UPMC health plan is one of the Triple Aim sites in the Phase IV process of this initiative. UPMC had partnered with their community of providers through their Patient-centered medical homes and followed the strategy of Team-Based Care to achieve the goal of Triple Aim framework. UPMC was recognized for high quality and innovation in 2013 and was awarded Best customer experience award by the International Customer
for patients with insurance, securing appointments for a doctor’s visit is difficult. All these studies are clear sign of a rapidly failing healthcare system, thus the need for a change. The Institute of Medicine made effort in the past decade to fix the American healthcare system. The Institute of Medicine (IOM) prescribed a set of goals designed to improve patient care, outcome and cut down cost (Block, 2014). The IOM goals: safety, efficiency, effectiveness, equity, timeliness and patient-centeredness
Standard Medication Therapy in Heart Failure Patients Numerous studies have been conducted on the use of Spironolactone in heart failure patients and the varying effects associated with the medication. Spironolactone is a potassium sparing diuretic that was initially used to treat patients with edema and hypertension. Recent studies have suggested that when added to a standard medication therapy regimen, Spironolactone, can reduce death rates for patients with heart failure, especially after a heart
while also improving the quality of care, in my opinion, case managers put more emphasis on improving the quality of care. Case managers do, however, have a significant impact on financial costs by ensuring a positive progression of a patient’s care, but also can ensure that an insurance companies guidelines are being met (Daniels and Frater, 2011,8). In the hospital setting, case managers are able to improve outcomes. They are also able to reduce hospital readmission risks by improving care coordination
are: Improving the individual experience of care, improving the health of population and reducing per capita costs of care for the populations. The Triple Aim is an interdependent and more holistic approach to restructuring the healthcare services in that it emphasizes populations’ health care and integrate patients’ care across multiple care sites. According to Berwick, Nolan and Whittington (2008), pursuing one goal can positively or negatively affect the other goals. For instance, improving care
level, evaluate patient outcomes, and assess and anticipate risks, trying to improving the overall coordination and delivery of care for certain population of patients at the microsystems level (AACN, 2007). Evidence-based practice is an imperative approach in nursing to provide the top quality of care to patients and their families (Melnyk and Fineout-Overholt, 2005). Further, evidence-based practice enhances patient outcomes, research has proven the difference between patients who receive care
Improving Patient Satisfaction [Patient Satisfaction]. Patient satisfaction is a patient’s opinion on the quality of care they have received (Wagner & Bear, 2008). Patient satisfaction is subjective and often multifaceted making it very difficult to define (Morris, Jahangir, & Sethi, 2013). A patient’s anticipated expectations of care compared to his or her perceptions of how the services provided met or exceeded their anticipated expectations considerably contributes to satisfaction (Morris et
approach to health-care practice that specifically recognises the quality of the evidence that relates to every patient’s care management, the value of that evidence, the pros and cons of viable alternative management strategies, and the role of patients' values and preferences in weighing up to those pros and cons. (McMaster University EBCP Workshop, 2015). In this essay the author critically analyses the benefits and limitations of evidence- based practice and strategies for integration of evidence
Objectives: 1) To evaluate the effectiveness of end range mobilization with scapular mobilization in improving shoulder range of motion and function in subjects with frozen shoulder. 2) To compare the effectiveness of end range mobilization with scapular mobilization over end range mobilization alone in improving shoulder range of motion and function in subjects with frozen shoulder.
explanation because it is a complex disorder by observable behavior. Moreover, researcher also stated that in all patients with schizophrenia there still not yet able to identify the factor of characterizes and solution by the other researcher (Walker Et. Al. 2004). This literature review helps to overview and the theory of cognitive behavioral therapy for schizophrenia disorder outcomes. First, we begin with a brief history of schizophrenia and treatment. According to Walker et al (2004) schizophrenia