the safety of patients, families and staffs.…
The Affordable Care Act of 2010 required that the services funded by the Centers of Medicare and Medicaid Services must be provided in a person-centered setting (Burm, 2014). Recently, however, this concept is beginning to get strictly implemented in most HCBS settings, in order to provide integrated and coordinated care. ‘Person-centered’ care allows for a holistic methodology to enhancing an individual’s health and well-being. Person-centered care focuses on an individual’s “physical health, intellectual health, social wellness, emotional wellness, creative being and spiritual being” (Burm, 2014). It allows for care to be planned based on an individual’s particular reference, values and goals.…
Technology Across the Care Continuum “Continuum of Care is a concept involving a system that guides and tracks patients over time through a comprehensive array of health services spanning all levels and intensity of care.” (HIMSS Committees, n.d.). The continuum of care includes all levels of care during a person’s lifetime. The type of setting may include primary care doctor inpatient or outpatient. Technology Across the Care Continuum…
What is it called when someone prevents sickness, protects people, and treats health issues for families and other patients? Nursing. Nursing is the protection, promotion, and Optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response,and advocacy in the care of individuals, families, communities, and populations. Nursing is more than just providing patient care and helping prevent accidents or things. Nursing is providing patients about many health conditions, and advice or support to patients and their families if needed.…
Sufficient communication not only reduces the likelihood of medical errors but it could also but the patient at ease with their medical plan of action. According to The Journal of Family Practice “The pathway suggests a process through which patient-physician communication influences patients’ health, by first influencing the patients’ perceptions of being a full participant in the discussions during the encounter” (Oates, 2000). As stated previously Alyssa was already frustrated, agitated, and in pain while waiting to be admitted. This being said, she must have been exhibiting obvious verbal and nonverbal cues. As mentioned in class, the ability to pick up on verbal and nonverbal cues can help a healthcare professional confirm whether or not the patient’s cues are congruent with their mental/ physical state.…
With duties commonly encroaching upon personal life quality, carers are one service user group who would significantly benefit from informative information explaining rights. Aldbridge and Hughes (2016) report 1.2 million informal carers experience poverty because the demands of caring restricts working. Social and emotional support are key to overcoming pressures as stronger caring situations, like devoted and supportive mother/daughter, usually help each other achieve better outcomes (Reblin and Uchino, 2008). On the other hand, strained relationships with mixed emotions potentially fosters substandard caring and imposed risk towards vulnerable adults, who if blamed for a predicament, fall upon the mercy of carers (ADASS, 2011). Resentful…
Family Centered Care (FCC) as defined by the Picker Institute (Balik, 2011) is the improvement of healthcare through the eyes of the patient p4. The idea of FCC came about in the 1950s which expended further in the 1970s by Balint and his colleagues. It is the belief that patients, along with their families, should be treated with respect along with having an inherent right to receive information and to participate in their care. Research has shown that patients who are more involved with their care were better able to manage their chronic illness, showed a reduction in stress and anxiety level, which ultimately led to shorter hospital stays p6. Because of these core values organizations like the Centers of Medicare and Medicaid Services…
Mr. Kenny Rivera graduated from the University of California, Santa Cruz with a Bachelor’s Degree in biological science. During his time there Mr. Rivera developed a strong and enthusiastic commitment to public service by volunteering for various organizations, including John Muir Hospital, and the American Medical Student Association. His dedication to service even took him so far as to travel to Nicaragua and Costa Rica with the “Vida Volunteer Medical Mission Group” where he was able to help provide basic medical care and education to rural and urban populations. Here, as a student at Universidad Autónoma de Guadalajara, Mr. Rivera brought his passion for helping others and immediately put it to work by volunteering in various underprivileged community clinics. While working in these clinics, Mr. Rivera conducted a clinical research survey to determine the outcomes with strict adherence to prescribed…