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 Pay for Performance in Health Care written by Jerry Cromwell and published by RTI Press. This book was released on 2011-02-28 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a balanced assessment of pay for performance (P4P), addressing both its promise and its shortcomings. P4P programs have become widespread in health care in just the past decade and have generated a great deal of enthusiasm in health policy circles and among legislators, despite limited evidence of their effectiveness. On a positive note, this movement has developed and tested many new types of health care payment systems and has stimulated much new thinking about how to improve quality of care and reduce the costs of health care. The current interest in P4P echoes earlier enthusiasms in health policy—such as those for capitation and managed care in the 1990s—that failed to live up to their early promise. The fate of P4P is not yet certain, but we can learn a number of lessons from experiences with P4P to date, and ways to improve the designs of P4P programs are becoming apparent. We anticipate that a “second generation” of P4P programs can now be developed that can have greater impact and be better integrated with other interventions to improve the quality of care and reduce costs.

Download or read book Home Health Outcomes Pay for Performance Disease Management written by Melinda Huffman and published by . This book was released on 2007-06-01 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: Resource for the home health industry and those serving the industry.

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 The Role of Human Factors in Home Health Care written by National Research Council and published by National Academies Press. This book was released on 2010-11-14 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research-the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments. To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices. On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.

Download or read book Handbook of Home Health Care Administration written by Marilyn D. Harris and published by Jones & Bartlett Learning. This book was released on 1997 with total page 1010 pages. Available in PDF, EPUB and Kindle. Book excerpt: Table of Contents Foreword Introduction Ch. 1 Home health administration : an overview 3 Ch. 2 The home health agency 16 Ch. 3 Medicare conditions of participation 27 Ch. 4 The joint commission's home care accreditation program 63 Ch. 5 CHAP accreditation : standards of excellence for home care and community health organizations 71 Ch. 6 Accreditation for home care aide and private duty services 81 Ch. 7 ACHC : accreditation for home care and alternate site health care services 86 Ch. 8 Certificate of need and licensure 92 Ch. 9 Credentialing : organizational and personnel options for home care 101 Ch. 10 The relationship of the home health agency to the state trade association 111 Ch. 11 The national association for home care and hospice 115 Ch. 12 The visiting nurse association of America 124 Ch. 13 Self-care systems in home health care nursing 131 Ch. 14 Home health care documentation and record keeping 135 App. 14-A COP standards pertaining to HHA clinical record policy 147 App. 14-B Abington Memorial Hospital home care clinical records 150 Ch. 15 Computerized clinical documentation 161 Ch. 16 Home telehealth : improving care and decreasing costs 176 Ch. 17 Implementing a competency system in home care 185 Ch. 18 Meeting the need for culturally and linguistically appropriate services 211 Ch. 19 Classification : an underutilized tool for prospective payment 224 Ch. 20 Analysis and management of home health nursing caseloads and workloads 236 Ch. 21 Home health care classification (HHCC) system : an overview 247 Ch. 22 Nursing diagnoses in home health nursing 261 Ch. 23 Perinatal high-risk home care 274 Ch. 24 High technology home care services 279 Ch. 25 Discharge of a ventilator-assisted child from the hospital to home 291 Ch. 26 Performance improvement 301 Ch. 27 Evidence-based practice : basic strategies for success 310 Ch. 28 Quality planning for quality patient care 315 Ch. 29 Program Evaluation 320 App. 29-A Formats for presenting program evaluation tools Ch. 30 Effectiveness of a clinical feedback approach to improving patient outcomes 341 Ch. 31 Implementing outcome-based quality improvement into the home health agency 352 Ch. 32 Benchmarking and home health care 383 Ch. 33 Administrative policy and procedure manual 395 Ch. 34 Discharge planning 399 Ch. 35 Strategies to retain and attract quality staff 421 Ch. 36 Evaluating productivity 436 Ch. 37 Labor-management relations 448 Ch. 38 Human resource management 459 Ch. 39 Staff development in a home health agency 474 Ch. 40 Transitioning nurses to home care 484 Ch. 41 Case management 495 Ch. 42 Managed care 499 Ch. 43 Community-based long-term care : preparing for a new role 507 Ch. 44 Understanding the exposures of home health care : an insurance primer 519 Ch. 45 Budgeting for home health agencies 527 Ch. 46 Reimbursement 535 Ch. 47 How to read, interpret, and understand financial statements 549 Ch. 48 Management information systems 558 Ch. 49 Legal issues of concern to home care providers 571 Ch. 50 Understanding the basics of home health compliance 590 Ch. 51 The HIPAA standards for privacy of individually identifiable health information 616 Ch. 52 Ethical practice in the daily service to home care client, their families, and the community 666 Ch. 53 Participating in the political process 675 Ch. 54 Strategic planning 693 Ch. 55 Marketing : an overview 708 Ch. 56 The internet in home health and hospice care 723 Ch. 57 Disease management programs 736 Ch. 58 The process of visiting nurse association affiliation with a major teaching hospital 756 Ch. 59 Grantsmanship in home health care : seeking foundation support 771 Ch. 60 Home care volunteer program 778 Ch. 61 The manager as published author : tips on writing for publication 796 Ch. 62 Student placements in home health care agencies : boost or barrier to quality patient care? 810 Ch. 63 A student program in one home health agency 818 Ch. 64 The role of the physician in home care 834 Ch. 65 Research in home health agencies 840 Ch. 66 Hospice care : pioneering the ultimate love connection about living not dying 850 App. 66-A State of Connecticut physician assisted living (PAL) directive 863 App. 66-B Summary guidelines for initiation of advanced care 864 Ch. 67 Safe harbor : a bereavement program for children, teens, and families 866 Ch. 68 Planning, implementing, and managing a community-based nursing center : current challenges and future opportunities 872 Ch. 69 Adult day services - the next frontier 883 Ch. 70 Partners in healing : home care, hospice, and parish nurses 891 Ch. 71 Meeting the present challenges and continuing to thrive in the future : tips on how to be successful as an administrator in home health and hospice care 899.

Download or read book The Future of Nursing 2020 2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Download or read book Rewarding Provider Performance written by Institute of Medicine and published by National Academies Press. This book was released on 2007-02-17 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.

Download or read book The Future of Home Health Care written by National Research Council and published by National Academies Press. This book was released on 2015-08-04 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: Individuals with disabilities, chronic conditions, and functional impairments need a range of services and supports to keep living independently. However, there often is not a strong link between medical care provided in the home and the necessary social services and supports for independent living. Home health agencies and others are rising to the challenges of meeting the needs and demands of these populations to stay at home by exploring alternative models of care and payment approaches, the best use of their workforces, and technologies that can enhance independent living. All of these challenges and opportunities lead to the consideration of how home health care fits into the future health care system overall. On September 30 and October 1, 2014, the Institute of Medicine and the National Research Council convened a public workshop on the future of home health care. The workshop brought together a spectrum of public and private stakeholders and thought leaders to improve understanding of the current role of Medicare home health care in supporting aging in place and in helping high-risk, chronically ill, and disabled Americans receive health care in their communities. Through presentations and discussion, participants explored the evolving role of Medicare home health care in caring for Americans in the future, including how to integrate Medicare home health care into new models for the delivery of care and the future health care marketplace. The workshop also considered the key policy reforms and investments in workforces, technologies, and research needed to leverage the value of home health care to support older Americans, and research priorities that can help clarify the value of home health care. This summary captures important points raised by the individual speakers and workshop participants.

Download or read book Delivering Health Care in America written by Leiyu Shi and published by Jones & Bartlett Publishers. This book was released on 2009-10-06 with total page 683 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a clear, cohesive format, Delivering Health Care in America provides a comprehensive overview of the basic structures and operations of the US health system—from its historical origins and resources, to its individual services, cost, and quality. Using a unique “systems” approach, it brings together an extraordinary breadth of information into a highly accessible, easy-to-read text that clarifies the complexities of health care organization and finance, while presenting a solid overview of how the various components fit together. The fourth edition has been thoroughly updated with the latest information on: The global threat of avian influenza Health policy agenda of the Bush administration Progress towards Healthy People 2010 goals The effects of corporatization, information revolution, and globalization on health care delivery. The role of hospitals in the U.S. healthcare system The continuing nursing shortage Prospective payment initiatives for inpatient psychiatric facilities and inpatient rehabilitation facilities Pay-for-performance initiatives Trends in home health care services The role of long-term care hospitals and reimbursement for their services Disease management as a strategy to manage utilization The role of inpatient rehabilitation facilities Updated information on health services for special populations State strategies to provide universal coverage State Children’s Health Insurance Plan reauthorization issues The President’s Emergency Plan for AIDS Relief High-deductible health plans Insurance restructuring in Massachusetts Challenges in long-term care The era of evidence-based medicine Mandates of recent legislation such as the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 and the Deficit Reduction Act of 2005 New Fifth Edition Now Available

Download or read book Handbook of Home Health Standards E Book written by Tina M. Marrelli and published by Elsevier Health Sciences. This book was released on 2008-10-13 with total page 688 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Home Health Standards: Quality, Documentation, and Reimbursement includes everything the home care nurse needs to provide quality care and effectively document care based on accepted professional standards. This handbook offers detailed standards and documentation guidelines including ICD-9-CM (diagnostic) codes, OASIS considerations, service skills (including the skills of the multidisciplinary health care team), factors justifying homebound status, interdisciplinary goals and outcomes, reimbursement, and resources for practice and education. The fifth edition of this “little red book has been updated to include new information from the most recently revised Federal Register Final Rule and up-to-date coding. All information in this handbook has been thoroughly reviewed, revised, and updated. Offers easy-to-access and easy-to-read format that guides users step by step through important home care standards and documentation guidelines Provides practical tips for effective documentation of diagnoses/clinical conditions commonly treated in the home, designed to positively influence reimbursement from third party payors. Lists ICD-9-CM diagnostic codes, needed for completing CMS billing forms, in each body system section, along with a complete alphabetical list of all codes included in the book in an appendix. Incorporates hospice care and documentation standards so providers can create effective hospice documentation. Emphasizes the provision of quality care by providing guidelines based on the most current approved standards of care. Includes the most current NANDA-approved nursing diagnoses so that providers have the most accurate and up-to-date information at their fingertips. Identifies skilled services, including services appropriate for the multidisciplinary team to perform. Offers discharge planning solutions to address specific concerns so providers can easily identify the plan of discharge that most effectively meets the patient’s needs. Lists the crucial parts of all standards that specific members of the multidisciplinary team (e.g., the nurse, social worker) must uphold to work effectively together to achieve optimum patient outcomes. Resources for care and practice direct providers to useful sources to improve patient care and/or enhance their professional practice. Each set of guidelines includes patient, family, and caregiver education so that health care providers can supply clients with necessary information for specific problems or concerns. Communication tips identify quantifiable data that assists in providing insurance case managers with information on which to make effective patient care decisions. Several useful sections make the handbook thorough and complete: medicare guidelines; home care definitions, roles, and abbreviations; NANDA-approved nursing diagnoses; guidelines for home medial equipment and supplies. Small size for convenient carrying in bag or pocket! Provides the most up-to-date information about the newest and predominant reimbursement mechanisms in home care: the Prospective Payment System (PPS) and Pay For Performance (P4P). Updated terminology, definitions, and language to reflect the federal agency change from Health Care Financing Administration (HCFA) to Centers for Medicare & Medicaid Services (CMS) and other industry changes. Includes the most recent NANDA diagnoses and OASIS form and documentation explanations. New interdisciplinary roles have been added, such as respiratory therapist and nutritionist.,/LI>

Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-08-19 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Download or read book Understanding the Intervention and Implementation Factors Associated with Benefits and Harms of Pay for Performance Programs in Healthcare written by Karli Kondo and published by . This book was released on 2015 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Over the last decade, pay for performance (P4P) programs have been implemented in a variety of health systems, including the VHA, as a means to improve the efficiency and quality of health care. There has been a parallel increase in the number of studies examining the effects of P4P. A number of recent reviews have summarized this literature, but have generally found insufficient evidence to broadly characterize the balance of harms and benefits. However, financial incentives programs are complex interventions whose effects may depend in part on the settings in which they are implemented, the methods used for implementation, the populations targeted, and the characteristics of the incentive programs themselves. The objectives of this report are to summarize the positive and negative effects of P4P on process and health outcomes, and to examine how implementation characteristics modify the effects of P4P programs"--Publisher's description.

Download or read book Performance Measurement for Health System Improvement written by Peter C. Smith and published by Cambridge University Press. This book was released on 2010-01-07 with total page 751 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a world where there is increasing demand for the performance of health providers to be measured, there is a need for a more strategic vision of the role that performance measurement can play in securing health system improvement. This volume meets this need by presenting the opportunities and challenges associated with performance measurement in a framework that is clear and easy to understand. It examines the various levels at which health system performance is undertaken, the technical instruments and tools available, and the implications using these may have for those charged with the governance of the health system. Technical material is presented in an accessible way and is illustrated with examples from all over the world. Performance Measurement for Health System Improvement is an authoritative and practical guide for policy makers, regulators, patient groups and researchers.

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.