Term
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Definition
Total patient care for a specific time period. ONE NURSE
-- consider expense and ID staff edu and comm. |
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Term
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Definition
| comprehensive, simple, simple assignment planning, clear resp, mutual trust |
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Term
| Case method Disadvantages |
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Definition
| costly, no unlicensed staff, confusion, ?job security, little mobility, isolated, ?nursing shortage? |
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Term
| Case method Manager's role |
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Definition
• Must consider the expense…should keep costs down by using UAPs
• Identify level of education and communication skills of all staff
• RNs need to be educ’d in comm. and coordinating care as well as supervising other staff members
• LPNs/UAPs need continuing educ. To maintain competence |
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Term
| Case method Staff nurse role |
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Definition
• Provides holistic care within a defined work time
• The physical, emotional and technical aspects of care are his/her responsibility
• Some nurses like/ others do not like this model and wish to delegate |
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Term
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Definition
| Assigned to task rather than patient |
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Term
| Functional method Advantages |
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Definition
-highly efficient
-unskilled can be trained
-Cost effective
-Little confusion |
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Term
| Functional Method Disadvantages |
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Definition
-not effective if asked to multitask
-fragmented care
-?? follow-up??
-Dissatisfaction of proffesional
-Less control of quality |
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Term
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Definition
Use of talents and abilities of groups
Led by an RN who is responsible for assessing, developing nursing diagnoses, planning and evaluating
Democratic, Team responsible for total care of assigned patients, Communication essential to success |
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Term
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Definition
More satisfying both
--abilities better utilized/recognized
--use of less prepared staff
--More comprehensive and holistic
--Efficient
--Cost effective |
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Term
| Team nursing Disadvantages |
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Definition
--poor construction of teams
--timesly, mucho cooperation
--Some efficiency lost
--role confusion
--nonlicensed personal lg. amt of care |
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Term
| Team nursing managers role |
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Definition
| Acute management skills in delegation |
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Term
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Definition
Focus on geographic location of patients and assignment of staff
--RN, assisted by paraprofessional(s), delivers care to a group of patients
--RN plans and coordinates care |
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Term
| Modular Method Advantages |
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Definition
| Continuity, close pt.-RN relationship, Reduced RN time on indirect activities, Reduced time on looking for assistance |
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Term
| Modular Method Disadvantages |
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Definition
--Hosp not designed for modular
--Teams may be ineffective
--Unequal assignments can result if done by module
--Much cooperation and coordination is required
--Confusion can result if composition of team varies frequently |
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Term
| Modular Method Managers Role |
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Definition
| nursing and pt. assignment arrangement for balance, communication |
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Term
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Definition
--24 hr accountability for nursing care; activities by coordinated one nurse
--if primary not on the floor than the LPN comes in and work with the patient
--Decentralized nursing care decision, authority, and responsibility to staff nurse
--Based on philosophy that patients, not tasks, should be the focus of nursing care delivery
--admission to discharge
--Each RN assigned 4-6 patients |
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Term
| Primary Nursing Advantage |
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Definition
| personalized, holistic, continuity, accountability, autonomy, motivation,rapport, inc. communication |
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Term
| Primary nursing disadvantages |
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Definition
| cost, need experience, may not want 24hr resp, Role confusion when LPN used, communication problems |
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Term
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Definition
(co-primary nursing model)
RN paired with a technical assistant
Partner works with the RN consistently (always working together-not really a model but just term used)
Problem- junior partner could take on too much responsibility due to comfort and overconfidence
Make sure they are staying within role |
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Term
| Patient focused care basics |
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Definition
--Another view of primary care
--Bring services to patient-unit based (bedside)
--Focus is decentralized care, the promotion of efficiency and quality as well as cost control
--Care provided by “care pair”
--Care pair cross-trained to provide multidisciplinary care
--Patient clustered |
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Term
| Patient focused care advantages |
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Definition
--Simplification of patient care
--Decreases new faces entering a patient’s room
--Less time spent in coordinating services and transporting patients
--Cost reduction – effective but implementation (restructuring) investment is costly.
--Care pairs express satisfaction |
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Term
| Patient focused care disadvantages |
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Definition
--Start up cost considerable
--Staff resistance to change
--Concerns for blurring of roles
--Could trade quality for efficiency |
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Term
| Nursing Case Management basics |
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Definition
--A system of patient care delivery that focuses on the achievement of patient outcomes with effective and appropriate time frames and resources
--Designed to coordinate care, decrease costs, promote access to appropriate and needed services
--RN responsible for coordinating activities and care of patient, overseeing quality and financial outcomes of patient care |
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Term
| NEED TO KNOW BEFORE INSTALLING NCM |
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Definition
| Length of stay, cost of care, high risk complication info |
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Term
| Nursing Case Management Advantages |
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Definition
--Focus on outcome and efficient management of time
--Continuity of care is maintained
--Case manager knows the broad picture
--Scope of knowledge about the case is extensive
--Heightened awareness of fiscal issues gained by nurse
--Interdisciplinary coordination of care |
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Term
| Nursing Case Management Disadvantages |
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Definition
--Extent of emphasis placed on financial issues
--Requires delegation of aspects of care to other members of staff |
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Term
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Definition
| payment of a fixed dollar amount, per person, for the provision of health services to a patient population for a specified period of time (e.g. One month) |
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Term
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Definition
| systematic, population-based approach to identify persons at risk, intervene with specific program of care, measure clinical and other outcomes |
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Term
| Integrated delivery system |
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Definition
network of health care organizations that provides a coordinated continuum of service to a defined population and is willing to be held clinically and fiscally accountable for the outcomes and the health status of the population served.
Networks include hospitals, nursing homes, schools, public health depts., and social and community health organizations |
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Term
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Definition
| occurs when a health care system contains several organizations of one type, such as hospitals |
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Term
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Definition
| occurs when different stages of health care are linked and delivered by one agency. |
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Term
| Outcome elements of quality |
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Definition
| the end products of quality care and review the status of patients that may result from health care. Outcome elements ask the question, “Is the patient better as a result of health care?” |
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Term
| Process elements of quality |
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Definition
| identify what nursing and health care interventions must be in place to deliver quality. Process elements are such things as managing the health care process, utilizing clinical practice guidelines and standards for nursing and medical interventions, passing medications, and the like. |
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Term
| Structure elements of quality |
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Definition
| identify what structures must be in place in a health care system/unit to deliver quality health care. Structure elements consist of such things as a well constructed hospital, quality patient care standards, quality staffing policies, environmental standards, and the like. |
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Term
| Fee for service reimbursement |
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Definition
| reimbursement based on services provided |
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