Optimal Health for Individuals Experiencing Trauma

Citizens4Health
Draft · 3 min read

Typical Example

Tom Jones, an 18-year-old high school student, broke his femur while playing football. An ambulance promptly transported him to the local emergency room. Following an uneventful surgical procedure, Tom received physical therapy to rehabilitate his leg and maintain his body strength. He returned as the team quarterback eight weeks later.

Population (in United States)

12 million

Total Cost/Person/Year

$25,000

Total Cost/Year

$300 billion

Priority Concerns for This Population

Return to healthy state with minimal suffering and disruption

Major Components of Health Care

Emergency services, hospitals, physicians’ offices, medications, or short-term rehabilitative services

Goals for Health Care

Getting well

Optimal Care for Acute Illness

Cost:

Basic cost for health care services, treatments and support services are covered fully.

Coverage:

The coverage is universal and not dependent on the condition, stage of life or ability to pay. Supplemental insurance may be purchased. Plans may compete of riders for additional services. Employers may also provide additional services.

Access:

Emergency Medical Services that can provide immediate care and transfer to appropriate level of care. Equal access to health care services tailored to situation. Administrative needs are minimal.

Quality Health Care:

Patient Centered (No Helplessness or Unjustified Routines): Care is patient centric and is provided with dignity, cultural sensitivity and respect for the person. Information is provided in age and education level appropriate manner. Informed and shared decisions reflecting parents’ values (constrained by legal limits).

Safe (No Harm): Care that is provided will be safe from errors.

Effective (No Needless Failures): Specific outcomes will be measures and adjustment in the services made. Recommendations from national agencies and groups will be followed.

Efficient (No Waste): For brief acute episodes, diagnosis is made and care provided in timely efficient manner. A treatment plan is formulated according to an informed dialogue with the person or their legal representatives. Government and professional association guidelines are readily available and are transparent. Regulatory agencies oversee quality of services, and advertising to consumers.

Timely (No Needless Delays): Evaluation and treatment for brief acute episode is available promptly. Convenient and responsive scheduling, no waiting for health care services; immediate access to results of tests; immediate access to clinical guidance and other information; timely education and support;

Equitable (No Unjustified Variation): Care is provided universally with no bias due to personal characteristics. Regulatory agencies oversee quality of services, and advertisement to consumers.

Coordination of Care:

Care is patient centric and revolves around the patient and their doctor (clinician). Public health services that have provisions for early identification of community trends. Education regarding risk factors and practical ways to avoid them. For identified problem and secondary prevention, care is coordinated regionally, through medical records, supported by privacy provisions.

Innovation:

The goal of innovation is to improve quality of the person thorough achieving and maintaining optimal function. Personalized medicine, identified early susceptibility based on genetics, technological tools to assure compliance with treatments and ability to monitor response to interventions. Utilization of personal medical records that can automatically provide reminders of needed screening, immunizations and monitoring response. A personal record of treatments for acute episodes including medications and side effects that is paper or electronic based. Advance care plans available for those interested. Access to information about treatment options is available in language and level of education of the person. Secure message capability.