PubMed Health⌕ Search

PubMed · 10160124

The patient care process: a framework for change.

Abstract

Healthcare organizations across the United States recognize that they must change the way in which they deliver case. As organizations reengineer to reduce costs and change the way in which services are delivered, it is critical that decisions about reengineering be communicated throughout the entire service-delivery enterprise. There must be a framework to provide a common ground for change. The process approach to delivering service provides the greatest opportunity for organizations to achieve their goals to facilitate care, achieve the best patient outcomes, and deliver services on time and at the right price. Processes that are built around core competencies and that address customer needs are the most successful. Organizations that adopt a common framework built around the delivery of patient care and the patient care process can establish a common frame of reference for the entire organization and therefore can enhance the delivery of service for their patients and achieve organization-wide commitment to common goals.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

C R Phillips. The patient care process: a framework for change.. https://pubmed.ncbi.nlm.nih.gov/10160124/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

A comparison of assertive community treatment and intensive case management for patients in rural areas.

OBJECTIVE: This article reviews the evidence for the effectiveness of community-based services for rural areas, specifically assertive community treatment and intensive case management. Service delivery to persons with severe mental illness in rural areas is challenged by low population densities, limited services, and shortages of professionals. METHODS: A comprehensive literature search identified six studies of rural assertive community treatment, only two of which were controlled studies, and four rural intensive case management studies, only one of which was a controlled study. Assertive community treatment would seem ideally suited to areas lacking services because of its self-contained multidisciplinary treatment team approach. However, rural programs have been forced to make several adaptations to the assertive community treatment model, including smaller teams, less comprehensive staff, and less intensive services. There is no published evidence that these adaptations are able to produce the same results as full-fidelity teams. Some believe that intensive case management may be an alternative to assertive community treatment in rural settings because intensive case management emphasizes individual caseloads, fewer staff, less intensive contacts, and brokered services. CONCLUSIONS: The evidence suggests that intensive case management programs are effective only in community settings where there is an ample supply of treatment and support services. To build the evidence base for the effectiveness of these models, much more attention needs to be focused on evaluating the current wave of assertive community treatment and intensive case management dissemination in rural areas.

Case Management↗

Factors associated with specific language impairment and later language development during early life: a literature review.

It has been reported that 50% of children with specific language impairment (SLI) have persistent SLI, which has been associated with various risk factors. To date, however, there has not been a comprehensive review of studies into different risk factors that could be used by clinicians to facilitate parental counseling and individual case-management. Several studies about the factors associated with SLI were reviewed based on study design. This article presents a review of factors associated with later language development and SLI, and reviews the risk for children who have SLI during early life. The summary provides data including specific biologic and environmental factors that are significantly associated with SLI, to ensure early intervention for children with SLI in the presence of identified risk factors.

Case Management↗