NUR 514 The Evolution of Nursing Informatics Presentation Assignment Topic 5: Cost-Effective, Innovative Models of Care Delivery

 

The Cleveland Clinic is one of the top innovative healthcare provider organizations that use an innovative model of care. It began as a single building and has grown into a system of community hospitals, suburban family health and ambulatory surgery centers. Cleveland Clinic is a regional healthcare delivery system that offers a variety of care through numerous providers and facilities linked by multi-modal transport and information technology. Their system is focused on a patient-centered model of care. Cleveland Clinic has organized its system to provide patients with the appropriate level of care at the right time. By integrating healthcare systems and providing access at all points of care, healthcare costs are reduced. Some other ways cost is reduced include reducing wait times for patient visits, reducing length of stay, implementing drug utilization management strategies, using the electronic medical records to make appointments, and eliminating duplication of services. (Cleveland Clinic, 2009)

Interprofessional collaboration has strengthened the system to provide quick, effective, coordinated, and efficient access to care (Cleveland Clinic, 2009). Collaboration includes sharing of quality data, clinical best practices, and using information technology; which lead to better patient health outcomes. Cleveland Clinic emphasize creating a culture that drives and supports high reliability, to encourage health teams to work together to advance quality improvement and safety processes and outcomes (Hancock, 2018).

žNI innovations improve safety, effectiveness, efficiency, timeliness, & patient-centeredness of care.

žCan improve efficiencies for providers

žThis can result in more high-touch, high-value patient interactions

žTechnologies can improve patient care delivery in remote areas

žinnovations can support data-driven decisions

žIntegrate data on SDOH to address health inequities and reach underserved communities

As nurses, we must put that at the back of our minds as we focus on caring for our patients. Our patient’s well-being, comfort, and needs are always our priority. Nurses are considered heroes and are known for being physically, mentally, and emotionally strong. Our bodies work from our brain cells down to the tips of our fingers and toes. We think all the time critically as we face problem-solving situations. We reflect on doing what is suitable for the patient by examining our conscience. When our patient deteriorates, we often reflect, “have I done something wrong? Or was it my fault? Why my patient got sicker? Have I not done enough to take care of my patient?” All the experiences I have encountered, learned from, and cared for my patients make me reflect on my conscience to continue to understand and improve myself to be a better APN in the future.

According to the Cleveland Clinic, “the Cleveland Clinic has established an innovative home-based care model designed to prevent repeated hospitalizations and emergency department visits among high-risk patients and was developed to serve homebound primary care patients with chronic illnesses” (Cleveland Clinic, 2020, para. 1-2). A nurse triages patients who call in with a problem. The nurse determines whether the patient requires a paramedic home visit and a physician virtual visit. Another function of this home-based model is to conduct home visits on recently discharged high-risk patients. The initial visit is carried out by an advanced practice nurse. If the patient is deemed high-risk for hospital readmission within 30 days, he or she will receive two to five visits from paramedics, as well as virtual visits from a physician, over the course of 30 to 45 days (Cleveland Clinic, 2020).

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