Benefits Of Using Multidisciplinary Approach To Patient Care Discussion

Benefits Of Using Multidisciplinary Approach To Patient Care Discussion

Case Scenario

A 79-year-old man named Fred Decker was seen here two weeks ago with a badly infected toe. After the infection cleared up, he was sent home with instructions. Unfortunately, he and his family weren’t able to follow the instructions, and he returned to the hospital three days later with an even worse infection—and now he has sepsis. As you know, that’s a serious red flag. Care coordinators must be seriously concerned with readmission rates, as these reflect poorly on the hospital and impact our ability to be reimbursed by Medicare. Mr. Decker is responding well to antibiotics, thankfully. This afternoon, several members of the team are having a meeting to discuss his care Benefits Of Using Multidisciplinary Approach To Patient Care Discussion.

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Current Gaps in Patient’s Care

A needs assessment tool known as the Nursing Needs Assessment Inventory (NNAI) was used to help assess the gaps in Fred Decker’s care. The NNAI is patient-centered assessment tools that can help health care providers identify the areas of care most important to patients. By using the NNAI, health care providers can identify the areas of care most important to their patients and the needs of their patients. In addition to the NNAI, other patient information resources that may be useful in assessing Fred Decker’s care include a nursing assessment and a focus group interview.

The needs assessment tool identified the gaps between the patient’s current status and healing from the infection. There are several gaps in Fred Decker’s care. First, he did not follow instructions for treatment of a toe infection, which led to sepsis. Second, he did not seek prompt medical attention for the toe infection until it became severe. Subsequently, he might not have used appropriate antibiotics to treat the toe infection. Fred Decker did not receive timely and adequate care from the hospital staff once he was admitted. It is possible that the hospital did not provide him with a practical and proactive discharge plan or follow-up care. These gaps in Fred Decker’s care led to further complications, such as sepsis recurrence requiring readmission Benefits Of Using Multidisciplinary Approach To Patient Care Discussion.

In particular, the needs assessment identified information about his toe infection, his treatment for the toe infection, care at home, and his hospital stay. By understanding these factors, it would be possible to determine whether Fred Decker received appropriate antibiotics and care from the hospital staff. It is important to note that not all patient information resources are available in every hospital setting. Therefore, health care providers need to be familiar with the various types of patient information and resources available in their area (Rios-Zertuche et al., 2019). In addition, health care providers should be prepared to identify resources most applicable to a specific patient’s situation. This will ensure that the gaps in Fred Decker’s care are addressed and that he receives appropriate respect for his condition.

Strategy for Gathering Additional Necessary Assessment Data

Several patient information resources would help assess Fred Decker’s care. One resource is a chart or medical records review, which could be used to identify whether the 79-year-old patient and his family followed instructions for treatment of his toe infection. A chart review also could help determine whether he received timely and adequate care from the hospital staff. Additionally, reviewing the patient’s management during the hospitalization and discharge planning could identify any mishaps that may have contributed to Fred Decker’s sepsis development Benefits Of Using Multidisciplinary Approach To Patient Care Discussion.

Health care providers may need to interview Fred Decker and his family to gather additional assessment data. By understanding the factors that led to Fred Decker’s sepsis, it may be possible to create a plan for ensuring that he avoids similar complications in the future. Additionally, interviews with hospital staff could help determine whether they were able to provide adequate care for Fred Decker during his stay. By gathering as much information as possible, health care providers can ensure that Fred Decker receives the best care that addresses all identified needs.

Societal, Economic, and Interprofessional Factors Most Likely To Affect Patient Outcomes

Several societal, economic, and Interprofessional factors play a role in patient outcomes. According to Wang & Geng (2019), a person’s socioeconomic status affects their physical health. Societal factors that affect patient outcomes include the home situation, social support, education, workplace condition, and family economic stability. Family financial stability would facilitate the accessibility of health care resources available to treat toe infections following a discharge from the hospital. Economic factors include income, social support, and the cost of treating sepsis. Interprofessional factors include healthcare providers’ skills, care coordination, and communication between healthcare disciplines. Care coordination addresses the gaps in meeting a patient’s interrelated educational, social, medical, financial, and behavioral needs to achieve wellness Benefits Of Using Multidisciplinary Approach To Patient Care Discussion.

The mentioned factors can affect patient outcomes by affecting how Fred Decker was treated for his toe infection, hospital stay, and follow-up care. For example, if Fred Decker had received timely and adequate care from the hospital staff, he would likely have no sepsis from toe infections. However, if the hospital lacked appropriate resources to treat sepsis or if health care providers did not communicate effectively with one another, Fred Decker’s outcomes could have been worse.

Relation of Specific Patient and Care Coordination Outcome Measures to Professional Standards

Patient outcomes and care coordination outcome measures are related to the care team’s professional standards. The rationale for measuring patient outcomes is to ensure patients receive the best care possible. According to Donnelly et al. (2019)Benefits Of Using Multidisciplinary Approach To Patient Care Discussion, patient outcome measures are significant indicators of care quality. Although patient outcomes may be affected by other factors such as social, home situation, and behavior, they can provide a valuable snapshot of how patients are doing after receiving treatment. Besides, they can reveal the professional standards applied in patient care.

Care coordination measures include a proactive plan of care following a patient’s discharge from the hospital, follow-up, effective communication between patients, care providers, and families, and adequate care transitions. The outcome measures revealed the professional standards of nurses and other care providers who managed the patients. For example, a proactive plan of care proposed by the care providers and an effective follow-up plan would show that care providers are adhering to professional standards.

Professional standards for patient outcomes affect how much a patient’s care is coordinated and delivered in a way that meets the individual’s needs. Care coordination outcome measures assess whether patients received the appropriate level of care and experienced any adverse events resulting from their care. Also, care coordination outcome measures would show how well care met the patient’s individual needs. A care coordination outcome measure would be whether Fred Decker received the appropriate level of care for his infection. If he did not receive the proper level of care, it is possible that he experienced complications as a result.

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Several patient outcome measures could be used to assess Fred Decker’s care. Following illness management, the incidences of complications from treatment, mortality, and readmissions cannot be taken lightly. Also, patient safety reports and patient experiences with health care are significant patient outcome measures that help describe the professional standards of care (Yorkston & Baylor, 2019)Benefits Of Using Multidisciplinary Approach To Patient Care Discussion. Regarding the case scenario, the development of sepsis is a patient outcome measure that would depict the professional standards of care at the hospital. Patient outcome measures to be considered for the patient in the case scenario are how well he followed instructions for treating his toe infection and how long it took to recover from it.

Evidence-Based Practices For Successful Implementation of Care Coordination

There is a growing body of evidence that care coordination is an effective way to improve patient outcomes. A recent systematic review by Duan-Porter et al. (2021) found that care coordination interventions led to improvements in a variety of clinical outcomes, including mortality, hospitalizations, and emergency department visits. A separate systematic review of care coordination interventions for Medicare beneficiaries found that care coordination was associated with improvements in quality of life, care satisfaction, and cost-savings (Berkowitz et al., 2018). There are a number of evidence-based practices that can help ensure that care coordination is successful. First, care coordination should be population-focused, targeting patients who are most likely to benefit from the intervention. thus, healthcare professional would abate the health care issues in the target population.

Additionally, care coordination should be tailored to the specific needs of the population being targeted. Best practices for care coordination recommend that care should focus on patients’’ health, social, economic, health, psychological needs among others to ensure comprehensive management of actual and potential problems (Catalyst et al., 2018)Benefits Of Using Multidisciplinary Approach To Patient Care Discussion. Third, care coordination interventions should be implemented in a coordinated manner across multiple health systems and settings . (Vargas et al., 2020). Coordination prevents duplication of care and gaps in patient care. EBP for care coordination interventions also recommend the evaluation of patient outcomes to determine their effectiveness.

Overall, care coordination is an effective way to improve patient outcomes. The key factors that determine whether an intervention is successful include the population being targeted, the specific needs of the population, and the implementation and evaluation measures used. Care coordination interventions should be tailored to the needs of the population and implemented in a coordinated manner across multiple settings to ensure maximum impact for patients.

Advocating For the Benefits of a Multidisciplinary Approach to Patient Care

There is a growing body of evidence that suggests that a multidisciplinary approach to patient care can have a number of benefits. These benefits include improved patient outcomes, increased patient satisfaction, and reduced healthcare costs (Taberna et al., 2020)Benefits Of Using Multidisciplinary Approach To Patient Care Discussion. Improved patient outcomes can be seen in several ways. For example, a multidisciplinary approach helps improve the speed and accuracy of diagnoses, and the quality of care provided to patients. In addition, a multidisciplinary approach helps reduce the amount of time that it takes for patients to receive treatment. Increased patient satisfaction can be seen in a number of ways. For example, a multidisciplinary approach can help to ensure that patients have access to the information they need to make informed decisions about their care. According to Taberna et al. (2020), a multidisciplinary approach can help to eliminate waiting times for important procedures or treatments.

A multidisciplinary approach helps reduce the number of unnecessary visits that patients make to the hospital or doctor’s office. In addition, a multidisciplinary approach can help to reduce the amount of money that is spent on drugs and medical procedures; hence reducing the cost of health care (Taberna et al., 2020). In summary, there are many benefits to using a multidisciplinary approach to patient care. These benefits include the improvement of quality of life for patients and help to reduce the cost of healthcare. It is therefore important that hospitals and doctors adopt a multidisciplinary approach to patient care as soon as possible.

References

Catalyst, N. E. J. M. (2018). What is care coordination?. NEJM Catalyst, 4(1). https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0291

Berkowitz, S. A., Parashuram, S., Rowan, K., Andon, L., Bass, E. B., Bellantoni, M., … & Brown, P. M. (Berkowitz 2018). Association of a care coordination model with health care costs and utilization: the Johns Hopkins Community Health Partnership (J-CHiP). JAMA network open, 1(7), e184273-e184273.

Donnelly, C., Ashcroft, R., Mofina, A., Bobbette, N., & Mulder, C. (2019). Measuring the performance of interprofessional primary health care teams: understanding the teams perspective. Primary health care research & development, 20, e125. https://doi.org/10.1017/S1463423619000409 Benefits Of Using Multidisciplinary Approach To Patient Care Discussion

Duan-Porter, W., Ullman, K., Majeski, B., Miake-Lye, I., Diem, S., & Wilt, T. J. (2021). Care Coordination Models and Tools—Systematic Review and Key Informant Interviews. Journal of general internal medicine, 1-13.

Rios-Zertuche, D., Zúñiga-Brenes, P., Palmisano, E., Hernández, B., Schaefer, A., Johanns, C. K., … & Iriarte, E. (2019). Methods to measure quality of care and quality indicators through health facility surveys in low-and middle-income countries. International Journal for Quality in Health Care, 31(3), 183-190.https://doi.org/10.1093/intqhc/mzy136

Taberna, M., Gil Moncayo, F., Jané-Salas, E., Antonio, M., Arribas, L., Vilajosana, E., Peralvez Torres, E., & Mesía, R. (2020). The Multidisciplinary Team (MDT) Approach and Quality of Care. Frontiers in oncology, 10, 85. https://doi.org/10.3389/fonc.2020.00085

Vargas, I., Eguiguren, P., Mogollón-Pérez, A. S., Samico, I., Bertolotto, F., López-Vázquez, J., & Vázquez, M. L. (2020). Can care coordination across levels be improved through the implementation of participatory action research interventions? Outcomes and conditions for sustaining changes in five Latin American countries. BMC health services research, 20(1), 1-16. https://doi.org/10.1186/s12913-020-05781-7

Wang, J., & Geng, L. (2019). Effects of Socioeconomic Status on Physical and Psychological Health: Lifestyle as a Mediator. International journal of environmental research and public health, 16(2), 281. https://doi.org/10.3390/ijerph16020281

Yorkston, K., & Baylor, C. (2019). Patient-reported outcomes measures: An introduction for clinicians. Perspectives of the ASHA Special Interest Groups, 4(1), 8-15. Benefits Of Using Multidisciplinary Approach To Patient Care Discussion https://doi.org/10.1044/2018_PERS-ST-2018-0001

A 79-year-old man named Fred Decker was seen here two weeks ago with a badly infected toe. After the infection cleared up, he was sent home with instructions. Unfortunately, he and his family weren’t able to follow the instructions, and he returned to the hospital three days later with an even worse infection—and now he has sepsis. As you know, that’s a serious red flag. Care coordinators must be seriously concerned with readmission rates, as these reflect poorly on the hospital and impact our ability to be reimbursed by Medicare. Mr. Decker is responding well to antibiotics, thankfully. This afternoon, several members of the team are having a meeting to discuss his care.

Current Gaps in Patient’s Care

A needs assessment tool known as the Nursing Needs Assessment Inventory (NNAI) was used to help assess the gaps in Fred Decker’s care. The NNAI is a patient-centered assessment tool that can help health care providers identify the areas of care most important to patients. By using the NNAI, health care providers can identify the areas of care most important to their patients and the needs of their patients. In addition to the NNAI, other patient information resources that may be useful in assessing Fred Decker’s care include a nursing assessment and a focus group interview Benefits Of Using Multidisciplinary Approach To Patient Care Discussion.

In particular, the needs assessment identified information about his toe infection, his treatment for the toe infection, care at home, and his hospital stay. By understanding these factors, it would be possible to determine whether Fred Decker received appropriate antibiotics and care from the hospital staff. It is important to note that not all patient information resources are available in every hospital setting. Therefore, health care providers need to be familiar with the various types of patient information and resources available in their area (Rios-Zertuche et al., 2019)Benefits Of Using Multidisciplinary Approach To Patient Care Discussion. In addition, health care providers should be prepared to identify resources most applicable to a specific patient’s situation. This will ensure that the gaps in Fred Decker’s care are addressed and that he receives appropriate respect for his condition.

Strategy for Gathering Additional Necessary Assessment Data

Societal, Economic, and Interprofessional Factors Most Likely To Affect Patient Outcomes

Relation of specific patient and care coordination outcome measures to professional standards

Patient outcomes and care coordination outcome measures are related to the care team’s professional standards. The rationale for measuring patient outcomes is to ensure patients receive the best care possible. According to Donnelly et al. (2019), patient outcome measures are significant indicators of care quality. Although patient outcomes may be affected by other factors such as social, home situation, and behavior, they can provide a valuable snapshot of how patients are doing after receiving treatment. Besides, they can reveal the professional standards applied in patient care.

Several patient outcome measures could be used to assess Fred Decker’s care. Following illness management, the incidences of complications from treatment, mortality, and readmissions cannot be taken lightly. Also, patient safety reports and patient experiences with health care are significant patient outcome measures that help describe the professional standards of care (Yorkston & Baylor, 2019). Regarding the case scenario, the development of sepsis is a patient outcome measure that would depict the professional standards of care at the hospital. Patient outcome measures to be considered for the patient in the case scenario are how well he followed instructions for treating his toe infection and how long it took to recover from it.

References

Yorkston, K., & Baylor, C. (2019). Patient-reported outcomes measures: An introduction for clinicians. Perspectives of the ASHA Special Interest Groups, 4(1), 8-15. https://doi.org/10.1044/2018_PERS-ST-2018-0001

INTRODUCTION
The Nurse’s Role in Care Coordination
Care coordination is one of the fastest growing and evolving trends in the nursing field. In order to be an effective care coordinator, it is important to understand the roles that case managers and other care coordination team members play in a health care setting. It is also valuable to understand how these roles have evolved—and continue to evolve— over time. In this activity, you will learn more about the role of care coordination in an acute care setting.
After completing the activity, you will be prepared to:
● Summarize the roles that case managers and other team members play in care coordination.
● Contextualize care coordination and today’s care coordination trends historically.
Details
Congratulations! You have been just hired as a case management intern in the Care Coordination Department at St. Anthony Medical Center. Located in Minneapolis, St. Anthony is a 120-bed hospital in the Vila Health system, which operates facilities in several Midwest states. The Care Coordination Department manages patient cases throughout the entire hospital.
Since it’s your first day, your first task is to get oriented. Your preceptor will help you get started. To learn more about the roles that care coordinators play in nursing, you’ll be talking with experienced case managers, social workers, and other members of the team. You’ll also sit in on a coordination planning meeting.

Patient meeting
From: Denise McGladrey, Preceptor
To: Vivian Rankin
I see you’ve been busy meeting with team members to learn more about care coordination roles and trends. Thank you so much for doing that! Benefits Of Using Multidisciplinary Approach To Patient Care Discussion
I have another task for you that will help you get oriented. There’s going to be a meeting this afternoon to discuss care coordination strategies for a patient. Here’s the background: a 79-year-old man named Fred Decker was seen here two weeks ago with a badly infected toe. After the infection cleared up, he was sent home with instructions. Unfortunately, he and his family weren’t able to follow the instructions, and he returned to the hospital three days later with an infection that was even worse—and now he has sepsis. As you know, that’s a serious red flag. Care coordinators need to be seriously concerned with readmission rates, as these reflect poorly on the hospital and impact our ability to be reimbursed by Medicare.
Mr. Decker is responding well to antibiotics, thankfully. This afternoon, several members of the team are having a meeting to discuss his care.
Here’s what I want you to do. Go to the meeting, and just listen. At future meetings throughout your internship, you’ll offer your feedback, but for today, I just want you to be a “fly on the wall.” Afterwards, you’ll meet with me. I’ll ask you some questions about the meeting and provide you with some feedback.
Thanks for all your hard work!
—Denise

Requirements
Complete a comprehensive needs assessment for Mr. Decker, based on the information provided.
Comprehensive Needs Assessment Format and Length
Format your comprehensive needs assessment using APA style:
● Be sure to include:
○ A title page and references page. An abstract is not required.
○ A running head on all pages.
○ Appropriate section headings.
● Your needs assessment should be 4–5 pages in length, not including the title page and references page.
Supporting Evidence
Cite 3–5 sources of scholarly or professional evidence to support your assessment.
Conducting the Assessment
The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your needs assessment addresses each point, at a minimum. Read the Comprehensive Needs Assessment Scoring Guide to better understand how each criterion will be assessed. Benefits Of Using Multidisciplinary Approach To Patient Care Discussion
● Identify current gaps in a patient’s care.
○ Use an appropriate needs assessment tool to identify gaps. This tool may be one in use at your place of employment, one you locate for yourself, or one provided by faculty.
○ Consider the types of patient information that will be most useful in assessing the current level of care.
● Develop a strategy for gathering additional necessary assessment data not readily available from an initial patient interview.
○ Consider the full range of interrelated needs that affect the patient’s health.

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● Discuss 3–5 societal, economic, and interprofessional factors most likely to affect patient outcomes.
○ Consider the potential effects of these factors on outcomes.
○ Support your conclusions with evidence.
● Relate specific patient and care coordination outcome measures to professional standards.
○ Provide the rationale for measuring outcomes based on established agencies and organizations.
○ Describe the relationship between specific outcomes and the identified standards.
● Identify evidence-based practices for successful implementation of care coordination.
○ Use relevant and credible sources from the research literature.
○ Consider best practices for a population-health focus on patient outcomes.
● Advocate for the benefits of a multidisciplinary approach to patient care.
○ Provide the key points in your argument.
○ Support your assertions with evidence Benefits Of Using Multidisciplinary Approach To Patient Care Discussion