Care Coordination Flashcards
Care coordination
The deliberate organization of patient care activities between two or more participants involved in a patient’s care to facilitate the appropriate delivery of health care services
Who is involved in coordination care of the patient
PT,OT, dietary , pastoral care , case management , social worker , womb care , etc
What is the biggest thing about care coordination
They want us to do it
We should do it on every pt
It has to be deliberate if it is going to work.
Case manager
Care coordinates
Works with helping funding and what the patient needs outside of the hospital
Quality improvement
Put into place so we can make continuous improvement
What should be set into place for quality improvement
A standard such as we want zero falls.
What happens when we do not meet standard for quality improvement
What happened? And how are we going to improve it
What do we need in order for quality improvement to work
Buy in from everyone
What is quality improvement based on
EBP so if someone comes in with DKA with have DKA protocol ( insulin drip, fluids and sugar checks)
Continuous quality care
Promoting teamwork , focus on EBP and having buy in …
This shows if we are improving and increasing knowledge such as acccucheck once a year
Care should be
Safe
Effective
Patient centered
Equitable
Efficient
Timely
Equitable
Your care doesn’t change based on how much money someone has
Efficient
Avoiding wast so we can save money
( we have to save $ in order to give $)
Timely
How long were you in the ER with chest pain
How long were you in the ER with s/s of stroke
HCAPS
Monitor the hospital
Selective
Evaluate the hospital by a set of standards
What is the issue with HCAHPS
They add stuff such as pain management that is our of our control like in sickle cell patients
How can a nurse improve her communication?
Sit on the bed and talk to the pt
Be at eye level
Give pt time ( 30 sec)
Development of standards types
Outcome standards
Process standards
Structure standards
Outcome standards
Focuses on the results from the care given
For example- zero pt with CAUDI or infections ( because i did oral care pt did not get pneumonia ).
Process standards
Related to care delivery
For ex - we have 1 hr window to give medication .. if med is due at 0900 we can give it as early as 8 or 10
Structure standards
Related to the organization
Ex- so we have nurse manager on every unit or case manager or a case manager every 2 units
Outcome audits
Determined by the quality nursing care you did. As a result of direct care of pt .. this is where our nursing comes into play ( we have no pressure ulcers becuase we turn pt q4 or we dont have pneumonia because we do oral care q4)
Nursing sensitive and from direct care
Where our fall rates come in , CAUDI , and audits to make sure we are documenting effectively
Pt discharge delays
It’s important to work as a team to avoid this .. and to avoid med errors
Care variation
When we dont do what we are suppose to do .. why we have protocols to help us not have care variation
