Solutions

Solutions powered by
Learn More.
Frame 586 (1)

Quality Manager formerly known as abaqis®

Mitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.

Learn More

NEW TO THE STORE

hStream Content Marketplace

Connecting you to the Best Content. Access to 75 Partners and 35,000+ Courses in our Industry-Leading Marketplace. Streamline content purchasing, updates, hosting, and connectivity for your organizational needs

NurseGrid Learn

Online store for Clinical Learners. Individual CE Credit and industry products for Clinical Learners are now available through NurseGrid Learn (Beta). Explore our robust collection of courses that provides an unparalleled level of flexibility and choice.

Practitioner Courses

Meet the DEA's new requirement under the Medication Access and Training Expansion (MATE) Act in an online, high-quality and self-paced 8-hour DEA MATE Act course specifically designed for practitioners, including Physicians, PAs, NPs, Pharmacists, Dentists and others.

LATEST & POPULAR

REPORT

2024 Annual Report on Medical Staff Credentialing
On-Demand Webinar

State of the Industry: What’s Next for Healthcare Quality & Safety in 2024?
BLOG

Summer 2024's Top Choice in Healthcare Credentialing: CredentialStream
BLOG

HealthStream Executive Briefing: CMS Minimum Staffing Standards: What You Need to Know
BLOG

The Impact of Human Connection: The LGBTQ+ Healthcare Community
Webinar

Clinical Placement for the Future of Healthcare: myClinicalExchange Discussion with CommonSpirit Mt Region and UW Health

< HealthStream Resources

blog

01761262_compliance_465501943

Overcoming the Challenges of Fragmented Care

April 14, 2021
April 14, 2021

To 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.

Real Life Examples of Fragmented Care

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.

The Impact of Fragmented Care

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.

Nursing’s Role in Fixing America’s Fragmented Healthcare System

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.

HealthStream Focuses on Nurses and Clinical Development

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.

Request Demo