Strategies for Improving Quality Care for Chronic Elderly Ill Patients

This report addresses the critical issue of providing quality care for chronic elderly patients, a growing demographic in the U.S. facing significant challenges due to chronic illnesses. It highlights the inadequacies of current healthcare models, such as Medicare, Medicaid, and private insurance, in supporting long-term care for this population. The report proposes several strategies to improve care, including the creation of effective care teams comprising diverse healthcare professionals, population-based care approaches, and evidence-based management. It also emphasizes the importance of strengthening the eldercare workforce through education, training, and recruitment. Furthermore, the report discusses the benefits of the Transitional Care Model (TCM) and the adoption of Mobile Integrated Healthcare (MIH) to coordinate care and improve patient outcomes. The report also touches on the need to improve the healthcare delivery system and highlights the importance of a person-centered approach to care. The conclusion emphasizes the need for advancements in quality services to meet the increasing demands of the aging population.

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