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Navigating Healthcare Reform - E-Book

Navigating Healthcare Reform - E-Book

Peter Edelstein

(2017)

Additional Information

Book Details

Abstract

Suddenly, dramatically, and seemingly overnight, U.S. healthcare has morphed into something virtually unrecognizable. There are a slew of new requirements, regulations, goals, buzzwords, and acronyms. It is a revolution in how we view the role and responsibilities not only of the physician and patient, but also of the nurse, the nurse practitioner, physical therapist, nutritionist, medical assistant, pharmacy technician, social worker, and other healthcare professionals. But you don’t just have to cope in this new world of healthcare. Now you can learn how to thrive amid all these changes and challenges. Written by the Chief Medical Officer of one of the world's leading global healthcare data and analytics companies, Navigating Healthcare Reform: An Insider’s Guide for Nurses and Allied Health Professionals is a compelling and easy-to-follow guide to understanding our unfolding healthcare reform — including its biobehavioral and psychosocial aspects — and learning how to take advantage of the opportunities it presents.

  • Practical information is written expressly for nurses and allied health professionals to give you a straightforward understanding of this revolution, along with practical tips for how to survive and thrive in this new era of healthcare.
  • Engaging style presents content using Dr. Edelstein's trademark easy-to-understand voice.
  • Positive tone puts the politics aside and offers a uniquely hopeful message (one of challenges but also one of opportunity).
  • Noteworthy quotes throughout the text help emphasize key takeaways.
  • Vignettes within each chapter help to translate the content into real-life situations.
  • Pearl boxes in the margins summarize critical points and knowledge that can be translated into your career.
  • Engaging cartoons underscore the key messages of book in a fun, memorable manner.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Inside Front Cover ES2
Navigating Healthcare Reform: An Insider's Guide for Nurses and Allied Health Professionals iii
Copyright iv
Dedication v
Acknowledgments vii
Contributors ix
Reviewers xi
Foreword xiii
Contents xv
Chapter 1: Welcome Aboard 1
Why Would a Physician Author a Book for Nurses and Allied Health Professionals? 1
In the Eye of the Storm 5
Monster waves. Fierce winds. Crashing lightning. Roaring thunder 5
About This Book 11
So There You Have It… 12
References 13
Chapter 2: From Cavemen Until Yesterday: An Overview of the Traditional American Healthcare System 14
The Definition and Responsibilities of 15
The Provider 15
The Coin of the Realm: How The Provider Was Paid 18
What The Provider Needs 35
Putting It All Together: The Traditional Healthcare System 36
References 37
Chapter 3: A Whole New World: The Forces Behind the Healthcare Reform Revolution 39
Drivers of Healthcare Reform 41
1. Popular Acceptance That the Current Healthcare Spending Curve Is Not Sustainable 42
2. The Finding of a Marketable Argument 44
3. Technology Allowing Everyone Easy, Rapid Access to Information 50
4. An Appreciation of Healthcare Economics 52
The Four Forces Collide: Where Things Get Complicated 55
Cost-of-Care Versus Quality 55
The Challenges of Technology 68
Conclusions 71
References 72
Chapter 4: Tossing the Traditional Healthcare Model Onto Its Head 75
The Aim of Healthcare Reform (In a Word) 76
Value 76
The Impact of Healthcare Reform on the Definition and Responsibilities of The Provider 84
The Impact of Healthcare Reform on The Coin of the Realm 89
The Impact of Healthcare Reform on What the Provider Needs 94
The Expanded Clinical Needs of Nurse and Health Professional Providers 96
Basic Business (and Possibly Managerial) Knowledge and Skills 98
The Expanded Educational Needs of Nurse and Health Professional Students 103
Summary 104
References 105
Chapter 5: The Map to Get There: The Triple Aim 108
The Triple Aim 109
Aim 109
Aim 115
Aim 118
Nurses, Allied Health Professionals, and the Triple Aim: In Summary 122
References 122
Chapter 6: Patient Engagement: The New Frontier 124
Of Cars and Healthcare 127
The Riddle 130
Patient Engagement: The Complexity Behind the Buzzword 132
The Three Phases of \"Patient Engagement 133
Patient Education: A (Quick) Overview 134
Patient Empowerment: A (Quicker) Overview 136
Successful Patient Engagement: The How and the Who 138
The Solution to the Patient Engagement Riddle 141
The Basic Steps for a Provider to Initiate Meaningful Patient Engagement 142
Patients Are Not All the Same: Allocating Precious Patient Engagement Resources 145
Shark Surfers 145
Credit Carders 152
Heavily Valuing the Immediate Benefit 153
Heavily Devaluing the Risk 153
Engaging the Credit Carder 155
Different Drummers 160
Putting It All Together 168
References 169
Chapter 7: Clinical Decision Support 172
What Are Clinical Decision Support Solutions? 174
Reference Solutions 175
Clinical Skills Solutions 177
Order Sets 178
Drug Information Solutions 181
Care Plans 181
Clinical Pathways 182
The Initial Disappointment in Implemented Clinical Decision Support 183
The Design of a Successful Clinical Decision Support Strategy 186
The CDS Strategy Temple Roof: Our Strategic Vision 188
The CDS Strategy Temple Foundation: CDS Solution Requirements 189
The First Foundational Layer: Evidence-Based Practice 189
The Second Foundational Layer: Serving All Major Providers 191
The Third Foundational Layer: Availability at All Points of Patient Care 192
The Fourth Foundational Layer: Minimally Disruptive to Provider Workflow 193
The Four Pillars: The Providers 197
The First Pillar: Nurses 198
The Second Pillar: Pharmacy Health Professionals 198
The Third Pillar: Allied Health Professionals 199
The Fourth Pillar: Patients 199
The Complete CDS Strategy Temple 199
The Pull and Push of CDS Solutions 200
CDS Solutions: Putting It All Together 211
References 212
Chapter 8: Interprofessional Education and Collaborative Practice 215
Interprofessional Education and Collaborative Practice 216
The Voice of the Nurse 217
The Voice of the Respiratory Therapist 221
It’s About the Team 230
The Call for Nurses to Lead the Way 231
National and International Initiatives to Advance Interprofessional Education and Collaborative Practice 234
Organizations Advancing Interprofessional Education and Collaborative Practice 237
National Academies of Practice 238
Moving Toward the Quadruple Aim 239
Conclusions 240
References 240
Chapter 9: Putting It All Together: The Age of Nursing and Allied Health Professionals 243
What the Healthcare Reform Revolution Means for You 249
And Our Educational Institutions? 250
And the Ultimate Providers? 251
And Population Health Management? 253
Don’t Get Overwhelmed! 254
Now Is Your Time 258
References 259
Chapter 10: Simple Glossary of Healthcare Reform Terms and Abbreviations 260
References 274
Index 277