By Pierce Story MPHM
Although a lot has been accomplished in care coordination and in charge care, healthcare leaders want extra, game-changing strategies to accommodate constraints in scientific assets, care potential, and price that experience now not but been absolutely addressed. This desire for innovation is mainly nice within the care of the chronically ailing: the costliest, highest-risk segments of our populations.
Filling this void, Developing a Poly-Chronic Care community: An Engineered, Community-Wide method of sickness administration reconstructs and augments conventional persistent care supply types. The proposed solution—the Poly-Chronic Care Network© (PCCN)—is a particular new release of the Care Circle Network© (CCN) idea that creates a sustainable community-engaging reaction to the complexity, price, and results of persistent ailments. via dynamically engineering the entire components of a community’s "Capacity to Care" without delay into brief- and long term sufferer care techniques, the PCCN expands care potential and healthcare professional "reach", and improves caliber and results, with out expanding the whole price of care.
The publication describes the elemental strategies, ideas, and requisites for the PCCN and explains how this care version may perhaps increase and increase different new enterprise types, comparable to in charge Care businesses (ACOs) and Patient-Centered scientific houses (PCMHs). as well as an in depth description of implementation steps and organizational buildings, the textual content offers valuable insights into applied sciences which may relief and improve implementation, together with home/virtual tracking, social networking, and dynamic simulation. Importantly, the ebook contains either certain examples and a versatile how-to advisor for constructing a PCCN or different CCN, supplying readers step by step guidance and suggestions for combining readily-available communal assets with basic applied sciences within the layout of leading edge care versions for his or her communities.
With this e-book in hand, readers can with a bit of luck choose and select particular elements to compare their community’s wishes and services, "amending the mixture" to account for the scale, scale, scope, and inhabitants of the neighborhood and sufferers they want to serve.
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Extra resources for Developing a Poly-Chronic Care Network: An Engineered, Community-Wide Approach to Disease Management
Just as a pilot of a commercial airline doesn’t serve drinks mid-flight, a physician or nurse should not be required to do nonclinical tasks that might be better handled by another, more appropriately skilled and/or proximate resource. Indeed, misallocation of resources is quite common in nonengineered approaches to resource provision. We readily see the impact of inflexible and inefficient approaches to resource allocations in healthcare. You don’t have to look much further than mandated patient–nurse ratios to see the negative impact of a bad approach to resource, task, and workforce management on efficiencies, cost, and capacity.
Others have had a hand in the concept’s development, including the current CMS leadership under Dr. Don Berwick (until December 2011, at least), and the many lessons available from experiments and models within the European single-payor markets. However, it might have remained an obscure management concept were it not thrust into the public limelight via four pages in the Patient Protection and Affordable Care Act (PPACA) legislation, which called specifically for its trial and implementation.
The following technologies may be part of a PCCN program. Some are more necessary than others, and at least one is critical to success. 14 ◾ Developing a Poly-Chronic Care Network 1. Social–clinical network (SCN): The SCN is the only “required” technology of a PCCN. ” The SCN provides patients, caregivers, and their specific communal resources with a means by which to communicate, share, exchange, and learn. The SCN (as currently developed) is a web-based networking tool that allows for ongoing communication among the members of patient care circles and clinicians while ensuring the patient’s privacy, personalization, and sharing preferences.
Developing a Poly-Chronic Care Network: An Engineered, Community-Wide Approach to Disease Management by Pierce Story MPHM