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Definition Of The Concept of Continuum of Care Essay

The concept of continuum of care is effectively used in case management. The term “continuum of care” (COC) can be defined as “an integrated system of care composed of services and integrating mechanisms that manages clients through a comprehensive array of health, mental health and social services over time and across care settings” (Siegler et al., 2007, p. 158). In case management, this concept of continuum care is reflected in coordinated care services provided by case managers in different health care settings. Nurse case managers serve in various functions and roles in continuum of care. Some specific examples of these functions include providing direct care and coordination of care services provided by other health care providers. The concept of continuum of care used in case management reflects the necessity to deliver different types of services within one setting or across multiple settings, including medical, social, psychological and nursing services. Definition Of The Concept of Continuum of Care Essay According to experts, “the continuum facilitates the stability, continuity and comprehensiveness of service to an individual and maximizes the coordination of care and services” (Gibson et al., 2008, p. 32). In case management practices, patients are provided on-going care and clinical treatment. For example, patients are provided services, which include not only hospitalization, but also outpatient therapy sessions. The continuum is focused on various types of care, including primary care, acute care and home services. Case management depends on the scope of the continuum care. According to Diane Huber(2005), “the continuum of care may be conceived of as within a facility, across the lifespan, across specific transitions or across other defined episodes or spans of time”(p. 8). The concept of continuum of care forms the basis of case management programs because case management in health care is aimed at moving individuals along the continuum care in order to provide high quality health care services.

Definition Of The Concept of Continuum of Care Essay

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The weaknesses of discharge planning as it is practiced in acute care settings today include poor management practices and nursing practices, which lead to challenges caused to high-risk patients because of denied reimbursement. This could be improved using a case management model.

The primary source was health care delivery systems of cost-effective, patient-centered, quality care with a service emphasis categorized as individual patient, care team, acute hospital care and ambulatory care. My secondary source was the integrated systems of care like interentity planning and management, care coordination, case-based financing, and integrated information systems. These sources provided in depth reviewed on how these systems are interchangeable throughout the continuum of care and how the healthcare industry is identifying areas that need improvement to have positive health outcomes. I evaluated the sources based upon current, relevant, authoritative, accurate, and purpose of the concept of continuum of care in healthcare.

Definition Of The Concept of Continuum of Care Essay

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Keywords: health delivery systems and integrated systems
My Perspective
The concept of the continuum of healthcare
The goal of any health care delivery system should be to provide optimal health outcomes by providing cost-effective, patient-centered, quality care with a service emphasis. To motivate patients and health care providers to make decisions consistently.
Cost-effective
Providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and misuse, respectively). Six Domains of Health Care Quality, (11/2018)
Patient-centered1
Meaning is the patient being treated with digiity. Respectful communication is the key and creates trust and strengths patient and physician relationship.
The quality of care.
Is the patient provided with the right diagnosis, medication and treatment along with accurate documentation.
The health care delivery system.
The services emphasis meaning on different levels like individual patient, care team, acute hospital care, and ambulatory care. These levels are provided the integrated systems like interentity planning and management, care coordination, case-based financing, and integrated information systems.Definition Of The Concept of Continuum of Care Essay

Continuum of care.
What is the continuum of care is a concept involving an integrated system of care that guides and tracks patient over time through a comprehensive array of health services spanning all levels of intensity. (Evashwick, CJ, 1989) Into categories; extended care, acute hospital care, ambulatory care, home care, outreach, wellness, and housing.
I remember when I was young, I happened to look at my mother’s prescription written by the doctor on a piece of paper and it looked like scribbles and no defining words and the signature from the doctor was illegible. The primary source article discusses the Evaluation of Outpatient Computerized Physician Medication Order Entry Systems: A Systematic Review: CPOE or (EP) electronic prescription It discussed how this system helps to reduce medication errors and cost, improves efficiency, safety, and Adherence to federal guidelines. The purpose of outpatient CPOE system allows clinicians to enter medication orders directly for outpatients or primary care patients. Along with decision support system (DSS) is any system designed to directly aid a health professional in decision-making during medication ordering. Article written in 2007 and it stated that their evalution could not get enough information from outpatient setting because the information was scattered among various paper and electronic information systems where they could not identify adverse drug events and other outcomes was difficult. However, it discusses the inpatient setting outcomes because the information was more accessible. What was interesting the most about this system was it is more legible whereas the pharmacist can read and understand the medication order more clearly.Definition Of The Concept of Continuum of Care Essay Of course, the pharmacist would still need to clarify the medication order with the physician in which is guideline, but there less likely a misunderstanding of the correct name of the medication and dose. When it comes to medication, the informational needs of the patient across the healthcare continuum like acute hospital care, the patient wants the physician (care team) to provide the correct medication and dose to treat their condition and ,(coordinate services) to the pharmacist to fulfil the medication order correctly. This system helps to reduce errors and the cost meaning the pharmacist can review any generic medication at a low cost that can still treat their condition without brand name medication at a high cost. This system captures the information by using prompts to get the patients information like spelling of their name, address, correct medication name and dose, then the information re-evaluated for errors to be corrected, then it becomes apart of the patient’s medical record where other physicians or clinicians can access the information to continue the patient’s treatment in other settings throughout the health care continuum, than, the information management team reviews the record and update medication orders or remove outdated information.
My secondary source article called The Electronic Health record use and the of ambulatory care in the United states. The article provided in depth study from 2003 to 2004 using indicators like medical management of common diseases, antibiotic prescribing, preventive counseling, and screening test and avoiding inappropriate medication prescribing in elderly patients. The article provides excellent information on the what services were evaluated, measurable statics, the electronic health record (EMR) provides good quality care or needs improvements. I have informed that if the visit was not documented then the visit never happened. In all the article showed that EMR did not improve ambulatory care, but it showed that EMR without out correct information can cause harm or negative health outcomes. In my perspective, the continuum of healthcare is continuously evolving to improving and perfecting healthcare services on all levels and integrated systems to provide quality care and better health outcomes to its patients.Definition Of The Concept of Continuum of Care Essay

Continuum of care is the concept of involving a system that guides the patient over time through an array of health services of all levels.” (HIMSS,2019). For my assignment this week, I created a patient that based in Augusta, Ga and was diagnose with kidney disease and renal failure. My patient, Raymond Peterson, resides in downtown Augusta, which is a low income, urban area. Medicare part A, B, & D are his main forms of insurance. Since, Mr. Peterson is experiencing kidney failure, he has to be seen by a specialist and will have to have consistent dialysis to help off-set the rate of the failure. Mr. Peterson will be a patient of a local nephrology clinic, Nephrology Associates. Nephrology Associates is a physician based, private sector that specializes in disease management and dialysis. According to Singh, “group practice clinics offer important advantages to the patients. In many instances, patients can receive up-to-date diagnostic, treatment, pharmaceutical, and certain surgical services in the same location.”

Mr. Peterson will also need to visit DaVita dialysis center due to his renal failure. DaVita is a world renounced dialysis center and they have a center located in Augusta. They will partner with the Nephrology Associates to ensure that Mr. Peterson will have the best treatment for his renal failure. Eventually renal failure will overtake Mr. Peterson’s body and his family will not be able to care for him anymore. On the occurrence of this event, Mr. Peterson will be admitted into Benton House of Augusta, which is a long-term care and hospice facility. At the Benton House, he will be able to get around the clock care. Definition Of The Concept of Continuum of Care Essay

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