The Immigration Detention Health Plan: An Acute Care Model for a Chronic Care Population

2009 ◽  
Vol 20 (4) ◽  
pp. 951-957 ◽  
Author(s):  
Homer D. Venters ◽  
Allen S. Keller
Keyword(s):  
Acute Care ◽  
Health Plan ◽  
Chronic Care ◽  
Care Model ◽  
Immigration Detention ◽  
Acute Care Model

scholarly journals Improving continuity of care of patients with respiratory disease at hospital discharge

Breathe ◽  
2020 ◽  
Vol 16 (3) ◽  
pp. 200161
Author(s):  
Jack Dummer ◽  
Tim Stokes
Keyword(s):  
Hospital Discharge ◽  
Respiratory Disease ◽  
Acute Care ◽  
Patient Outcomes ◽  
Continuity Of Care ◽  
Outpatient Care ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Care Model ◽  
Acute Care Model

Continuity of care refers to the delivery of coherent, logical and timely care to an individual. It is threatened during the transition of care at hospital discharge, which can contribute to worse patient outcomes. In a traditional acute care model, the roles of hospital and community healthcare providers do not overlap and this can be a barrier to continuity of care at hospital discharge. Furthermore, the transition from inpatient to outpatient care is associated with a transition from acute to chronic disease management and, in a busy hospital, attention to this can be crowded out by the pressures of providing acute care. This model is suboptimal for the large proportion of patients admitted to hospital with acute-on-chronic respiratory disease.In a chronic care model, the healthcare system is designed to give adequate priority to care of chronic disease. Integrated care for the patient with respiratory disease fits the chronic care model and responds to the fragmentation of care in a traditional acute care model: providers integrate their respiratory services to provide continuous, holistic care tailored to individuals. This promotes greater continuity of care for individuals, and can improve patient outcomes both at hospital discharge and more widely.Educational aimsTo understand the concept of continuity of care and its effect at the transition between inpatient and outpatient care.To understand the difference between the acute and chronic models of healthcare.To understand the effect of integration of care on continuity of care for patients with respiratory disease and their health outcomes.

scholarly journals Using Mobile Health to Support the Chronic Care Model: Developing an Institutional Initiative

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Shantanu Nundy ◽  
Jonathan J. Dick ◽  
Anna P. Goddu ◽  
Patrick Hogan ◽  
Chen-Yuan E. Lu ◽  
...  
Keyword(s):  
Primary Care ◽  
Health System ◽  
Health Plan ◽  
Chronic Care Model ◽  
Chronic Care ◽  
Primary Care Team ◽  
Self Management ◽  
Management Support ◽  
Care Model ◽  
Team Based Care

Background. Self-management support and team-based care are essential elements of the Chronic Care Model but are often limited by staff availability and reimbursement. Mobile phones are a promising platform for improving chronic care but there are few examples of successful health system implementation.Program Development. An iterative process of program design was built upon a pilot study and engaged multiple institutional stakeholders. Patients identified having a “human face” to the pilot program as essential. Stakeholders recognized the need to integrate the program with primary and specialty care but voiced concerns about competing demands on clinician time.Program Description. Nurse administrators at a university-affiliated health plan use automated text messaging to provide personalized self-management support for member patients with diabetes and facilitate care coordination with the primary care team. For example, when a patient texts a request to meet with a dietitian, a nurse-administrator coordinates with the primary care team to provide a referral.Conclusion. Our innovative program enables the existing health system to support ade novocare management program by leveraging mobile technology. The program supports self-management and team-based care in a way that we believe engages patients yet meets the limited availability of providers and needs of health plan administrators.

Creating interprofessional clinical learning units: Developing an acute-care model

2011 ◽  
Vol 11 (4) ◽  
pp. 273-277 ◽  
Author(s):  
Susan C. Sommerfeldt ◽  
Sylvia S. Barton ◽  
Paulette Stayko ◽  
Steven K. Patterson ◽  
Jan Pimlott
Keyword(s):  
Acute Care ◽  
Clinical Learning ◽  
Care Model ◽  
Acute Care Model

Origins of Authority: The Organization of Medical Care in Sweden

1989 ◽  
Vol 19 (1) ◽  
pp. 121-133 ◽  
Author(s):  
Rolf Å. Gustafsson
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Middle Ages ◽  
Health Care System ◽  
Driving Forces ◽  
Institutional Care ◽  
The Elderly ◽  
Care Model ◽  
Acute Care Model ◽  
Care System

Earlier research by Gardell and Gustafsson indicates a general discrepancy between perceived needs and organizational structure in Swedish somatic hospitals; the work organization directs the work process as if cure and medical treatment were the only appropriate goals in almost all kinds of health care settings. The standard organizational model for general hospitals, here named “the acute care modei”–which is a merger of medical and administrative hierarchies–forces great segments of the staff into a work content that is neither appropriate for patients' needs nor satisfying for the personnel. The present study is a historical-sociological discourse in which the structural antecedents of the acute care model are traced. It gives an expose of the main stages in the formation of the Swedish health care system from the middle ages to the present. In 1864 a regulation of the hospital boards was issued. This meant the definite consolidation of the acute care model and was in line with earlier developments, which were characterized by an incremental interorganizational activity demarcation that divided the core of institutional care into three branches: somatic hospitals, mental hospitals, and homes for the elderly. The driving forces in the formation of the total health care system are shown to be closely related to premedical and extramedical factors, such as military needs, mercantilism, and the emergence of the middle class.

Chronic Illness

2013 ◽  
Author(s):  
Patricia A. Fennell ◽  
Sara Rieder Bennett
Keyword(s):  
Social Workers ◽  
Acute Care ◽  
Paradigm Shift ◽  
Chronic Conditions ◽  
Chronically Ill ◽  
Chronic Illnesses ◽  
Care Model ◽  
New Models ◽  
Care Models ◽  
Acute Care Model

There is a paradigm shift occurring in medicine, from models focused on treating acute illnesses to those concerned with managing chronic conditions. This shift coincides with the higher prevalence of chronic illnesses resulting from factors such as lower mortality from formerly fatal illnesses and an aging population. The chronically ill do not fare well in an acute care model, and as a result, it has become imperative to develop new models effective for these chronic conditions. These new care models will require comprehensive, coordinated case management, an activity in which social workers can play a significant role.

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