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Related Concept Videos

Continuing Care01:25

Continuing Care

2.1K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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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
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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Nursing Evaluation01:15

Nursing Evaluation

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Nursing Clinical Information System01:27

Nursing Clinical Information System

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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Related Experiment Videos

Making the Case for Palliative Care at the System Level: Outcomes Data.

Parag Bharadwaj1,2, Karen M Helfen3, Leo J Deleon4

  • 11 Palliative Care, Sentara Healthcare , Norfolk, Virginia.

Journal of Palliative Medicine
|February 6, 2016
PubMed
Summary

Integrating palliative care (PC) early improves patient outcomes and reduces healthcare costs. Systemwide PC programs are vital for enhancing quality and managing expenses in evolving healthcare systems.

Related Experiment Videos

Area of Science:

  • Healthcare Management
  • Palliative Care
  • Health Economics

Background:

  • Healthcare systems are increasingly integrating palliative care (PC) programs across multiple hospitals.
  • This integration aims to standardize care, improve quality, and reduce overall healthcare expenditures.
  • Palliative care development varied across seven federated hospitals prior to system integration.

Purpose of the Study:

  • To demonstrate the systemwide benefits of integrated palliative care programs.
  • To evaluate the impact of early palliative care consultation on key healthcare metrics.

Main Methods:

  • Descriptive study utilizing retrospective medical records from seven hospitals.
  • Analysis of length of stay (LOS), mortality rates, readmission rates, intensive care unit (ICU) days saved, cost avoidance, and hospice referrals.
  • Modified matched-pair analysis to compare PC patients with non-PC patients.

Main Results:

  • Early PC consultation (within 48 hours) correlated with shorter LOS, reduced costs, and decreased mortality.
  • Significant reductions in 30, 60, and 90-day readmissions were observed post-PC consult.
  • Systemwide, PC services facilitated a substantial increase in hospice referrals and demonstrated significant cost avoidance.
  • A pilot project in the ICU showed over $600,000 in cost reduction and 315 saved ICU days.

Conclusions:

  • Early integration of palliative care services yields significant net benefits for healthcare systems.
  • Systemwide palliative care is crucial for improving quality and reducing costs, aligning with trends like bundled payments and risk-holding strategies.
  • Palliative care plays a vital role in the future of healthcare system management and cost-effectiveness.