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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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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...
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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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.
For example, a patient with a chronic...
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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Integrated Healthcare System01:20

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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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  11. Direct Admission Program Implementation: A Qualitative Analysis Of Variation Across Health Systems

Direct Admission Program Implementation: A Qualitative Analysis of Variation Across Health Systems

Jordan A Taylor1, Corrie E McDaniel2,3, Cathryn A Stevens4

  • 1The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.

Pediatrics
|March 27, 2024

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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View abstract on PubMed

Summary
This summary is machine-generated.

Direct admission (DA) programs show variable adoption across health systems. Implementation challenges and clinician trust impact program success, offering insights for improving hospital transitions.

Area of Science:

  • Healthcare Management
  • Implementation Science
  • Patient Experience

Background:

  • Direct admission (DA) bypasses the emergency department, potentially improving patient satisfaction and care timeliness.
  • Understanding variations in DA program implementation is crucial for optimizing healthcare delivery.

Purpose of the Study:

  • To characterize the reach, effectiveness, adoption, and implementation of a DA program across health systems.
  • To explore parent and clinician perspectives on the DA program using the RE-AIM framework.

Main Methods:

  • A stepped-wedge cluster randomized trial evaluated DA effectiveness.
  • Semi-structured interviews with 137 parents and clinicians were analyzed using thematic and axial coding.

Main Results:

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  • DA rates varied 10-fold (0.9%–9.3%) across health systems, with 6.6% of 2599 hospitalizations via DA.
  • Similarities in perceived effectiveness and engagement were noted, but implementation and adoption varied.
  • Differences in transfer center efficiency, clinician trust, and organizational culture impacted adoption.

Conclusions:

  • DA program adoption is inconsistent, presenting unique implementation challenges and opportunities.
  • Findings can guide quality improvement initiatives for smoother hospital transitions.