scholarly journals Translating Knowledge to Optimize Value-Based Occupational Therapy: Strategies for Educators, Practitioners, and Researchers

2021 ◽  
Vol 75 (6) ◽  
Author(s):  
Lisa A. Juckett ◽  
Monica L. Robinson ◽  
Julie Malloy ◽  
Haley V. Oliver
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Quality Care ◽  
Successful Implementation ◽  
Evidence Based ◽  
Client Outcomes ◽  
High Quality ◽  
Value Based Care ◽  
Therapy Strategies ◽  
Payment Models

With the continued evolution of health care reform and payment models, it is imperative that the occupational therapy profession consistently and clearly articulate its distinct value. As payment models shift from paying for the volume of services provided to paying for the value of services, the field of occupational therapy must be sure to implement high-quality care by translating evidence into practice and facilitating improvements in client outcomes. Yet the process of translating evidence-based interventions and programs to real-world settings can be quite complex, and successful implementation often requires active collaboration across occupational therapy stakeholders. In this Health Policy Perspectives article, we provide occupational therapy educators, practitioners, and researchers with key recommendations for how the profession can translate evidence into practice, ultimately leading to the improvement of client outcomes and the provision of value-based care.

Clinical Effectiveness: Systematic Reviews and Evidence-Based Practice in Occupational Therapy

1997 ◽  
Vol 60 (11) ◽  
pp. 479-483 ◽  
Author(s):  
Katrina Bannigan
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Systematic Reviews ◽  
Health Care Professionals ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Occupational Therapists ◽  
Evidence Based ◽  
Sources Of Information ◽  
High Quality

Evidence-based health care can be defined as an approach to health care that involves finding and using up-to-date research into the effectiveness of health care interventions to inform decision making (Entwistle et al, 1996). For many occupational therapists, the practicalities of keeping up to date with the best research evidence is difficult; however, through the National Health Service Centre for Reviews and Dissemination (NHS CRD), the NHS Research and Development (R&D) Programme is aiming to improve the availability of high quality research evidence to all health care professionals. The NHS CRD carries out and commissions systematic reviews. Systematic reviews are a means of pulling together large quantities of research information and are considered to be one of the most reliable sources of information about effectiveness (Chalmers and Altman, 1995). The NHS CRD also disseminates the findings of systematic reviews, one method of which is through the Database of Abstracts of Reviews of Effectiveness (DARE). The relevance of systematic reviews to the clinical practice of occupational therapists is explored in this paper using two examples: a poor quality and a high quality systematic review identified from the abstracting process for DARE. Both reviews are directly relevant to occupational therapy, being about sensory integration and falls in the elderly respectively. The implications of these reviews for evidence-based practice in occupational therapy are discussed.

scholarly journals Bridging existing governance gaps: five evidence-based actions that boards can take to pursue high quality care

2019 ◽  
Vol 43 (2) ◽  
pp. 126
Author(s):  
Sandra G. Leggat ◽  
Cathy Balding
Keyword(s):  
Health Service ◽  
Health Services ◽  
Care Delivery ◽  
Quality Care ◽  
Successful Implementation ◽  
Evidence Based ◽  
Quality And Safety ◽  
Quality Systems ◽  
High Quality ◽  
High Quality Care

Objective To explore the impact of the organisational quality systems on quality of care in Victorian health services. Methods During 2015 a total of 55 focus groups were conducted with more than 350 managers, clinical staff and board members in eight Victorian health services to explore the effectiveness of health service quality systems. A review of the quality and safety goals and strategies outlined in the strategic and operating plans of the participating health services was also undertaken. Results This paper focuses on the data related to the leadership role of health service boards in ensuring safe, high-quality care. The findings suggest that health service boards are not fully meeting their governance accountability to ensure consistently high-quality care. The data uncovered major clinical governance gaps between stated board and executive aspirations for quality and safety and the implementation of these expectations at point of care. These gaps were further compounded by quality system confusion, over-reliance on compliance, and inadequate staff engagement. Conclusion Based on the existing evidence we propose five specific actions boards can take to close the gaps, thereby supporting improved care for all consumers. What is known about this topic? Effective governance is essential for high-quality healthcare delivery. Boards are required to play an active role in their organisation’s pursuit of high quality care. What does this paper add? Recent government reports suggest that Australian health service boards are not fully meeting their governance requirements for high quality, safe care delivery, and our research pinpoints key governance gaps. What are the implications for practitioners? Based on our research findings we outline five evidence-based actions for boards to improve their governance of quality care delivery. These actions focus on an organisational strategy for high-quality care, with the chief executive officer held accountable for successful implementation, which is actively guided and monitored by the board.

Innovative Payment Models and Measurement for Cancer Therapy

2014 ◽  
Vol 10 (3) ◽  
pp. 187-189 ◽  
Author(s):  
Lee N. Newcomer
Keyword(s):  
United States ◽  
Health Care ◽  
Cancer Therapy ◽  
Quality Care ◽  
Cost Effective ◽  
The United States ◽  
High Quality ◽  
High Quality Care ◽  
Cost Of Health Care ◽  
Payment Models

The rising cost of health care in the United States is on an unsustainable trajectory. Payment models that reward cost-effective and high-quality care are desperately needed.

Further steps to define and deliver high quality care for care clusters: the mental health care clusters and pathways website

2013 ◽  
Vol 18 (1) ◽  
pp. 4-13
Author(s):  
Michael Clark ◽  
Clare Hilton ◽  
Wendy Shiels ◽  
Carole Green ◽  
Christina Walters ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Quality Care ◽  
High Quality ◽  
High Quality Care

scholarly journals Evaluation of palliative care knowledge among health care students- A pilot study

2020 ◽  
Vol 11 (2) ◽  
pp. 1433-1437
Author(s):  
Ganapathy Sankar U. ◽  
Monisha R. ◽  
Christopher Amalraj Vallaba Doss ◽  
Palanivel R. M.
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Occupational Therapy ◽  
Demographic Data ◽  
Quality Care ◽  
Health Sciences ◽  
Health Care Students ◽  
Occupational Therapy Students ◽  
Detailed Instruction ◽  
Study Population

Palliative care is given much importance in the curriculum of medical and health sciences. Before planning a new design and curriculum development, it is mandatory to test the knowledge and awareness of Occupational therapy students on palliative care. Thus it will help the expert’s panel to enhance the syllabus designing methods appropriate to the student’s knowledge.  Without paying much attention to enhance knowledge on palliative care among students might lead to failure in providing quality care. To evaluate the knowledge in palliative care among undergraduate occupational therapy students. The study population included BOT 1ST Year and BOT Final year students and CRI from SRM College OF Occupational therapy, Kattankulathur. After obtaining informed consent signed from the participants, they have been instructed to fill in the questionnaire. The questionnaire has demographic data and 35 questions under nine groups, for which the students were instructed to answer (Yes, No, Don’t know). A detailed instruction was there in the questionnaire to avoid leaving any questions blank. It was found that occupational therapy students were aware of palliative care. Knowledge in palliative care was not precise among occupational therapy students related to healthcare. Hence there is an emerging need to include palliate care in the curriculum for the development of knowledge in palliative care.

The global elements of vital signs' assessment: a guide for clinical practice

2021 ◽  
Vol 30 (16) ◽  
pp. 956-962
Author(s):  
Malcolm Elliott
Keyword(s):  
Clinical Practice ◽  
Outcomes Research ◽  
Quality Care ◽  
Vital Signs ◽  
Clinical Judgement ◽  
Evidence Based ◽  
Valuable Insight ◽  
High Quality ◽  
Culture Tradition ◽  
Insight Into

The assessment of vital signs is critical for safe, high-quality care. Vital signs' data provide valuable insight into the patient's condition, including how they are responding to medical treatment and, importantly, whether the patient is deteriorating. Although abnormal vital signs have been associated with poor clinical outcomes, research has consistently found that vital signs' assessment is often neglected in clinical practice. Factors contributing to this include nurses' knowledge, clinical judgement, culture, tradition and workloads. To emphasise the importance of vital signs' assessment, global elements of vital signs' assessment are proposed. The elements reflect key principles underpinning vital signs' assessment and are informed by evidence-based literature.

Evidence-based training in treatment treatments: The case of pediatric psychopharmacology

2011 ◽  
Vol 26 (S2) ◽  
pp. 2048-2048
Author(s):  
P.S. Jensen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Providers ◽  
Controlled Trial ◽  
Evidence Based ◽  
Care Providers ◽  
Clinical Practices ◽  
High Quality ◽  
Health Care Practitioners ◽  
Evidence Based Treatments

IntroductionDespite major research advances in pediatric psychopharmacology and psychotherapy over the last 20 years, the lack of well-trained specialists has posed almost insurmountable barriers to many children and families from receiving high-quality, evidence-based assessment and treatments. The REACH Institute, an international non-profit organization dedicated to disseminating evidence-based treatments, has developed portable, effective methods to train primary care and specialty health providers in pediatric psychopharmacology and psychotherapies.ObjectivesTo develop effective, scientifically-proven methods for teaching and disseminating evidence-based treatments.AimsTo develop, disseminate, and evaluate high quality approaches for teaching primary care and specialty mental health practitioners in pediatric psychopharmacology.MethodsUsing novel approaches grounded in scientific behavioral change technologies, over 700 health care providers have been trained in evidence-based pediatric psychopharmacology in sites across multiple countries, including the US, Canada, and Norway. All trainings are rigorously evaluated for changes in health care practitioners' behaviors and clinical practices, including within an NIH-funded randomized controlled trial (RCT).ResultsTrainings have been very well-received across multiple countries, requiring only minor adaptations. These trainings have been effective in yielding changes in health care practitioners abilities and actual clinical practices, enabling more children to access appropriate pediatric psychopharmacology.ConclusionsEffective and disseminable methods for changing health care practitioners behaviors in applying pediatric psychopharmacology treatments are possible, and can be adapted to different countries, languages, and cultural contexts.

scholarly journals The Role of the Childbirth Educator in Supporting Vaginal Birth and Reducing Primary Cesareans: Highlights From the California Maternal Quality Care Collaborative Toolkit

2016 ◽  
Vol 25 (4) ◽  
pp. 208-214 ◽  
Author(s):  
Debby Amis
Keyword(s):  
Health Care ◽  
Maternity Care ◽  
Quality Care ◽  
Vaginal Birth ◽  
Evidence Based ◽  
Nulliparous Women ◽  
Cesarean Births ◽  
Maternal Quality

ABSTRACTMaternity care organizations, including the American Congress of Obstetricians and Gynecologists, have identified reducing the rate of primary cesarean births as an urgent health-care priority. Particular emphasis is placed on reducing the cesarean rate for nulliparous women who are at term with a singleton baby in the vertex position. The California Maternal Quality Care Collaborative recently published an evidence-based, comprehensive Toolkit to Support Vaginal Birth and Reduce Primary Cesareans for this population. This article highlights the recommended strategies from the Toolkit of particular interest to childbirth educators.

Patient Navigation and Cancer Care Delivery

2018 ◽  
Author(s):  
Harold P. Freeman ◽  
Melissa A. Simon
Keyword(s):  
Health Care ◽  
Cancer Care ◽  
Patient Navigation ◽  
Care Delivery ◽  
Clinical Care ◽  
Quality Care ◽  
Successful Implementation ◽  
Care Continuum ◽  
Patient Navigators ◽  
Health Care Delivery Systems

Although the US health care system offers the very best care to many, the poor and uninsured typically face challenges in accessing timely health care, even when faced with a life-threatening disease such as cancer. Spurred by unmet patient needs and the growing complexity of health care delivery systems, patient navigation seeks to diminish social, economic, cultural, and medical system barriers to timely quality care. This case study discusses the emergence of patient navigation as a strategy for improving cancer outcomes, especially among vulnerable populations. It explores challenges and opportunities related to advancing successful implementation of patient navigation across the cancer care continuum. It seeks to harness and apply the power and energy of patient navigators with the goal of guiding individuals across the health care continuum—from the communities where they live all the way through screening, diagnosis, and treatment at clinical care sites.

Anaesthetics

2016 ◽  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Professional Practice ◽  
Health Care Organizations ◽  
Quality Care ◽  
Technical Skills ◽  
High Quality ◽  
Ventilatory Assistance ◽  
Applied Physiology

Current anaesthetic practice is provided using a combination of many different available techniques and drugs, with the primary aim of ensuring patient safety and high-quality care are provided for patients. Anaesthesia today is extremely safe, with mortality less than one death in 250 000 directly related to anaesthetic intervention alone. This is due to a continued focus on the principles of patient safety and quality of care, underpinned by continued innovation in pharmacology, applied physiology, physics, and engineering. These have yielded improved techniques and technologies to enhance airway management, provide ventilatory assistance and haemodynamic support, and monitor physiological parameters. Modern professional practice is continually seeking to improve by emphasizing the importance of individual non-technical skills in educational curricula and the workplace. In addition, anaesthetists are heavily involved in the integration of human factors science into health-care organizations.

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