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

Introduction

Thanks for coming this afternoon.  Today’s lunch and learn session is all about how to take care of patients and how hospitals and doctors can best communicate with each other to achieve the best results for their patients.  As a registered nurse who works as a case manager in the outpatient clinical follow-up department at Baptist Health, it is important to our daily work that we help providers and facilities communicate with each other about patient follow-up care.  We will look into how our operational structure works and how it helps us provide better care to our patients.

Agenda

• Review of the Continuum of Care (COC) in Healthcare: We will look at the continuum of care (COC) model and talk about how important it is for making sure that patients can move from one type of care to another without any problems.  This discussion will utilize insights from the article “Older People’s Views of Quality of Care: A Randomized Controlled Study of Continuum of Care” (Berglund et al., 2013).
• Examination of Care Quality and the Effects of COC: We will look at how the practice of COC affects the quality of care that patients receive.  We will specifically look at how combining hospital and doctor services improves the quality of care for patients.
• Operational Approaches to COC Integration: This part will be about operational plans for successfully integrating COC.  We will discuss the best ways to do total managed care in order to raise the standards of care and health outcomes for patients.

Continuum of Care Overview

The Continuum of Care (COC) model includes all of the healthcare providers who are involved in a patient’s treatment, such as doctors, hospitals, rehabilitation centers, and other medical services.  COC stresses careful planning, coordinating care, figuring out how much it will cost, and setting up a system for integrated communication.  This method makes sure that patients undergo a full range of care, from the first medical incident to rehabilitation, hospitalization, and ongoing outpatient care.  To gain additional insights, the research conducted by Dedhia et al. (2009) illustrates the beneficial effects of COC on healthcare quality for elderly patients.

Care Quality Overview

Doctors are the main caregivers, and they make individualized treatment plans based on thorough evaluations and diagnostic tests of each patient.  By using various resources, like hospitals, rehabilitation centers, and diagnostic centers, doctors take a holistic approach to patient care, which leads to better outcomes.  The research conducted by Talib, Rahman, and Azam (2011) highlights the efficacy of managed care in enhancing care quality and disease management.

Operational Approach Overview

For treatment planning and follow-up after treatment, it is essential that healthcare providers talk to each other clearly.  By making it easier for providers to talk to each other, hospitals can keep referring doctors up to date on their patients’ progress, which leads to better outcomes for patients.  Different ways of communicating, like electronic medical records and telehealth, make it easy to share information.  The research conducted by De Regge et al. (2017) underscores the essential function of hospitals in connecting the care continuum and improving patient involvement in managed care.

Conclusion

In conclusion, the continuum of care model is a key part of providing better care for patients.  We can assure that patients acquire all the care they need, reduce service gaps, and improve patient outcomes by encouraging collaboration among healthcare stakeholders.  Patients benefit from guided healthcare assistance, which helps them stick to their treatment plans and receive better follow-up care.  Adopting the principles of COC not only improves the quality of care for patients, but it also helps the healthcare industry as a whole move forward.

 I see firsthand how COC changes the health outcomes of patients as a nurse case manager.  We work to improve the health of everyone in our care by keeping lines of communication open and making it easier for them to coordinate their care.

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/10.1186/s12913-017-2500-0