• Since the passing of the Patient Protection and Affordable Care Act in 2010, there has been a great amount of efforts by healthcare providers to manage what is often referred to as the “continuum of care” for patients. Physicians and health systems are participating in a number of different structures and agreements that aim to achieve the same things, to manage care for patients in all care settings at all different points of life (Dunn, 2013).
• When a patient is in need of extensive medical care that requires hospitalization and observation by a physician.
• Typically a patient will be admitted under a doctors order to a hospital or medical facility.
• Patients who are admitted for inpatient care will usually stay in the acute hospital setting for a minimum of one night
Types of Inpatient Care
• Medical inpatient facilities such as an acute care hospital or medical center
• Rehabilitation Centers
• Psychiatric Hospitals
• Addiction Treatment Centers
• Nursing Homes
Medical Acute Care Hospital
• Emergency Medical Care
• Intensive/Critical Care
• Medical Surgical Care
• Cardiac Services
• Cancer Care
Who are the Stakeholders in
• Any persons or group that have a vested interest in a clinical decision and the evidence that supports that decision.
• Caregivers/Family members
• Advocacy groups
What are the Roles and Interests of
• Ensures highest quality of care possible
• Oversees financial and cost effectiveness of the organization
• Responsible for day to day operations of facility
• Advocate and implement positive changes and enhance operations
• Proactive in the care of themselves or the care of their loved ones by being involved in every aspect of their plan of care
Levels of Inpatient Care Within an
Acute Care Setting
• Intensive Care or Critical Care for severely compromised patients who need one on one nursing care
• Step Down where patients are still considered critical but do not need to be monitored as closely as in an intensive care setting.
• Medical/Surgical where patients are admitted to be observed and treated amongst other patients with similar illnesses
• Specialty areas of the hospital which include cardiac units, oncology, pediatrics and obstetrics where more specific needs can be addressed for the stable patient.
Management in an Acute Care
• Plan, direct, and coordinate medical and health services
• Some manage an entire facility or specialize in a specific clinical area or department
• Plan budgets and set rates for health services
• Develop procedures for quality assurance, patient services, medical treatments, department activities and public relations
• Manage nurses, doctors and other support staff to provide safe quality care for the patients that are under the care of the facility
Health Care Current Trends
• Managing the health of patients with multiple chronic conditions
• Home Health Care
• Quality and Patient Safety
• Transforming care delivery through mergers to improve collaborations and services available to patients
Future Health Care Trends
• Patient privacy and Convenience in accessing patient data
• Availability of patient apps accessible though the use of a smart phone or tablet
• Do It yourself healthcare, patients getting more involved in their treatments and technology making it easier for them to manage their care (White, 2014).
New Health Care Future Trends:
• Enables health care providers to connect with patients and consulting practitioners from all over the world.
• Allows for virtual consultations with distant specialists
• The ability to perform high-tech monitoring without requiring patients to leave their homes
• Less expensive and more convenient care options for patients.
• Remote monitoring programs used by hospitals for post-discharge monitoring to reduce readmissions
• An efficient and cost-effective care delivery vehicle (Trendwatch, 2015)
Integrated Health Care Delivery
• Organized, coordinated and collaborative network
• Connects various healthcare providers to provide a coordinated, continuum of services to a particular patient population or community
• Accountable, both clinically and fiscally, for the clinical outcomes and health status of the population or community served
• Has systems in place to manage and improve the community (Enthoven, 2009)
• Health care is growing and changing rapidly to meet the needs of patients and providers
• As patients we must grow with change and embrace the new technology that will allow us to be more proactive and involved in our care
• As providers we must continually strive to work to maintain a safe, healthy environment for the services we provide to the people of our community.
• Dunn, L. (2013). Beckers Hospital Review. Retrieved from http://www.beckershospitalreview.com
• Enthoven, A. (2009, December). Integrated delivery systems: the cure for fragmentation.. PubMed.gov, 15(10), 284-290.
• Trendwatch, . (2015, January). The Promise of Telehealth For Hospitals, Health Systems and Their Communities. American Hospital Association, (), 1-11. • White, J. (2014). Health Care Business and Technology. Retrieved from http://www.healthcarebusinesstech.com/healthcare-trends-2015