Patient Priorities Care (PPC) – Full Text View Brief Summary: Patient Priorities Care aligns healthcare decision-making and care by all clinicians with patients’ own health priorities. Patient Priorities Care involves not only the health outcome goals that patients want to achieve, but also their preferences for healthcare.
This approach is about aligning what outcomes patients want from their healthcare with what they are willing and able to do to achieve these outcomes. The approach begins with a member of the healthcare team helping patients identify their health outcome goals and their care preferences and preparing them to interact with their clinicians around these goals and preferences.
The goals and preferences are transmitted to the patient’s clinicians who use them in decision-making and communication with the patient and other clinicians.
|Multiple Chronic Conditions||Behavioral: Patient Priorities Care||Not Applicable|
Many older adults with Multiple Chronic Conditions receive conflicting recommendations and care that may be fragmented across clinicians. Older adults vary in what’s most important when faced with tradeoffs and vary in the health-related activities they are willing and able to complete to achieve their desired outcomes.
A potential solution to these problems is to move from decision-making predicated solely on disease-guidelines to decision-making based on achieving each patient’s own specific health outcome goals (e.g., relief of symptoms sufficient to allow specific functional activity) within the context of what they are willing and able to do (i.e.
care preferences) to achieve these outcomes. The primary aims of the Patient Priorities Care (PPC) pilot is to assess the feasibility of aligning primary and specialty care to focus on the health priorities (i.e. specific and actionable outcome goals and care preferences) of older adults with multiple chronic conditions (MCC)
|Experimental: Intervention Arm (Implementing Patient Priorities Care) Aligning healthcare recommendations to achieve patients’ specific health outcome goals within the context of what patients are willing and able to do.||Behavioral: Patient Priorities Care|
|No Intervention: Control Arm (Not Implementing Patient Priorities Care) Routine Care|
Primary Outcome Measures :
- Treatment Burden Questionnaire (TBQ) Measure to assess treatment burden among patients with one or more chronic conditions. Summary score is 0-150 with lower numbers indicating less burden. This is an exploratory study and the investigators will compare the intervention to control group to determine if the intervention group scores are lower on the TBQ (i.e. less burden).
- Older Patient Assessment of Care for Chronic Conditions (O-PACIC) Measure to assess chronically-ill patients’ perceptions of the degree to which health care delivery is integrated and coordinated. Summary score is 1-5 with higher score indicated greater integration. This is an exploratory study and the investigators will compare the intervention to control group to determine if the intervention group scores higher on O-PACIC (i.e. greater integration).
- CollaboRATE Measure of shared decision making in clinical encounters. Summary score is 0-100 with higher score indicated greater shared decision making. This is an exploratory study and the investigator will compare the intervention to control group to determine if the intervention group scores higher on CollaboRATE (i.e. greater shared decision-making).
- Health Care Utilization Measures of changes in health care utilization drawn from review of patient medical records
Secondary Outcome Measures :
- Older Patient Assessment of Care for Chronic Conditions (O-PACIC) subscales Sub-scales within the O-PACIC including patient activation (sub-scores range from 1-5 with higher score indicating greater activation), delivery system design/support (sub-scale score ranges from 1-5 with higher scores indicating greater system design/support), goal setting (sub-scale scores range from 1-5 with higher scores indicating improved goal setting), problem-solving/contextual counseling (sub-scale scores range from 1-5 with higher scores indicating improved problem-solving/contextual counseling), and follow-up/coordination (sub-scale scores range from 1-5 with higher scores indicating greater follow-up/coordination).
- Combined items from the Treatment Burden Questionnaire (TBQ) that appear to measure similar constructs. Items that assess self-management tasks (3 items that range from 0-30 with lower scores indicating less self-management burden), medical visits (2 items that range from 0-20 with lower scores indicating less burden from doctor visits), laboratory tests and other examinations (1 item that ranges from 0-10 with lower scores indicating less burden from lab exams), relationships with providers (1 item with scores ranging from 0-10 with lower scores indicating less burden from relationships with providers), medications (4 items with scores ranging from 0-40 with lower scores indicating less burden from medications).
- Age >65 years
- Member of Pro-Health Practice for >=3 years
- Determined to be an appropriate candidate evidenced by ANY of the following:
- Multiple Chronic Conditions (presence of >3 active health problems)
- >10 medications
- ≥ 1 hospitalization over the past year
- ≥ 2 emergency department visits over the past year
- Seen by >2 specialists (excluding GYN and eye) over the past year
- End stage renal disease
- Unable to consent (e.g. dementia)
- In hospice or meeting hospice criteria
- Nursing home resident
- Not English speaking
Documents provided by Yale University: March 21, 2018 Keywords provided by Yale University: Additional relevant MeSH terms:
|Disease Multiple Chronic Conditions Pathologic Processes Chronic Disease Disease Attributes|
Patient Priorities Care (PPC) – Full Text View
What does PPC stand for in healthcare?
Potentially Preventable Complications (PPCs) are harmful events (e.g. accidental laceration during a procedure, improper administration of medication) or negative outcomes (e.g. hospital-acquired pneumonia, C.
What is PPC in health and safety?
Personal protective clothing (PPC) or personal protective equipment (PPE)? – It’s common for us to call protective clothing – PPE. But actually, it should be PPC – Personal Protective Clothing, as PPE is Personal Protective Equipment, which is typically worn for H&S purposes. Whereas PPC is worn for food safety purposes.
What is PPC in nursing?
A Professional Practice Committee (PPC) of bargaining unit Nurses may be established by the Association at each patient care facility in the major medical centers. Additionally, a PPC of bargaining unit Nurses may be established in a Student Health Center away from the major medical centers.
What is PPC in billing?
PPC stands for pay-per-click, a model of digital advertising where the advertiser pays a fee each time one of their ads is clicked.
What does the PCC stand for?
Abbreviation for Press Complaints Commission : in the UK, an official organization that deals with complaints from the public about the contents of newspapers, magazines, etc.: a judgment by the PCC. Several other countries have no PCC, and barely a press council.
What does PPC stand for in HR?
We are the premier military pay & personnel resource, providing unsurpassed service to our nation’s guardians The Frank Carlson Federal Building and U.S. Courthouse (top) has been home to the Coast Guard’s Pay and Personnel Center since 1982. The center marked their 40th anniversary with a celebration on August 24. Pictured are Topeka Mayor Michael Padilla and Coast Guard Capt.
Derek Smith (middle left), and Smith with U.S. Senator Roger Marshall (middle right). Mission To provide caring and responsive personnel and compensation services for all Coast Guard military members, retirees, annuitants and other customers in support of the Department of Homeland Security missions. Vision Quietly keeping Coasties always ready.
Values Customers We exist to serve customers and deliver products and services. To be successful we must excel at exceeding our customers’ needs; we must understand who our customers are, both external and internal, and maintain a helpful and courteous attitude toward them. Employees We are all part of one work group. We work together to ensure the success of each other, PPC overall, the programs we support through PSC, and all Coast Guard Human Resource efforts. When we say our people are our most important resource, we act like it.
We continually strive to become an employer of choice, providing meaningful, rewarding work and a positive environment for our employees. Stewardship We own critical fiduciary service and support functions for the Coast Guard and taxpayers. We are ever mindful of that responsibility and sensitive to the cost and quality of services we provide.
Ensuring we are responsible and ethical stewards of taxpayer dollars, along with being active in giving back to our local community, positively reflects our character as we accomplish our mission. We must reduce payment inaccuracies to an absolute minimum, always provide honest and accurate financial reporting and strive to achieve unqualified audit opinions from external auditors.
What does PPC mean in palliative care?
APPENDIX 1: A LEXICON OF TERMS FOR PAEDIATRIC PALLIATIVE CARE – Advance Care Planning (ACP): Advance care planning is a process of discussions between families and health care providers about preferences for care, treatments and goals in the context of the patient’s current and anticipated future health.
- It may include preparation of an advance directive or other documents that reflect health care decisions.
- Advance Directive: An advance directive is a document that records preferences for using or limiting certain medical treatments in order to meet short- and long-term goals for care.
- Bereavement support: Services offered to persons affected by imminent or actual death in ways that support the biopsychosocial-spiritual realms of functioning.
Biopsychosocial-spiritual care (or whole person care): A model of holistic care that addresses the body, mind, relationships and spirit. This model includes developmentally appropriate support for physical well-being, individual life philosophy, sense of peace, purpose, and connection to others.
- A Thematic Areas of Focus diagram represents our biopsychosocial-spiritual model: http://pediatricpalliative.com/research Whole person care is a more recently developed term that explicitly addresses the physical, emotional, spiritual and existential experience of illness.
- The concept of whole person care is more fully described at http://www.mcgill.ca/wholepersoncare Caregivers: Family members and others who provide care to a child over a period of time.
This term is more broad than ” family ” and recognizes the relationships that are created by volunteers or professionals who support the child and family. Child or Children: Infants, children and youth ages 0–19 years. Chronic complex conditions (CCC): Conditions (or diseases) that are multisystem, often progressive over time, and may affect cognitive and physical development.
- Symptoms may span many years.
- The conditions may be rare and variable in presentation, severity and trajectory.
- Often there is lack of disease-specific research.
- Prognosis may change over time as treatment options become available or fail.
- Desired outcomes: Aims of paediatric palliative care include: child and families ‘ sense of support and satisfaction with care; enhancement of informed decision making over time; relief of biopsychosocial-spiritual suffering of the child and families ; improved quality of life for the child and family ; attainment of goals; personal growth; and caregiver support and sustainability.
End-of-life (EOL) care: Care that is provided when a person’s death seems imminent based on the judgment of the healthcare team and/or family, Services provided may include symptom management, biopsychosocial-spiritual care, and other support to address the needs and wishes of the child and family,
- Family: The family is the social unit most proximate to the child,
- It may variably consist of parents, siblings, grandparents and/or other household members.
- Hospice: This term has variable meanings.
- In Canada, it is most often used to describe a facility (free-standing in the community or associated with a hospital) that provides a variety of paediatric palliative care services.
Interprofessional: Also described as multidisciplinary or interdisciplinary, this term refers to the provision of care and research that may draw from fields of medicine, nursing, psychology, social work, spiritual care, child life, education, anthropology and others.
Clinicians and researchers have a sense of shared responsibility demonstrated by collegial sharing of ideas, patient and social advocacy, and multicentre research. Connections among professionals may exist formally or informally. Life-threatening conditions (LTC): Also called life-limiting or life-shortening conditions (or diseases) in various countries, the preferred encompassing term supported by PedPalASCNET in Canada is life-threatening conditions.
These are conditions for which there is a likelihood of death before adulthood. It can be helpful to conceptualize these conditions, based on typical disease trajectories, using a framework developed by the Association for Children with Life-Threatening or Terminal Conditions and Their Families (ACT) (now called Together for Short Lives): http://www.togetherforshortlives.org.uk/professionals/childrens_palliative_care_essentials/approach,
Life-threatening conditions include those for which curative treatments may be feasible but may fail, or those for which a cure is not possible and from which an affected child is expected to die. Life-threatening conditions are frequently chronic complex conditions with significant impact upon the lives of the child and family,
Paediatric Palliative Care (PPC): An active and total approach to care provided to children with life-threatening conditions and their families from the time of recognition or diagnosis of disease, throughout the illness, at the time of death and beyond.
- It is typically provided by an interprofessional team with consideration given to biopsychosocial-spiritual elements to meet desired outcomes,
- Care is focused on comfort rather than cure, although both approaches may exist simultaneously.
- PPC includes management of symptoms, provision of respite, coordination of services, delivery of end-of-life care, and provision of bereavement support,
Paediatric Palliative Care (PPC) Research: The study of the populations receiving and providing paediatric palliative care services. This research aims to provide knowledge, evidence and advocacy through the study of disease trajectories, treatments and interventions, family and caregiver experiences, and health systems in order that children and families receive the desired outcomes,
- Perinatal Palliative Care: Paediatric palliative care that is provided during pregnancy, delivery, discharge and/or death when an unborn or newborn baby is identified as having a potentially life-threatening condition,
- In Canada, this care is usually integrated with other paediatric palliative care services, while in the United States, independent teams may provide this care and refer to it as perinatal hospice.
Respite: Care provided by caregivers to allow children and family rest, recreation and support while the ill child’s needs are tended to in the home, hospice, alternate community or hospital setting. Supportive Care: A term that describes care that aims to relieve a person’s symptoms or suffering during illness or bereavement.
What is an example of PPC?
1. Search engines – The most obvious example of PPC is on search engines like Google and Bing. Here, you can purchase different types of ads, such as text ads or Shopping ads, to appear in different parts of the search engine. Example of PPC ad in Google search Example of PPC ad in Google Shopping Example of PPC ad in Bing search
Why PPC services?
Measuring and tracking data to fine-tune ads – This is another one of the big pluses in PPC that traditional non-digital strategies don’t offer: tons of feedback data. For specific keywords, target audiences, platforms, devices, demographics, and more – marketers can measure a wide range of metrics and use the data to improve their PPC campaign.
The importance of PPC rests on a business’s ability to accurately read their data, make adjustments to ad campaigns, wait for new data to come in, and then measure the effectiveness of their changes. This field of advertising is very data rich, and gives marketers a very granular level of data, and ad control.
As these changes can add up to huge budget savings with even greater ROI, it’s a big part of why PPC is so important in modern marketing. PPC gives businesses the ability to:
Maximize clicks based on the pre-set ad budget.Target a specific desired cost-per-action (CPA) for specific conversion styles (like product sales, signups, app downloads, etc.).Target a specific return-on-ad-spend amount (target ROAS); basically a specific balance between spend and revenue.Maximize conversion (in cases where businesses don’t mind spending a greater amount of budget).Maximize conversion value (for ads that are set up for high-value keywords).Target lowest bids for ad spaces.Set daily cost caps/budgets as well as total overall budgets.And a lot more.
All of these strategies (though they vary from platform to platform) are why PPC is important for advertisers that prioritize data. In most cases platforms like Google Ads, Microsoft Advertising, Facebook, etc, are able to automatically analyze your ad performance and make adjustments to your ads in order to target the above goals.
What does PPC stand for in SAP?
Production Planning Cockpit (PPC) for SAP ERP.
What is PCC certification?
Professional Certified Coach (PCC) Credential-holders are trained (125+ hours), experienced (500+ hours) coaches. They have demonstrated knowledge and proficient application of the ICF Core Competencies, Code of Ethics, and definition of coaching. Earners show a commitment to high ethical standards and have demonstrated, through rigorous assessment, competence in using a variety of behaviors and skills in their work with clients.
Type Certification Time Years Cost Paid
What does PCC stand for project?
Process/Project PCC – Project Change Control.
What does PPC stand for in accounting?
PPC for accountants: Everything you need to get started Pay-per-click advertising (PPC) is a great way of getting visits to — and new clients for your accounting business— while managing your advertising budget. Back in the day, you’d buy an ad in a local newspaper or a spot on local radio.
- But you’d have no idea how many people would really pay attention to your ad or whether it was driving any of them to inquire about your services.
- Sure, you might hear an occasional anecdote that would give you a sense that the ad worked, but attributing your success to these ads was not exactly scientific.
But now we’re in a completely different digital landscape. Not only can you track how many people click on your ads, but you can follow through and see how many of them took the next steps (like completing a contact form or clicking on various pages of your website.) This means PPC for accountants is a powerful tool for reaching new prospective clients to grow your accounting firm.
What is PPC vs paid ads?
What Is Paid Advertising? – The terms “advertising” and “marketing” are sometimes used interchangeably, but advertising is one component of marketing. They share the same objective to put your product, service, or manufacturing business in front of consumers.
Advertising falls under the umbrella of marketing and sits next to other components like social media and public relations. ( Click here for our dictionary on some essential industrial marketing terms,) PPC is essentially a company’s advertisements in search results or on another website to generate more traffic back to the advertiser’s site.
Paid advertising is a model that targets consumers online using different formats, like a social ad or search ad, based on the consumers’ interests or intent. Since it allows you to target a specific audience group, you have a higher chance of generating qualified leads and conversions.