Quality Care For Chronic Elderly Ill Patients PDF

Quality care for Chronic
Elderly ill Patients
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Quality Care For Chronic Elderly Ill Patients
There is increase of ageing population in U.S
Chronic diseases affect about 14.4 elderly population
The chronic conditions among the elderly end up untreated or
poor attendance (Davidson, Bescos & Newman, 2014).

Examples of U.S Models
• Medicare-Too expensive, does not support large amount of
drugs
• Medicaid-Support private payment for the ineligible patients
• Private Insurance –Too expensive for long-term diseases.

Strategies
• Elderly patients tend to receive inadequate health assistance
• Effects- increased hospital stay, readmission, Iatrogenic
complications

Cont.’’’
• Examples -Asthma,
Cancer, diabetes
Crohn diseases,
Cystic fibrosis
• Causes -eating habits,
smoking, physical
inactivity and genetic
composition of an
individual
• Prevalence's of
Chronic diseases

Creation of Effective Care
Teams
• Failure- inadequate and successful care team members
• Creation of effective team care- ensures that the elderly ill
patients receive the approved clinical and support services.
• To be comprehensive by including nursing managers, diseases
specialist, community workers , pharmacists

Cont.’’’
• Care team Formation- based on the nature of diseases
• Population-based care approach
• Treatment planning

Principles of the Team
• Shared goals- Understandable to all members
• Clear roles- Avoid conflict of interests
• Mutual trust- to allow delegation of duty
• Measurable outcomes-for easy evaluation of the quality of the
services

Cont.’’’ Approaches
• Population-based care approach –
developed by Kaiser Permanente
-ensure the planning and care delivery reach all the elderly ill
patients in accordance to the guidelines of high-quality care.
• Treatment planning -ensure that there is a satisfied compliant
patient.
• Self-management –
Educational and supportive interventions on patients
Transform their behaviors (Cramm & Nieboer, 2015).

Cont.’’’
• Evidence-based management –
Innovation of medicines and drugs,
Use of telephone tracking and computing system
Adherence to the set organizational and guidelines

Strengthening the eldercare workforce
• Workforce includes social care, salaried clinicians and the
voluntary persons
• Strengthening strategies- education and training ; salary

Cont.’’’
• Through recruitment of more work force members
• Reduces the pressure of workload among the elder care staffs
• Increase the level of quality services provided

Enhancement of the Transitional Care
Model
• TCM - advanced-practice nurse-coordinated team-based care
models that focus on the risk-society-based elderly population
that is affected by chronic diseases.
• Adjustment to Advanced Illness Management help to focus on
managing, treating, controlling and provision of comfort.

• Cont.’’’
• Include elderly family members and caregivers
• Focus on transforming health system from curative to palliative
system

Adoption of Mobile Integrated Healthcare
• MIH helps in coordinating care among numerous elderly
patients over short period of time.
• MIH enables the prioritizing and scheduling of clinical requests
• Provide opportunity to track and make follow up on patients

Cont.’’’
• Example -The Patient-Centered Medical Home Models
• Entail coordinated federal and state agencies, Physicians,
clinicians and patient advocacy organization

Improving Health Care Delivery System and Strategies
• Most of HO are uncoordinated, duplicated and fragmented
• Leads to poor delivery system
• Affects mostly the chronic ill elderly patients
• Steps undertaken to expand market share, improve care quality
and reduce health care cost

Cont.’’’
• HO offer financial incentives to enhance participating and
engagement of the elder care among the patients
• Person-centered approach

Essential Elements of Quality Care Improvement
• conduct frequent and regular comprehensive needs
assessment
• facilitate all the medical care, home and community-based
services
• Have regular communication with the patients.

Conclusion
• Old population is dramatically increasing across the world
• Elderly population suffering from the chronic diseases receive
poor health services
• Advancement for quality services include: Population-based
care approach ,Treatment planning ,Evidence-based
management

Cont.’’’
• Creation of effective care teams, Strengthening the eldercare
workforce, Enhancement of the Transitional Care Model and
Improving health care delivery system and strategies

References
• Cramm, J. M., & Nieboer, A. P. (2015). Chronically ill
patients’ self-management abilities to maintain overall well-
being: what is needed to take the next step in the primary care
setting? BMC Family Practice, 16(1), 1–8.
https://doi.org/10.1186/s12875-015-0340-8
• Davidson, R. J. C., Bescos, C., & Newman, S. (2014). Working
towards integration: Advancing Care Coordination &
TeleHealth Deployment (ACT) Programme. International
Journal of Integrated Care (IJIC), 14, 74–75. Retrieved from
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