1) Provide an example of an impatient facility and an example of an outpatient f
ID: 427564 • Letter: 1
Question
1) Provide an example of an impatient facility and an example of an outpatient facility.
2) The four types of coordination cares: Provide one example of the intended function for each one and also one example with the challenges with implementation for each one.
3) Which are the four criteria needed to be proven in order to have a successful malpractice lawsuit? Briefly (1-2 sentences) each criteria.
4) Which four components of system disclosure does The Joint Commission want physicians to include when there are unanticipated outcomes?
5) Which are the six characteristics of healthcare quality according to the National Committee for Quality Assurance? Provide a brief meaning for each and one example for each.
Explanation / Answer
1. Inpatient care generally refers to any medical service that requires admission into a hospital. Inpatient care tends to be directed towards more serious ailments and trauma that require one or more days of overnight stay at a hospital.
For example: Inpatient care tends to be directed towards more serious ailments and trauma that require one or more days of overnight stay at a hospital. For the purposes of healthcare coverage, health insurance plans require you to be formally admitted to a hospital for a stay for a service to be considered inpatient. This means a doctor has to write a note to give the order to admit you, so if you were in the emergency room and were asked to stay overnight for “Medical Observation”, it does not make you an inpatient.
Over half of all inpatient hospital admissions come through the emergency room department. Health insurance plans break out emergency room vs. inpatient facility care when it comes to your share of the costs. In some plans, the copays for emergency room services are waived if the patient is then admitted to the hospital.
Outpatient care, on the other hand, is medical service provided that does not require a prolonged stay at a facility. This can include routine services such as checkups or visits to clinics. Even more involved procedures such as surgical procedures, so long as they allow you to leave the hospital or facility on the same day, can still be considered as outpatient care. Many surgical services, rehabilitation treatments, as well as mental health services are available as outpatient services. Outpatient care tends to be less expensive, since it is often less involved and does not require a patient's continued presence in a facility, which uses up less of the hospital or medical clinic's resources.
When patients are sick, injured, or require specialized types of testing or treatment, but do not require the overnight monitoring and care of a hospital, they often obtain the healthcare they need in an outpatient setting. This is also known as ambulatory care. Primary care physicians, community health clinics, urgent care clinics, specialized outpatient clinics, pharmacies, and the emergency department are examples of outpatient care settings.
An urgent care center is an outpatient clinic that provides medical services for patients who need immediate treatment for illness and injuries that cannot wait a day or two for a PCP appointment, but are not life-threatening or dangerous enough to demand a trip to the Emergency Room (ER). These centers work by taking some of the burden off of ERs by relieving them of less emergent patient problems, and by allowing patients to receive care in a timely and convenient way.
2. Care coordination is the deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient's care to facilitate the appropriate delivery of health care services. Organizing care involves the marshalling of personnel and other resources needed to carry out all required patient care activities and is often managed by the exchange of information among participants responsible for different aspects of care. The four types of Coordination Care are as under:-
Long-term care (LTC) is a part of Care Co-ordination and it is for a beneficiary who needs someone to help them with their physical or emotional needs for an extended period of time. There are two types of LTC: custodial care and skilled care. Skilled care refers to skilled nursing or rehabilitation services, provided by licensed health professionals like nurses and physical therapists, ordered by a doctor. Custodial care refers to services ordinarily provided by personnel like nurses’ aides.
A. Custodial Care –
B.Consumer-Centered Care
Consumer-centered care that reflects the preferences and choices of the consumers of the service is desirable for almost all people across all health care settings, including long-term care settings, although the specific elements may vary. Moreover, not all consumers of long-term care are as well positioned to exercise their preferences and choices as in acute care markets. Generally, nursing homes with a consumer-centered focus may emphasize resident service in staff training, actively involve residents and or their families in care planning, provide a physical environment that supports, to the extent applicable, resident privacy and autonomy, and regularly solicit feedback from residents and families regarding their experiences and satisfaction with care.
C. Skilled Care:
3. In order for a plaintiff to win a lawsuit for negligence, he or she must prove all of the "elements." For instance, one of the elements is "damages," meaning the plaintiff must have suffered damages in order for the defendant to be held liable. So, even if you can prove that the defendant was negligent, you may not be successful in your negligence lawsuit if that negligence caused you no harm.
When deciding on a verdict in a negligence case, juries are instructed to compare the facts, testimony, and evidence in determining whether the following elements were satisfied:
Duty: The outcome of some negligence cases depends on whether the defendant owed a duty to the plaintiff. A duty arises when the law recognizes a relationship between the defendant and the plaintiff requiring the defendant to act in a certain manner toward the plaintiff.
For example, if a defendant was loading bags of grain onto a truck and struck a child with one of the bags, the first question that must be resolved is whether the defendant owed a duty to the child. If the loading dock was near a public place, such a public sidewalk, and the child was merely passing by, then the court may be more likely to find that the defendant owed a duty to the child. On the other hand, if the child were trespassing on private property and the defendant didn't know that the child was present at the time of the accident, then the court would be less likely to find that the defendant owed a duty.
Dereliction/Breach of Duty: It's not enough for a plaintiff to prove that the defendant owed him or her or a duty; the plaintiff must also prove that the defendant breached his or duty to the plaintiff. Thus, in the example above, a jury would decide whether the defendant exercised reasonable care in handling the bags of grain near the child.
Direct Causation/Cause in Fact: Under the traditional rules in negligence cases, a plaintiff must prove that the defendant's actions were the actual cause of the plaintiff's injury. This is often referred to as "but-for" causation, meaning that, but for the defendant's actions, the plaintiff's injury would not have occurred. The child in the example above could prove this element by showing that but for the defendant's negligent act of tossing the grain, the child would not have suffered harm.
Proximate Cause: Proximate cause relates to the scope of a defendant's responsibility in a negligence case. A defendant in a negligence case is only responsible for those harms that the defendant could have foreseen through his or her actions. If a defendant has caused damages that are outside of the scope of the risks that the defendant could have foreseen, then the plaintiff cannot prove that the defendant's actions were the proximate cause of the plaintiff's damages.
In the example described above, the child would prove proximate cause by showing that the defendant could have foreseen the harm that would have resulted from the bag striking the child. On the contrary, if the harm is something more remote to the defendant's act, then the plaintiff will be less likely to prove this element.
Damages: A plaintiff in a negligence case must prove a legally recognized harm, usually in the form of physical injury to a person or to property. It's not enough that the defendant failed to exercise reasonable care. The failure to exercise reasonable care must result in actual damages to a person to whom the defendant owed a duty of care.
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