access to care and continuity of care
DESCRIPTION
presentation for J.C.I.A. accreditation chapter access to care and continuity of careTRANSCRIPT
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Access to Care and Continuity of Care (ACC)
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WHAT IS MEANT BY BOTH TERMS?
ACCESS TO CARE All insurance are accepted. Changes in insurance are
actively accommodated. Practice is accessible by public
transportation, where available. Families are able to reach directly
to the facility when needed (24 hours/d, 7 days/wk, 52 wks/yr)
The practice is physically accessible and meets public requirements.
CONTINUITY OF CARE maintenance of comprehensive
central record that contains all pertinent information
Facility provides continuous care for transfer and after discharge from the facility
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Why are we here?
1•To know a little information about
the ACC chapter
2•To conduct a better practice for
health care provision.
3•To fulfil criteria of JCIA
reaccreditation
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Overview
A health care organization should consider the care it provides as part of an integrated system of services.
The goal of this system is to: – match the patient’s health care needs with the
services available.– coordinate the services provided to the patient.– plan for discharge and follow-up.
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So. what is the result?
The result is improved: – Patient care. – Patient outcomes. – More efficient use of available
resources.
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ACCESS TO CARE(ADMISSION TO ORGANIZATION)
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ELEMENTS OF THE CHAPTER
–Admission to the Organization
–Continuity of Care.
–Discharge, Referral, and Follow-Up
–Transfer of Patients
–Transportation
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So, to be easy to understand the contents of this chapter we will listen to this story:
Few days in Zahra life in our facility
Madam Zahra brought by family to ask for medical advice through ER
Been aramco listed. Admission decided according to her
needs confirming the priority items and the facility mission.
Admitted to regular ward. Care plan and proposed outcome
explained to family All barriers detected are bypassed
Related standards:
Access to care
Access to care Admission to organization
ACC 1 ACC 1.2
ACC 1.3
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So, to be easy to understand the contents of this chapter we will listen to this story:
Few days in Zahra life in our facility
One day later, patient suffered from medical condition that need to be shifted to other intra-organization areas.
Treating physician still in command care The case endorsed well by well documented
file workup The patient and her family asked for referral
to other facility Family counselled for the proposed care plan
after referral and they are thinking to go DAMA
Related standards: ACC 1.4 ACC 2
ACC 2.1 ACC 2.1
ACC 3
ACC 1.2 ACC 3.3 ACC 3.5
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So, to be easy to understand the contents of this chapter we will listen to this story: Report prepared based upon clinical assessment
and include all significant history of our patient Patient will be transferred to this facility based
upon her needs and their mission Sending the report to receiving facility and care
plan approved and accepted Discharge summary wrote and kept in our patient
file Transfer summary wrote and sent to receiving
facility. Qualified team matching the patient needs will
transfer the patient With full medical records with transfer summary Patient been transported to the receiving facility
by our facility according the patient needs
ACC 3.2
ACC 4 ACC 4.1 ACC 4.2
ACC 3.2 ACC 3.2
ACC 4.3 ACC 4.4
ACC 5
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1. Admission to the Organization
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1. Admission to the Organization
–ACC.1 Patients are admitted to receive inpatient care
or registered for outpatient services
based on their identified health care needs and the organization’s mission and
resources.
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1. Admission to the Organization
–ACC.1.1 The organization has a process for:
–Admitting inpatients and
–For registering outpatients.
–ACC.1.1.1 Patients with emergent, urgent, or immediate needs are given priority for assessment and treatment.
–ACC.1.1.2 Patient needs for preventive, palliative, curative and rehabilitative services are prioritized based on the patient’s condition at the time of admission as an inpatient to the organization.
–ACC.1.1.3 The organization considers the clinical needs of patients when there are waiting periods or delays for diagnostic and/or treatment services
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1. Admission to the Organization
ACC.1.2 – At admission as an inpatient, patients and families
receive information on: the proposed care, the expected outcomes of that care, and any expected cost to the patient for the care.
ACC.1.3 – The organization seeks to reduce physical, language,
cultural, and other barriers to access and delivery of services.
ACC.1.4 – Admission or transfer to or from units providing
intensive or specialized services is determined by
established criteria.
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2.CONTINUITY OF CARE
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2.CONTINUITY OF CARE:–ACC.2 The organization designs and carries out its own processes–why? provide continuity of patient care services in the organization .and coordination among health care providers.–ACC.2.1
During all phases of inpatient care there is a qualified individual identified as responsible for the patient’s care.
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3.Discharge, Referral, and
Follow-Up
Client name/ Presentation Name/ 12pt - 18
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3.Discharge, Referral, and Follow-Up
– ACC.3 There is a policy
guiding the referral or discharge of
patients.
– ACC.3.1 The appropriate referrals (written acceptance form?).
– ACC.3.2 the clinical records and the discharge summary.
– ACC.3.2.1 The discharge summary of inpatients is complete.
– ACC.3.3 the clinical records
– ACC.3.4 (Discharge prescription) – – ACC.3.5 The patients who leave against
medical advice.(OVR and DAMA FORMAT)
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3.Discharge, Referral, and Follow-Up– ACC.3.1 The organization cooperates with health care practitioners and
outside agencies to ensure timely and appropriate referrals.– – ACC.3.2 the clinical records of inpatients contain a copy of the discharge
summary.– ACC.3.2.1 The discharge summary of inpatients is complete.– – ACC.3.3 the clinical records of outpatients receiving continuing care contain
a summary of All known significant diagnoses, Drug allergies, Current medications, and Any past surgical procedures and hospitalizations (transfer summary).– – ACC.3.4 Patients and their families are given understandable follow-up
instructions. – – ACC.3.5 The organization has a process for the management and follow-up of
patients who leave against medical advice.
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4.Transfer of Patients
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4.Transfer of Patients:ACC.4
Patients are transferred to other organizations based on:
Status of the patient Need to meet their continuing care
needs.
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4.Transfer of Patients: ACC.4.1– The referring organization determines that the receiving organization can meet the
patient’s continuing care needs.
(COMMUNICATION) ACC.4.2 – The receiving organization is given a written summary of the patient’s clinical condition
and the interventions provided by the referring organization.
(Transfer summary) ACC.4.3 – During direct transfer, a qualified staff member monitors the patient’s condition. ACC.4.4
– The transfer process is documented in the patient’s record.
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5.Transportation of the patients
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5.Transportation of the patientsACC.5
The process for : Referring, Transferring, or Discharging patients,
Both inpatients and outpatients,
includes planning needs to meet the patient’s transportation.
What does this mean?
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