BHA FPX 4003 Assessment 2 Managing Quality Across Various Health Care Settings

Student Name

Capella University

BHA-FPX4003 Present and Future State Developments within the United States Health Care System

Prof. Name

Date

Introduction

Thank you for participating in today’s lunch and learn session. This session will focus on patient care and the crucial communication channels between hospitals and physicians to optimize patient outcomes. As a Registered Nurse working as a case manager within the outpatient clinical follow-up department at Baptist Health, facilitating communication among providers and facilities for patient follow-up care is integral to our daily operations. We will delve into our operational structure and its pivotal role in enhancing patient care.

Agenda

Review of Continuum of Care (COC) in Healthcare: We will explore the continuum of care (COC) model and its significance in ensuring seamless patient care transitions. Insights from the article “Older people’s views of quality of care: A randomized controlled study of continuum of care” (Berglund et al., 2013) will guide this discussion.

Analysis of Care Quality and the Impact of COC: We’ll analyze how the practice of COC influences the quality of care delivered to patients, specifically examining how the integration of hospital and physician services enhances patient care quality.

Operational Approaches to COC Integration: This segment will focus on operational strategies aimed at integrating COC effectively. We’ll highlight best practices in total managed care to elevate patient care standards and health outcomes.

Continuum of Care Overview

The Continuum of Care (COC) model encompasses all healthcare providers involved in a patient’s treatment journey, including physicians, hospitals, rehabilitation centers, and ancillary medical services. COC emphasizes meticulous planning, care coordination, financial assessment, and the establishment of an integrated communication framework to ensure comprehensive care delivery. Dedhia et al. (2009) demonstrate the positive impact of COC on healthcare quality among elderly patients.

BHA FPX 4003 Assessment 2 Managing Quality Across Various Health Care Settings

Care Quality Overview

Physicians play a central role in patient care by devising personalized treatment plans based on thorough patient evaluations and diagnostic assessments. By leveraging various resources such as hospitals, rehabilitation facilities, and diagnostic centers, physicians adopt a holistic approach to patient care, resulting in enhanced quality outcomes. Talib, Rahman, and Azam (2011) underscore the effectiveness of managed care in improving care quality and disease management.

Operational Approach Overview

Effective communication among healthcare providers is fundamental in treatment planning and post-treatment follow-up. Streamlining inter-provider communication channels enables hospitals to provide timely updates to referring physicians, optimizing patient outcomes. Various communication modalities, including electronic medical records and telehealth, facilitate seamless information exchange. De Regge et al. (2017) emphasize the pivotal role of hospitals in bridging the care continuum and enhancing patient engagement in managed care.

Conclusion

In conclusion, the continuum of care model is essential for delivering superior patient care. Collaboration among healthcare stakeholders ensures comprehensive care delivery, minimizes service gaps, and enhances patient outcomes. Patients benefit from guided healthcare assistance, leading to improved treatment adherence and better follow-up care. Embracing the principles of COC elevates patient care standards and fosters overall healthcare industry advancement.

As a nurse case manager, I witness firsthand the transformative impact of COC on patient health outcomes. By maintaining open communication and facilitating care coordination, we strive to optimize the well-being of every individual under our care.

References

Berglund, H., Wilhelmson, K., Blomberg, S., Dunér, A., Kjellgren, K., Hasson, H., & et al. (2013). Older people’s views of quality of care: A randomized controlled study of continuum of care. Journal of Clinical Nursing, 22(19-20), 2934-2944. https://doi.org/10.1111/jocn.12276

De Regge, M., De Pourcq, K., Meijboom, B., Trybou, J., Mortier, E., & Eeckloo, K. (2017). The role of hospitals in bridging the care continuum: A systematic review of coordination of care and follow-up for adults with chronic conditions. BMC Health Services Research, 17(1), 550. https://doi.org/10.1186/s12913-017-2500-0

BHA FPX 4003 Assessment 2 Managing Quality Across Various Health Care Settings

Talib, F., Rahman, Z., & Azam, M. (2011). Best practices of total quality management implementation in health care settings. Health Marketing Quarterly, 28(3), 232-252. https://doi.org/10.1080/07359683.2011.584726