Care Delivery Model Analysis

Fisher Week Six Journal
A major shift in the care delivery model is occurring within the organization at a macrosystem level associated with moving from a medical model to a health model. In strategy is to move to a medical home model, in which a primary care provider (PCP) provides evidence-based coordination of care for patients’ across the continuum. Studies have illustrated that the utilization of the medical home model positively influences the quality of patient care in addition to concurrently decreasing in costs (Helfgott, 2012). The medical home model is an initiative that is being cascaded from the system level to all organizations within the PeaceHealth structure.
A major focus for the performance goals at UD is associated with complications, specifically, hospital acquired infections (HAIs). The UD services a large elderly population in whom infections can be disastrous, in addition, there are reimbursements tied to HAIs which the organization must consider. The decrease of HAIs is in alignment with the organizations strategic, operational, quality, and financial performance goals.
Dr. Farber is the executive charged with strategic and operational plans to meet a zero goal for HAIs for the UD. The UD services are limited, and there
The main strategy for the zero CAUTI movement is the utilization of an aggressive, nurse-driven catheter discontinuation order set (Smith, 2015). The orders include evidence-based indicators for the utilization of indwelling urinary catheters, any purpose divergent from the evidence based indicators for a catheter, for example, convenience in the incontinent patient, is strictly forbidden. The procedure has greatly decreased the number of CAUTIs at UD, however, given the Average Daily Census for the UD (approximately 40-patients), even a single CAUTI can cause a negative fluctuation in the the statistics, which is itself a