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Professor’s Comment:

The referencing and citing of scholarly work is mandatory to support the idea that is being presented in the participation discussion. ALL peer responses require an in text citation, a reference, and 6 or more sentences. References should be between 2018 to 2022.

Post 3:

Interprofessional cooperation will aid in error reduction, better treatment delivery, and patient safety by bringing specialists from various fields together to provide the best care possible for a given patient. The modern trend of evidence-based medicine, which relies on a multidisciplinary team to provide the best treatment options based on the latest scientific findings, needs more cooperation between professionals. Irajpour, A., et al. (2019) define interprofessional collaboration as "people from two or more professions working together, having the same goals, and putting the client, patient, or resident at the center of care to provide the best care and outcomes possible"

Due to the potential for error reduction, enhancement of care quality, and increase in patient safety, this kind of teamwork is particularly important in the healthcare industry. Interprofessional teamwork may aid in error reduction by allowing professionals from different fields to work together. This allows for multiple perspectives to be considered, which can help uncover errors that might have been missed by a single set of eyes. When a nurse fails to notice a medical error, a doctor can often spot it.

Having professionals from different fields work together can serve as a check and balance, perhaps reducing the number of errors made. A pharmacist may perform a secondary check on a doctor's prescription to ensure the correct medication and dosage have been ordered for a patient. This way, mistakes can be corrected before the medicine is administered to the patient.

Higher-quality care may also be provided through increased professional collaboration. As a result of the combined expertise of a team of specialists from different professions, patients can receive optimal care. For instance, a doctor and nurse might work together to tailor a patient's care to their specific needs.

Reference

Wei, H., Corbett, R. W., Ray, J., & Wei, T. L. (2020). A culture of caring: the essence of healthcare interprofessional collaboration. Journal of interprofessional care, 34(3), 324-331.

Irajpour, A., Farzi, S., Saghaei, M., & Ravaghi, H. (2019). Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units. Journal of education and health promotion, 8.

Post 4:

According to the World Health Professions Alliance, interprofessional collaboration is necessary to improve coordination between different sectors, provide a comprehensive and safe healthcare system, efficiently use resources and reduce the number of preventable incidents. (2019) Having affecting multidisciplinary collaboration can decrease length of stays and decrease the risk or errors, two major points hospitals try to improve. Hospitals have many protocols in place to avoid miscommunication like daily huddles and a designated SBAR sheet. My hospital uses both methods and I find it helpful. The SBAR sheet is new to me at this new facility I am working at, but I can say it only works if nurses actually update them daily. 

One example of a current emerging trend that will require more interprofessional collaboration is the electronic medical record (EMR) system. Many hospitals have everything about the patient online in a secured system. The problem with this is that healthcare workers are becoming reliant and focused on documenting, versus providing quality patient care. According to Kaiser Health News, EMR’s were intended to reduce costs but are being used to inflate patient bills. (Fry & Schulte, 2019) They do increase and support interdisciplinary collaboration by allowing access throughout the hospital for patient trends, assessments and changes. However, they can take time away from patient care. The EMR system is used by administration to bill patients, but is used by providers, nurses and therapists as a way to effectively collaborate with patient care.

References

Fry, E., & Schulte, F. (2019, June 11).  Death by 1,000 clicks: Where electronic health records went wrong. Kaiser Health News. Retrieved November 2022, from https://khn.org/news/death-by-a-thousand-clicks/ 

Interprofessional Collaborative Practice. World Health Professions Alliance. (2019). Retrieved November 2022, from https://www.whpa.org/activities/interprofessional-collaborative-practice#:~:text=What%20is%20interprofessional%20collaboration%3F,across%20settings%5B1%5D.%22 

Post 5:

The healthcare reform movement has brought great changes to the healthcare system. However, inefficiencies such as communication gaps hinder the system from achieving a higher quality of care. Lack of integration and communication between providers causes a delay in being able to deliver the appropriate care needed and drives costs to be higher (Clarke et al, 2017). Part of the Health Reform Act brings awareness to the importance of developing new healthcare delivery systems to encourage interdisciplinary communication. The Health Care Reform Act focuses on how advanced practice nurses (APRN's) can be part of the health team environment to provide primary or specialty care (Haas, n.d.).

Mobile Integrated Healthcare (MIH) is a patient-centered, healthcare delivery model, offering on-demand services delivered to the patient's mobile environment. All enrolled members have 24/7 access, and year-round services that are accessible by telephone or text message. Calls are triaged by nurses. Unplanned care needs may include an at-home clinician visit, a telephone consultation with a provider, social worker, and pharmacist, a telemedicine encounter, and a follow-up with a clinician. Next, a sort of support service is offered such as transportation or community-based needs. This healthcare delivery model includes physicians, EMS, nurses, social workers, pharmacists, and APRN's. MIH helps improves gaps in care by coordinating care, reducing unnecessary spending, and improving quality by providing 24/7 needs-based at-home care (Roeper et al, 2018).

References

Clarke, J., Bourn, S., Skoufalos, A., & Beck, E. (2017). An Innovative Approach to Health Care Delivery for Patients with Chronic Conditions. doi:  10.1089/pop.2016.007

Haas, S. (n.d.).Health Reform ActL New Models of Care and Delivery Systems. Retrieved from  https://www.aaacn.org/health-reform-act-new-models-care-and-delivery-systems

Roeper, B., Mocko, J., O'Conner, L., & Zhou J. (2018). Mobile Integrated Healthcare Intervention and Impact Analysis. doi:  10.1089/pop.2017.0130

Post 6:

The Accountable Care Organization (ACO), is a group of healthcare providers that voluntarily come together to coordinate Medicare and Medigap beneficiaries (Worstell, 2021). The goal of ACO is for those who participate, especially those with chronic conditions to streamline their care  (Worstell, 2021). This is done to avoid duplicate efforts and to promote communication between participating providers  (Worstell, 2021). 

The advantage of this type of healthcare delivery model is that it improves the quality of care due to the coordinated efforts of healthcare providers that are invested in taking care of their patients  (Worstell, 2021). In this model, providers would communicate with one another to analyze a patient's previous treatments, tests, and current symptoms.  (Worstell, 2021). Then the team would come up with a plan for patients to direct them in the best course of treatment  (Worstell, 2021).  In one study I read, those hospitals that participate in Accountable Care organizations, were shown to have lower post-acute care in Medicare beneficiaries undergoing bladder cancer surgery (Katragadda et al., 2022). Although they did specify that ongoing research is needed to understand the long-term impact of ACO (Katragadda et al., 2022).

References:

Katragadda, C., Fung, C., Yousefi-Nooraie, R., Cupertino, P., Joseph, J., Kim, Y., & Li, Y. (2022). Medicare Accountable Care Organizations: Post-acute Care Use and Post-surgical Outcomes in Urologic Cancer Surgery.  Urology,  167, 102–108. https://doi-org.lopes.idm.oclc.org/10.1016/j.urology.2022.06.018

Worstell, C., 2021. Medicare Supplement.  7 Common Health Care Delivery Models Explained.https://www.medicaresupplement.com/coverage/health-care-delivery-models-explained/