Telehealth Implementation

2013 ◽  
pp. 126-139
Author(s):  
Mary DeVany ◽  
Karla Knobloch-Ludwig ◽  
Marilyn Penticoff ◽  
Aris Assimacopoulos ◽  
Stuart Speedie
Keyword(s):  
Infectious Disease ◽  
Quality Of Care ◽  
Business Practices ◽  
Regulatory Issues ◽  
The Core ◽  
Infectious Disease Specialists ◽  
Clinic Practice ◽  
Core Mission

Improving the opportunity to access care by infectious disease specialists and improve the overall quality of care received is the core mission demonstrated by this clinic through the on-going and continued development of their telehealth services program. This focus does not remove the need for the clinic to adhere to sound business practices. Instead, this case demonstrates that both focuses can be appropriately accomplished. Current regulatory issues will continue to pose challenges, but these barriers are not significant enough to shut down the enthusiasm for continuing this service or for future expansion plans. This study will discuss the benefits of telehealth not only to patients, but also to the clinic practice as a whole.

Telehealth Implementation

2015 ◽  
pp. 152-162
Author(s):  
Mary DeVany ◽  
Karla Knobloch-Ludwig ◽  
Marilyn Penticoff ◽  
Aris Assimacopoulos ◽  
Stuart Speedie
Keyword(s):  
Infectious Disease ◽  
Quality Of Care ◽  
Business Practices ◽  
Regulatory Issues ◽  
The Core ◽  
Infectious Disease Specialists ◽  
Clinic Practice ◽  
Core Mission

Improving the opportunity to access care by infectious disease specialists and improve the overall quality of care received is the core mission demonstrated by this clinic through the on-going and continued development of their telehealth services program. This focus does not remove the need for the clinic to adhere to sound business practices. Instead, this case demonstrates that both focuses can be appropriately accomplished. Current regulatory issues will continue to pose challenges, but these barriers are not significant enough to shut down the enthusiasm for continuing this service or for future expansion plans. This study will discuss the benefits of telehealth not only to patients, but also to the clinic practice as a whole.

Guilhème Pérodeau et Denyse Côté (Eds.). Le virage ambulatoire : Défis et enjeux. Sainte-Foy, QC: Presses de l'Université du Québec. 2002.

2004 ◽  
Vol 23 (2) ◽  
pp. 191-192
Author(s):  
Aline Vézina
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Home Care ◽  
Family Member ◽  
Informal Caregivers ◽  
Nursing Personnel ◽  
Negative Consequences ◽  
The Core ◽  
Care At Home

ABSTRACTThis book is comprised of three sections: the problems and consequences of the push for more de-institutionalized health care, the issues that crop up in this context, and the perceptions of the caregiver. At the core of this text are the two groups of women who are most present in this new context: the informal caregivers or family helpers and the nurses. Three conclusions become evident. Firstly, the push for home care has many negative consequences, especially for women. Secondly, although the help of a family member makes possible the dispensation of care at home, something wished for by most patients, it also entails an increase in, and professionalization of, the tasks for the caregiving family member. Finally, using the home as the place of care also has the consequence of increasing the tasks of nursing personnel, to the point where there is a perception that the quality of care has decreased.

A safe haven for everyone: Working with shared values in a nursing home for people with dementia

2019 ◽  
Vol 39 (3) ◽  
pp. 168-174
Author(s):  
Mona Söderlund ◽  
Ingegerd Fagerberg
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Mutual Trust ◽  
Safe Haven ◽  
The Core ◽  
Shared Set ◽  
People With Dementia ◽  
Core Category ◽  
Qualitative Descriptive

The aim of this study was to describe from a staff perspective what promotes a positive atmosphere in a nursing home for people with dementia. A nursing home renowned for its positive atmosphere and quality of care was chosen for our research. The study has a qualitative descriptive design using a modified grounded theory. Eight members of staff were interviewed. The analysis consisted of open, axial and selective coding and constant comparison between each narrative. The core category was ‘A safe haven for everyone’, with three categories; ‘Relating to people with dementia’, ‘Relating to work’ and ‘Relating to each other’. A shared set of values embraced by all staff was the foundation in the nursing home and supported the atmosphere and quality of care. The positive atmosphere had been founded on mutual trust between manager and staff, lending staff the freedom to be creative in their work, and ensuring that the residents with dementia were cared for in the best possible way.

scholarly journals Fostering the Quality of Care for People with Chronic Diseases, from Theory to Practice: The Development of Good Practices in Disease Prevention and Care in JA CHRODIS PLUS Using JA CHRODIS Recommendations and Quality Criteria

2020 ◽  
Vol 17 (3) ◽  
pp. 951 ◽  
Author(s):  
Jelka Zaletel ◽  
Marina Maggini
Keyword(s):  
Quality Of Care ◽  
Chronic Diseases ◽  
Health Care Organizations ◽  
Quality Care ◽  
Quality Criteria ◽  
The European Union ◽  
The Core ◽  
Core Set ◽  
Care Health

In the frame of joint action in chronic diseases (JA CHRODIS), an extensive process at the European Union level was carried out to identify a core set of quality criteria and to formulate recommendations that improved prevention, early detection, and quality of care for people with chronic diseases. Diabetes was used as a model disease. The core set of quality criteria may be applied to develop and improve practices, programs, strategies, and policies in various domains (e.g., prevention, care, health promotion, education, and training). The quality criteria are general enough to be applied in countries with different political, administrative, social, and health care organizations. Moreover, they can be applied to a number of other chronic diseases. JA CHRODIS recommendations and quality criteria are being tested in a series of pilot actions within the JA CHRODIS PLUS. A total of 15 partners representing nine European countries worked together to implement pilot actions and generate practical lessons that could contribute to the further uptake and use of JA CHRODIS recommendations. Special emphasis is given to meaningful patient involvement in co-designing the pilot actions and to the sustainability and scalability of the pilot actions. These insights were found to be at the core of the learning from pilot actions to foster high quality care for people with chronic diseases.

State power as reality

2018 ◽  
Author(s):  
Stephen Noakes
Keyword(s):  
New World ◽  
State Power ◽  
The State ◽  
Quality Of Information ◽  
The Core ◽  
World Power ◽  
Course Of Action ◽  
External Pressures ◽  
Core Mission

This concluding chapter explores the implications of the varied patterns and pathways taken by TANs engaging with China. A key lesson is that foreign activists rarely succeed in persuading China to follow a course of action it does not favour for its own reasons. China’s leaders are not insensitive to external pressures for change, but base their policy actions on the domestic legitimacy implications of a given issue. This means that much rides on the quality of information the state receives—the results of a miscalculations could have grave consequences for the survival of the CCP. However, it also means that activists targeting China need to maintain a healthy perspective on what they can reasonably achieve. Given the power of China to alter the core mission and message of TANs, those wishing to deepen engagement with China need to make a clear-eyed assessment of the risks, and consider how far they are willing to go to accommodate the preference of a new world power.

scholarly journals GRECCS AS A NETWORK TO ENHANCE THE VA PRIMARY CARE WORKFORCE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S765-S765
Author(s):  
Josea Kramer ◽  
Marianne Shaughnessy
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Workforce Development ◽  
Core Curriculum ◽  
Development Program ◽  
Centers Of Excellence ◽  
Research Education ◽  
The Core ◽  
Intensive Course

Abstract The VA Geriatric Scholars Program is a workforce development program to integrate geriatrics into primary care in all VA clinics. The program has increased career satisfaction among clinicians, improved quality of care for aging Veterans, changed provider prescribing behaviors and improved patient outcomes. The core curriculum is an intensive course in geriatrics, an intensive workshop in quality improvement (QI) and a micro QI project to demonstrate application of new knowledge to local needs of patients and clinic processes; this is a longitudinal program and alumni continue to develop skills over time through a series of elective activities that tailor learning to self-identified gaps in career development and training. The program is a collaboration among the Geriatric Research Education and Clinical Centers (GRECC), centers of excellence that have been leveraged to create a network of expertise and creativity to develop the core and elective educational activities. This symposium focuses on recent outcomes of three educational components that improve quality of care for older Veterans. The Palo Alto GRECC developed an intensive course in gerontological psychology to enhance the skills and competencies of psychologists leading to greater job effectiveness. The Bronx GRECC developed an interdisciplinary training program for all clinical and non-clinical staff in rural clinics, leading to improved recognition of functional and safety concerns among older veterans. The Tennessee Valley GRECC developed the core QI component and many of these micro-QI projects have been sustained, spread or recognized by VA as Promising Practices.

scholarly journals The Disparity in State-Based Quality of Care Disciplinary Standards

2005 ◽  
Vol 91 (1) ◽  
pp. 6-13
Author(s):  
Judith Dickinson
Keyword(s):  
Quality Of Care ◽  
Patient Care ◽  
Case Law ◽  
Regulatory Issues ◽  
Current State ◽  
National Debate ◽  
State Medical Boards ◽  
True Dimension ◽  
Treat Patient

ABSTRACT This article explores the fact that current state-based physician disciplinary statutes display a great lack of uniformity between states regarding the threshold standards used to determine when a physician can be disciplined for substandard patient care. Many states use a gross negligence standard to make the determination; others use a lower, ordinary negligence standard; and other states use both standards in the same statute. Among gross negligence states, there are many different statutory and case law definitions of “gross negligence” in use, adding to the lack of harmony. The lack of uniformity in state-based regulatory laws and standards is an issue in the national debate over the efficacy of state-based physician regulation. The true dimension of this multiplicity of disciplinary standards and definitions cannot accurately be assessed without a detailed study of how state medical boards actually interpret and apply these terms, and whether there is a resulting observable impact on how many physicians are disciplined from state to state for quality of care mistakes. However, even the appearance and perception that some states treat patient care more strictly than others may create regulatory issues that might require resolution through an effort to bring disciplinary negligence standards between the states into conformity with one another.

scholarly journals Application of the Donabedian Quality-of-Care Model to New York State Direct Support Professional Core Competencies: How Structure, Process, and Outcomes Impacts Disability Services

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Johanna LoPorto
Keyword(s):  
New York ◽  
Quality Of Care ◽  
Core Competencies ◽  
New York State ◽  
Group Homes ◽  
York State ◽  
Residential Group ◽  
The Core ◽  
Direct Support

Direct support professionals (DSPs) are responsible for the daily supervision and care of people diagnosed with intellectual and developmental disabilities (IDDs) living in community residential group homes. In New York State, these DSPs are trained within the Office for People With Developmental Disabilities DSPs core competencies; a set of ethical, technical, and cognitive training geared to the individual care of each person as per their specific needs. This qualitative case study was to understand how DSPs perceived the implementation of the core competencies after being trained and under the direction of their supervisors. Using the Donabedian’s quality-of-care conceptual framework, this study explored what DSPs perceived to be necessary in strengthening the effectiveness of the New York State DSP competencies within organizational policies (structure) with the DSPs knowledge, skills, and, attitudes (processes) to the quality-of-life (outcomes). Data were collected through face-to-face interviews with 12 DSPs and supervisors. Data were inductively coded then subject to Braun and Clarke’s thematic analysis procedure. Findings revealed that DSPs and supervisors implemented the core competencies inconsistently because of organizational perceptions and experiences. Implications for social change in this study includes recommendations to the National Alliance of DSPs to add a practicum component to the core competencies training that may benefit people living in community residential group homes diagnosed with IDDs through hands-on-approach training that would allow full implementation of the DSP core competencies in various everyday, real-life situations

scholarly journals Autonomy or Security? Core Value Trade-Offs and Spillovers in Servicescapes for Vulnerable Customers

2021 ◽  
pp. 109467052110124
Author(s):  
Birgitta Sandberg ◽  
Leila Hurmerinta ◽  
Henna M. Leino ◽  
Mira Menzfeld
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Core Values ◽  
Coping Mechanisms ◽  
The Core ◽  
Trade Offs ◽  
Different Dimensions ◽  
Core Value ◽  
Rich Data

This study deepens knowledge on the implementation of core values in servicescapes by analyzing how core value trade-offs and spillovers occur within servicescapes and how vulnerable stakeholders cope with them. We use an explorative approach and draw on rich data collected in two nursing homes. Our study demonstrates how the autonomy-security trade-offs originate in different dimensions of the servicescapes. Further analysis reveals how individual customers may conflict with the core values and core purposes of the respective servicescapes. We also contribute to the discussion on customer vulnerability by considering vulnerability in the extended customer entity and by identifying the active coping mechanisms of vulnerable customers. Practitioners can increase the quality of care by identifying and taking into account the core values of both vulnerable primary and secondary customers and by deliberately supporting their coping with core value trade-offs and spillovers.

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