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View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
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View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
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View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
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View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
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Learn MoreTo get to a fragmented care definition, U.S. News & World Report offers the following description, “The U.S. healthcare system is so fragmented that primary care doctors struggle to coordinate patient care as frequently as providers in other high-income countries.” The same article offers that, “For example, just under half of U.S. primary care doctors said they get information from specialists about changes to their patients’ medications or care plans, compared to 70% or more of doctors in Norway, France and New Zealand.”
Furthermore, according to the same source, not only are our healthcare providers having a problem communicating with each other about patients, but they also are not as available as in other countries. The same survey quoted in the article offered that “American primary care practices were also less likely to have options for patients to see a doctor or nurse after hours other than the emergency room, compared to 90% of practices in Germany, the Netherlands, New Zealand, and Norway. And just 37% of primary care doctors in the U.S. said they or another provider made home visits sometimes or often, compared to 70% or more of physicians in the other 10 countries, according to the study.”
This research tells us that to ensure continuity of care, we need to support efforts to deliver care beyond the limits of a primary care practice and the limited hours that have long characterized much of American healthcare. Likewise, primary care needs to occupy itself far more with timely information exchange to support more successful care coordination.
Here are a few typical characteristics of fragmented care that apply easily to the U.S. healthcare system:
Disconnected Medical Specialists – When a patient with multiple chronic conditions gets care from different specialists, it is not uncommon for each to focus on their own task, leaving the patient to follow multiple unconnected care pathways. What’s missing is for someone to oversee all the care and make sure it is coordinated.
Lack of overall accountability – In the scenario above, there’s not a single person with final responsibility over a person’s care. Without someone in this role, the patient can stay very confused about where care is headed.
Organization-specific healthcare – Care from providers at different organizations create a big communication and coordination risk. Disparate, unconnected systems don’t contriute to good outcomes for patients with multiple, chronic conditions.
Poor Communication within an individual provider office – According to a HealthStream blog post, Doctors and nurses in a single office can also have a problem with communication, with a significant negative effect on patient safety, quality of care, patient outcomes, and patient as well as staff satisfaction.
Fragmented care may well be hazardous to patients’ health. Multiple medications and regimens in the absence of care coordination may be a contributor to more frequent hospitalizations and perhaps readmissions. In addition, the cost of fragmented care can be significantly higher for patient and payer alike, connected duplication of diagnostic tests, prescriptions, and overlapping care.
The United States healthcare system has grown increasingly fragmented. Those afflicted by chronic conditions may attend unnecessary appointments, receive confusing and contradictory advice from their doctors, struggle to get to the doctor’s office, and despair at exorbitant out-of-pocket expenses. Every visit’s comprehensive history taking, counseling, medication reconciliation, and psychosocial intervention must also consider where individuals came from and where they are going and incorporate the full continuum of care, not just the single setting.
Considering that there are approximately 3.7 million nurses in the United States and registered nurses attend over 50% of outpatient visits, they are poised to play an essential role in ensuring quality and continuity of care delivery in the face of this fragmentation.
At HealthStream we spend a lot of time focused on improving outcomes by supporting and developing the clinical workforce. HealthStream’s jane™ is The World’s First Digital Mentor for Nurses. Jane harnesses the power of artificial intelligence (AI) to create a system that personalizes competency development at scale, quickly identifies risk and opportunity, and improves quality outcomes by focusing on critical thinking. Leveraging decades of research and with over 4 million assessments completed, Jane was designed to power lifelong, professional growth of clinical professionals. JaneTM is an important component of HealthStream’s suite of clinical development solutions.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsLearn more about HealthStream's Provider Credentialing, privileging, & enrollment solutions.
View All CredentialingExperience standardized and centralized healthcare credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
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