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A Home Care Practice That Works (For Syllabus)

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Slater/Rosenberg Presentation March 6-7 2009

Saúde e medicina
1 de 52
A Home Care Practice That Works Dr. Ted Rosenberg Dr. Jay Slater
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Objectives ,[object Object],[object Object],[object Object]
Home ViVE Program ,[object Object]
The Office
The Office Assistant
The Office Manager
The Mandate ,[object Object],[object Object],[object Object]
The Team ,[object Object],[object Object],[object Object]
The Extended Team ,[object Object],[object Object],[object Object],[object Object]
The Virtual Team ,[object Object],[object Object],[object Object],[object Object],[object Object]
Model #1 ,[object Object],[object Object],[object Object]
The Practice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Practice ,[object Object],[object Object],[object Object],[object Object]
Referrals to Program ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
The Practice
The Practice
The Practice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Evidence-based clinical practice guidelines (CPGs) are increasingly popular as tools for improving quality of care, but Dr Cynthia M Boyd (Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, MD) argues that they provide poor guidance for the care of the older patient with multiple comorbid diseases. This has major implications for clinicians treating older patients, since adherence to such guidelines is often used as the basis for pay-for-performance reimbursement decisions. Adhering to CPGs for one chronic condition may cause other problems or exaccerbate other existing diseases. August 10, 2005 issue of the Journal of the American Medical Association .
Case #1 –Mrs. N. E. ,[object Object],[object Object],[object Object],[object Object]
Case #1 ,[object Object],[object Object],[object Object],[object Object]
Case #1 ,[object Object],[object Object],[object Object],[object Object]
Outcomes ,[object Object],[object Object],[object Object]
 
 
The secret weapon
The Co-Secret Weapon Over 50
Victoria Practice Profile ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Victoria Practice Profile ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Victoria Team ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Team ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physiotherapy Pilot 3 phases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Communication Virtual Team ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goals of Care ,[object Object],[object Object],[object Object],[object Object],[object Object]
Goals Families and Caregivers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Can we reduce costs? ,[object Object],[object Object],[object Object]
99 year old male ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Costs of Care MSP – 2007 Profile ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Costs of Care -summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differences in Funding ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complex Team Primary Care Case Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Initial Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Initial Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Initial Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Where Do You Begin? ,[object Object]
Careplan/interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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A Home Care Practice That Works (For Syllabus)

  • 1. A Home Care Practice That Works Dr. Ted Rosenberg Dr. Jay Slater
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  • 22. Evidence-based clinical practice guidelines (CPGs) are increasingly popular as tools for improving quality of care, but Dr Cynthia M Boyd (Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, MD) argues that they provide poor guidance for the care of the older patient with multiple comorbid diseases. This has major implications for clinicians treating older patients, since adherence to such guidelines is often used as the basis for pay-for-performance reimbursement decisions. Adhering to CPGs for one chronic condition may cause other problems or exaccerbate other existing diseases. August 10, 2005 issue of the Journal of the American Medical Association .
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