Final Project: Milestone One
There are a lot of tremendous forces affecting the way we deliver healthcare. Technological advancements are underway and helping to reshape how healthcare is delivered. An innovative unrest is in progress reshaping how medicinal services is conveyed and delivered. This upheaval impacts the connection among doctors and patients (Anderson, Rainey & Eysenbach 2003). Some other forces that affect the delivery of healthcare is patients not being seen or coming into a doctor’s office for preventative healthcare screening and chronic disease care. Clinical preventive services are the medical procedures, tests or counseling that health professionals deliver in a clinical setting to prevent disease and promote health, as opposed to interventions that respond to patient symptoms or complaints (Partnership for Prevention, 1999: 3).
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Another issue that is affecting the delivery of healthcare if the outpatient and inpatient volume. The expanded inpatient volume could cause an overabundance of patients in the emergency inpatient confirmation, who are then boarded in the emergency department, which leads thusly to overcrowding in the ED and this could be the reason for increments in both inpatient volume and redirection (Hsia, Sarkar & Shen, 2018). A lot of the overcrowding is due to the vast amounts of the older generation needing healthcare services. This is due to the healthcare demands they need at their elderly age. The increasing demand for the aging population has affected the way healthcare services are delivered. They are anticipating advances in drug prescriptions through counteractive action, surgical procedures and pharmaceuticals, ought to likewise diminish the requirement for care requiring longer stays. An ever-increasing number of more seasoned and elderly patients are profiting by therapeutic medications, for example knee substitutions and coronary angioplasty, which wasn’t even thought of back in the timeframe when they were born (Lubitz et al., 2001). The financial weight of the aging population in 2030 ought to be no more noteworthy than the monetary weight related with raising huge quantities of time of increased birth rates of kids during the 1960s. The genuine difficulties of thinking about the aging population in 2030 will include: ensuring that society creates installments and protection frameworks for long haul care that work better for actual regulations, exploiting propels in drug and conduct wellbeing to keep the elderly as solid and dynamic as would be prudent, changing the manner in which society sorts out network benefits with the goal that care is increasingly available, and modifying the social perspective on maturing to ensure all ages are incorporated into the texture of networking and the life in the community (Knickman & Snell, 2002).
There are many challenges that exist with all these major forces at hand and also opportunities to help with the delivery of healthcare. There are threats of technological advancements and people turning to apps on their cell phones to talk to doctors instead of actually going to see a doctor. This affects and impacts the healthcare delivery standard by not coming in and affecting the relationships between the patient and the doctor. One way to make sure patient’s follow through with their care and delivery of healthcare is by having preventive care and making sure all healthcare providers improve the value to their patients so they will want to come back and be consistent with their care. Satisfied patients actively engage in monitoring their healthcare outcomes, complete treatment regimens and are often compliant which in turn reduces their avoidable hospital readmissions and associated costs (Bleich et al., 2009; Sullivan and Ellner, 2015). The overcrowding and patient volume exist due to not having room and enough providers to deliver healthcare services. The elderly population, or baby boomers has increasingly healthcare demands. One challenge is having to send them to another hospital due to overcrowding. One opportunity is incorporating a Hospital at Home program in the ED to help with the overcrowding. This program is a great tool to utilize with the elderly population with a long-standing chronic disease and if they seem to be using the emergency room a lot for non-emergent symptoms. This also helps to not get them sick from being the emergency room around others who are sick. It’s a great opportunity to help lower readmission rates and hospital overhead costs. This perfect storm presents us with an opportunity to capture the attention of decision makers and individuals to address the public and private health care needs of an aging population today and of the boomers tomorrow (Coughlin, Pope & Leedle, 2006).
- Anderson, J. G., Rainey, M. R., & Eysenbach, G. (2003). The Impact of CyberHealthcare on the Physician–Patient Relationship. Journal of Medical Systems, 27(1), 67–84. https://doi-org.ezproxy.snhu.edu/10.1023/A:1021061229743
- Bleich, S.N., Özaltin, E. and Murray, C.J.L. (2009), Bulletin of the World Health Organization, World Health Organization, Baltimore, MD, available at: www.who.int/bulletin/volumes/87/4/07-050401/en/
- Coughlin, J. F., Pope, J. E., & Leedle, B. R. (2006, April). Old Age, New Technology, and Future Innovations in Disease Management and Home Health Care. Retrieved from https://journals-sagepub-com.ezproxy.snhu.edu/doi/pdf/10.1177/1084822305281955
- David Carter. (2012). A “Hospital at Home” Program Shows Good Outcomes. The American Journal of Nursing, 112(9), 18. Retrieved from https://search-ebscohost-com.ezproxy.snhu.edu/login.aspx?direct=true&db=edsjsr&AN=edsjsr.23461078&site=eds-live&scope=site
- Factors Affecting Frequency of Patient Use of Internet-Based Telemedicine System to Manage Chronic Cardiovascular Disease Risk Conditions. (2012). Journal of the American College of Cardiology, (13). https://doi-org.ezproxy.snhu.edu/10.1016/S0735-1097(12)61759-8
- Hsia, R. Y., Sarkar, N., & Shen, Y. (2018, July). Is Inpatient Volume Or Emergency Department Crowding A Greater Driver Of Ambulance Diversion? Retrieved from https://www-healthaffairs-org.ezproxy.snhu.edu/doi/pdf/10.1377/hlthaff.2017.1602
- Knickman, J. R., Snell, E. K., Knickman, J. R., & Snell, E. K. (2002). The 2030 problem: caring for aging baby boomers. Health Services Research, 37(4), 849–884. https://doi-org.ezproxy.snhu.edu/10.1034/j.1600-0560.2002.56.x
- Lubitz, J., L G. Greenberg, Y. Gorina, L. Wartzman. and D. Gibson. 2001. “ThreeDecades of Heakh Care Use by the Elderly, 1965-1998.” Health Affairs(March/April): 19-^6.
- Materla, T., Cudney, E. A., & Hopen, D. (2019). Evaluating factors affecting patient satisfaction using the Kano model. International Journal of Health Care Quality Assurance (09526862), 32(1), 137–151. https://doi-org.ezproxy.snhu.edu/10.1108/IJHCQA-02- 2018-0056
- Partnership for Prevention. 1999. Why Invest in Disease Prevention? Results from the William M. Mercer/Partnership for Prevention Survey of Employer Sponsored Plans. Washington, DC: Partnership for Prevention.
- Sullivan, E.E. and Ellner, A. (2015), “Strong patient-provider relationships drive healthier outcomes”, Harvard Business Review, available at: https://hbr.org/2015/10/strong-patient-provider-relationships-drive-healthier-outcomes
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