Patient-centered care provision

The achievement of this is through identification, respect as well as care for patients variation.

The need for identification of preference during service delivery is significant. Considerably an

individual will communicate and coordinate on the education of the patients. In specialized

cases, an individual can consult on decision to be made on a particular patient. The continuous

advocacy of disease prevention, promotion of healthy living and wellness is essential.

Imperatively, the provision of information to a patient on their condition, and remedies on their

disease will ensure better performance.

Employing evidence-based practice and quality improvement

The integration of best research practice as well as clinical expertise will assure patient values

for optimum care. Fundamentally, this will as well ensure the participation of patients in the

research and learning process. On the other hand, the application of quality improvement is

based on the identification of hazards in the health care system.

The understanding of safety designs and their implementation principles will lead to the

standardization and simplification of healthcare practice. The measure of health care standards

can be achieved through development of better structures, processes as well as outcomes in a

focus to the patient’s needs (Jr & Rasmussen, 2013). Implementation of test and design

intervention with an intention of improvement of the processes and care systems will lead to an

improvement in the quality.

Utilization of informatics while working in interdisciplinary teams

The heath care facility has individuals with different capabilities and professional skills.

Affirmatively the coordination of health care within the facility will ensure the participation of

all the individuals. The collaboration and integration of the health care teams will affirm reliable

and continuous care provision for the patients. In addition to this they team will utilize

informatics that will affirm the mitigation of error, use information technology in the support of

decisions as well as mitigate errors.

Health professional

Being recognized as a health care profession in health coordinating unit attracts particular

benefits. The recognition of professionalism assures a good salary and job security. Considerably

the higher your training and experience the higher the value of the professional. Considerably in

the hospital, the professional provides better care for the patient. Due to this fact, the individual

makes a difference in people’s lives while developing potential experience for their field.

The competences for healthcare unit coordinators are:

The individual should have proper communication and problem solving skills.

Considerable computer usage skills and performance

Skills a on the preparation as well as updating of hospital reports

Have the ability to process paperwork for the admission as well as discharge or transfer

of patients in the hospital

Differences in competences based on organization

There are particular differences based on the type of organization. Particularly some

organizations are focused on the development of proper care for their patients while others are

focused on the management of the responsibilities of the organization (Polifko-Harris, 2004).

Fundamentally, skills such as communication, patient handling and development of discharge

reports are focused on the patient. However, other such as computer usage and problem solving

are on the management of the organization. Organizations develop this skills based on the needs

of the organization.

Learning goals

The recent adaptation of technology by the healthcare fraternity necessitates having skills on the

use of computers among other healthcare technologies. Considerably through the month, I will

focus on the acquisition of proper skills on computer usage and development of healthcare based

programs that assure appropriate service delivery. Professionalism in the field requires

knowledge of best methods to approach problems. However, technology provides better

solutions to management. Imperatively I will seek to study the best practices using technology

developed by most hospitals. Understanding of the technologies is fundamental for my

professional approach to health care.

Dolly the sheep

Dolly was the first mammal to be cloned from a single cell of the parent. Significantly, the clone

introduced significant progress in the world of medicine. The technique has had an effect in price

of cloning animals thus providing for its commercialization. On the other hand through cloning

scientist have had the ability of transferring human genes that produce human genes such as

blood clotting and the agent factor IX used in the treatment of alpha-1-antitrypsinas well as

hemophilia. They are used in the treatment of lung conditions and cystic fibrosis. This is done

only once then the animal is breed to produce a stock.

Proficiently the advances that have been made through animal cloning have resulted to the

development of new therapy used in the prevention of mitochondrial disease. The disease is

passed from a mother to a child. According to the current statistics about 1 in every 6000

individuals are born with Faulty mitochondria that can led to ailments such as Muscular

dystrophy. The therapy is done through the extraction of the embryo DNA from the parent and is

consequently placed in an egg cell that has been donated by a different individual. This is a

similar process to the one used in embryonic cloning of animal cells.

Healthcare Team

A healthcare team is a group of health practitioners that work together to provide appropriate and

standardize healthcare to its patients. There is an extensive variety of non-professionals and

professionals personnel, who have a definite role in the provision of community healthcare.

Imperatively every member of the team should be well vested with knowledge, skills, core

competencies, and scope of practice based on their arm of professionalism. A healthcare team

involves health professionals that have different knowledge and skills (White, 2010). The team is

inclusive of Doctors, Physician assistant, dentist, pharmacists, Nurses, community health worker,

administrative support staff, therapist and rehabilitation specialist.

Dentist

They are commonly referred to as general dentist (DMD or DDS) they provide primary

healthcare among patients of all ages and groups. The dentist assure the provision of diagnosis,

management of treatment as well as the overall coordination of services that meet health

standards for the patient. A considerable number of dental schools provide a four-year course

that is followed by a state examination for provision of a license. Other professionals such as

pediatrics, as well as oral surgery may require an additional 2-6 years of education for

qualification. The state of practice issues the license of practice.

Community health worker

They can be defined as individuals who connect healthcare providers to their consumers. They

promote health care among groups of individuals who have traditionally lacked access to it.

These individuals ensure the identification of health care problems within the community and

develop considerable solutions to the problems. Important examples of the activities of these

non-clinical officers are such as the use of ex-addicts to educate arterial drug users on risk

involved such as AIDs, increased chances of acquiring colon, cervical and colon cancer. They as

well provide a linkage both culturally and technically among community members and health

care providers.

Competencies among healthcare professionals

The healthcare provider must be able to provide standardized patient centered healthcare

for their patients.

The personnel must be able to develop a professional relationship with their patient to

ensure utmost service delivery

The personnel must have the core-competencies required in the field

Licensing of the healthcare provider is done by the state of practice after completion of

the required education

According to the study of the clinical and non-clinical staff of a health care team certain

differences are apparent. The clinical team provides actual treatment, diagnosis and disease

management of the patient. However, the non-clinical arm is focused on the services industry,

mitigation of risk as well as management to ensure a reduction in the number of diseases. The

nonclinical team may as well provide a linkage of patients to medical practitioners.

Patients care delivery systems

Case method

It is considered as one of the oldest patient care delivery system. Through the articulation of this

system, the patient provides complete care to a group or one patient when on duty. The method

has frequently been used in teaching fraternity as well as in the intensive care units.

Functional method

This method begun in the 1950s, due the inadequate number of nurses. The method is developed

to allow the nurses to attend to the largest amount of work within the smallest time possible.

Through the method, the care is divided into particular task while each of the staff is assigned for

the performance of each task (Polifko-Harris, 2004). The tasks are divided in accordance to the

levels of skills every nurse has.

Team method

The method of nursing was introduced in the 1950s. The method of nursing creates particular

teams of professionals, nurses and technicians that focus on the provision of patient centered care

for the patient. The method assures the efficient utilization of nurses as well as technical staff

through direct supervision.  

Work Station

A formidable workstation is important for the development of improved standards and

management of the hospital. Imperatively the workstation will require particular equipment’s.

The equipment’s required for the workstation are inclusive of a computer, cabinets, filing

systems, chair, table, and internet connectivity. A mode of data delivery as well as retrieval is

important for the workstation. Considerably the workstation will require the involvement of

other employees who are tasked with the development of reports, objectives and goals of every

department of the hospital (White, 2010). Imperatively I will develop a calendar program

important in the identification of objectives and strategies for the organization.

Family and visitor request

Most hospitals have developed request forms that family members or visitors require. The

request may include request for visitation, request for transfer, as well as request for medical

records of the patient. The request may be award or declined depending on the condition of the

patient as well as the treatment required by the patient.

Staff/ department request

The staff of a hospital may apply for a request to attain particular clinical privilege’s.

Imperatively the staff or department must be able to meet particular requirements and

qualifications. In a significant number of organizations, the applicant should meet the

educational threshold as well as agree to participate in the activities involved in health care

including the attendance of meetings (White, 2010).

Ancillary departments

They are the health care services that are provided in exclusion of room and board. The services

are inclusive of ambulatory surgical centers, home infusion, cardiac testing, radiology durable

medical center, and fitness center.

Ambulatory surgical centers

They are modern facilities on health care that are focused on the provision of same-day surgical

care for the patient that are inclusive of diagnostic as well as preventive procedures.

Fundamentally, they provide alternatives for a great number of outpatients.

Fitness center

The health facility has attracted different names based on its users. They are inclusive of health

spa, gym as well as a fitness club. This health facility has the composition of different exercise

equipment’s designed for the purposes of physical exercise.

Department census

This provides for the totality of patients within a given department for example emergency

department that are admitted for example by midnight or a particular time of the day. The data

may provide actual bed occupancy as well as their immediate conditions.

Patient acuity

Acuity is defined as the absolute level of the severity of a patience disease. Considerably patient

acuity is a parameter used in the classification of patients to assure appropriate staffing of nurses

as well as provide justification for the decision. Fundamentally, in the long term it provides for

affirmed staffing budgets.

Patient classification system

This is a system of classifying patients based on acuity that is used by the lead nurse in the

determination of workload as well as appropriate allocation of nurses for every patient.

Main points

Lack of enough medical practitioners to meet the demands of the industry

Reimbursement system based on quality provision and patient’s response

Adoption of technology in the health care industry

Management of both Medicaid and Medicare

Development of specialty hospitals

The article

5 Challenges Hospital Administrators Must Overcome to Succeed in Today’s Rapidly Changing

Industry

There is a looming shortage of healthcare practitioners. The fact that health care is projected to

grow by 23% only implies that hospitals will be forced to compete for:

• Licensed vocational as well as registered nurses who will be expected to grow by 20.7%

• Home health aides who will increase by 50%

• The orderlies nursing aids and attendants who are expected to grow by 18.8%

• The registered nurses who are expected to grow by 22.2%

• The surgeons as well as physicians who are expected to grow by 21.8%

Considerably the hospital coordinating unit should be able improve on the attractiveness of their

hospitals (Freel, 2012). Which not only seeks to provide better pay but also provide

fundamentally better care through;

Development of specialty hospitals

Development of a specialized care strategy in the fields of diagnostic centers, as well outpatient

surgery centers will ensure better competition for patients (Freel, 2012). The formation of

formidable relationships with institution that offer health courses will assure an unlimited supply

of medical practitioners for the hospitals. Development of an attractive working environment for

the workers will ensure sustainability.

Preparation for the future

The increase in infant survival rates are increasingly providing pressure to hospitals to adopt

provision of better care for their patients. Considerably the reimbursement system has changed to

include patients response in the amount paid to hospitals (Freel, 2012). Fundamentally, the

hospitals are forced to conduct market research in line with patient expectations for provision of

health care facilities. Updating of hospital equipment is a common way of achieving this.

Improvement of health care through technology

Introduction of electronic data records to allow for sharing of patient information among health

practitioners is important to improve patients care. Considerably the ensuring of considerable

implementation of the EMRs is a role of the administrator. The administrators can use the data to

ensure quality provision of health care.

Management of Medicare and Medicaid

A significant number of individuals are not insured in the United States. Therefore, hospitals

ought to provide health care facilities to this group while at the same time maintain fiscal

responsibility. The administrators should be able to provide a balance between the group that is

insured and the one not insured while maintaining performance of the hospital.

Article analysis

Most articles in the health care fraternity only point out challenges based on finance as well as

reimbursement. However, the article above has provided clear statistics on the looming crisis of

lack of enough medical practitioners to meet the demands of the industry. Considerably the

article has a well pointed out possible solutions to the issue. Which are inclusive of alliance with

schools and development of specialized care (Freel, 2012). Others are Introduction of technology

into the industry as well as management of Medicaid and Medicare.

The article has provided information on the trends of health care jobs. Considerably based on the

projections of the growth in the industry I will focus to develop skills on particular fields such as

nursing. Fundamentally, I will adapt a greater use of technology in my studies. This will improve

my understanding of health technological systems.

Support services in the hospital

Support service meets the needs of patients, family members as a well as visitors. Other support

services that are rendered in the hospital setting are transportation of patients, security staff who

ensure safety and the audiovisual staff.

Indirect support services

Indirect support services are the support services that are not directly associated with health care

provisions. They are inclusive of provision of direction, safety, and audiovisual services.

Direct support services

These services are involved with the health of a patient. They are inclusive of transportation,

provision of healthy diets as well as care for the patients

Health unit coordinators role in support service

Health unit coordinators are important for the identification of particular support facilities that

are required by an institution. Considerably they provide direction on the provision of services

that will ensure quality health care is provided for the patients. The health unit coordinator may

provide support to patients through the assistance of family member as well as visitors to access

their patients promptly. They also ensure the patients are transported as well as provided for their

basic needs.

Leadership

Collaborative leader

A collaborative leader develops strategic steps involved in the articulation of mutual benefit for

every individual in the organization. In the healthcare fraternity, a collaborative leader requires a

synergetic working environment intended for the validation of health care needs as well as

development of modifications in the practice for mutual benefits of all the members of the

organization (Glanz, 2002). The leader should develop collaborative behavior, nurture

independence, as well as raise levels of motivation. The health care coordinator should develop a

program among the nurses that ensured efficiency while communicating motivations for all the

staff members for best results.

Transformative leadership

A transformative leader develops a vision and a mission for the organization. The leader

subsequently communicates his ideology to the members in a manner that is affirmative and

exciting for his staff. The transformative leader motivates performance through salaries,

provision of welfare as well as construction of a rapport with their consumers (Glanz, 2002). The

health unit coordinator can be a transformative leader through the creation of considerable

targets for the staff and employees. The achievement of these targets is backed by financial gains

as well as upraise in the level of employment. This will motivate them to perform even better.

Coordination of the vision is also significant for the Health unit coordinator.

Agency for Health Research and Quality

They sponsor as well as conduct research that provides evidence on health outcomes. They

conduct research on quality, cost access, as well as use. The information gathered is used in

decision making through policy makers, leaders, health systems, as well as clinicians.

The Centers for Disease Control and Prevention-(CDC)

It is a federal agency entrusted with the health and safety of the people. They apply disease

control and prevention through education activities, environmental health, and health promotion.

The activities are designed to improve the health of the populations.

Centers for Medicare and Medicaid Services- (CMS)

It provides for specification in the various certification as well as authorization that is used in the

Medicaid and Medicare programs. It is responsible for the HIPAA administrative transaction as

well as setting of codes and identifiers. In addition, it maintains HCPCS code on medical.

The Department of Health and Human Services- (HHS)

The agency provides protection for all the Americans through the provision of essential services

based on the 300 programs that are administered through the 11 HHS divisions of operation.

Department of Justice (DOJ)

The anti-trust Division seeks to provide protection and promote the competitive process. The

department is entrust with the business levels that are inclusive of distribution, manufacturing,

marketing and transportation. They restrain trade practices such as mergers and price fixation.

Food and Drug Administration-(FDA)

They are an arm of the federal agency that ensures safety of food, sanitary as well as wholesome.

The human and veterinary drugs as well as biological products used in production of foods are

under the control of the department

Emergency codes

Red represents Fire

Blue represents medical emergency

Pink represents child/infant abduction

Black represents bomb threat

Orange represents hazardous material

White represents hostage situation

Green represents disaster plan activation

Silver represents active shooter

Isolations

Contact isolation precautions

This is specific for infections passed through direct contact by an individual. They can be

infections, germs, as well as diseases. Examples are VRE, MRSA, open wounds, and RSV.

Droplet isolation precaution

They occur as a result of germs and diseases that are spread through droplets that are caused by

sneezing and coughing. Examples are whooping cough, influenza, and pneumonia.

Airborne isolation precautions

This procedure is used for tiny germs and diseases that are spread through air from an individual

to the next. Examples are such as measles, chickenpox, and tuberculosis.

Infection control

Standard precautions

These are precaution taken to prevent disease transmission acquired through ones contact with

body fluids, mucous membranes as well wounds. The precaution is used during care for all the

individuals whether they appear infectious or not.

Hand hygiene

Considerably it refers to the plain washing of hands with plain water, water and antiseptic soap

as well as use of alcohol for decontamination. Alcohol gel can be used for patients care if the

hands are not visibly soiled.

Personal protective equipment’s

They include equipment’s used in protection. They are inclusive of masks, gloves, masks and

eyewear that creates of barrier to protect the skin. The use of surgical mask is important in case

of a splash or spray.

Needle sticks and sharps injury prevention

• The immediate activation of safety devices on sharps after use

• Discarding used needles immediately after use

• Used needles as well as lancets should be placed in a leak proof as well as puncture

resistant container that is red or labeled hazardous

• Do not overfill the sharp containers; discard at two-thirds full limit

Cleaning and disinfection

The client care areas as well as waiting areas are frequently touched by clients there may require

cleaning and decontamination. Some of the pathogens such as norovirus and clostridium are

inactivated by commercial disinfectants.

An agency within the Department of Labor. Their mission is to ensure safe and healthful

workplaces in American.

The United States principle agency for protecting the health of all Americans and providing

essential human services.

Their mission is to continuously improve health care for the public, in collaboration with other

stakeholders, by evaluating health care organizations and inspiring them to excel in providing

safe and effective care of the highest quality and value.

A major operating component of the Department of Health and Human Services. It is recognized

as the lead federal agency for protecting the health and safety of people.

A. Center for Disease Control and Prevention

B. Occupational Safety and Health Administration

C. State Departments of Health

D. Department of Health and Human Services

E. Joint commission on Accreditation of Health Care Organizations.

UNIT VII

The act of placing blank forms into the chart so that physicians and health care providers have a

place to document things is known as:

saving.

stuffing.

thinning.

recycling.

The act of pulling out certain forms from a chart holder because the record has become too large

to handle is known as:

thinning/splitting.

dilution.

stuffing.

saving.

Which of the following is NOT a rule that all health care providers must follow in regards to

legal documents?

Writing must be legible.

The date and time of the documentation do not need to be notated.

Information must be accurate.

No erasures or White-Out can be used.

Differentiate between the two types of forms.

Data base

Fact Sheet

History and physical

Anticoagulant therapy sheet

Diabetic record

24 Hour intake/output worksheet

A. Supplemental Form

B. Standard form

Match the type of patient to the patient description.

Inpatient

Outpatient

Same-Day patient

Short-Stay patient

A. Patient who does not reside at the health care facility.

B. Patients who come to the health care facility for tests or procedures that will be

performed on the same day.

C. Individual who resides at the health care facility for a specific amount of time and is

receiving treatment.

D. Patients who are admitted to the health care facility for a short amount of time, typically

for a period of an hour to a few hours.

Match the type of transfer to the most appropriate transfer description.

Unit transfer

In Health care facility transfer

Outside health care facility transfer

A. A patient being transferred within the patient care unit.

B. When a patient’s health condition may require transfer to another health care facility that

can provide the needed medical care.

C. A patient is transferred within a health care facility to a different unit, a physician’s order

is usually required.

Discharge

Discharge involves the point that a patient leaves a health facility to another due to the need for

specialized care. Considerably the heath coordinator ensures a transfer of health records to the

new facility as well as organizes the transportation of the patient to the next hospital (Polifko-

Harris, 2004). Before the time of the discharge, the health coordinator informs the family on

reasons as well as the criteria of discharge from the facility. In addition, the patient must agree

with the discharge plan.

Admission

This involves the actual entrance into a hospital ward and provision of facilities to stay there for

at least a night. Most admissions are due to the state of health of an individual that requires

nursing for a considerable amount of time. They patient can as well be undergoing medication,

receiving test or undergoing surgery that can only be performed within a hospital. The

readmission process involves the taking of the records of the patient such as name, address,

home and date of birth. Other records are reasons for hospitalization, insurance cover, and

allergies.

Verbal communication involves the use of sound as well as words in expressing oneself, the

form is in contrast to use of mannerisms and gestures. The verbal communication is largely used

in the informal sector however, formal sector also accepts this as is used in meetings and

conferences.

Formal communication – this is a type of verbal communication that the exchange of information

is contacted through predefined channels that are considerably defined as formal. However, the

reliability of such communication is high while the documents act as evidence of the

communication. They are effective since most of them provide a time limit as well as a

systematic flow. The formal communication has full type secrecy since they are only contacted

through predetermined channels.

Informal communication

This is a type of communication where the interchange of words does not follow any form

channels while it stretches in all the directions. It is not official therefore, its reliability is

considerably low (Polifko-Harris, 2004). However, it is fast as compared to formal

communication. The form of communication is not evidence based therefore no form of

retrieval. It has high efficiency rates since the employees can discuss work related problems in an

easier and efficient manner. Nevertheless the maintenance of secrecy is hard.