Research an organization that uses an innovative model of care NUR 514

Research an organization that uses an innovative model of care NUR 514

Re: Topic 5 DQ 1

Accountable Care Organizations (ACOs) are organizations that voluntarily satisfy cost and quality goals in exchange for a share of the savings associated with a specific patient group (Highfill & Ozcan, 2016). Medicare beneficiaries are included in this category. Hospitalist Medicine Physicians of California – Apple Valley is a Bundled Payments for Care Improvement Advanced (BPCI-Advanced) Accountable Care Organization. This is an optional payment model designed to reward healthcare providers who invest in practice innovation in order to improve care coordination, cost containment, and quality of care for Medicare beneficiaries (CMS, 2021). By bundling payments for physicians, hospitals, and other healthcare providers, this bundled payment technique prioritizes patients by promoting affordability and increasing access to treatment (CMS, 2021). To monitor program adherence and progress, quality measures such as the administrative quality measure set are in place.

This set covers readmissions for any reason, advance care plans, and patient safety indicators from the Centers for Medicaid and Medicare Services (CMS, 2021). This model has an effect on interprofessional collaboration by rewarding clinicians who collaborate to accomplish goals that promote improved care coordination, efficient service delivery, and high-quality care (CMS, 2021). ACO models, like as the BPCI-Advance, have been found to be more efficient and successful at providing high-quality care at a lower cost than other care models (Highfill & Ozcan, 2016). When organizations, physicians, and other health care providers offer more creative payment structures and quality measurement models to Medicare beneficiaries, not only does healthcare become more inexpensive, but patient happiness increases as well.

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CMS. (2021, May 4). BPCI Advanced. Retrieved from Centers for Medicare & Medicaid Services:

https://innovation.cms.gov/innovation-models/bpci-advanced

Highfill, T., & Ozcan. (2016). Productivity and quality of hospitals that joined the Medicare Shared Savings Accountable Care Organization Program. International Journal of Healthcare Management, 210-217.

Re: Topic 5 DQ 1

The Mayo Clinic remains one of the more innovative models of care to date. In response to the rapidly changing healthcare scene, the

Mayo Clinic launched their Mayo Clinic Care Network (MCCN) in 2011 (Wald et al., 2018) and it has only continued to grow. The Mayo Clinic is considered innovative due to their formal and widespread use of collaboration that spans continents (Wald et al., 2018). As of 2017, the MCCN had 45 partners, spanning across 35 US states and including the Philippines, Mexico, Puerto Rico, Singapore, and the United Arab Emirates (Wald et al., 2018). International locations is not what makes the MCCN innovative, however. It is considered innovative because providers and healthcare teams can collaborate globally on a case, enabling an MCCN physician to utilize their best resources anywhere in the world. Providers can eConsult an expert for a case without that expert having to physically relocate or force the patient to seek care elsewhere (Wald et al., 2018). Providers can also participate in eBoards, where experts from across the MCCN come together to discuss particular cases on a larger scale (Wald et al., 2018). The Ask Mayo Expert feature brings Mayo Clinic knowledge right into the hands of the patient via internet, enabling patients to glean trusted information when and where they need it (Wald et al., 2018). By using technology to bring teams and patients together, the cost of travel alone is nearly reduced to zero. All of these pieces come together to form a large network of highly collaborative experts with mobilized resources, thus furthering the ability to provide state of the art care when and where the patient needs it most.

Wald, J. T., Lowery-Schrandt, S., Hayes, D. L., & Kotsenas, A. L. (2018). Mayo Clinic Care Network: a collaborative health care model. Journal of the American College of Radiology, 15(1PB), 167-172. https://www.jacr.org/article/S1546-1440(17)31186-9/pdf

Re: Topic 5 DQ 1

Phoenix Indian Medical Center (PIMC) piloted a perioperative surgical home (POSH) that provides quality, patient-centered surgical care (Powell et al., 2017). PIMC’s clients are American Indians who experience health care disparities. The care provided for surgical patients has been distributed amongst many physicians that produced fragmented care. The POSH intends to promote coordinated, patient-focused, evidence-based care (Powell et al., 2017). The surgical care is coordinated throughout the surgical continuum to discharge and follow-up outpatient care. The POSH improves population health, improves patient experience, and decreases health care costs. This coordination of care produces professional collaboration amongst physicians of varying specialties as needed, nursing, and ancillary personnel (Powell et al., 2017). All members of the team must work together to optimize the patient for surgery to create optimal, beneficial surgical outcomes. The coordination of care alone eliminates unnecessary testing or procedures before surgery. The surgeon-led perioperative surgical home utilizes evidence-based clinical pathways to direct preoperative, intraoperative, and postoperative care to minimize complications and improve recovery to optimal functioning (Powell et al., 2017). Through optimization and minimizing complications, the collaborative team is able to reduce health care costs for surgical procedures. The POSH initiative creates a plan of action on how to create the best possible outcomes for surgical patients while reducing costs. The coordination of care places all disciplines on the same page as to how to care for specific patient populations. PIMC found that the model was able to provide the intended results. Additionally, the hospital was able to expand its services in relation to how well the patients recovered from surgery by following the clinical pathways.

References

Powell, A. C., Thearle, M. S., Cusick, M., Sanderson, D., Van Lew, H., Lee, C., & Kieran, J. A. (2017). Early results of a surgeon-led, perioperative surgical home. Journal of Surgical Research, 211, 154–162. https://doi.org/10.1016/j.jss.2016.12.011

Re: Topic 5 DQ 1

Envision Healthcare has a program called evolution Health that focuses on building a better home care experience for their patients who have recently been discharged from a hospital. According to Evolution Health’s mission statement they “focus on hiring compassionate, highly experienced clinicians and empowering them with evidence-based clinical protocols, we deliver better outcomes, fewer re-hospitalizations and higher patient satisfaction” (Evolution Health, 2020). This organization prides themselves on delivering the highest care to their patients in a home care setting through collaboration from hospitals and the patients’ primary care providers. Through this collaboration, patients are able to have decreased 30-day re-admission rates among high-risk Medicare patients (Roepers et al, 2017). This innovative model affects interprofessional collaboration because all members of the team work together for the benefit of the patients. This organization has a medical command center (MCC) and a mobile integrated team (MIT) that are both available 24/7 for coordinating resources and managing the health of the patient. The ability to treat and manage patients through telemedicine can decrease the overall cost of patients’ long-term admissions and potentially re-admissions for more complex recurrent medical issues.

Research an organization that uses an innovative model of care NUR 514 Reference

Evolution Health (2020). Retrieved from https://www.evhc.net/vision/evolution-health

Roeper, B., Beck, E., Castillo, D., Myers, B., Sparkman, B., Cox, J., & Bourn, S. (2017). Innovative Care Model to Improve Clinical Quality and Safety of Transitional Care: Early Outcomes. Managed Care. Retrieved from https://www.managedcaremag.com/system/files/storypdfs/mc_1706_transitional_care_0.pdf

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Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

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Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

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Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

Your response needs to be a minimum of 150 words (not including your list of references)
There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
Include in-text citations in your response
Do not include quotes—instead summarize and paraphrase the information
Follow APA-7th edition
Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

A minimum of 6 responses per week, on at least 3 days of the week.
Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
Each response needs to be at least 75 words in length (does not include your list of references)
Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
Follow APA 7th edition
Points will be deducted if the above is not followed
Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
Here are some helpful links
Student paper example
Citing Sources
The Writing Center is a great resource