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Biomedical subjects

M D Harris

Publications and source records attributed to M D Harris.

At least 127 records · Page 7Linked to original sources

Outcomes of care from the professional's perspective.

Patient satisfaction is considered an important indicator of the quality of care provided by a home healthcare agency. Increased emphasis is now placed on patient outcomes of care by certification and accreditation standards. This detailed analysis of the outcomes of care by the patient, the family, and the professionals through the use of unsolicited patient letters of commendation and the clinical record did not reveal any specific pattern. The visiting nurse association's home care services are available on a nondiscriminatory basis. This fact is noted in the agency's literature and policy manual. The data analysis for this project supports this policy statement. Patients, family members, and a physician wrote letters of commendation regardless of the LOS, payer source, total charges, time spent with the patient, and personnel who provided the care.

Community Health Nursing↗

Supervision of home care aides.

The supervision of home care aides is of the utmost importance, since these aides provide needed services in the less controlled and out-of-sight private homes of patients. The role of the supervisor is demanding to assure compliance with accreditation, certification, and agency standards. Supervision of the paraprofessional staff also provides the opportunity to provide positive feedback as well as constructive criticism to assure that high-quality in-home services are provided to home-bound patients. Supervision also provides the opportunity to interact with the aides, show respect for them as individuals, and convey to them that they are an important member of the home healthcare team.

Community Health Workers↗

The peer review organization process revisited.

The outcomes of patient care are of increasing importance in the 1990s from a quality of patient care perspective. Most of the review processes that HHAs are subjected to, including the Medicare certification survey, the accreditation process by the Joint Commission on the Accreditation of Healthcare Organizations and the Community Health Accreditation Program, are focused toward patient outcomes. Also included is the PRO process that addresses the quality of care issue when home care was provided as one of the intervening care services if a patient is readmitted to an acute care facility within 31 days of discharge, HHA standards as well as professional nursing standards. There is no question that the care rendered and the complete and accurate documentation by home healthcare nurses contribute to the minimal number of confirmed quality of care problems that have been identified in HHAs. We would appreciate findings reported in other states. Please share published information on the PRO activities in your state in care of Home Healthcare Nurse. We look forward to hearing from you.

Accreditation↗

Competent, supervised, unlicensed personnel will contribute to high-quality, in-home health care.

To provide high-quality healthcare services to all age groups in the 1990s, I believe that specific tasks can be delegated to qualified, competent, unlicensed personnel. In reality, many environmental and family factors mentioned earlier in this paper cannot be changed. But, the role and responsibilities of qualified, unlicensed caregivers can be expanded, given that the professional registered nurse retains the accountability for delegated tasks. This change has the potential to contribute to the well-being of the patients and to improve the overall quality of in-home healthcare in the 1990s.

Clinical Competence↗

I can wear gloves again!

Diseases and surgical procedures that affect the MMS/CT can be acute or chronic conditions. The volume of patients who are referred with these conditions will continue at the present high level or increase as reimbursement for long-term care becomes a reality. Home healthcare nurses are prepared to provide, coordinate, and manage the acute and long-term home care needs of these patients and their families.

Activities of Daily Living↗

Caring for individuals in the community who are mentally retarded/developmentally disabled.

Home healthcare nurses have the opportunity to care for individuals who are mentally retarded/developmentally disabled, and their families, in different types of community residences. Nursing assessments and interventions are initiated at various times in the life cycle. The goal is to help the individual and family members attain their maximum level of health, function, independence, recognition, and self-esteem.

Adult↗

The process of VNA affiliation with a major teaching hospital.

Affiliation among agencies with differing staff, resources, organizational structure, policies, and programs is never easy. The author discusses major components of an affiliation between a visiting nurse association and its former competitor--a major teaching hospital.

Community Health Nursing↗

Simple solution to problem of biostator-induced insulin aggregation.

It has recently been reported that there is a significant loss of insulin immunoreactivity and bioavailability secondary to heat-induced insulin aggregation during prolonged insulin delivery by the Biostator. This artifact of Biostator insulin delivery system makes data generated by studies that use prolonged, continuous insulin infusions performed with the Biostator uninterpretable. We report the prevention of this problem by the addition of 20 ml heparinized whole blood to a 500-ml reservoir containing the insulin to be infused. The proposed solution is simple, economical, and without risk to the subject since his or her own blood can be used.

Biological Availability↗

Restructuring: specifics for home health.

The current reimbursement climate, job characteristics, and health care personnel shortages challenge home health nurses in providing quality patient care. Through relatively simple restructuring efforts, home health nursing can become more satisfying and productive.

Home Care Services↗