The government and different care providers are continually striving to improve the quality of long term care in the country. They are constantly pushing for a more person-centered approach in administering care services and seamless coordination between different settings and providers. New report from the Measures Application Partnership (MAP) further stresses this.
MAP is a public-private partnership assembled by the National Quality Forum that is aimed to provide input to the Department of Health and Human Services (HHS) and give advice to the federal government prior to selecting measures and making rules.
In December of last year, HHS gave MAP a list of 234 measures that are being considered for use in 20 federal programs. They were able to release a report containing their recommendations earlier this year. These are derived by evaluating comments from different participants. The report includes performance measurement programs for clinicians, hospitals, post-acute care and long term care.
Recommendations for Post-Acute Care and Long Term Care
For post-acute care and long term care, MAP stresses key concerns in selecting measures for these two areas. They stress the importance of measure alignment, care coordination and collective accountability throughout all settings. In selecting measures, they suggest that it should uphold a person-centered approach across the healthcare continuum.
MAP identified six aspects that have the greatest weight in performance measures. These arewhat they call the highest-leverage areas. These important points for evaluation are function, goal attainment, patient engagement, safety, cost and access.
Function has to do with proper assessment of a person’s functional capability, cognitive status and mental health. Meanwhile, goal attainment involves advanced care planning and treatment. Setting goals for patients, families and caregivers is also a part of this. Patient engagement pertains to the care experience, transition planning and making decision-making a collaborative effort between all parties involved. Safety, meanwhile, deals with issues such as falling and pressure ulcers. Cost and access focuses on misusage of medicine and infection rates.
Care Coordination is the Key to Person-Centered Care
Person-centered care is geared towards uplifting the overall wellness of an individual and goes beyond their medical requirements. This approach is geared towards promoting a person’s dignity and other needs that are also integral in maintaining their quality of life.
The key to effectively implementing this approach is care coordination. Proper care coordination involves all parties that has a role in providing the health care and long term care needs of an individual—from physicians, specialists, therapists, social workers and care providers. How they exchange and pass on information is crucial and can make or break the quality of care that the person receives. That’s why; it’s important for all of them to establish good communication and to constantly strive to work as a team.