Rural Physician-Pharmacist Collaborative Practice Agreements Managing Patients in Supportive Living and Assisted Living Memory Care Facilities

Setting: Supportive living and assisted living memory care facilities in a rural West-Central Illinois county. Objectives: 1) Evaluate the impact of active pharmacist participation on patient care for residents living in supportive and assisted living facilities, 2) demonstrate feasibility and financial sustainability of rural community pharmacists providing disease state management services, 3) create processes for best practice to expand the clinical role of the community pharmacist Design: Case study. Interventions: Participating residents received disease state management services provided by a community pharmacist as outlined through collaborative practice agreements with local physicians. The disease states managed included hypertension, hyperlipidemia, diabetes mellitus, and warfarin anticoagulation therapy. The pharmacist completed an initial chart review, initial face-to-face visit, subsequent monthly chart reviews, and monthly face-to-face visits with each resident. Results: During the 6-month period of community pharmacist management, 86 face-to-face visits were completed to deliver a median of 5 visits per resident. The pharmacist identified 23 drug therapy problems with recommended solutions communicated to the resident’s primary care provider. Providers accepted 19 of these recommendations, reflecting an 82.6% acceptance rate. Conclusions: Community pharmacists can feasibly implement enhanced clinical services to assist with disease state management of supportive living and assisted living residents in collaboration with physicians. Pharmacists can provide clinical assessment, education and effective communication to optimize medication management and utilization.   Article Type: Case Stud

The American Academy of Ambulatory Care Nursing\u27s Invitational Summit on Care Coordination and Transition Management: An Overview

The American Academy of Ambulatory Care Nursing convened an Invitational Summit of national leaders to assist with strategic planning for promulgation of the care coordination and transition management (CCTM™) model. The conference was devoted to CCTM and the roles of registered nurses (RNs) across the care continuum to ensure safety and quality health care. The specific emphasis was on embedding the CCTM RN in healthcare policy and payment reform, as well as integration into academic and ongoing education across all care settings and specialties

Developing the Value Proposition for Registered Nurse Care Coordination and Transition Management Role in Ambulatory Care Settings

The Patient Protection and Affordable Care Act (2010) established clear provisions for Patient-Centered Medical Homes and Accountable Care Organizations. In both, care coordination and transition management are methods to provide safe, high-quality care to at-risk populations such as patients with multiple chronic conditions. The emphasis on care coordination and transition management offers opportunities for nurses to work at their full potential as an integral part of the interprofessional team. Development of a model for the registered nurse in care coordination and transition manage- ment provides nurses the opportunity to develop the knowledge, skills, and attitudes to be a resource to the team and to patients, and to con- tribute to high-quality patient and organization outcomes

Developing the Value Proposition For the Role of the Registered Nurse In Care Coordination and Transition Management in Ambulatory Care Settings

The Patient Protection and Affordable Care Act (2010) established clear provisions for Patient-Centered Medical Homes and Accountable Care Organizations. In both, care coordination and transition management are methods to provide safe, high quality care to at-risk populations such as patients with multiple chronic conditions. The emphasis on care coordination and transition management offers opportunities for nurses to work at their full potential as an integral part of the interprofessional team. Development of a model for the registered nurse in care coordination and transition management provides nurses the opportunity to develop the knowledge, skills, and attitudes to be a resource to the team and to patients, and to contribute to high-quality patient and organization outcomes

Developing Ambulatory Care Registered Nurse Competencies for Care Coordination and Transition Management

The need for care coordination and management of transitions between Patient-Centered Medical Home providers, outpatient and community settings, including the Accountable Care Organization is often overlooked, episodic, and accountability for coordinating care and managing transitions between providers and services is lacking

Tarski and the intricacies of reasoning under uncertainty

Anhand eines äusserst schwer zu lösenden Problems haben wir in einer mehrjährigen Studie untersucht, wie kriminalistische Interpretation unter den Bedingungen vollständiger Unsicherheit von 259 Teilnehmern praktisch durchgeführt wurde. Einfache Interpretationsheuristiken, die sich vage am Theorem von Tarski orientieren, das heisst der Korrespondenz der Fakten mit der Hypothese, können leicht in die Irre führen. Scheinbar gut passende Hypothesen können falsch sein (false positives), und Hypothesen, die dem Substrat klar widersprechen, können trotzdem der Grundwahrheit sehr nahe kommen (false negatives). Dies liegt daran, dass sich überlagernde Einflüsse im fraglichen Ereignis ein teilweise verdecktes Spurenbild hinterlassen können. Da man die Grundwahrheit in der Praxis nie kennt, stellt sich die Frage, wie man beim Generieren von Hypothesen in der Fallanalyse vorgehen soll und wie man Arbeitshypothesen überhaupt kritisch beurteilt. Gemäss unseren Ergebnissen lohnt es sich erstens, Unterhypothesen aufzustellen für Teilsachverhalte, vor allem, wenn diese den Naturgesetzen unterstehen, und zweitens sollten Exklusionshypothesen aufgestellt werden, das heisst, es sollte ausgeschlossen werden, was eher nicht in Frage kommt

Care Coordination: Roles of Registered Nurses Across the Care Continuum

Lack of coordination leads to health care that is fragmented, inconsistent, and poorly planned. Conversely, effective care coordination supports achieving the Quadruple Aim. Care coordination, roles of RNs in care coordination, and implications for healthcare delivery are explored

Exploring Leave Policy Preferences: A Comparison of Austria, Sweden, Switzerland, and the United States

This study analyses preferences regarding leave length, gender division of leave, and leave financing in four countries with different welfare-state and leave regimes. Embedded in a gender perspective, institutional, self-interest, and ideational theoretical approaches are used to explore the factors shaping individuals' preferences (ISSP 2012 data). Findings show dramatic cross-country differences, suggesting the institutional dimension is most strongly related to leave policy preferences. Self-interest and values concerning gender relations and state responsibility are also important correlates. The study identifies mismatches between leave preferences, entitlements, and uptake, with implications for policy reform and the gendered division of parenting