Download or read book Clinical Accountability in Long Term Care written by Randy Kozeal and published by Hcpro Incorporated. This book was released on 2014-05-14 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving the Quality of Long Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Download or read book Clinical Accountability in Long term Care written by Eileen L. Dohmann and published by Hcpro, a Division of Simplify Compliance. This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Accountability in Long-Term Care: Six Strategies to Build a Culture of Commitment Eileen L. Dohmann, RN, BSN, MBA, NEA-BC You're only six steps away from building a culture of accountability! An accountable staff is an empowered staff. Clinical Accountability in Long-Term Care: Six Strategies to Build a Culture of Commitment will teach directors of nursing, charge nurses, and staff educators proven strategies to empower staff members to take more ownership and responsibility in their jobs. Quantifying an intangible concept such as accountability can be difficult, but the author reveals the successful six-step plan that she uses with her own staff to achieve measurable results. This manual provides helpful tools to set expectations for behavior and standards of practice. A key training resource for both new and experienced managers, it is perfect for directors, administrators, managers, and staff educators. Clinical Accountability in Long-Term Care will help you: Set expectations to hold staff accountable in a variety of situations Practice accountability individually and within multidisciplinary work relationships Use active listening and assertive speaking Recognize and change noncommitments to commitments Differentiate between the terms "responsibility" and "accountability" Assess the level of accountability of managers and supervisors Take a look at the Table of Contents Chapter 1: What Is Accountability? Difference Between Accountability And Responsibility Accountability and Organizational Roles Designing Organizational Roles and Culture Interpersonal Interactions in an Accountability Culture Chapter 2: Accountability Tools Everything You Need to Hold Yourself and Others Accountable Six Accountability Language Tools The Power of Accountability Language Develop a New Habit and Track Your Progress Chapter 3: Personal Accountability Identifying Your Personal Level of Accountability Tell Your Accountability Story Your Communication Style Personal Accountability Situations Chapter 4: Holding Staff Members Accountable Defining Accountability and Expectations for Your Staff Engaging in Effective Conversations Facilitating Effective Meetings Professional Staff Development Promoting Intolerance Chapter 5: Holding Peers Accountable Accountability Conversations with Peers The Power of Public Accountability Chapter 6: Seeking Accountability from Your Manager Managing Up Dealing with Different Types of Managers How It Feels to Be Held Accountable Chapter 7: Physicians and Accountability Language Tools Listen to Understand Chapter 8: Promoting Accountability with the A-Team Reaching Upward Language Tools Chapter 9: How to Design Spectacular Meetings Everything You Need to Know to Lead an Effective Meeting Appendix Teaching Tools Communication CPR Tool Communication Information Tips for Being a Clear Speaker and an Active Listener Agenda Template for Facilitating Productive Meetings Accountability Quiz Answer key to Accountability Quiz
Download or read book Nursing Staff in Hospitals and Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1996-03-27 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Download or read book Improving the Quality of Care in Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1986-02-01 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.
Download or read book Defining Primary Care written by Karl D. Yordy and published by National Academies. This book was released on 1994 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Primary Care written by Institute of Medicine and published by National Academies Press. This book was released on 1996-09-05 with total page 411 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Download or read book Implementing Quality Measures for Accountability in Community Based Care for People with Serious Illness written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-11 with total page 109 pages. Available in PDF, EPUB and Kindle. Book excerpt: Millions of Americans of all ages face the challenge of living with serious illnesses such as advanced cancer, heart, or lung disease. Many people with serious illness are increasingly cared for in community settings. While the number of community-based programs to provide care for those with serious illness has grown significantly, the quality of care provided is not consistent across geographic locations or care settings. Care for the serious illness population often features gaps in coordination across sites of care and poor patient and family perceptions as to the quality of care provided. In an effort to better understand and facilitate discussions about the challenges and opportunities related to identifying and implementing quality measures for accountability purposes in community-based serious illness care, the National Academies of Sciences, Engineering, and Medicine held a public workshop on April 17, 2018, in Washington, DC. Workshop participants explored the current state of quality measurement for people with serious illness, their families, and caregivers, with the aim of identifying next steps toward effectively implementing measures to drive improvement in the quality of community-based care for those facing serious illness. This publication summarizes the presentations and discussions from the workshop.
Download or read book Accountability written by Virginia A. Sharpe and published by Georgetown University Press. This book was released on 2004-09-07 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to a recent Institute of Medicine report, as many as 98,000 Americans die each year as a result of medical error—a figure higher than deaths from automobile accidents, breast cancer, or AIDS. That astounding number of fatalities does not include the number of those serious mistakes that are grievous and damaging but not fatal. Who can forget the tragic case of 17-year-old Jésica Santillán, who died after receiving a heart-lung transplant with an incompatible blood type? What can be done about this? What should be done? How can patients and their families regain a sense of trust in the hospitals and clinicians that care for them? Where do we even begin the discussion? Accountability brings the issue to the table in response to the demand for patient safety and increased accountability regarding medical errors. In an interdisciplinary approach, Virginia Sharpe draws together the insights of patients and families who have suffered harm, institutional leaders galvanized to reform by tragic events in their own hospitals, philosophers, historians, and legal theorists. Many errors can be traced to flaws in complex systems of health care delivery, not flaws in individual performance. How then should we structure responsibility for medical mistakes so that justice for the injured can be achieved alongside the collection of information that can improve systems and prevent future error? Bringing together authoritative voices of family members, health care providers, and scholars—from such disciplines as medical history, economics, health policy, law, philosophy, and theology—this book examines how conventional structures of accountability in law and medical structure (structures paradoxically at odds with justice and safety) should be replaced by more ethically informed federal, state, and institutional policies. Accountability calls for public policy that creates not only systems capable of openness concerning safety and error—but policy that also delivers just compensation and honest and humane treatment to those patients and families who have suffered from harmful medical error.
Download or read book Approaches to Accountability in City of Toronto Long term Care Homes written by Lindsay Wyers and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Within the context of healthcare accountability are concepts such as quality and safety of care, resource allocation and the notion of value for money. When understanding accountability, questions such as who is accountable for what and how is accountability demonstrated arise. As the number of stakeholders and funders increase, and in a highly regulated long-term care sector, the answers to these questions increase in complexity. The goal of this study is to examine the approaches to accountability within ten homes that are publicly funded and publicly delivered by the City of Toronto, within a framework of accountability mechanisms including financial oversight, regulations and information, and professionalism. A case study research design, with both document review and semi-structured interviews, was utilized to understand the implications of key variables on the framework to evaluate accountability. The results are based on seven informants from publicly funded and delivered homes in the province of Ontario both from senior management and long-term care home administrators. The dominant mechanisms of accountability found in this research are financial oversight, regulations, and information, while professionalism played a marginal role. Key informants identified the challenges of being accountable to multiple funders, including five LHINs and to the City of Toronto. The increased need to be compliant with legislation requirements, LHIN performance indicators, and ensure high-quality resident care is not consistent with the finite and decreasing resources required to successfully demonstrate accountability to multiple stakeholders.
Download or read book Aging Well written by JEAN. HASELTINE GALIANA (WILLIAM.) and published by Springer. This book was released on 2019-01-01 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults."--Provided by publisher.
Download or read book Closing the Quality Gap written by Kaveh G. Shojania and published by . This book was released on 2004 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Download or read book Long Term Care Hospitals written by Linda T. Kohn and published by DIANE Publishing. This book was released on 2011-05 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report transmits a briefing to Congress highlighting differences in the oversight of long-term care hospitals (LTCH), other types of hospitals, and nursing homes. A draft of this report was provided to the Department of Health and Human Services (HHS) and to The Joint Commission (TJC) ¿ an accrediting organization that oversees the majority of LTCHs. HHS¿s comments, which indicated that the briefing slides were a welcome resource, are reproduced in Appendix III of this report. Technical comments were also received from HHS and TJC and were incorporated as appropriate. Charts and tables. This is a print on demand edition of an important, hard-to-find report.
Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Download or read book Medical Care Medical Costs written by Rashi Fein and published by . This book was released on 1999-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: After decades of neglect, health care for Americans became a part of social policy in the 1960s, only to fall increasingly under the influence of market-driven theorists and commerce-oriented caregivers. Rashi Fein, Professor of Economics of Medicine at Harvard Medical School and former senior staff member of the Presidents Council of Economic Advisers, warns that the American health care insurance system is in jeopardy and calls for its reform. In Medical Care, Medical Costs: The Search for a Health Insurance Policy, Fein argues that the quest for efficiency in the delivery of health care services must be joined with a concern for equity in their distribution and that we need policies informed by long-held values, traditions, and experiences in the shaping of medical care delivery.
