DESCRIBE ONE INNOVATIVE HEALTH CARE DELIVERY MODEL THAT INCORPORATES AN INTERDISCIPLINARY CARE DELIVERY SYSTEM NRS 440

DESCRIBE ONE INNOVATIVE HEALTH CARE DELIVERY MODEL THAT INCORPORATES AN INTERDISCIPLINARY CARE DELIVERY SYSTEM NRS 440

Topic 2 DQ 2

Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. Explain how this model is advantageous to patient outcomes.

REPLY TO DISCUSSION

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Replies to Joseph Lagman

A current nursing model of nursing care delivery is case management, which relies on clinical pathways to evaluate care (Masters, 2017). Case management is a system of coordinating health care services to ensure cost-effectiveness, accountability, and quality care (Hinkle & Cheever, 2014). Case managers may be nurses or may have backgrounds in other health professions, such as social work. The clinical pathway refers to expected outcomes and interventions established by the collaborative practice team (Masters, 2017). To manage the cases of a group of patients, a team is selected that includes clinical experts from the disciplines needed such as nursing, medicine, or physical therapy. Coordination of care beginning from admission up to discharge is vital to ensure that clinical pathway and benchmark are recognized, and care plan is updated according to the current patient status and needs. Care coordination failure results when a patient is readmitted within thirty days with the same readmission diagnosis. Case management is beneficial to patients as there is a follow through and continuity of care from admission up to the point of discharge to home where the case management team do wellness check and sets up home health care when deemed necessary to prevent re-hospitalization.

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Masters, K. (2017). Role development in professional nursing practice. Fourth edition. Burlington, MA: Jones & Bartlett Learning.

Hinkle, J. L., & Cheever, K. H. (2014). Brunner & Suddarth’s textbook of medical-surgical nursing (Edition 13.). Wolters Kluwer Health/Lippincott Williams & Wilkins.

• JM

Jennifer Manske

replied toJoseph Lagman

Aug 7, 2022, 7:24 PM

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Replies to Joseph Lagman

Joseph,

Case management has shown improvements in some health outcomes. Case management is “a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality cost-effective outcomes” (Jerez-Barranco et al., 2022). Case management is a huge help in the hospitals I work at. The case managers help set up care for patients weather it be at home or in a nursing home. The case managers work hand in hand with the patient, their families, the nurses, and other health organizations. Case mangers don’t receive enough credit for all they do.

Jerez-Barranco, D., Gutiérrez-Rodríguez, L., Morilla-Herrera, C., Cuevas Fernandez-Gallego, M., Rojano-Perez, R., Camuñez-Gomez, D., Sanchez-Del Campo, L., & García-Mayor, S. (2022). Components of case management in caring for patients with dementia: a mixed-methods study. BMC Nursing, 21(1), 1–9. 

• JO

Jose Ojeda Jr

replied toJoseph Lagman

Aug 7, 2022, 11:37 PM

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Replies to Joseph Lagman

Nice information on this weeks discussion. I agree that case management has help with so much of patient care. For my hospital when I worked on the emergency department the workload that was placed on case managers was almost infinite. We relied on them to be able to set up transportation for patients going to different care facilities or going to a different hospital. They would also help with patients who come in to the unit without insurances be able to apply for emergency insurance. The case management would also help with the grieving process of the family when their loved one would pass away. They would supply the information they needed for the loved one that passes away. 

MM

Mary Kate Morrisette

Aug 5, 2022, 7:50 PM

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Replies to Joseph Lagman

With the emergence of the Affordable Care Act and the shift towards pay per performance payment model, new and innovative healthcare delivery systems must be implemented in order to provide quality and cost-effective care. One healthcare delivery system that involves an interdisciplinary team is the Patient-Centered Medical Home (PCMH) model. PCMH involves a community based health team that supports primary care practices (Haas, 2011) . Each PCMH is made up of a primary physician that develops an ongoing relationship for comprehensive care. This practice arranges for all the patients needs, including coordinating with other specialty providers, hospitals, home health agencies, and nursing homes. This model takes into account the whole person, and also includes the patients family and community services (O’Dell, 2016). In this model, rather than the patient coordinating care between all the different providers and services they need, the primary care practice takes on that coordination to alleviate gaps in communication and understanding. 

This model is adventitious for patient outcomes because the patient is treated holistically and ideally all of their needs are addressed. Because there is one primary provider who coordinates with other providers and services, there is less passing of the patient back and forth which leaves less room for communication gaps, medication interactions and duplications, and unnecessary medical costs. Patient-centered medical homes have been shown to improve patient outcomes and satisfaction (O’Dell, 2016). 

References:

Haas, S. A. (2011). Health reform act: new models of care and delivery systems. AAACN Viewpoint, 33(2), 11–12. https://eds-s-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=1&sid=3e032cc4-e57a-4ef1-b9d1-eb4c99795b45%40redis

O’Dell, M. (2016). What is a Patient-Centered Medical Home? Mo Med. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139911/