RESUMO
Chronic disease has become pandemic in the United States, and estimates are that it will affect 148 million people by the year 2030. Patients with chronic illnesses cost the health care system over three times more than individuals without chronic conditions. The US Department of Veterans' Affairs (VA) Sunshine HealthCare Network, composed of VA health care facilities in Florida and Puerto Rico, recognized that the needs of its increasing number of veterans with chronic diseases were unmet by traditional medical interventions. The Network implemented a chronic disease self-management pilot program to evaluate its value for the veteran population. Results of the pilot indicate that this program will make a positive, lasting change in the health status and quality of life for veterans with chronic disease.
Assuntos
Doença Crônica/terapia , Comportamentos Relacionados com a Saúde , Hospitais de Veteranos/estatística & dados numéricos , Autocuidado , Veteranos , Adulto , Idoso , Idoso de 80 Anos ou mais , Doença Crônica/economia , Feminino , Grupos Focais , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Resultado do Tratamento , Estados UnidosRESUMO
A multidisciplinary documentation quality team was appointed four years ago with the charter to revise the admission nursing assessment form, eliminate the traditional handwritten nursing care plan, establish a method to utilize standards of care and standards of practice as the basis for individualizing the patient plan of care, establish flexible charting systems for specialty sections, and develop clear and concise guidelines to accompany specialty area documentation systems. This article provides an overview of the project and the outcomes realized through commitment, collaboration, and cooperation.
Assuntos
Participação nas Decisões/organização & administração , Registros de Enfermagem/normas , Avaliação de Resultados em Cuidados de Saúde/normas , Planejamento de Assistência ao Paciente/normas , Gestão da Qualidade Total/organização & administração , Coleta de Dados/normas , Documentação/normas , Controle de Formulários e Registros , Humanos , Joint Commission on Accreditation of Healthcare Organizations , Sistemas Computadorizados de Registros Médicos , Objetivos Organizacionais , Admissão do Paciente , Equipe de Assistência ao Paciente/normas , Estados UnidosRESUMO
a comprehensive effort to improve quality and appropriateness of care in a large teaching hospital has been planned and implemented. Fuel for the initiative was gleaned from the combined energies of QA education, infection control, and administration. Challenges for continuous improvement of care for persons who are HIV positive are being anticipated through educational interventions and a program of ongoing evaluation. In concert, movement is toward a safer, more compassionate, cost-effective, and clearly communicated approach to care for patients with HIV/AIDS.