Session 7: Healthcare Delivery Flashcards
Wellness and health promotion were intended to do what?
Reduce healthcare costs
Emphasizing wellness sifted focus from managing ______ to managing/________ _________.
Illness; promoting health
Focuses on improved outcomes and improved health for populations
- Well-baby care, health screenings, immunizations, family planning, exercise classes.
Primary and Preventative Care
Physician’s offices, community health centers, departments of health
Settings for primary and preventative care
Treatment and diagnosis of illness with both secondary and tertiary
Secondary and tertiary care
specialist care beyond the primary caregiver.
Ex: primary care doctor refers a patient to a cardiologist.
Secondary
specialized consultant care
Ex: the cardiologist sends the patient to a cardiac surgeon for a cardiac catheterization.
Might involve specialty hospital or unit.
Tertiary
Because of health care costs and for optimum outcomes, discharge planning must start when?
Time of admission
- Get referrals ASAP so there is no interruption in care and recovery.
- Figure out what the patient’s health care plan requires and honor those things.
- ALWAYS Involve the patient/family members in the planning process
- Provide comprehensive patient/family education.
Continuity of Care
Instructions/interactions, medical equipment instructions/arrangements, things to report with condition, access to resources, when and how to get further treatment, relate the patient’s responsibilities in the process for continued care.
Medication Education
- Weight
- Activity Level
- Eating Patterns
- Tobacco Use
- Alcohol Consumption
Modifiable health factors
- Age
- Genetics
- Ethnicity
- Menopause Status
Non-modifiable health factors
Services to help patient regain maximum function.
- Ex: Cardiac/pulmonary rehabilitation, sports medicine, spinal cord injury programs, home care, extended care facilities
Restorative Care
Ongoing care with attempts to maintain the patient’s level of functioning.
- Ex: Assisted living, Psychiatric and older day care (respite care), hospice
Continuing care
- Physical Therapy
- Occupational Therapy
- Speech Therapy
- Audiology
Types of therapy
We must involve the patient and/or family in every aspect of care including assessing the patient’s expectations from the first contacts.
Patient centered care
- Established by the American Nurses Credentialing Center (ANCC) for excellence in nursing practice.
- Requires nurses to collect data on nursing-sensitive quality indicators.
- required criteria
Magnet Recognition Program
Management Style & Quality of nursing leadership
Magnet Recognition Criteria
Transformational leadership
Organizational structure, Personal policies and programs, Professional Development, Image of Nursing
magnet recognition
Structural empowerment
Autonomy, Nurses as teachers, Interdisciplinary relationships.
magnet recognition
Exemplary Professional Practice
Quality improvement
magnet recognition
New Knowledge
Quality of Care
magnet recognition
Empirical Quality Outcomes
- Transformational leasdership
- Structural empowerment
- Exemplary professional practice
- New knowledge
- Empirical quality outcomes
Criteria for Magnet Recognition Programs
- Differences in health care outcomes and dimensions of care among population groups including access, quality, and equity among population groups.
- Can be related to race, gender, ethnicity, socioeconomic status, disability, location
Healthcare Disparities
Lack of health care insurance and lack of access to care
Common factors for healthcare disparities
- Lack of resources, education, economic and job opportunities
- Lack of safety, social support, transportation
- Cultural factors, residential segregation, language barriers, socioeconomic conditions
- Exposure to crime, violence, and social disorder
Social Determinants of Health
