Dynamic Multistage Scheduling for Patient-Centered Care Plans

2018 ◽  
Author(s):  
Adam Diamant
Keyword(s):  
Patient Centered Care ◽  
Patient Centered ◽  
Care Plans ◽  
Centered Care ◽  
Multistage Scheduling

A medical home: Changing the way patients and teams relate through patient-centered care plans.

2012 ◽  
Vol 30 (3) ◽  
pp. 190-198 ◽  
Author(s):  
Lora Schwartz Council ◽  
Dominic Geffken ◽  
Aimee Burke Valeras ◽  
A. John Orzano ◽  
Amanda Rechisky ◽  
...  
Keyword(s):  
Medical Home ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Care Plans ◽  
Centered Care ◽  
The Way

scholarly journals Health Communication Cards as a Tool for Behaviour Change

ISRN Obesity ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Carrie L. Matteson ◽  
Thomas D. N. Merth ◽  
Diane T. Finegood
Keyword(s):  
Health Communication ◽  
Behaviour Change ◽  
Clinical Care ◽  
Patient Centered Care ◽  
Care Plan ◽  
Systems Science ◽  
Communication Tool ◽  
Patient Centered ◽  
Care Plans ◽  
Centered Care

Individuals seeking healthcare treatment in the context of obesity often experience difficulty engaging in discussions around their health and face challenges finding consensus with practitioners on care plans that best suit their lives. The complex set of biological, social, and environmental variables that have contributed to the higher prevalence of obesity are well illustrated in the foresight obesity system map. Effectively understanding and addressing key variables for each individual has proven to be difficult, with clinicians facing barriers and limited resources to help address patients’ unique needs. However, productive discussions inspired by patient centered care may be particularly effective in promoting behaviour change. Tools based on systems science that facilitate patient centered care and help identify behaviour change priorities have not been developed to help treat adult obesity. This project created and pilot tested a card based clinical communication tool designed to help facilitate conversations with individuals engaged in health behaviour change. The health communication cards were designed to help direct conversation between patients and healthcare providers toward issues relevant to the individual. Use of the cards to facilitate patient driven conversations in clinical care may help to streamline conversations, set realistic care plan goals, and improve long term rates of compliance.

scholarly journals Health Information Technology Coordination to Support Patient-centered Care Coordination

2015 ◽  
Vol 24 (01) ◽  
pp. 34-37 ◽  
Author(s):  
W. Gregg ◽  
O. Steichen ◽  
Keyword(s):  
Information Technology ◽  
Health Information ◽  
Care Coordination ◽  
Patient Centered Care ◽  
Unintended Consequences ◽  
Patient Centered ◽  
Care Plans ◽  
Number Of Factors ◽  
Centered Care ◽  
Health Information Sharing

Summary Objective: To select papers published in 2014, illustrating how information technology can contribute to and improve patient-centered care coordination.Method: The two section editors performed a literature review from Medline and Web of Science to select a list of candidate best papers on the use of information technology for patient-centered care coordination. These papers were peer-reviewed by external reviewers and three of them were selected as “best papers”. Results: The first selected paper reports a qualitative study exploring the gap between current practices of care coordination in various settings and idealized longitudinal care plans. The second selected paper illustrates several unintended consequences of HIT designed to improve care coordination. The third selected paper shows that advanced analytic techniques in medical informatics can be instrumental in studying patient-centered care coordination. Conclusions: The realization of true patient-centered care coordination is dependent upon a number of factors. Standardization of clinical documentation and HIT interoperability across organization and settings is a critical prerequisite for HIT to support patient-centered care coordination. Enabling patient involvement is an efficient means for goal setting and health information sharing. Additionally, unintended consequences of HIT tools (both positive and negative) must be measured and taken into account for quality improvement.

scholarly journals Creating space for Indigenous healing practices in patient care plans

2020 ◽  
Author(s):  
Lindsey Logan ◽  
Jacinta McNairn ◽  
Shelley Wiart ◽  
Lynden Crowshoe ◽  
Rita Henderson ◽  
...  
Keyword(s):  
Patient Care ◽  
Management Strategies ◽  
Patient Empowerment ◽  
Patient Centered Care ◽  
Free Text ◽  
Patient Centered ◽  
Indigenous Healing ◽  
Effect Change ◽  
Care Plans ◽  
Centered Care

Background: The Truth and Reconciliation Commission of Canada’s Calls to Action ask that those who can effect change within the Canadian healthcare system recognize the value of Indigenous healing practices and support them in the treatment of Indigenous patients. Methods: We distributed a survey to the Canadian Rheumatology Association membership to assess awareness of Indigenous healing practices, and attitudes informing their acceptance in patient care plans. Results: We received responses from 77/514 members (15%), with most (73%) being unclear or unaware of what Indigenous healing practices were. Nearly all (93%) expressed interest in the concept of creating space for Indigenous healing practices in rheumatology care plans. The majority of support was for the use in preventive or symptom management strategies, and less as adjuncts to disease activity control. Themes identified through qualitative analysis of free-text responses included a desire for patient-centered care and support for reconciliation in medicine, but with a colonial construct of medicine, demonstration of an evidence bias, and hierarchy of medicines. Conclusions: Overall, respondents were open to the idea of inclusion of Indigenous healing practices in patient’s car plans, emphasizing importance for patient empowerment and patient-centered care. However, they cited concerns that provide the indication for further learning and reconciliation in medicine.

scholarly journals Patient-centered care and the electronic health record: exploring functionality and gaps

JAMIA Open ◽  
2020 ◽  
Vol 3 (3) ◽  
pp. 360-368
Author(s):  
Jorie M Butler ◽  
Bryan Gibson ◽  
Lacey Lewis ◽  
Gayle Reiber ◽  
Heidi Kramer ◽  
...  
Keyword(s):  
Clinical Care ◽  
Patient Centered Care ◽  
Healthcare Systems ◽  
Data Systems ◽  
Patient Centered ◽  
Communication Preferences ◽  
Care Plans ◽  
Patient Goals ◽  
Centered Care ◽  
Electronic Health

Abstract Objective Healthcare systems have adopted electronic health records (EHRs) to support clinical care. Providing patient-centered care (PCC) is a goal of many healthcare systems. In this study, we sought to explore how existing EHR systems support PCC; defined as understanding the patient as a whole person, building relational connections between the clinician and patient, and supporting patients in health self-management. Materials and Methods We assessed availability of EHR functions consistent with providing PCC including patient goals and preferences, integrated care plans, and contextual and patient-generated data. We surveyed and then interviewed technical representatives and expert clinical users of 6 leading EHR systems. Questions focused on the availability of specific data and functions related to PCC (for technical representatives) and the clinical usefulness of PCC functions (for clinicians) in their EHR. Results Technical representatives (n = 6) reported that patient communication preferences, personalized indications for medications, and end of life preferences were functions implemented across 6 systems. Clinician users (n = 10) reported moderate usefulness of PCC functions (medians of 2–4 on a 5-pointy -35t scale), suggesting the potential for improvement across systems. Interviews revealed that clinicians do not have a shared conception of PCC. In many cases, data needed to deliver PCC was available in the EHR only in unstructured form. Data systems and functionality to support PCC are under development in these EHRs. Discussion and Conclusion There are current gaps in PCC functionality in EHRs and opportunities to support the practice of PCC through EHR redesign.

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