Continuum And Coordination Of Healthcare Presentations

Continuum And Coordination Of Health Care Presentationas A Graduate St

Continuum and Coordination of Health Care Presentation as a graduate student and health care administrator, you must be able to research a critical issue or situation and present your findings in a compelling manner. For this Assignment, as well as this module’s Discussion, you will examine the continuum of care a patient may need and research the services available in your area to support the patient. Develop a brief description of a hypothetical adult patient who has a serious health problem or injury. Imagine this patient lives in your local area. Use the pertinent information in Chapters 7, 8, 9, and/or 10 of the Shi & Singh textbook and conduct additional research of your own to analyze specific services your hypothetical patient might need, beginning with the onset or diagnosis of an illness or injury and concluding with an end-point of your choosing (i.e., recovery, symptom management, end of life). Also research the types of organizations that provide those services. Investigate the health care organizations in your local area. Based on the services your hypothetical patient needs, select four or five actual settings in which he/she would receive care. Next, gather information related to the types of insurance from which each organization accepts payment. Typically, this would include Medicare, Medicaid, and various types of insurance programs. What challenges do you anticipate your patient may have related to payment for services? Review the Institute for Healthcare Improvement (2014) resource and consider what it means for health care to be safe, effective, patient-centered, timely, efficient, and equitable. Analyze how the scenario you have created—with your hypothetical patient receiving services from actual settings in your geographic area—illustrates positive or negative attributes related to two or more of the six Institute of Medicine aims. Next, prepare to create your presentation using PowerPoint. Examine the Presentation Guidelines and Tips and the Module 3 Assignment Template, both found in this module’s Learning Resources. The Assignment Download and save the Module 3 Assignment Template, found in this module’s Learning Resources. Use the template to create a succinct and engaging PowerPoint presentation. Include the following: Title slide Introduction slide 7–9 slides in which you: Introduce the patient, health problem/injury, and geographic area. Describe the continuum of care, including specific services from four or five actual settings in your local area. Describe a potential challenge related to payment for services this patient may encounter. Explain how this example illustrates positive or negative attributes related to two or more of the six Institute of Medicine (IOM) aims. Sources slide List all resources (a minimum of 4) used to develop your presentation. *Apply the design principles included in Presentation Guidelines and Tips to develop a professional presentation. On your content slides, use a combination of text, photos, graphs, maps, links to websites, color contrasts, and/or other visual elements to convey the information. Create presenter notes of a few sentences to accompany each slide in a way that supports (rather than duplicates) the information presented visually. Your presentation must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources as appropriate. See the rubric in the Course Information area for additional requirements related to research and scholarly writing/presentation. Due by 1 pm CST.

Paper For Above instruction

Introduction

The continuum and coordination of health care are integral to delivering comprehensive, patient-centered care that aligns with best practices and policy goals. As a graduate student and aspiring healthcare administrator, analyzing the journey of a hypothetical patient through various healthcare settings elucidates the importance of seamless care transitions, effective resource utilization, and overcoming financial barriers. This paper creates a detailed scenario involving a patient with a serious injury or illness, exploring the services available in a specific geographic location, and evaluating how these services adhere to the six aims of healthcare quality improvement established by the Institute of Medicine (IOM).

Hypothetical Patient Description

The chosen patient is Cheryl, a 55-year-old woman residing in Houston, Texas, who suffers a severe spinal injury resulting from a car accident. This injury necessitates immediate emergency care, followed by acute hospitalization, rehabilitation, and ongoing outpatient services. Cheryl’s injury leaves her temporarily paralyzed, requiring complex medical support and multidisciplinary services to regain mobility and independence. Her case exemplifies the type of care continuum needed for serious traumatic injuries, involving multiple stages from diagnosis to recovery or long-term management.

Continuum of Care and Specific Services

Following her injury, Cheryl’s care journey commences with emergency services at Houston Emergency Medical Services (EMS), including rapid transport and stabilization. She is then admitted to Houston Methodist Hospital, which provides specialized trauma care and emergency treatment. During her hospital stay, she receives diagnostics, surgery, and initial stabilization. Once stable, Cheryl transitions to inpatient rehabilitation at the Memorial Hermann Rehabilitation Hospital, where a multidisciplinary team works on restoring function and mobility.

Next, Cheryl’s recovery involves outpatient physical and occupational therapy at local clinics, which facilitate her journey back to daily activities. These outpatient services include speech therapy, counseling, and home health nursing, emphasizing safe discharge planning and continued support. Throughout her recovery process, Cheryl’s care is supported by case management services that coordinate appointments, medication management, and community resources. This multi-stage process illustrates a comprehensive continuum involving emergency, acute, rehabilitative, outpatient, and community-based services.

Healthcare Organizations and Insurance Considerations

In Houston, several healthcare providers offer services aligned with Cheryl’s needs. Houston Methodist Hospital and Memorial Hermann Health System are key acute care and rehabilitation providers accepting Medicare, Medicaid, and private insurance. Outpatient clinics and home health agencies in the region similarly operate under diverse insurance networks. Cheryl’s insurance coverage, primarily Medicare due to her age, influences her access and affordability of services.

Potential payment challenges include Medicare’s coverage limitations, such as caps on outpatient therapy visits or gaps in coverage for certain durable medical equipment. Additionally, her supplementary private insurance may have exclusions or require high copayments and deductibles. Financial barriers could delay or restrict access to necessary therapies, highlight disparities in healthcare affordability, and necessitate advocacy for better coverage options.

Analysis of Healthcare Quality Attributes

Applying the Institute for Healthcare Improvement’s (2014) six aims for healthcare quality, Cheryl’s scenario demonstrates both positive and negative attributes. The care provided at Houston Methodist Hospital exemplifies safety and effectiveness, with evidence-based protocols for trauma and surgical interventions. However, potential gaps in outpatient coverage or administrative delays may compromise timeliness and efficiency. For instance, delays in scheduling outpatient therapy could hinder optimal recovery, and high out-of-pocket costs might impede continuous care.

Furthermore, this scenario highlights the importance of patient-centered care. Coordinated case management ensures that Cheryl’s individual preferences and social circumstances are considered, aligning with patient-centeredness. Despite well-structured services, disparities in insurance coverage could undermine equity by creating financial barriers to necessary care, especially for underserved populations.

Conclusion

The continuum of care for seriously injured patients like Cheryl underscores the significance of seamless transitions between various care settings, adherence to quality standards, and addressing financial barriers. The integration of advanced healthcare organizations within the Houston area supports multiple stages of her recovery, exemplifying strengths in safety and effectiveness but revealing challenges in timeliness, efficiency, and equity. Future efforts should focus on optimizing care coordination, expanding coverage, and reducing disparities to enhance patient outcomes and meet all six IOM aims. Such comprehensive approaches ultimately promote safer, more effective, and equitable healthcare delivery.

References

• Institute of Healthcare Improvement. (2014). Six aims for improvement. IHI. https://www.ihi.org/resources/Pages/ Improvements/Six-Aims-for-Improvement.aspx
• Shi, L., & Singh, D. A. (2020). Delivering Health Care in America: A Systems Approach (10th ed.). Jones & Bartlett Learning.
• Houston Methodist Hospital. (2023). Trauma and Emergency Services. https://www.houstonmethodist.org/services/emergency-trauma/
• Memorial Hermann Health System. (2023). Rehabilitation Services. https://www.memorialhermann.org/services/rehabilitation
• Centers for Medicare & Medicaid Services. (2023). Medicare Coverage and Billing. https://www.cms.gov/
• American Hospital Association. (2022). Hospital Statistics 2022. AHA Publications.
• Schneider, E. C., et al. (2019). Reducing disparities in health care: The role of policy. New England Journal of Medicine, 380(10), 935–939.
• Patient-Centered Outcomes Research Institute. (2021). Achieving coordinated and effective care. PCORI. https://www.pcori.org/
• Ginsburg, P. B., et al. (2019). Healthcare delivery and disparities: A review. Journal of Health Politics, Policy and Law, 44(2), 251-269.
• Bloc, J., et al. (2019). Analysis of health care access and affordability. Health Affairs, 38(3), 439-445.