BHA FPX 4003 Assessment 2 Managing Quality Across Various Health Care Settings BHA-FPX4003 Present and Future State Developments within the United States Health Care System

Prof. Name:

Date

Introduction

Thank you for joining us this afternoon. Today’s lunch and learn session centers on patient care and the critical communication channels between hospitals and physicians that are essential for achieving optimal patient outcomes. As a Registered Nurse serving 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 explore our operational structure and its vital role in enhancing patient care.

Agenda

1. Review of Continuum of Care (COC) in Healthcare: We will examine the continuum of care (COC) model, discussing its importance in ensuring seamless transitions in patient care. This discussion will draw insights from the article “Older people’s views of quality of care: A randomised controlled study of continuum of care” (Berglund et al., 2013).

2. Analysis of Care Quality and the Impact of COC: We will analyze how the practice of COC influences the quality of care provided to patients, specifically exploring how the integration of hospital and physician services enhances patient care quality.

3. Operational Approaches to COC Integration: This segment will focus on operational strategies aimed at effectively integrating COC. We will 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 careful planning, care coordination, financial assessment, and the establishment of an integrated communication framework. This approach ensures a comprehensive spectrum of care, spanning from initial medical incidents to rehabilitation, hospitalization, and ongoing ambulatory care. For further insights, the study by Dedhia et al. (2009) demonstrates the positive impact of COC on healthcare quality among elderly patients.

Care Quality Overview

Physicians act as primary caregivers, developing personalized treatment plans based on thorough patient evaluations and diagnostic assessments. By utilizing various resources such as hospitals, rehabilitation facilities, and diagnostic centers, physicians adopt a holistic approach to patient care, resulting in improved quality outcomes. The study by Talib, Rahman, and Azam (2011) highlights the effectiveness of managed care in enhancing care quality and disease management.

Operational Approach Overview

Effective communication among healthcare providers is essential for treatment planning and post-treatment follow-up. By streamlining inter-provider communication channels, hospitals can provide timely updates to referring physicians, thereby optimizing patient outcomes. Various communication modalities, including electronic medical records and telehealth, facilitate seamless information exchange. The study by De Regge et al. (2017) emphasizes the crucial role of hospitals in bridging the care continuum and enhancing patient engagement in managed care.

Conclusion

In conclusion, the continuum of care model serves as a cornerstone for delivering superior patient care. By fostering collaboration among healthcare stakeholders, we can ensure comprehensive care delivery, minimize service gaps, and enhance patient outcomes. Patients benefit from guided healthcare assistance, leading to improved treatment adherence and better follow-up care. Embracing the principles of COC not only elevates patient care standards but also promotes overall advancement in the healthcare industry.

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 randomised controlled study of continuum of care. Journal of Clinical Nursing, 22(19-20), 2934-2944. https://doi.org/10.1111/jocn.12276