Topic: Using templates in interdisciplinary team (IDT) meetings improved quality of report and documentation
Order Description
The purpose of this section is to provide an organizational structure (needs assessment) for the literature review chapter of the DNP Clinical Project Paper. Create a detailed and specific summary for the various bodies of literature that review benefits of using template for interdisiplinary/multidisciplinary team report and documentation, including literature related to the nature and scope of the problem, literature related to the chosen theoretical framework, literature related to the selected intervention(s), and literature related to the chosen outcome measure(s).
Below I include my problem statement (introduction) for your review and understanding of DNP Clinical Project I am proposing. This is not to be included in writing request as it precedes this section,
Problem Statement
Hospice care is a kind of philosophy and care that centers on the palliation of a patient who is seriously or terminally ill. Hospice care includes tending to the patient’s pain and symptoms as well as their emotional and spiritual needs. Smith et al (2012) stated that hospice palliative care improved quality of life, life expectancy, and reduction in cost, decrease patient readmission rates, and recuperation for terminally ill or seriously ill patients. It is only till recent times that people have realized the importance and need for hospice/palliative care to include improvements in quality of life, cost of care, and survival rates. Hospice care diminishes chances for wasted intensive care as well as better patient and caregiver outcomes. It has been demonstrated that there are no excessive costs or harm to patients and caregivers when appropriating improvements to delivery of palliative and hospice care (Smith et al., 2012).
Hospice in the United States was first conceptualized by Florence S Wald. In 1974, Wald, along with her interdisciplinary team (IDT) of doctors, clergy, and nurses founded the first US hospice (Sullivan, 2008). Today hospice IDT’s, consist of physicians, nurse practitioners, registered nurses, clergy, social workers, volunteer coordinators, and bereavement specialist. They meet at minimum once every 15 days to maintain responsibility for directing, coordinating, and supervising the care and services provided. Hospice standards ensure a comprehensive assessment of patient and their family with 48 hours of electing service. The IDT then coordinates services through regular face-to-face interaction/evaluation with the patient and their family no less than every 15 days. These regular interactions meet the physical, medical, psychosocial, emotional, and spiritual needs of the patients and families they serve (NHPCO, 2008). As such Centers for Medicare and Medicaid Services (CMS) guidelines requires that any hospice organization have IDT meeting every 15 days (CMS, 2015)
Hospice of the Red River Valley (HRRV) was founded in 1980’s and is a non-for profit health care system. At present HRRV provides care to patients in a 32,000 square mile area in the eastern half of North Dakota and the north western area of Minnesota. In 2015 HRRV identified a inconsistencies in length of IDT meetings. Currently HRRV does not utilized a standardized report format for information shared nor documented. Through the development of an IDT report template, IDT meetings can run more efficiently, provide improved documentation and ease recertification/appropriateness for care determination.
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