Perspectives on the Acute Care Continuum

The Acute Care Continuum is the integration of urgent, emergent, inpatient and post-discharge care of patients with acute medical conditions.

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By Sheila Sanning Shea, MSN, RN, ANP, CEN, and K. Sue Hoyt, PhD, RN, FNP-BC, CEN, FAEN, FAANP, FAAN

With over 5,000 views, here's Perspectives' second most popular post of 2014.

Nurse practitioners (NPs) and physician assistants (PAs) are now an integral part of the U.S. healthcare system and have assumed a major role in both primary care and some specialty care areas. Like our physician colleagues, we have encountered increasing expectations to "do more with less" (i.e., see more and sicker patients and provide quality, comprehensive care in less time — all while meeting challenging national metrics).
12/17/2014 12:52:53 PM | 0 comments
With over 4,500 views, here's Perspectives' third-most-popular post of 2014. 

Have you ever gone to a restaurant where the service was lackluster and you were charged for every little thing — even 10 cents for the doggie bag? You waited 30 minutes for a server to acknowledge you had been seated. It took an hour for the food to come out, and then it was cold. The server forgot a portion of your order and took another 20 minutes to bring it out. And at the end of the meal, you were handed a check for $300, when you feel like it should have been $20 based on your experience.
12/16/2014 11:41:20 AM | 1 comments
The final rollout of healthcare reform. The quest for greater clinical integration. Population health and bundled payments on the horizon. Ebola.
 
Through all its ups and the downs, 2014 has been an unforgettable year of change for those of us working in the Acute Care Continuum. So let's take a moment to relax and reflect on our challenges and successes!
 
12/15/2014 5:32:06 PM | 0 comments
​In January of 2013, Centers for Medicare and Medicaid Services launched its Bundled Payments for Care Improvement (BPCI) initiative. This three-year pilot project will test four models in which Medicare will pay fixed sums for defined episodes of patient care.
 
Providers that accept bundled payments stand to be rewarded for quality and efficiency. However, they also accept risk for outliers, adverse events, readmissions and other complications that drive up costs.
12/9/2014 3:41:37 PM | 0 comments
Hospital medicine has been called the fastest-growing medical specialty of all time and is poised to play a key role in reforming the American healthcare system. In 2015, Jeffrey Frank, MD, MBA, FACP, CEP America's Hospitalist Director for Quality and Performance, will join Perspectives to discuss trends, challenges and opportunities in this important field. In his first post, he looks at how recent events have shaped the specialty and created growing demand for hospitalists.
 
In his best-selling book Outliers, Malcolm Gladwell posits that great successes happen when highly talented people collide with favorable circumstances. For example, hobbyist teen programmer Bill Gates might never have founded Microsoft if he'd come of age a few years before (or after) the personal computer revolution. And the fortuitous timing of the industrial revolution made millionaires out of rising young businessmen like Andrew Carnegie and John D. Rockefeller.
 
Could a similar collision of ideas, readiness, and history explain the current boom in hospital medicine?
12/9/2014 3:38:46 PM | 0 comments
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