G2TT
来源类型Research Reports
规范类型报告
ISBN9780833088888
来源IDRR-653-OSD
Care Transitions to and from the National Intrepid Center of Excellence (NICoE) for Service Members with Traumatic Brain Injury
Lynsay Ayer; Coreen Farris; Carrie M. Farmer; Lily Geyer; Dionne Barnes-Proby; Gery W. Ryan; Lauren Skrabala; Deborah M. Scharf
发表日期2015
出版年2015
页码134
语种英语
结论

Communication between home stations and the NICoE is insufficient

  • Better communication about patients would improve coordination of patient care and ease transitions to and from the NICoE.

Understanding of the NICoE's mission, eligibility criteria, and services varies across the Military Health System

  • Better messaging about the purpose and function of the NICoE would improve coordination of patient care.

The NICoE is seen to mitigate barriers service members face in seeking treatment for TBI or psychological health problems

  • Barriers include resource constraints, stigma, and provider turnover at home station facilities.

Home station providers had a favorable impression of NICoE services but noted concerns

  • Some didn't see a big difference in types of services; others saw problems with the NICoE's attitude toward home station care and creation of unrealistic expectations in patients returning to home station care.

The NICoE patient discharge planning process requires collaboration between NICoE and home station personnel, the patient, and the family

  • Some former NICoE patients encounter challenges in this transition.
  • It appears that little information is returned to the NICoE about what recommendations. are or are not implemented by home station providers.
  • Patient satisfaction with home station care is varied.
摘要
  • Clearly define and communicate the clinical, research, and educational roles of the NICoE within the Military Health System.
  • Foster a collaborative culture between the NICoE and home station providers
  • Inform home station providers about the NICoE's eligibility criteria.
  • Focus patient recruitment on service members in greatest need.
  • Evaluate the effects of NICoE assessment and treatment services on patient outcomes.
  • Increase and formalize communication and coordination between the NICoE and home station providers.
  • Streamline discharge summaries and provide recommendations in the context of the treatment already delivered by the home station.
  • Ensure that service members can access recommended care at or near their home station and are aware of its cost.
  • Enhance patient tracking and follow-up after discharge.
主题Defense Health Agency ; Health Care Quality ; Traumatic Brain Injury
URLhttps://www.rand.org/pubs/research_reports/RR653.html
来源智库RAND Corporation (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/108035
推荐引用方式
GB/T 7714
Lynsay Ayer,Coreen Farris,Carrie M. Farmer,et al. Care Transitions to and from the National Intrepid Center of Excellence (NICoE) for Service Members with Traumatic Brain Injury. 2015.
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