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Related Concept Videos

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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Continuing Care01:25

Continuing Care

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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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Methods of Documentation VI: Case Management Model01:15

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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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Community Based Intervention01:30

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Specialized Care Centers and Settings-II01:30

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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Levels of Health Promotion and Illness Prevention01:26

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
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Related Experiment Video

Updated: Oct 30, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Avoided Hospitalization Criteria: Validating the Impact of a Community-Based Palliative Care Program.

Gobi Paramanandam1, Barbara E Volk-Craft1, Rachel Mayer Brueckner1

  • 1Palliative Care Program, Hospice of the Valley, Phoenix, Arizona, USA.

Palliative Medicine Reports
|July 5, 2021
PubMed
Summary

Community-based palliative care (CBPC) programs can reduce hospitalizations for chronically ill patients. Demonstrating reduced utilization and improved care quality strengthens partnerships with payers for program sustainability.

Keywords:
acute care utilizationavoided hospitalizationhome-based palliative care

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Area of Science:

  • Palliative Care
  • Health Services Research
  • Healthcare Management

Background:

  • Patients with serious chronic illnesses frequently utilize emergency rooms and hospitals as their conditions worsen.
  • Community-based palliative care (CBPC) programs can mitigate hospital utilization through early intervention and enhanced care management.
  • The Arizona Palliative Home Care (AZPHC) program serves 3300 patients annually in Maricopa County, Arizona.

Purpose of the Study:

  • To describe the strategies employed by a CBPC program to identify and quantify avoided hospitalizations.
  • To explore how data on avoided hospitalizations can be leveraged to foster partnerships with insurance payers.
  • To ensure the financial sustainability of CBPC programs through demonstrated value.

Main Methods:

  • Formation of an interdisciplinary team within the CBPC to track hospitalization avoidance events.
  • Development of processes for identifying and quantifying instances where hospitalizations were averted.
  • Strategic communication of hospitalization avoidance data, including patient narratives, to community partners and payers.

Main Results:

  • AZPHC successfully enhanced its hospitalization avoidance strategies through consistent data communication.
  • Presenting data on avoided hospitalizations and patient outcomes demonstrated the CBPC's impact on care quality and cost reduction to payers.
  • The program's approach facilitated stronger relationships with insurance payers by highlighting clinical and financial benefits.

Conclusions:

  • Effective communication of hospitalization avoidance data is crucial for CBPC program sustainability.
  • Demonstrating both clinical and financial value strengthens payer-provider relationships, securing future funding for CBPC initiatives.
  • CBPC programs are vital in reducing healthcare costs and improving patient outcomes for those with chronic illnesses.