Patient Advocacy: EBM…CPG…CP
Evidence based medicine, clinical pathways, guidelines, care plans — is there difference in these terms? What do these phrases mean in reality? And — is this cookie-cutter medicine?
The module "Right Care" Guidelines for Practice examines each of these well used terms and provides definitions along with clear delineations of the various terms.
According to Eric Wall, MD, speaking at an American Academy of Family Physicians' (AAFP) program, the primary goals of clinical practice guidelines are to:
Athena Forum, Patient Advocacy & Care Standards: Module B, pg. 30
- reduce variations in care
- improve patient outcomes using systematic and consistent practices
- improve patient/public understanding of the limits of current medical practice
- target areas in which research is lacking
Behavioral Health – Patients who are at High Risk
Depression screening is encouraged to be conducted as part of a routing Health Risk Assessment. However for our patient population with severe Depression; Psychosis and Schizophrenia addition assessment and examination needs to be conducted by Behavior Health Specialists. Athena Forums course on Behavioral Health provides Case Managers with an understanding of the type of screenings that are to be considered for this patient population. Most importantly is the list that identifies potential signs of suicidal behavior. Table 2.1. Characteristics Evaluated in the Psychiatric Assessment of Patients with Suicidal Behavior.
Athena Forum, Behavioral Health: Module D, High-Risk Behavior, page 8.
Athena Forum's course, Behavioral Health
includes Table 2.1, Characteristics Evaluated in the Psychiatric Assessment of Patients with Suicidal Behavior
, which includes:Current presentation of suicidality
- Suicidal or self-harming thoughts, plans, behaviors, and intent
- Specific methods considered for suicide, including their lethality and the patient's expectation about lethality, as well as whether firearms are accessible
- Evidence of hopelessness, impulsiveness, anhedonia, panic attacks, or anxiety
- Reasons for living and plans for the future
- Alcohol or other substance use associated with the current presentation
- Thoughts, plans, or intentions of violence toward others
- Giving away of previously-prized possessions
IOM.edu: Knowledge is Power
The phrase "Knowledge is power" a quote attributed to Sir Francis Bacon, is one of the three keys to unlocking the puzzle of why the US health care ranks 49 in the world. Robert Woods Johnson commissioned the Institute of Medicine to examine the three elements of: measurement; laws and funding, to determine the relationship of each of these to US healthcare. The first of the reports was released December, 2010 on the topic of measurement. For the Public's Health: The Role of Measurement in Action and Accountability.
Some items contained within the report suggest changing not only how measurements are done, but what is being measured. Considerations of social and cultural impact; the role of the environment and the workplace all need to be added in gathering health data. For additional information and to read the detailed report go to www.iom.edu.
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JSPH & Athena Forum – Partners in Chronic Care
in Chronic Care Management
Managing chronic illness is the key to true healthcare reform.
No matter what its appearance – diabetes, hypertension, arthritis, cardiovascular disease, asthma, cancer or COPD – chronic disease is the greatest contributor to the cost of healthcare in the United States.
The Jefferson School of Population Health’s online Master of Science in Chronic Care Management (MS-CCM) stresses chronic illness prevention and wellness, integrates evidence-based guidelines, includes behavioral health concerns, and appreciates cultural and individual variation.
The program prepares leaders to critically analyze, design, implement and evaluate systems to improve chronic illness prevention and care management across various health care settings and populations
For more information about Jefferson’s MS-CCM program, click here. 215-503-5305
CM Excellence® Series:
» Principles of Case
» Patient Advocacy
» Utilization Management
» Discharge Planning
» Hospital Revenue Cycle
» Behavioral Health
» Colorectal Cancer
» CV Risk: Stroke & MI
» EOL & Palliative
» GI Disorders
» Heart Failure
» Multiple Sclerosis
» Obesity Management
» Pain Management
» Rheumatoid Arthritis
» Women’s Health
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