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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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 limited...
Role of Communication in the Nursing Process III: Evaluation and Documentation01:08

Role of Communication in the Nursing Process III: Evaluation and Documentation

A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation

Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Nursing Evaluation01:15

Nursing Evaluation

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.
Section...
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...
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

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TeleWound Practice Within the Veterans Health Administration: Protocol for a Mixed Methods Program Evaluation.

Bella Etingen1, Jamie Patrianakos1, Marissa Wirth1

  • 1Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr Veterans Administration Hospital, Hines, IL, United States.

JMIR Research Protocols
|July 25, 2020
PubMed
Summary

This study evaluates TeleWound Practice (TWP) to improve wound care access for veterans, especially in rural areas. The mixed-methods evaluation will identify barriers and solutions for national rollout, optimizing care delivery.

Keywords:
implementationoutcomeprotocoltelehealthveteranwoundwound care

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Area of Science:

  • Health Services Research
  • Telehealth
  • Wound Care

Background:

  • Chronic wounds predict mortality, and rural veterans face access challenges.
  • TeleWound Practice (TWP) uses telehealth to improve specialty wound care access.
  • The Veterans Health Administration (VA) is implementing TWP regionally.

Purpose of the Study:

  • To describe the protocol for a mixed-methods program evaluation of TWP implementation and outcomes in the VA.
  • To assess the process, reach, and impact of TWP on veterans' clinical outcomes and burdens.

Main Methods:

  • Mixed-methods evaluation across 4 VA medical centers and outpatient clinics.
  • Data collection from veterans, healthcare teams, and stakeholders via interviews, site visits, surveys, and administrative databases.
  • Assessment of TWP implementation, reach, clinical outcomes, and travel burdens/costs.

Main Results:

  • Program evaluation funded in October 2019 by the VA.
  • Initial implementation phase of TWP across selected VA sites.

Conclusions:

  • Evaluation will identify barriers and solutions for TWP implementation.
  • Findings will inform national rollout and optimize program reach for veterans.
  • This work supports scaling up TWP across the VA system.