Assignment: Patient-Centered Care Report Essay
Assignment: Patient-Centered Care Report Essay
The purpose of the public health improvement initiative (PHII is to respond to the patients need and enhance their experiences in the healthcare delivery. Responding to the patients needs and providing optimal outcomes within the continuum of the care demands constitute the central focus of patient-centered care delivery. The approach is defined in terms of the experiences of individualization, transparency, respect, and recognition of the patients’ desires, circumstances, and opinions towards the healthcare intervention plan. In normal healthcare settings, the system’s structures, cultures, and incentives are usually insufficiently aligned to promote patient-centered care.
The PHII approach was found to be effective in addressing the specific needs of patients; though, it can also be used for a wider population. Data from the health improvement process are used in designing patient-centered care systems with the purpose of meeting the unique needs of the patient. This study focuses on the case of Mr. Nowak who receives treatment ay the Uptown Wellness Clinic. The patient presents with traumatic brain injury (TBI). In the course of delivering health services to the patient, the healthcare facility would like to incorporate the recommendations from the Safe Headspace, a nonprofit organization working with the veterans with history of Post-Traumatic Stress Disorder (PSTD). The program undertaken by the Safe Headspace is a good example of PHII. Using the client’s case, the PHII outcomes from the Safe Headspace will be analyzed and possible gaps identified using Mr. Norwak’s case.
Expected Outcomes of the Population Health Improvement Initiative
The organization works to help veterans with PSTD and TBI in helping them develop life coping skills as well as achieve mood improvement. In one of the studies conducted under the program, a total of 400 participants aged between 45 and 50 years were recruited and their findings evaluated after four weeks. The findings indicated that the participants recruited in the program recorded significant improvements in terms of mood development, muscle growth and memory improvement. The program improved the patients’ treatment outcomes significantly as evident through the above mentioned parameters. However, the level of integration between the patients and their family members was not adequately addressed and most of the clients reported having difficulties in receiving other medical intervention from external sources or even being integrated back to their families.
Strategy for Improving the Outcomes of the Population Health
Development of seamless care across the continuum of care ensures that the patients’ needs are fully addressed and they are well integrated back into the society by the Safe Headspace. The patients’ journey from the point of injury to the community re-entry is complex and involves a multiple of transitions from one care setting to another (Berwick, Downey, Cornett & National Academies of Sciences, Engineering, and Medicine, 2016). A slight interruption at any stage of healthcare delivery may negatively impact the patients’ prognosis and treatment outcomes. Furthermore, with limited patient-centered care approach, the transition from one setting to another can be abrupt, chaotic and disorganized. Therefore, the initiative targets at improving the communication among the healthcare providers, the patients and family members at different levels of care to ensure effective management of Mr. Nowak.
Over the past periods, the continuum of care for the TBI and PSTD patients was fragmented and characterized by limited communications among the various healthcare providers. Lack of effective information management system and the process would result in the use of alternative communication approaches such as writing clinical information on patients. The existing gaps in the communication were associated with a myriad of factors including the fast operational speed, high casualty load, and limited data on patients’ prehistory and immature theatre infrastructures (Berwick, Downey, Cornett & National Academies of Sciences, Engineering, and Medicine, 2016). The outcomes of the initiative, in this case, will include improved and efficient communication between the healthcare providers, which will facilitate effective review and follow-up on the patient’s condition and progresses. Additionally, the afforded care providers at the treatment facilities will have a deeper understanding of patient management strategies. The casualty evacuation will also improve significantly in both the capability and speed; this will be driven by the recognition that the patients’ treatment outcomes could be improved through the definitive care and provision of the earlier advanced care.
Absence of the common communication channel hinders the constant integration and coordination of the various health units
requirement in the effective management of traumatic brain injuries (Zatzick et al., 2018). According to the multiple assessments done by the military in Afghanistan and Iraq, it is apparent that absence of the common communication portal is a major barrier to the realization of the effective communication and seamless care transitions (Berwick, Downey, Cornett & National Academies of Sciences, Engineering, and Medicine, 2016). In most cases, the flow of information in the battlefields tends to be unidirectional; this limits the transition of the patient’s information to the respective healthcare providers (Berwick, Downey, Cornett & National Academies of Sciences, Engineering, and Medicine, 2016). Developing data sharing technologies and telemedicine serves as effective and viable measures to use in improving the quality of care delivery by the Safe Headspace.
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Interventions to Improve Population Health
The telemedicine and data sharing technologies are meant to facilitate data sharing and coordination among the various health delivery units. Proper coordination is needed to reduce the patients’ turnaround time as well as enhance the treatment efficacy. The measure will ensure that the healthcare providers are able to acquire patients past medical histories in advance to avoid the development of the treatment intervention plans that may contradict their past medications (Zatzick et al., 2018). The ultimate goal in the adoption of the technology is to promote the seamless transition to the rehabilitation and facilitate recovery and reentry of the patients with traumatic brain injuries to the population. In as much as the rehabilitations are to be the immediate care phase that start immediately after the acute medical and surgical interventions, initiating the rehabilitation process at the acute phase of treatment is crucial in the optimization of the recovery process of the patients. Patients with brain injuries require both physical and psychosocial healing. The study conducted to explore the recent impacts of Afghanistan and Iraq conflict and their treatment programs indicated that more attention is given to the early and comprehensive rehabilitation (Winter, Moriarty, Robinson, Piersol, Vause-Earland, Newhart, & Gitlin, 2016).
Approach to Personalizing Patient Care
The main objectives of the UWC are to diagnose and manage the condition of Mr. Nowak and this can be effective achieved through the development and application of the evidence-based care plan adopted from the Safe Headspace treatment plan outcomes. It is important to note that different patient groups have unique needs and thus require customized care delivery approaches. Using the evidence-based practice skills, it was evident that the break in the communication channels is a major drawback in the delivery of efficient and quality care to soldiers with traumatic brain injuries (Berwick, Downey, Cornett & National Academies of Sciences, Engineering, and Medicine, 2016). Therefore, developing multidisciplinary and state-of-art rehabilitation are important in the advanced rehabilitation programs in the UWC considering that it deals with large number of patients with PSTD and TBI. The proposed technologies serve to facilitate the role of interdisciplinary teams in consolidating the patients’ management and treatment processes and promoting quick recovery and re-entry of the soldiers with TBI to the general population,
Justification of the Value and Relevance of Evidence Used
There is sufficient evidence supporting the effectiveness of the data transfer technology and telemedicine in promoting the seamless transitions across the continuum of care. According to King, Beehler, Vest, Donnelly and Wray (2018), the coordinated information and data sharing facilitates the discharge rounds among the TBI patients and thus reducing their length of hospital stay. Furthermore, the study conducted by Twamley, Jak, Delis, Bondi and Lohr (2014), shows that transitional care model with the advanced nursing practice involves the responsibility of managing the data flow between the various phases of care delivery. The use of data sharing technologies enhances the transition of care and reduces the cost of medication among the patients with chronic illnesses that requires complex treatment regimens (King, Beehler, Vest, Donnelly & Wray, 2018). The health initiative has been proven effective in various healthcare settings and thus would still be essential in addressing the need to effectively management TBI among the soldiers.
Framework for Evaluating the Outcomes
The anticipated outcomes in the initiative implementation include a reduced number of patients’ hospital stay, low rates of preventable deaths among the soldiers with TBI, improved communication and coordination among the healthcare providers and lastly, reduced medication costs. Tracking these parameters over time will help in assessing the effectiveness of the development intervention in enhancing the seamless transitions across the continuum of care among the soldiers with TBI (Twamley, Jak, Delis, Bondi & Lohr, 2014). The criteria are an appropriate measure of success because it involves specific health progress indicators. Over the past, poor management of the patients was marked with adverse outcomes including high mortality, lengthy patient stay, poor communication and data sharing among the healthcare providers and increased medication costs. Therefore, comparing these parameters before and after the implementation of the initiative will provide a realistic and accurate picture of the significance of the program in promoting public health.
Communication integration is an important aspect of healthcare delivery and thus can be transferred to other healthcare delivery settings especially in areas where the patients need to undergo a series of healthcare procedures. Adopting the seamless care across the continuum of care would significantly improve the treatment outcomes of the PSTD and TBI patients being managed in UWC. The initiative reduces fragments in across the phase of trauma care and general healthcare management.
Patient-Centered Care Report:Write a report on the application of population health improvement initiative outcomes to patient-centered care, based on information presented in an interactive multimedia scenario.
In this assessment, you have an opportunity to apply the tenets of evidence-based practice in both patient-centered care and population health improvement contexts. You will be challenged to think critically, evaluate what the evidence suggests is an appropriate approach to personalizing patient care, and determine what aspects of the approach could be applied to similar situations and patients.
Patient-Centered Care Report
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Apply evidence-based practice to plan patient-centered care. ◾Evaluate the outcomes of a population health improvement initiative.
◾Develop an approach to personalizing patient care that incorporates lessons learned from a population health improvement initiative.
Competency 2: Apply evidence-based practice to design interventions to improve population health. ◾Propose a strategy for improving the outcomes of a population health improvement initiative, or for ensuring that all outcomes are being addressed, based on the best available evidence.
Competency 3: Evaluate outcomes of evidence-based interventions. ◾Propose a framework for evaluating the outcomes of an approach to personalizing patient care and determining what aspects of the approach could be applied to similar situations and patients.
Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision. ◾Justify the value and relevance of evidence used to support an approach to personalizing patient care.
Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions. ◾Write clearly and logically, with correct grammar and mechanics.
◾Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
In this assessment, you will base your Patient-Centered Care Report on the scenario presented in the Evidence-Based Health Evaluation and Application media piece. Some of the writing you completed and exported from the media piece should serve as pre-writing for this assessment and inform the final draft of your report. Even though the media piece presented only one type of care setting, you can extrapolate individualized care decisions, based on population health improvement initiative outcomes, to other settings.
Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance level descriptions for each criterion to see how your work will be assessed.
Writing, Supporting Evidence, and APA Style
◾Write clearly and logically, using correct grammar and mechanics.
◾Integrate relevant evidence from 3–5 current scholarly or professional sources to support your evaluation, recommendations, and plans. •Apply correct APA formatting to all in-text citations and references.
•Attach a reference list to your report.
Address the following points in a 4–6 page report:
◾Evaluate the expected outcomes of the population health improvement initiative that were, and were not, achieved. •Describe the outcomes that were achieved, their positive effects on the community’s health, and any variance across demographic groups.
•Describe the outcomes that were not achieved, the extent to which they fell short of expectations, and any variance across demographic groups.
•Identify the factors (for example: institutional, community, environmental, resources, communication) that may have contributed to any achievement shortfalls.
◾Propose a strategy for improving the outcomes of the population health improvement initiative, or ensuring that all outcomes are being addressed, based on the best available evidence. •Describe the corrective measures you would take to address the factors that may have contributed to achievement shortfalls.
•Cite the evidence (from similar projects, research, or professional organization resources) that supports the corrective measures you are proposing.
•Explain how the evidence illustrates the likelihood of improved outcomes if your proposed strategy is enacted
◾Develop an approach to personalizing patient care that incorporates lessons learned from the population health improvement initiative outcomes. •Explain how the outcomes and lessons learned informed the decisions you made in your approach for personalizing care for the patient with a health condition related to the population health concern addressed in the improvement initiative.
•Ensure that your approach to personalizing care for the individual patient addresses the patient’s: •Individual health needs.
•Economic and environmental realities.
•Culture and family.
•Incorporate the best available evidence (from both the population health improvement initiative and other relevant sources) to inform your approach and actions you intend to take.
◾Justify the value and relevance of evidence you used to support your approach to personalizing care for your patient. •Explain why your evidence is valuable and relevant to your patient’s case.
•Explain why each piece of evidence is appropriate for both the health issue you are trying to correct and for the unique situation of your patient and their family.
◾Propose a framework for evaluating the outcomes of your approach to personalizing patient care. •Ensure that your framework includes measurable criteria that are relevant to your desired outcomes.
•Explain why the criteria are appropriate and useful measures of success.
•Identify the specific aspects of your approach that are most likely to be transferable to other individual cases.