Multiple Chronic Conditions (MCC) means that a person is living with two or more chronic conditions at the same time. Currently, 1 out of 3 adult Americans have MCCs and for persons 65 and older 4 out of 5 Medicare Beneficiaries and a growing number of children have MCCs. This is the largest patient population and users of healthcare resources accounting for 64% of all clinician visits, 70% of all inpatient stays, 83% of all prescriptions, 71% of all healthcare spending, and 93% of Medicare spending.
Palliative care is symptom management in persons with multiple chronic conditions. The focus is on quality of life and not death. Palliative care should be integrated into the routine management of symptomatic chronic conditions such as heart failure, chronic obstructive pulmonary disease, cancer, chronic kidney disease and others. The effective management of symptoms prevents disease exacerbation, reduces hospitalization, maintains physical functioning, and improves quality of life.
Managing symptomatic multiple chronic conditions, prevents escalation and worsening of the underlying conditions. Proactive interventions to reduce the burden of symptoms such as pain, depression, insomnia, shortness of breath and others improves quality of life and promotes the ability to engage in meaningful and important activities.
Stratis Health is a trusted expert in leading health care transformation and quality improvement to make lives better in Minnesota and nationwide. Its thought leaders deliver data-driven insights, evidence-based interventions, and leading-edge improvement methodologies that inspire organizations and communities to achieve solutions to their most complex and diverse health improvement challenges. We have joined forces to enhance care coordination and patient outcomes for individuals with multiple chronic conditions.
This collaboration brings together the expertise of both organizations to develop innovative strategies and solutions to address the challenges faced by individuals with complex health needs. Stay tuned for updates on this exciting partnership.
In 2023, the CDC reported that the most common types of adverse drug events are associated with allergic reactions, side effects, over-medication, medication errors, and drug–drug interactions. Healthcare advances in new drug development, older medications with newer indications for use, an aging population, and the expansion of prescription drug coverage may lead to an increase in these events. When nurses understand what determines evidence, how to implement guidelines as standard of care, and what establishes best practices to optimize medication safety, they can help prevent medication errors.
Patients have long associated trust and respect with nursing. However, recent incidents of nurses delivering inappropriate medications (wrong drug, wrong dose) have led to catastrophic consequences. Most notoriously, former nurse RaDonda Vaught was stripped of her nursing license and charged with reckless homicide and abuse of an impaired adult.
Anticholinergics, widely used in clinical practice for an extensive range of diseases, exert effects on circulation, respiration, alertness, and vision by blocking the action of acetylcholine (a neurotransmitter) within the cholinergic system.
Providers prescribe benzodiazepines (BZDs)—also known as anxiolytics, hypnotics, muscle relaxants, anticonvulsants, and amnestic medications—to manage several symptoms and conditions, including anxiety, insomnia, alcohol withdrawal, sedation, muscle spasms, agitation, and seizures.
To ensure safety and effective care, nurses must maintain their knowledge and understanding of opioid pharmacologic properties and best practices when caring for patients with acute and chronic non-cancer pain.
Three Notice of Funding Opportunity for AHRQ’s Health Extension Collaboratives, National Coordinating Center, and National Evaluating Center are now all available. This includes fifteen grants for state-based Healthcare Extension Cooperatives to accelerate the dissemination and implementation of patient-centered outcomes research evidence into healthcare delivery. The National Coordinating Center will provide technical assistance, learning networks, communications, and dissemination guidance to the healthcare extension cooperatives. The National Evaluation Center will assess program implementation and impact. Information about a technical assistance webinar for this funding announcement is forthcoming. Questions may be submitted to AHRQ_HES@ahrq.hhs.gov.
More: Person-Centered Care Planning for People Living with or at Risk for Multiple Chronic Conditions
