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所在平台: Coursera |
课程主页: https://www.coursera.org/learn/managing-processes
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课程名称：基于价值的护理：管理流程以改善结果 课程概述：这是7门课程中的第3门，旨在帮助您理解在追求改善患者结果的过程中，价值基础实践必须管理的关键办公室流程。在第二模块中，我们将重点关注基于办公室和临床的患者支持功能。在医疗保健的各个层面，存在指导方针、流程和功能以提高结果，遵循一致的流程会产生最佳效果。您将深化对价值的理解，并学习为患者提供实际帮助的策略，以管理慢性疾病并应对复杂的医疗系统。了解面板管理，这是一种系统化、主动的方法，旨在识别并解决患者未满足的慢性和预防护理需求，从而改善健康结果。学习与免疫接种、癌症筛查或糖尿病护理相关的临床患者问题如何生成数据，以支持识别未利用模式的策略。在总结性作业中，您将展示您的知识，通过解释和综合办公室流程及患者支持功能对于改善患者结果和经验以及临床质量的重要性。 继续医学教育认证：美国家庭医生学会（AAFP）已批准此课程用于继续医学教育处方学分。 课程大纲： 1. 管理价值基础护理实践中的办公室流程介绍： - 本模块探讨价值基础实践必须管理的关键办公室流程，以改善患者结果。 - 涉及患者中心医疗之家、预防和筛查服务、年度健康检查、开放接入模式下管理急性需求、护理质量指标、编码以支持协调和人员配置等。 - 管理办公室流程在战略追求中起着关键作用，每次患者就诊都是识别和解决医疗问题的机会。 2. 改善结果的支持功能： - 本模块介绍基于办公室和临床的患者支持功能，这些功能的有效管理将促进患者结果的改善。 - 包括医疗管理、登记册、分析和技术、指导方针以及社区资源的协调。 - 随着初级医疗领域的快速发展，患者期待值和第三方支付方的期望不断变化，患者及付款方都在追求真正的“价值”。 3. 课程项目：打造属于自己的项目： - 本课程让您探索实践中必须共同管理的关键办公室和临床患者流程及支持功能，以改善患者结果。 - 通过这个总结性作业，您将有机会反思您所学的内容，理解这些流程和支持功能与基于价值护理基本前提的关系。 总之，该课程旨在帮助您理解和应用基于价值的护理原则，提高患者护理的质量和有效性。
Name:Introduction to Managing Office Processes in a Value-Based Care Practice
Description:This module is an introduction to and exploration of critical office-based processes a value-based practice must manage in the drive towards improved patient outcomes, a primary VBC tenet. In managing patients in a healthcare system, the targeted processes include: Patient-Centered Medical Home, preventive and screening services, annual wellness visits, managing acute needs via an open access model, quality of care metrics, coding to support enhanced coordination, and staffing. Managing office processes plays a key role in this strategic pursuit. From information retrieved from annual screenings to how the office is set up, every patient visit is an opportunity to identify and address a healthcare issue. This is what physician offices want to do and should be thinking about; besides, patients always prefer to handle problems in the office rather than in the hospital. However, managing processes is not the responsibility of one person. It is a team effort, requiring input from all team members. To improve outcomes, all team members have critical roles in designing, implementing, and refining processes. At the end of this module, you will explore a fourth dimension related to staffing that, when added to the Triple Aim, creates the Quadruple Aim.
Name:Supporting Functions to Improve Outcomes
Description:This module is designed to introduce you to the office-based and clinical patient-based supporting functions that, when managed collectively, lead to improved patient outcomes. These include: 1) Medical Management: Utilization, Case, Data and Pharmacy, 2) Registries, Analytics, and Technology, 3) Guidelines, Types of Evidence, and Recommendations, and 4) Coordination around SDOH/Community Resources. The world of primary care medicine is evolving rapidly. Patient expectations are changing, along with those of third-party payers and the providers themselves. Many patients are looking for “on demand” access, but others are looking for a long-term medical home. Telemedicine and telehealth are growing along with new approaches to hospital- and home-based functions. These changes all point to the idea that patients and payers are looking for value. And that “value” is not just an appointment and a paper prescription to fill at the end, but real assistance to manage chronic diseases and help patients navigate the complex world of the healthcare system. Discussion of those additional office-based supporting functions will comprise the majority of information in this module. In addition to those patients who come in for appointments, maintain regular healthcare visits, or become hospitalized, a big part in the role of supporting functions is to capture the health status of patients who have not visited in six months to a year. Utilizing panel management—a systematic, proactive approach to identify and address unmet chronic and preventive care needs of the patients a practice is responsible for—leads to better health outcomes for that patient population. Whether an office has insurer-based reporting or uses office-based record-keeping, using panel management to ask clinical patient-based questions related to immunizations, cancer screenings, or diabetes care is using the function of data/predictive analytics to support a strategy of identifying non-utilization patterns. Remember, as you read or hear terms or concepts that are new to you, have your digital (Word doc) or analog (paper) notepad handy to write them down. At any time, you can use your favorite search engine to learn more. Be a self-directed learner!
Name:Course Project: Making This My Own
Description:In this course, you have explored critical office-based and clinical patient-based processes and supporting functions that a value-based practice must manage collectively in the drive towards improved patient outcomes. An expectation of this course or certificate program is not for you to emerge as an expert in all of these processes—remember, it does take a team to manage them. However, it is important that you develop an understanding, beyond basic definitions, of their importance for improving patient outcomes and experience. In addition, it is important to collectively think about these processes in the context of a value-based care model. In this summative assignment, you will have the chance to reflect on what you have learned about these processes and supporting functions and their relationship to the fundamental premise of value-based care.
COURSE 3 of 7. This course is designed to introduce you to critical office-based processes that a value-based practice must manage in the drive towards improved patient outcomes. In Module 2, we’ll focus on office-based and clinical patient-based supporting functions. At every level in healthcare, guidelines, processes, and functions exist to improve outcomes, and following a consistent process will return the best effect. Refine your understanding of value and learn strategies to provide real assistance to patients to manage chronic diseases and navigate the complex healthcare system. Gain an overview of panel management, a systematic, proactive approach to identify and address unmet chronic and preventive care needs of patients that leads to better health outcomes. Learn how clinical patient-based questions related to immunizations, cancer screenings, or diabetes care can generate data to support a strategy of identifying non-utilization patterns. In the summative assignment, you will demonstrate your knowledge by explaining and synthesizing the importance of office-based processes and patient-based supporting functions to improve patient outcomes and experience as well as clinical quality. As you reflect on what you have learned in this course, you will also have an opportunity to consider the relationship between managing these processes and functions and the fundamental premise of value-based care. CME Accreditation The American Academy of Family Physicians (AAFP) has approved this course for Continuing Medical Education Prescribed Credits. Visit the FAQs below for important information regarding 1) Term of approval and 2) Accreditation and Credit Designation statements.
