Nory Case Presentation About Medical Care

Constituents of Interdisciplinary Medical Care (Morley & Cashell, 2017)

Coordination to achieve shared objectives
Cooperation through equal contribution to the team
Shared decision-making that implies communication and negotiation
Strategic allocation of roles and responsibilities
Open and trustful relationships between the team members

Benefits of Incorporating an Interdisciplinary Approach to Caring (Department of Health and Human Services)

Increased communication effectiveness among staff
Decreased length of patient stay at the facility
Lower rates of hospital-acquired health conditions
Faster termination of central lines
Higher levels of patient satisfaction due to comprehensiveness of care

Individuals that Comprise the Team Working on the Case

Respiratory therapist as an advanced pulmonary disease specialist
Nurse practitioner as an integral part of patient-centered care
Pharmacist as an expert in the use of saline
Cardiac surgeon as an asset to provide background information
Case manager as a team leader and communicator

The Role of a Respiratory Therapist in Coordinated Care

Leading the investigatory team regarding the patients pulmonary disease
Assessing the risk of the patient having ventilator assisted pneumonia
Creating a strategic plan in case of pneumonia
Determining the cause of the patients thick secretions
Working with a cardiac surgeon regarding the potential treatment

The Role of a Nurse Practitioner in Coordinated Care

Observing the patients behavioral tendencies
Documenting the patients reaction to different medications
Working with a therapist and a pharmacist on the investigation
Managing the completion of basic procedures
Overseeing the other nurses caring for the patient

The Role of a Pharmacist in Coordinated Care

Leading the investigatory team regarding the medications
Determining whether the patient had an allergic reaction to saline
Working with a respiratory therapist and a cardiac surgeon
Interviewing the nurses about the patients reaction to saline
Researching the medical history to create a new medication plan

The Role of a Cardiac Surgeon Coordinated Care

Serving as a primary advisor to the team regarding the surgery
Overseeing the post-op care of the patient
Participating in the discussion revolving around the possible implications
Consulting with a therapist before planning out treatment options
Potentially adopting the treatment according to the teams conclusions

The Role of a Case Manager in Coordinated Care

Presenting the team with a shared mission
Leading the investigation of the patients respiratory implications
Communicating with the patient and his family
Gathering insights from the team members and other staff
Integrating an organizational strategy to bring effective results

Functions of the Team Related to Leadership and Patient-Centered Care (Department of Health and Human Services)

Ensuring the availability of the essential resources and infrastructure
Giving the team direction, objectives, and vision
Promoting an atmosphere of equal contribution and mutual respect
Making patients active contributors to decision-making
Developing a standardized multidisciplinary care plan

Functions of the Team Related to Communication and Teamwork (Department of Health and Human Services)

Promoting the interdependence among team members
Ensuring the understanding of shared goals and mission
Encouraging curiosity and creativity among less experienced members
Integrating genuine communication and collaboration in the care plan
Diversifying the team to include individuals with different skill sets

Patient Engagement Strategies that Can Be Used in the Case (Patient engagement strategies for healthcare stakeholders, 2019)

Creating a patient engagement framework
Employing and leveraging the right technology
Educating healthcare providers and patients
Automating the process of patient engagement
Building an innovative and creative culture at the hospital

Constructing an engagement framework for the patient

Defining the general vision for patient engagement
Implementing activities on the team and organizational levels
Establishing the objectives for patient engagement
Assessing the outcomes of the engagement initiatives
Incorporating the patients family into a decision-making process

Utilizing Technological Advances in the Patient Engagement Process

Investing in the development of online patient portals
Utilizing mobile health applications to improve the quality of care
Developing digital disease management solutions
Creating a cross-media engagement portal
Ensuring the ability to perform online monitoring

The Process of Engagement Automation

Automating the delivery of patient education
Incorporating the practice of streamlined billing
Automating the delivery of patient engagement notifications
Automating appointments and scheduled check-up reminders
Developing a cloud-based patient inquiry network

Educational and Cultural Initiatives

Hosting educational interventions regarding medication management
Distributing promotional materials about managing chronic conditions
Holding online and offline educational sessions for the local communities
Ensuring the hospital creates a patient engagement culture
Encouraging innovative approaches to coordinated decision-making

Summarizing Transition Techniques (Mansukhani et al., 2015)

Effective communication of the necessary information by healthcare providers
Utilizing health information technology (HIT) in the transition care
Determining the patients functional status
Ensuring there is a proactive discharge plan
Optimizing the treatment after the transition

Communication as the Most Effective Transition Technique (Mansukhani et al., 2015)

The problems associated with incomplete health information
The results of miscommunication after discharge
The importance of documentation of the patients treatment
Discharge summaries as major sources of communication errors
The linkage between communication and continuity of care

HIT as the Second Most Effective Transition Technique (Mansukhani et al., 2015)

Time effectiveness of health information technology
The use of electronic health records
The results of the gaps in the HIT infrastructure
The role of the quality data model
Limitations to the use of information technology in healthcare

References

Department of Health and Human Services, State Government of Victoria (n.d.). An interdisciplinary approach to caring. Health.vic, Web.

Mansukhani, R. P., Bridgeman, M. B., Candelario, D., & Eckert, L. J. (2015). Exploring transitional care: Evidence-based strategies for improving provider communication and reducing readmissions. P&T: A Peer-reviewed Journal for Formulary Management, 40(10). Web.

Morley, L., & Cashell, A. (2017). Collaboration in health care. Journal of Medical Imaging and Radiation Sciences, 48(2), 207216.

Patient engagement strategies for healthcare stakeholders (2019). Acuma Health. Web.

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