RCPs (respiratory care practitioners) and health-care reform: demonstrating value, creating opportunity.
We should embrace respiratory care protocols. We have had a system in our hospital for more than two years; it has been very successful. We have approximately 60-70% of all of our therapy now ordered by a true protocol process. Some people have been dragged kicking and screaming through this process, including a number of respiratory care practitioners. It is more work. It is harder. Yes, it takes more time and more work to be a professional, but a professional is what you want to be. Anybody can go around and stick those nebulizers in people's mouths, but not everyone has the skill to determine which patients do not need that nebulizer or which may need a different drug or a different therapy. We must demonstrate through projects our ability to have an impact on the delivery of unnecessary and inappropriate care, and we must have physician support for what we are doing. These elements are essential to our survival. When we embrace appropriate and effective technology, we demonstrate value. If we show--through improved weaning technology--that we can decrease length of stay by decreasing the time that people are on ventilators, we demonstrate value. If we function as effective bronchoscopy assistants who help to treat people and get them out of the hospital or avoid hospitalization entirely, we demonstrate value. So, we must embrace technology. We need to function across the entire continuum of care to demonstrate value. We need to start managing health instead of managing illness.(ABSTRACT TRUNCATED AT 250 WORDS)
Shrake
K
K
Memorial Medical Center, Springfield, IL 72781, USA.
D002983:Clinical Competence; D015510:Clinical Medicine / Q000639:trends; D002985:Clinical Protocols; D003695:Delivery of Health Care / Q000639:trends; D005544:Forecasting; D018166:Health Care Reform / Q000639:trends*; D008329:Managed Care Programs; D011361:Professional Competence; D011590:Psychology, Industrial; D012139:Respiratory Therapy Department, Hospital / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D014481:United States; D014600:Utilization Review