Patient Journey through Healthcare System: Challenges, Intra-Professional and Inter-Professional Teams, Coordinated System Wide Changes, and Care Coordination

This report discusses the challenges faced by patients in their journey through the healthcare system, the importance of intra-professional and inter-professional teams, coordinated system wide changes, and care coordination. It also covers the adequacy of clinical information systems, continuity of care, patient participation in decision making, communication modalities, readily available information, training care providers, and improvement in care coordination practices.

CASE STUDY

INTRODUCTION
• While this report will explain about complex patient journey through
having the healthcare system.
• Along with this also examine about the various challenges which are
being facing in given case study.
• While also discuss intra-professional and inter-professional teams for
working with their together and achieving the set goals and objective.
• Moreover, examine about the coordinated system wide changes needed
to better and working with their ongoing patient.

Patients’ journey through the healthcare system
• In regard to patients’ lifestyle and needs, it can be said that, Zang Wei who is 42
years’ old is suffering from diabetes and it is known when he visited his general
professional after getting foot infected. It is identified from his routine test that he
has diabetes problem and he is being asked to increase his metformin dose as
currently he is taking 500 mg, 3 times. It is also found from his history that he is
overweight as his BMI is: 28 that is more than from average Thota & et.al. (2018).
One of the main reason of diabetes is: weight so, in this regard it can be suggested
that he should focus on having nutritional values of food, avoiding junk food and
exercising by which he can improve his health.

CONTD….
• Responsibilities of coordinator: It is responsibilities of coordinator in this context to track status
of Zang in order to know as what does he do, what does he eat and others. It can help out to
general professional in making decision and providing better and qualitative treatment to Zang. As
Zang is at initial stage of diabetes but if he would not control his diabetes then he may have to take
insulin that can create problems Conway, O’Donnell & Yates, (2019). So, it is important for
coordinator to make sure that Zang is getting proper care and he would be treated at initial stage.
• Patients’ illness and comorbidities: On the basis of patient’s history, it is known as Zang is a
constructor workers and now suffering from foot infection as well as initial stage of diabetes. From
his past medical history, it is also known that he had hypertension problem and currently he is
overweight. On this basis, it can be said that both of these are main causing reasons of diabetes
from which he is suffering.

CONTD….
• Patients’ requirement from healthcare system: When patient has
diagnosed with type 2 diabetes recently then, patients’ seek for
help and treatment that can help him out against severe problems.
Diet is one of the main factors on which healthcare provider should
focus. For protecting against severe diabetes problem, patient may
ask for appropriate diet, fruits that he can have or food that he
cannot eat. There are low grain and high fibre foods and patients
are also asked for to avoid having sweets and sugar made things.

How can care coordinator assist the patient
with these needs
• The shaded circles lecture to portion of possible members, and data significant to mind
pathway and work process. The blue ring that connections the hued circles Care
Coordination namely, anything that scaffold holes along the consideration pathway. For a
given patient at given point on schedule, extension or need frame across the fabric circles,
and through any holes inside a given circle, to convey facilitated care. Victories and
disappointments in care coordination will be seen various ways relying upon : patient/family,
or framework representative. Thought perspectives from these three conceivably alternate
points of view probably going significant for estimating care coordination extensively.
• Patients, and other casual parental figures experience in coordination especially points of
progress. Changes might happen between medical services substances and over long run and
portrayed by shifts liability and data stream.

CONTD….
• Patients disappointments irrational degrees of exertion needed with respect themselves or their casual
parental info care issues during advances among medical services substance.
• Care coordination includes putting together tolerant thought exercises and data between each of the
member worried about patient consideration achieve more secure and more compelling consideration.
This implies that patient's needs and inclinations are branded early and imparted the ideal opportunity
perfect individuals, and that data utilized give secluded, and successful reflection to the patient.
• Care coordination essential consideration practice includes purposely arranging patient and dividing
data between every one members worried patient's consideration to bring about more successful
deliberation. The primary objective of care coordination address patients issues and inclinations
conveyance of greater grade, high-esteem medical services.

TASK
Complex patient's journey

Intraprofessional and interprofessional teams
• The improvement in the Healthcare collaboration is said to be one of the strategic orientation where there
are certain measures of Health Care preformation have to be analysed.
• The interprofessional healthcare in corporation is said to be based on certain activities that will Foster
learning and also bring about a location that is certainly built upon Healthcare Sciences.
• This will play a major role in determining the competitive atmosphere and also the functionalities that will
determine success or failure (Dedefo, (2019)).
• Certain characteristics that will fall in regard to these are identified by the accountability as well as the
measures of communication that are necessary for people to move ahead in terms of achieving the personal
collaboration with the patients.
• Healthcare industry is one of the finest concept and is also brought about by a certain measures that will
help people with the right amount of deals that are in regard to health.

Importance
• The intra professional as well as the interprofessional teams are said to be the ones that are oriented
with the Healthcare industry and are also more prominent in a patient journey.
• The interprofessional collaboration is said to be the one that will describe certain and safety
measures that are appropriate in terms of deriving them using medications.
• There are taught and collaboration that are made in this regard for example the pharmacist as well
as the physician and many other (Dedefo, (2019)).
• These comprehensive collaborations will reflect over the choices in providing patient with the right
centred care and is also one of those that will bring in the strong partnerships into existence.
• In intraprofessional collaboration there are certain measures like that of checks at the community
level that are more focused on improving quality of medication.

Adequacy of clinical information system
• The clinical information system is a specially designed in order to move ahead with the critical
environment and analyse the intensity of the kind of issues that are pertaining with respect to
patients.
• This is also mostly specified by the intensive care unit where there are certain embedded systems
that are brought about by pathology and radiology.
• This information system will bring in the patients entire details of health and also help people to
render the right amount of medication that is necessary (Edwards and et.al (2018)).
• There are a set of benefits that are oriented with clinical information system that well fall in regard
to health care professionals.
• It will improve communication between the professionals as well as the patient.

Continuity of care
• This communication is necessary in order to provide the right path of information to
the patient because the good decision can be only made with patient consent.
• An encouragement over the quality improvement is also brought forth with the
adequate clinical information system that is necessary for clinical research.
• This clinical information system will play a major role in monitoring the extremely
sick patients that are to be rightly diagnosed (Edwards and et.al (2018)).
• An estimation of the clinical measurements are also determined by this particular
system and it is ensured to be maintained on adequacy such that people will not feel
the void in their particular medication.

Care coordination
• Communication is said to be one of the probable factors that will help to bring about a trust with respect to
an individual.
• Communication is necessary in the professional development of people as well as in terms of healthcare
industries communication will play a major role.
• There are certain care coordination processes in the organisation that will help people to feel comfortable.
The patients in this regard are into proper medication and all that they require is a proper care.
• There are certain decisions that can be made over the health care of people and also the wellbeing. To foster
the right amount of deal with respect to health-related goal it is necessary that right amount of
communication will have to be gratified (Cohen and et.al (2018)).
• This can be done upon a prior intimation and a training that can be made by the healthcare sector to deal
with certain negotiations of care.

Patients participation in decision making
• Professionals in this regard are into so much of interaction that will help them to lead a
proper communication and will also derive relevant information.
• This can bring in successful decision-making strategies and this decision-making
strategies will help the patient to derived right medication (Cohen and et.al (2018)).
• They will obviously make people feel valued which is one of the controllable measure.
This can also fully increase their healthy personification that is necessary to self
manage their own position.
• This care will have to be provided on quality terms and also improvement will have to
be fostered with respect to the goals that are to be included.

Communication modalities
The kind of communication modalities that are in regard to Healthcare Industry that are
required as of now are as follows:
• Auditory oral: this particular modality is based on the fundamental principle of bringing
about a competency over the spoken language. This got a grip over the circumstances
where people feel refreshed with the prospect of deriving their own language as a part of
interaction (Bonger and et.al (2018)).
• Total communication: the total communication is necessary in order to notice the various
formulations that are in regard to patients. This is to ensure that the communication will
have to be fostered over a certain bases that would bring about a total patient perception.

System-wide changes
• Changes regarding to be one of the considerable criteria that will have to
be forfeited in every sector.
• This care will have to be such that it will have to require and improvement
over the kind of strategies that are incorporated (Bonger and et.al (2018)).
• The improvement of health care performance is necessary in order to
move ahead with the circumstances of care because it is one of the
important speculation that will fall in regard to patients.

Readily available information
• The care that is in regard to patients can only be accessible with the readily
available information.
• This is also one of the prominent features that will highlight the care
coordination because it is not until when the information is available at a rapid
pace that the patients can be able to attend the issues that are in regard to their
health.
• The readily available information can also be made prominent with respect to the
health care professional where we can operate over the circumstances in no time.

Training care providers
• A proper training is necessary in order to involve the different providers that are in
regard to the policies of care.
• This is one of the change management principle that can be highlighted because
people will have to inherit the circumstances that are in regard to the policies of
care and it is not until when a proper training is fostered that it gets to incorporate
the right means which will have to be delivered (Bello and et.al (2019)).
• The training will have to be provided by the management in order to orient towards
the patients in a right possible way that would help them uplift the standards of the
entire organisation.

Improvement in care coordination practices
• Service will have to be considered in bringing about their coordination practices
into existence.
• The different patient that are in regard to the organisational embodiment will have
to get confirmed with the right possible care practices because the patient care is
necessary to be fulfilled.
• This can be done upon a proper administrative basis and the barriers will have to
be understood in this regard. Establishment of care administration: an
administration for the concept of care will have to be separately established in
regard to the organisation.

Conclusion
• From the above report it had been concluded that, patient journey healthcare system that
could play role for which the care about the something that could increased and this
could make their working system high.
• The inter professional system which could help team for working and make their goals
and objective to be achieved high. Along with this intra professionals system which
could also make the team working together and secure more about how they have to
work.
• Along with this also work and make sure for having their effectively for which the
system and securing more their targeted system.

REFERENCES
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hospitalizations in an overburdened healthcare system, reducing amputation and death in people with diabetes. Journal of the
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REFERENCES
• Dedefo, (2019). Self-care practices regarding diabetes among diabetic patients in West Ethiopia.
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• Edwards and et.al (2018). Burnout among physicians, advanced practice clinicians and staff in
smaller primary care practices. Journal of general internal medicine. 33(12). 2138-2146.
• Cohen and et.al (2018). Primary care practices’ abilities and challenges in using electronic health
record data for quality improvement. Health Affairs. 37(4). 635-643.
• Bonger and et.al (2018). Adherence to diabetic self-care practices and its associated factors among
patients with type 2 diabetes in Addis Ababa, Ethiopia. Patient preference and adherence. 12. 963.
• Bello and et.al (2019). Prevalence and demographics of CKD in Canadian primary care practices: a
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