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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:
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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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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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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 vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
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SHARPening Residency Selection: Implementing a Systematic Holistic Application Review Process.

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    |September 1, 2023
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    Summary

    A new systematic holistic application review process (SHARP) significantly increased the recruitment of underrepresented in medicine (URiM) residents. SHARP offers a promising tool for residency programs to mitigate bias and enhance diversity.

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    Area of Science:

    • Medical Education
    • Health Equity
    • Residency Recruitment

    Background:

    • Traditional residency application metrics exhibit systemic bias against underrepresented in medicine (URiM) applicants.
    • This bias negatively impacts URiM candidates, residency programs, and patient care.
    • Existing holistic review tools are limited in adaptability across academic medicine settings.

    Purpose of the Study:

    • To describe the development and implementation of a novel Systematic Holistic Application Review Process (SHARP).
    • To evaluate SHARP's effectiveness in improving the recruitment of URiM residents within a family medicine residency program.
    • To address the need for adaptable tools to mitigate bias in residency selection.

    Main Methods:

    • A longitudinal quality improvement project utilizing the A3 framework.
    • Development of the SHARP tool, including rubric refinement and program leadership discussion, starting August 2019.
    • Adoption of SHARP for the 2021 application cycle review, following iterative improvements.

    Main Results:

    • Post-SHARP implementation (2021-2022), the proportion of interviewed URiM candidates increased from 23% to 38% (P < .001).
    • The proportion of matched URiM candidates significantly rose from 27% to 62% (P = .004).
    • An increase in both the number and diversity of application reviewers was observed.

    Conclusions:

    • SHARP demonstrates potential as an effective tool to counteract racism and bias in residency program admissions.
    • The SHARP process can be adapted by residency programs across various specialties to meet their specific diversity and recruitment goals.
    • Implementing SHARP can contribute to a more equitable and diverse physician workforce.