4-The Collaborative Patient Care Management Model, which is a multi-disciplinary and a population-based case management model, was first introduced in the year 2006. The prime objective of the model was to target such patients, which could be classified as high-cost and high-risk. The nurses not only manage these patients but also play a vital in the development of inter-disciplinary care plan (Kimball, Joynt, Cherner, & O’Neil, 2007). The model allows to develop a highly potent care plan, which has 1) greater potential to produce the desired results, and 2) the ability to reduce the overall cost of the care to be provided without compromising on its quality.

Reference

Kimball, B., Joynt, J., Cherner, D., & O’Neil, E. (2007). The Quest for New Innovative. Journal of Nursing Administration, 37(9), 392-398.

 

 

 
 

5-Thank you for sharing your post.  I agree that the ACO’s are beneficial in helping to streamline healthcare.  I have enjoyed the creation of the EMR as it allows other doctors within the same health organization access to my record so they know what it going on with me and I do not have to remember all the details.  This can be important especially in the older population as many forget to write things down.  Providing coordinated care helps to ensure that patients are receiving the right care.  Continuity of care is important to patients as well because they do not want to repeat everything that is going on with them when it has already been asked.  I find that many patients want the same nurse back if they are going to be there for several shifts in a row as they can build a short term relationship with them.

 

 

6-Accountable Care Organizations (ACO) is a network of doctors, hospitals, care providers home care and long-term care agencies, physician group practices, and other health care entities, such as medical homes, that come together to form a network to coordinate Medicare patient care. They share financial and medical responsibility for providing coordinated care to patients in hopes of limiting unnecessary spending. ACO are beneficial to both providers and patients. Providers become eligible for bonuses if they keep their patient’s healthy, while also meeting quality targets keep a portion of the savings. Patient’s benefit from having their care coordinated instead of getting each part of their health care separately. This reduces hospital stays, emergency room visits and expensive specialist and testing services that may be repeated by multiple healthcare providers. To protect patients ACOs must meet a long list of quality measures to ensure they are not saving money by stinting on necessary care. And if a patient is unsatisfied with there ACO they can see doctors of their choice outside the network without paying more and decline to have their information shared with the ACO (KaiserHealthnews.2015).

Reference

Kaiser Health News.(2015). Accountable Care Organizations, Explained. Retrieved from https://khn.org/news/aco-accountable-care-organization-faq/

 

 

In this discussion we will talk about out expected change outcomes and implantation process outcomes. We will focus on our outcome’s management. “The principles supporting outcomes management (OM) ascribed by Ellwood included emphasizing practice standards that providers can use to select interventions, measuring patient functional status, well-being, and disease-specific clinical outcomes, pooling outcome data on a massive scale, analyzing and disseminating outcomes, in relation to the interventions used, to appropriate decision makers and stakeholders” (LoBiondo-Wood, Haber, 2014, pg. 225)

Expected Change Outcomes

Our expected outcome would be patients with COPD who practice relaxation techniques versus not using relaxation techniques would see an improvement in their dyspnea and anxiety in a years’ time. Our goal would to be better control our patient’s COPD and decrease exacerbations and dyspnea. Also, to decrease the scores on the patients PHQ-9 and GAD-7 questionnaires. In doing so we would have less re-admissions to hospitals and a better quality of life. Our measurable goal would to have a decrease in admission to the hospital for COPD exacerbations. This would be measured by looking at how many times a patient was admitted to the hospital in the previous year and try to decrease this number. Then we would compare it to how many times she was hospitalized after educating them on relaxation techniques to see if the number of admissions decreased

Implementation Process Outcomes

           The implementation process will be that every nurse will be doing both the education and screenings by the first week once we make the change in practice. The nurse manager will ensure that all nurses are educated on the relaxation techniques and screenings, and that they are being done with every COPD admission. By the second appointment for the COPD patients, our patients will be screened on performing the relaxation techniques correctly, PHQ-9, GAD-7 questionnaires, and if the patient has been to the hospital for a COPD exacerbation. We will continue to do these screenings at every appointment. We will see our COPD patients every 3 months to evaluate. We will see them at the end of the year and compare their current numbers to their numbers in the beginning of the year. Our nurses will have quarterly meetings to ensure everyone is teaching their relaxation techniques correctly and are doing their questionnaires. Specific barriers that we could run into is nursing staff rushing through the demonstration of the relaxation techniques and rushing the patients during their PHQ-9 and GAD-7questionsairs. This will be eliminated by giving the nurses more time when checking in COPD patients. 

Reference

LoBiondo-Wood, G., & Haber, J. (2014). Nursing research: Methods and critical appraisal for   evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier. ISBN-13: 978-0-323-      10086-1

1. Your chosen disease/condition
2. Population most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)
3. Age related milestone for your chosen population
4. Socio-Demographic/Risk factors for getting the disease/condition
5. Impact on QOL
6. Current/new/recent research/EBP that will benefit/support this patient with the specific disease (If there are none please state so)
7. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)
8. Please tell what/how you (speak in the first person) as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self-help teaching that can help him/her minimize disease symptoms.
9. Red flags for this condition (what specific S/S require urgent/ER care) or when should you refer patient to specialist.

Again, please follow the directions of what I am looking for and keep it to the point, as simple/concise as possible.

Points will be taken of for incorrect grammar and incorrect APA format/citations.

  Pediatric: Undescended Testes Power Point. Please follow instruction and respond each part, be clear and specific. Apa format and low similarity. My condition that I choose is undescended testicle

Instruction: 

 

1. Your chosen disease/condition
2. Population most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)
3. Age related milestone for your chosen population
4. Socio-Demographic/Risk factors for getting the disease/condition
5. Impact on QOL
6. Current/new/recent research/EBP that will benefit/support this patient with the specific disease (If there are none please state so)
7. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)
8. Please tell what/how you (speak in the first person) as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self-help teaching that can help him/her minimize disease symptoms.
9. Red flags for this condition (what specific S/S require urgent/ER care) or when should you refer patient to specialist.

Again, please follow the directions of what I am looking for and keep it to the point, as simple/concise as possible.

Points will be taken of for incorrect grammar and incorrect APA format/citations.