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    Ambulatory Care

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    mitishahirlekar
    This document provides an overview of ambulatory care including: - Defining ambulatory care as community-based specialty practice requiring rapid response to high patient volumes across unpredictable issues. - Describing how shifts toward outpatient settings have increased patient volumes and acuity due to rising healthcare costs. - Identifying current trends like an aging population and new technologies that continue to impact ambulatory care delivery. - Comparing inpatient and ambulatory practice settings and the different roles of nurses in each.

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    Ambulatory Care

    Uploaded by

    mitishahirlekar
    249 views11 pages
    This document provides an overview of ambulatory care including: - Defining ambulatory care as community-based specialty practice requiring rapid response to high patient volumes across unpredictable issues. - Describing how shifts toward outpatient settings have increased patient volumes and acuity due to rising healthcare costs. - Identifying current trends like an aging population and new technologies that continue to impact ambulatory care delivery. - Comparing inpatient and ambulatory practice settings and the different roles of nurses in each.

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    This document provides an overview of ambulatory care including: - Defining ambulatory care as community-based specialty practice requiring rapid response to high patient volumes across unpredictable issues. - Describing how shifts toward outpatient settings have increased patient volumes and acuity due to rising healthcare costs. - Identifying current trends like an aging population and new technologies that continue to impact ambulatory care delivery. - Comparing inpatient and ambulatory practice settings and the different roles of nurses in each.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    249 views11 pages

    Ambulatory Care

    Uploaded by

    mitishahirlekar
    This document provides an overview of ambulatory care including: - Defining ambulatory care as community-based specialty practice requiring rapid response to high patient volumes across unpredictable issues. - Describing how shifts toward outpatient settings have increased patient volumes and acuity due to rising healthcare costs. - Identifying current trends like an aging population and new technologies that continue to impact ambulatory care delivery. - Comparing inpatient and ambulatory practice settings and the different roles of nurses in each.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
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    Ambulatory Care

    Objectives
    Describe ambulatory care Identify major impacts on ambulatory care practice Identify and describe current ambulatory practice settings Compare practice in ambulatory and inpatient settings

    Ambulatory Care Defined

    A specialty practice area which is community based May take place in different sites hospitals, schools, workplaces or homes Encounter may be face-to-face or by phone Requires rapid response to high volumes of patients in a short span of time while dealing with issues that are not always predictable

    American Academy of Amublatory Care Nursing, Ambulatory Care Nursing Administration and Practice Standards, 2007

    Ambulatory Care is Changing


    As the costs of acute care services increase, as new technologies are adopted & as reimbursement shrinks, patient care is being shifted to the outpatient setting resulting in increased patient volume and sicker patients.

    Current Trends Impacting Ambulatory Care


    Increasing life expectancy Environmental threats Increased legislation & regulation Technological Advances (clinical & nonclinical) Consumer awareness

    Ambulatory Patient Characteristics

    Acutely ill requiring triage & possible emergency care Acutely ill requiring support, diagnosis & treatment Chronically ill requiring ongoing monitoring & assistance with education/self-management Chronically ill with acute exacerbation In need of a defined treatment & procedure In need of education, reassurance & support In need of preventive services May not walk in &/or may not walk out

    Where Ambulatory Care is Practiced


    University hospital outpatient Community hospital outpatient Solo & group medical practices HMO Government health systems

    Occupational health centers School health clinics Shelters for the homeless Community clinics Surgical procedure centers Urgent care centers

    Ambulatory Care at Kaiser Permanente Southern California

    Kaiser Permanente is America's largest not-for-profit health plan It includes

    the nonprofit Kaiser Foundation Health Plan Kaiser Foundation Hospitals (13 medical centers) for-profit Permanente Medical Groups (ambulatory care)

    148 Medical Offices Over 3 million members 47,000 FTEs,57,000 employees

    As of January 2010 KP.org

    Inpatient Practice vs. Ambulatory Practice


    Aspect of Role
    Treatment episode Observation mode

    Inpatient
    Inpatient Direct & continuous

    Ambulatory
    Visit/phone/email Episodic

    Management of treatment plan


    Primary Intervention Mode

    Nurse - Input from patient &/or family


    Direct

    Patient &/or familyInput from nurse


    Consultative May or may not be formal nursing structure Scheduling system,

    Nurse managed dept. Organizational presence of nursing Bed capacity, staffing Workload variability/intensity ratios

    Ambulatory Care Nursing Administration and Practice Standards, 2007

    First edition published 1987 As specialty has expanded & the outpatient environment has gone through dramatic changes, the standards were revised.

    Kaiser Permanente Nursing Vision and Model


    Extraordinary Nursing Care. Every Patient. Every Time.

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