2.50
Hdl Handle:
http://hdl.handle.net/10755/165573
Category:
Abstract
Type:
Presentation
Title:
Meeting JCAHO Standards in the Outpatient Setting
Author(s):
Lotito, Teresa
Author Details:
Teresa Lotito, St. Joseph Medical Center, Towson, Maryland, USA
Abstract:
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is now recognizing the diverse needs of individuals with chronic diseases and that the care of such patients can cross multiple systems and involve numerous caregivers. Many of the new therapies for the treatment of cancer may continue for 12 months or more. This prolonged treatment phase and involvement of multiple caregivers can lead to repeated review by the patient of basic physical and psychosocial information that they feel should already be a part of their medical record. This practice can lead to fragmentation of services and confusion and frustration for the patient, family, and staff. In order to prepare for the JCAHO shift of focus to the outpatient setting and to improve patient satisfaction, we have developed a documentation tool that provides a systematic method to track patient progress through the cancer continuum of care and facilitate communication among providers. Components of the Plan of Care tool include a brief history, space for multiple treatment regimes, treatment goals, flowsheets for medications and lab work, educational needs, psychosocial and spiritual needs, referrals to supportive services, and notes for significant interventions (CT scans, biopsies, etc). The tool is designed to cover a six-month period depending on the frequency of patient visits. The conceptual framework for this project is information developed by the National Chronic Care Consortium, 1995; Integrating Care for People with Chronic Conditions. The consortium recommends that providers work together as a team to address the multidimensional, interdependent, and ongoing problems of people with serious and persistent chronic conditions. Consistent documentation on the Plan of Care tool has resulted in improved identification of specific needs and goals for each patient, development of a standardized method of response to each issue, and a method to track changes over time. In addition, the tool is used to guide weekly patient care rounds allowing staff to share information, facilitate important referrals to supportive services, and target discussion to areas of concern.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleMeeting JCAHO Standards in the Outpatient Settingen_GB
dc.contributor.authorLotito, Teresaen_US
dc.author.detailsTeresa Lotito, St. Joseph Medical Center, Towson, Maryland, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165573-
dc.description.abstractThe Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is now recognizing the diverse needs of individuals with chronic diseases and that the care of such patients can cross multiple systems and involve numerous caregivers. Many of the new therapies for the treatment of cancer may continue for 12 months or more. This prolonged treatment phase and involvement of multiple caregivers can lead to repeated review by the patient of basic physical and psychosocial information that they feel should already be a part of their medical record. This practice can lead to fragmentation of services and confusion and frustration for the patient, family, and staff. In order to prepare for the JCAHO shift of focus to the outpatient setting and to improve patient satisfaction, we have developed a documentation tool that provides a systematic method to track patient progress through the cancer continuum of care and facilitate communication among providers. Components of the Plan of Care tool include a brief history, space for multiple treatment regimes, treatment goals, flowsheets for medications and lab work, educational needs, psychosocial and spiritual needs, referrals to supportive services, and notes for significant interventions (CT scans, biopsies, etc). The tool is designed to cover a six-month period depending on the frequency of patient visits. The conceptual framework for this project is information developed by the National Chronic Care Consortium, 1995; Integrating Care for People with Chronic Conditions. The consortium recommends that providers work together as a team to address the multidimensional, interdependent, and ongoing problems of people with serious and persistent chronic conditions. Consistent documentation on the Plan of Care tool has resulted in improved identification of specific needs and goals for each patient, development of a standardized method of response to each issue, and a method to track changes over time. In addition, the tool is used to guide weekly patient care rounds allowing staff to share information, facilitate important referrals to supportive services, and target discussion to areas of concern.en_GB
dc.date.available2011-10-27T12:21:07Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:21:07Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.