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Related Concept Videos

Integrated Healthcare System01:20

Integrated Healthcare System

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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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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...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
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Related Experiment Videos

Toward population management in an integrated care model.

Franklin W Maddux1, Stephen McMurray, Allen R Nissenson

  • 1Fresenius Medical Care, Waltham, Mass., USA.

Blood Purification
|February 6, 2014
PubMed
Summary

Accountable care organizations (ACOs) aim to improve patient care and manage costs. The nephrology field can leverage its experience with integrated renal care programs to meet these goals effectively.

Area of Science:

  • Health Services Research
  • Nephrology
  • Health Policy

Background:

  • The Patient Protection and Affordable Care Act of 2010 established Accountable Care Organizations (ACOs) to manage healthcare quality and costs.
  • The nephrology community faces challenges integrating care for End-Stage Renal Disease (ESRD) patients due to complex comorbidities.

Purpose of the Study:

  • To outline the necessity for the nephrology community to develop integrated renal care models.
  • To highlight how ACOs can facilitate high-quality, cost-effective patient care.

Main Methods:

  • Review of existing ACO-like programs within nephrology, including the ESRD Management Demonstration Project and ESRD Prospective Payment System with Quality Incentive Program.
  • Analysis of key elements for successful clinical integration initiatives.

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Main Results:

  • The nephrology field has prior experience with integrated care delivery through ACO-like programs.
  • Integrated renal care has demonstrated potential for improved clinical outcomes and cost savings.

Conclusions:

  • Integrated renal care delivery is achievable and beneficial for the ESRD population.
  • Future initiatives should focus on performance-based payments, health IT, and best practices for care coordination.