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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Dementia01:30

Dementia

Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual.
Dementia l: Introduction01:22

Dementia l: Introduction

Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...

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Related Experiment Videos

A dementia care management intervention: which components improve quality?

Joshua Chodosh1, Marjorie L Pearson, Karen I Connor

  • 1Geriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare Systems, Sepulveda, CA, USA. jchodosh@mednet.ucla.edu

The American Journal of Managed Care
|March 23, 2012
PubMed
Summary

Coordinated dementia care improves quality. Healthcare organization care managers (HOCMs) are key, but adding community agency care managers (CACMs) and primary care providers (HOPCPs) further boosts dementia care quality.

Related Experiment Videos

Area of Science:

  • Gerontology
  • Healthcare Management
  • Public Health

Background:

  • Coordinated dementia care management (CM) programs aim to improve patient and caregiver outcomes.
  • Understanding the impact of different provider types and encounter frequencies is crucial for optimizing CM programs.

Purpose of the Study:

  • To analyze the association between provider types and encounter frequency with dementia care quality within a CM program.
  • To determine if specific combinations of healthcare organization care managers (HOCMs), community agency care managers (CACMs), and healthcare organization primary care providers (HOPCPs) enhance care quality.

Main Methods:

  • Secondary analysis of intervention-arm data from a dementia CM cluster-randomized trial involving 238 patient/caregiver dyads.
  • Quality indicators across assessment, treatment, education/support, and safety domains were measured using medical records and caregiver surveys.
  • Multivariable regression analysis was used to assess the impact of provider exposure and encounter frequency on quality indicators.

Main Results:

  • Exposure to HOCMs alone significantly increased dementia care quality indicators across all domains (15.5-47.2 pp higher).
  • Increased combinations of provider types, particularly exposure to all three (HOCMs, CACMs, HOPCPs), led to substantial quality improvements, especially in safety (up to 73.7 pp higher).
  • Higher frequency of HOCM-dyad encounters correlated with improved quality, but this was not observed for other provider types.

Conclusions:

  • Healthcare organization care managers (HOCMs) play a vital role in enhancing dementia care quality.
  • Integrated care approaches involving HOCMs, primary care, and community agency staff yield superior dementia care quality outcomes.