【体外膜肺ECMO精品课件】 Creating a Vision of Care - 2015 and Beyond.pptVIP

Competency Area III: Evidence-Based Medicine Respiratory Care Protocols Evidence-Based Medicine Respiratory Care Protocols Respir Care. 2010 May;55 Changes Expected in Respiratory Care Science of respiratory care will continue to evolve and increase in complexity Clinical decisions will become increasingly data-driven Respiratory care will be an important part of care in all venues Evidence-based algorithms (protocols) will be most common way to deliver respiratory care Greater need for RTs to be involved in research Require RT to be adept at understanding practical ramifications of published research * Protocols Consults Protocols have been in place in respiratory care since the early 1980’s Therapeutics, Ventilation Respiratory Consult Services Efficient, effective, cost savings Across the continuum care Wellness, Prevention and Education “Physician Extender” AARC 2005 Human Resource Survey Physician Extenders We are not alone…… ?? Creating a Vision of Care - 2015 and Beyond Timothy R. Myers MBA, RRT-NPS, FAARC? Associate Executive Director, Brands Management? American Association for Respiratory Care Adjunct Faculty, Assistant Professor Department of Pediatrics, Case Western Reserve University Current Health System Issues Health costs in US growing faster than: Employee wages Economy at large Preventive services are underused Low adherence to proven-effective therapies for chronic diseases Medical errors and safety problems remain too common, accounting for many thousands of deaths and billions of dollars in healthcare costs * Property of PPCP: Created by KR 11/24/2010 Changes in the Economy How Healthcare Executive Decisions Impact the Workforce “Perfect Storm” - Economies impact on healthcare Hospital administrators believe healthcare financing system is broken Gov’t payments have declined since 2000 Steps to increase productivity enhance quality by consolidating staff functions Case management and disease management Understanding implementation of