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What Makes us Sick? Look Upstream. Rishi Manchanda (Video-18:17 min)
What is an Upstreamist in Healthcare? IHI Open School Short (Video-4:45 min)Discussion Prompts:1. What or Who is an Upstreamist in healthcare?2. Compare and contrast “healthcare vs. sickcare.”3. How can an Upstreamist help to remove barriers to health within my rural community?4. What is a root cause analysis? Justin Buckley posted Sep 29, 2022 6:10 PM
A upstreamist is a patient advocate. Upstreaming is a relatively
new approach to healthcare where the main focus is not the
disease but the root causes. It is a preventive approach to
medicine that can cut financial costs while providing safe and
effective care for the patient.
Healthcare is just caring for one’s health; an individual’s health
can vary at different points in their life. Healthcare promotes
healthy lifestyles and decisions to leave patients better off than
they were. Sickcare is a term for modern medicine; it focuses
on symptoms and not the underlying causes. The patient may
improve while away from their routines, but reintroduced
without guidance can lead to regression. Upstreamists help
remove barriers by involving themselves in patients’ routines to
uncover causes that may explain their condition. Once a cause
is discovered, they remove it or provide the patient with
resources to improve their needs, such as lawyers or other
public health figures.
To find the underlying cause of the disease. Regarding a
upstreamist, a root cause analysis focuses on the conditions
around the patient’s daily life. Focus on what happens in the
patient’s home, work, or environment. They then bring in
outside recourses to help alleviate the problem. This does not
guarantee the patient will improve, but it will positively impact
the patient’s health if environmental conditions are a factor in
the patient’s health.
Shriya Amin posted Sep 29, 2022 3:46 PM
1) What or Who is an Upstreamist in healthcare?
An upstream is somebody trying to find the root causes of
health care’s significant challenges and specializing in the bar
instead of reactionary treatments. Any public health
administration would be upstream dieticians, physical
therapists, and even specific medical disciplines may be
upstream if our mentality modification from treating a
condition to slowing or halting a condition and stopping
others. This change in mindset would cut back the number of
complications in patient conditions and improve the standard
of care by forcing it to be comprehensive.
Upstream interventions are tackled through health policy that
impacts systems similar to structure initiatives such as health
insurance. These macro-level interventions can be challenging
to assess because of the quality of pathways that links to direct
health outcomes, and they often have a long-run result.
2)Compare and contrast “healthcare vs. sickcare.”
Sick care is damage control. The evident want for sick care is in
emergencies, reaching accidents, traumas, and acute
conditions. Management of chronic conditions like heart
disease, cancer, and polygenic disease is also enclosed in sick
care. The goal of sick care is to prevent it from obtaining worse.
The sick care model infrequently focuses on moving back
towards health and preventing the matter from occurring
again.
Health care is wellness. Everything helps progress towards
health and contains issues from occurring more or within
the initial place. This includes nutrition, exercise, whole food
supplements, dental care, treatment care, massage, and
acupuncture. Health is on one end of the spectrum,
and illness is on the opposite. The position in this
range will shift toward one aspect or the other factors. On the
health end of the scope, the main focus is on interference and
being proactive in doing things to support health. On the ill
end, the main focus is addressing the crisis and being reactive
to the sickness or illness.
3) How can an Upstreamist help to remove barriers to health
within my rural community?
Improving healthcare services
depends partially on ensuring that individuals have a usual
and current supply of care which, in turn, helps patients
have higher health outcomes. However, first, patients need
to be able to realize a medical care service. Facilitate their
return by reaching out to underserved populations and
making it convenient for them to contact practice.
For patients eligible for the Medicaid chronic care management
program, the excellent care arrangement should be shared
electronically with different treating. Even for people who are
not, the documentation compiled over regular medical care
visits is essential to ensure that patients receive proper care
from specialist services. Thorough documentation begins with
mistreatment medical authors, which transcribe every patient
meeting because it happens so that the physician will maximize
the data produced from patients throughout limited visit time.
4) What is a root cause analysis?
Root Cause Analysis is a structured method used to analyze
serious adverse event in healthcare. The goal of an RCA is to
spot any underlying issues in processes that increase
the probability of miscalculation with a non-punitive approach.
Once done effectively, an RCA will identify factors that
contributed to an adverse event so that measures are
often placed in situ to deal with causative factors, improve
patient safety, prevent incidences from happening in
the future, and reduce risk-related prices.
Creating safe, fear-free surroundings for incident reporting
is vital to initiate a thorough Root Cause Analysis. Reportage of
an event triggers the initiation of an RCA.