Related Concept Videos
01:15Nursing 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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01:25Types of Reports I: Hands-off Report
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A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
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01:14SBAR II: Application of SBAR
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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.7K
01:21Methods of Documentation III: PIE
1.5K
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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01:21Types of Reports II: Incident or Occurrence Report
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An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
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01:26Types of Reports III: Telephone and Verbal Reports
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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
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New York State 1115 Demonstration Independent Evaluation: Interim Report.
Rand Health Quarterly
|July 15, 2022
Summary
New York's Medicaid Section 1115 Waiver successfully expanded managed care access for beneficiaries through the Managed Long-Term Care program and continuous eligibility. Quality of care did not significantly change, but increased access without compromising quality is a notable achievement.
Keywords:
Health Care AccessHealth Care QualityHealth Insurance MandatesLong-Term CareManaged Health CareMedicaidNew YorkMore Related Videos
Area of Science:
- Health Policy
- Public Health
- Healthcare Management
Background:
- New York State's Medicaid Section 1115 Waiver aims to increase managed care enrollment, enhance service quality, and expand coverage.
- Key components include the Managed Long-Term Care (MLTC) program and 12-month continuous eligibility for beneficiaries.
Purpose of the Study:
- To evaluate the effectiveness of the MLTC program and 12-month continuous eligibility policy.
- To determine if these components contribute to the waiver's goals of increased access, improved quality, and expanded coverage.
Main Methods:
- Independent evaluation by the RAND Corporation.
- Analysis of data related to managed care enrollment, access, service quality, and patient safety.
Main Results:
- The waiver demonstrably expanded access to managed care.
- Mandatory MLTC enrollment and 12-month continuous eligibility were key drivers of increased access.
- No significant changes in patient safety or quality of care were detected.
Conclusions:
- The Demonstration successfully increased access to managed care for Medicaid beneficiaries.
- While quality of care did not improve, maintaining quality while increasing access represents a significant success.
- The waiver's components have effectively expanded healthcare access for low-income New Yorkers.