Achievement Of Patient Outcomes Research Articles

Iplanit- Digitally enabling service transformation

Introduction: The impact of austerity measures, the growing requirement to evidence value and deliver more person centered services has created a challenging and complex climate for organisations to work in. A number of supported housing, mental health and disability related support providers in UK have implemented “intelligent” support plans to provide “live” evidence of achievement of patient outcomes in order to satisfy an array of performance indicators and quality standards in a way that monitors risk, and makes sure that support is high quality and meaningful to vulnerable adults. Aims & Objectives: Based on feedback from a number of national rollout projects of the web based support planning service iplanitthis presentation underlines how appropriate use of new technologies can mitigate the challenges faced across social care delivery and enhance quality, reduce costs and promote inclusion. It explores some of these themes combined with practical insight and experience on what can work when committed management and teams collaborate with individuals, families and other professionals to overcome cost restrictions and deliver new levels of service in a way that is consistent with person centered principles. It outlines the potential for new working practices fostered by more agile working which can support immediate cost savings in a range of areas. It discusses how this can also help manage the workforce, optimise productivity and support the primary goal of being able to provide better services to individuals and the community. Results: • Tracking “live” outcomes at the point of care: Given that organisations must optimise efficiency without impeding quality an alternative approach is needed. When this information is captured “live” on a day to day basis, providers can create a culture of accountability and transparency within the organisation. We have quantified significant ROI savings, improvements in outcome achievement, reductions in errors and risk to service users and a higher level of compliance with CQC and other standards amongst all providers using this approach. • Demonstrating Effectiveness and ValueThe social care and mental health services arena is a much more competitive market place than a decade ago. Today support providers need to show the distinctive value that is added by their service and demonstrate compliance to quality standards based on real data as opposed to anecdotal or sector generic evidence – all available on your tablet, mobile or office computer. For funders, inspectors, provider management, line management, staff and service users/patients, this creates an unprecedented level of transparency, accountability and inclusion to help transform services in terms of efficiency, risk management, person centeredness and outcomes focus. International Digital Health and Care Congress, The King’s Fund, London, September 10-12 2014. International Journal of Integrated Care – Volume 14, 01 November – URN:NBN:NL:UI:10-1-116507– http://www.ijic.org/ Conclusions: Innovative, “intelligent” support plans can transform service delivery in health can social care. Using a platform such as iplanit, intelligent support plans can capture and track outcomes, provide evidence of effectiveness and demonstrate provider value. Using a platform such as iplanit they can also improve workforce planning, team and agency communication, promote service user inclusion, and manage risk without compromising person centred principles.

Revealing the contribution of bioscience*-based nursing knowledge to clinically effective patient care

Objectives: To discuss how bioscience-based nursing knowledge contributes to clinically effective patient care and demonstrate the value of evidence derived from qualitative research and clinical expertise with reference to the ‘evidence-based’ hierarchy. We also present a second argument that an ‘evidence-based’ focus on outcomes may not be sufficiently sensitive to reveal and evaluate those aspects of process, including nursing knowledge and expertise, which influence nursing interventions and affect patient outcomes.Design: The paper draws on qualitative data generated in a study examining the influence of nurse’s bioscience knowledge on the achievement of patient outcomes in post-anaesthesia practice.Setting: Two UK regional centres comprising in patient and day care post-anaesthesia practice in a number of surgical specialist areas.Participants: Thirty-two experienced post-anaesthesia nurses.Analysis: Hermeneutic text interpretation. An interpretative method which reflects the convergence of researcher’s and participants’ perspectives in order to understand the meaning of written descriptions of experiences.Findings: Nursing activities comprise a number of segmental outcomes. These segmental outcomes influence overall patient outcomes. Nurses used bioscience based knowledge as one source of best available evidence to influence achievement of intended patient outcomes.Conclusion: In order to demonstrate how nursing knowledge constitutes a valid source of evidence, segmental outcomes of care need to be defined and evaluated. In this way, the fine details of the process are more apparent and questions about the evidence underpinning nursing interventions are easier to answer. Although the setting is a specialist area of practice, the findings have wider applications because segments of care can be considered for any nursing interventions.

Unplugging the Mystery of Carotid Endarterectomy Patient Care

The first two goals of health care must always be quality care and achievement of patient outcomes. In today's health care environment, these goals are achieved with an eye on the financial picture. Cost-saving efforts by decreasing LOS, decreasing the use of ICUs, and lowering laboratory and radiologic expenses without affecting the quality of care are requirements in today's setting. The process of creating a clinical pathway for patients undergoing CEA can help to examine your care and determine evidence-based practice.

Collaborative practice through nursing case management.

A 528-bed community teaching hospital redesigned its patient care delivery system, implementing a collaborative practice model on the 30-bed inpatient rehabilitation unit in April 1990. This model is a patient-centered delivery model that encourages the healthcare team to facilitate the achievement of patient outcomes within effective time frames and with an appropriate use of resources. The collaborative practice model includes a nurse case manager's role for the staff nurse, which had as its frame-work the concept of nursing case management. Tested project management techniques were used to ensure a successful implementation process. Various strategies, such as using project teams and providing educational programs, were used to respond to the issues of role conflict and overlap, especially between social workers and nurse case managers. The implementation of this model provided a number of benefits, including improved interdisciplinary relationships and decreased length of stay.

Quality assurance and the critical care nurse

Care of the critically ill has become increasingly challenging due to demands from external sources to measure the quality and appropriateness of care provided. Quality assurance is the responsibility of every critical care nurse and requires vigilance as well as a knowledge of the principles of standards, monitoring and evaluation. Through quality assurance activities, the contribution of critical care nurses in the achievement of patient outcomes can be measured. Quality assurance challenges us to evaluate the way we practice, and assists us to continuously improve the way we provide care to critically ill patients.