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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...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
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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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Health Care Hotspotting: A Scoping Review.

Jennifer T Alderman1, Jamie Conklin

  • 1School of Nursing (Dr Alderman) and Health Sciences Library (Ms Conklin), University of North Carolina at Chapel Hill.

Journal of Nursing Care Quality
|August 19, 2022
PubMed
Summary

Hotspotting provides personalized care to super-utilizers of the health care system, improving outcomes. This approach involves interprofessional teams addressing social determinants of health and patient engagement.

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Area of Science:

  • Healthcare Management
  • Public Health Interventions
  • Patient-Centered Care

Background:

  • Super-utilizers represent a small population segment but consume significant healthcare resources.
  • Hotspotting is an intervention strategy focused on delivering high-quality, personalized care to this high-need population.

Purpose of the Study:

  • To systematically review and synthesize the existing literature on hotspotting interventions.
  • To examine the definitions, implementation strategies, and measurement approaches of hotspotting.

Main Methods:

  • A scoping review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) methodology.
  • Searched twelve electronic databases for studies on hotspotting interventions in various practice settings.

Main Results:

  • Sixteen studies met the inclusion criteria.
  • Hotspotting interventions, often defined by the Camden Coalition, involve interprofessional teams and address access to care, social determinants of health, patient engagement, and health literacy.
  • Evidence suggests hotspotting can reduce hospital readmissions and emergency department visits, while increasing social service utilization.

Conclusions:

  • An interprofessional and personalized care planning approach benefits patients.
  • Hotspotting facilitates high-quality patient care through the establishment of trusted relationships between providers and patients.