Question

Within a patient care setting, it is common to see nurses, physicians, pharmacists, physical therapists, and nutritionists working in silos. From the patient’s standpoint, there are multiple people coming into the room throughout the hospital stay, and often they give differing, sometimes conflicting, information and guidance. This type of disjointed interaction is known as fragmentation of care.

Having a medical team that cares for a panel of patients allows for greater collaboration among healthcare professionals and better patient outcomes as evidenced and informed by the patient-centered medical home model, the Wagner chronic care model, and the creation of rules for accountable care organizations. Legislation such as the ACA defined and facilitated intercollegial teams by rewarding high-quality outcomes of care with higher reimbursement.

1. Why might it be difficult to get health professionals to reach consensus on a policy agenda?
2. Using www.Congress.gov, enter the search term (including the quotation marks) “patient-centered medical home” and perform a search of All Legislation. Scroll to see how many bills have been introduced related to this subject since the 110th Congress (2007–2008). Can you find any evidence in literature searches of a consensus in Congress regarding how to reduce fragmentation of care, improve communications, and improve quality of care?

Answer 1

Question:-

1. Why might it be difficult to get health professionals to reach consensus on a policy agenda?

Answer:-

One message emerges: Doctors perform numerous errands—PC information section, persistent instruction, protection request—for which they are not extraordinarily qualified and by which they are every now and again overburdened. These assignments can be designated securely to other qualified staff. On the off chance that, with the assistance of innovation, such appointment occurs on a vast scale, projections about the sufficiency of things to come doctor workforce should be reexamined. 3 Reports of looming doctor deficiencies may demonstrate to have been misrepresented. For the present, given the eccentric extension and pace of future conveyance framework change, every single such projection are liable to a high level of vulnerability.

Difficulties

Despite the fact that payers have demonstrated an ability to offer humble motivations for training developments like restorative homes, it stays to be seen whether these motivators are sufficiently able to defeated surely understood impediments, which incorporate opposition from wellbeing experts, direct front venture expenses, and installment and administrative obstacles.

Mentalities

In spite of the fact that strategy producers will in general spotlight on budgetary and administrative issues, the social element of training change might be similarly as difficult to dealt with. The estimations of independence and self-sufficiency are unequivocally implanted in customary medicinal culture. Group based consideration and designation of chose doctor errands to others may cross paths with profound situated dispositions.

Medicinal sociologists estimate that doctors' "social personality" regularly keeps them from tolerating better approaches for identifying with and working with others, even in developing consideration associations, for example, restorative homes and responsible consideration associations. Practice directors who look to execute authoritative changes wanted by payers might be viewed by doctors themselves as underqualified intruders. Status disparity among specialists and attendants is a piece of the gathering character of both and can speak to an immovable boundary to coordinated effort.
Efforts to balance these impacts with interprofessional training programs at therapeutic and nursing schools are loaded with calculated and regional difficulties.

2-Using www.Congress.gov, enter the search term (including the quotation marks) “patient-centered medical home” and perform a search of All Legislation. Scroll to see how many bills have been introduced related to this subject since the 110th Congress (2007–2008). Can you find any evidence in literature searches of a consensus in Congress regarding how to reduce fragmentation of care, improve communications, and improve quality of care?

Answer:-There is 4 four bill which has introduced but yet not passed by senate and under the review of several commitees.