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Related Concept Videos

Methods of Documentation II: POMR01:26

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The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
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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.
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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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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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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
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Related Experiment Video

Updated: Mar 11, 2026

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program.

Lorens A Helmchen1, Bruce L Lambert2, Timothy B McDonald3,4

  • 1Department of Health Policy and Management, Milken Institute School of Public Health, The George Washington University, Washington, DC.

Health Services Research
|November 29, 2016
PubMed
Summary
This summary is machine-generated.

A communication-and-resolution program reduced diagnostic testing and imaging costs for chest pain patients. The program saw reduced growth in clinical laboratory and radiology charges.

Keywords:
Communication-and-resolution programchest paindiagnostic radiologymedical liability

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Area of Science:

  • Health Services Research
  • Medical Economics
  • Patient Safety

Background:

  • Unexpected adverse outcomes in healthcare can increase costs.
  • Communication-and-resolution programs aim to address adverse events.
  • Understanding the economic impact of such programs is crucial.

Purpose of the Study:

  • To evaluate the association between a 2006 communication-and-resolution program and changes in healthcare costs and service utilization.
  • To analyze the impact on patients diagnosed with chest pain.

Main Methods:

  • Utilized discharge records from 44 hospitals in Cook County, Illinois (2002-2009).
  • Employed propensity-score matching and difference-in-differences analysis.
  • Focused on patients with a principal diagnosis of chest pain.

Main Results:

  • The intervention hospital saw an increase in chest pain patient volume.
  • Quarterly growth rates for clinical laboratory charges decreased by 3.8% in intervention hospitals.
  • Quarterly growth rates for radiology charges decreased by 6.9% in intervention hospitals.

Conclusions:

  • Implementing a communication-and-resolution program was linked to reduced growth in diagnostic testing and imaging services for chest pain patients.
  • Further research is necessary to confirm the program's contribution and clinical appropriateness.