Modern health 99 article Under this scenario a hospital or ACO would contract for post acute services. This could reduce cost and improve quality. The SNF would most likely be paid a sum as part of that episode care. The 100 day rule would be removed. Also hospitals would need to determine where the best and most efficient care in the community is occurring prior to contracting will local SNFs.
(2016) conducted a cross-sectional study in which they examined national representative data of hospitalized Medicare beneficiaries and they found that patients treated by female doctors had lower 30-day mortality and readmission rates when compared to those treated by male physicians within the same hospital. According to the researchers, female doctors are more likely to adhere to clinical guidelines, provide preventive care more often, use more patient-centered communication, perform as well or better on standardized examinations, and provide more psychosocial counseling to their patients than do their male peers. This differences among female physicians and their counterparts has profound implications for patient outcomes, satisfaction being one of them. Motivated by Tsugawa et al. (2016)’s study, Wallis et al.
Patients in different healthcare settings are vulnerable due to their conditions and sometimes lack the ability to share their challenges such as poor quality treatment and hospital-associated infections. There are cases when hospitals undermine ethics and ignore their patients’ values and interests. Healthcare professionals therefore have a responsibility to empower their patients with information on important medical decisions. However, some nurses ignore the need to communicate the risk of hospital-associated infections leading to undesirable outcomes. In cases when a hospital records a higher rate of HAI, it is important to inform a patient of the risk.
The hypothesis was “a state-wide ED based telepsychiatry program would result in better rates of outpatient follow-up and reduced inpatient service use and cost” (Narasimhan, M., Druss, B. G., Hockenberry, J. M., Royer, J., Weiss, P., Glick, G., Magill, J. 2015). The study addresses the problems the Emergency Department faces with patients seeking mental health services. ASSIGNMENT FIVE, SUMMARY OF THREE ARTICLES 5 Eighteen hospitals participated in the study. The study provided 24/7 coverage with full time and part time telepsychiatrists.
It is crucial to maintaining the appropriate nurse-to- patient staffing ratio for providing safe patient care outcomes. Nursing shortage lowers the nurse to patient ratio that can increase medical and medication errors, patient complication, mortality and also increase dissatisfaction and burnout among nurses. According to researcher Shekelle, he found the significant relationship between high patient-to-nurse ratio and mortality rate. For example, in 232 342 patients discharges, post surgery of some hospitals in Pennsylvania, 2 percent (4535 patients) died within 30 days of hospitalization. As the result, this study found the difference between 4:1 and 8:1 ratios of the patient each nurse has may cause about 1000 deaths of the total amount
Granting that a correct diagnosis is not guarantee of correct treatment, given the state of the art, diagnosis is important nevertheless because the induced consequences of misdiagnosis can be catastrophic (Harkness, 2011). One of the biggest concerns with diagnosis in clinical social work is misdiagnosis. Failures to diagnose, misdiagnoses and incorrect treatments as among the most frequent malpractice claims filed against social workers. Although most social work malpractice is rarely proven (Harkness, 2011). The National Practitioner Data Bank showed studies that in the nature of the malpractice allegations that led to settlements or judgements were withheld or missing 54 of the 2 clinical social workers, 104 of the 179 valid allegations were diagnosis related to failure to diagnose or wrong or misdiagnosis, and 64 were treatment related, failure to treat, improper management, improper technique, or wrong procedure or treatment.
Pearlman (2013) says, “there will be a decrease of mental health providers by 18% to 21% in 2014” (p.332). The one exception to this is the increase of advanced practice psychiatric nurses (APPNs). Implementing a team-based approach to patient care supported reducing some of the burdens and stressors brought by the new ACA felt by healthcare workers (Zamosky,
Abstract Objective: Emergency department (ED) overcrowding is a worldwide problem associated with adverse outcomes. This study was performed to investigate the association between ED overcrowding and the outcomes and quality of cardiopulmonary resuscitation for out-of-hospital cardiac arrest (OHCA). Methods: Prospectively collected data including patients’ demographics, Utstein factors and outcomes on 608 consecutive OHCA patients at a single ED from January 2008 to December 2012 were retrospectively analyzed. The patients were categorized into 4 groups according to ED occupancy rate. The primary outcome was resuscitation outcome, a composite of rates of return of spontaneous circulation (ROSC), survival at discharge and neurological outcome at 6 months.
Nursing burnout is the major cause of patients that have died from acquiring infection during hospital stay. The risk factors of burnout lead to cognitive detachment in nurses, resulting failure to perform adequate hand hygiene and other infection preventive measures. The study presented that for every 10% increase in nursing burnout, the rate of catheter associated urinary tract infections increased one per 1,000 patients, and surgical site infections increased more than two per 1,000 patients every year. Over 1/3 of the nurses surveyed, estimate that reducing the burnout rate of 10% would prevent over 4,000 infections per year, and also eliminate the associated monetary cost of these infections. (Dr. Cimiotti,
Elderly patients often experience multiple co-morbidities and prescribed number of medications thereby increases the risk of adverse events (AEs), drug-disease and drug-drug interaction. This risk is more by age-related physiological changes, which influence ADME and pharmacodynamics. Particular drugs shows additional risks to elderly patients as a result of these changes, e.g. increased risk of upper GIT bleeding with NSAIDs and increased risk of falls and prolonged sedation with long-acting benzodiazepines or Prescription of such drugs is potentially inappropriate to use when safer alternative drugs are exist. Some studies by using Beers' criteria are controversial.
The number of persons over the age of 65 will double by 2030. The older population may also present with comorbidities that demand more physician services. Of the 83 million people over age 62, 14 million will have diabetes, and 21 million will be obese. However, first year enrollment in medical schools has declined every year since 1980.Other conditions that will drive demand for physician services include rates of heart disease and cancer, two of the leading causes of death in the U.S. It is projected that the shortage will most affect the primary care sector of physician services.
Although the effects of e-prescribing seem promising, this was one of the only few studies that have been done to prove its effectiveness in outpatient setting. I would recommend more studies to be conducted to convince more health care practices of the effectiveness of e-prescribing. Technological advances have improved patient safety and quality of care. E-prescribing is a technological development that can contribute to patient safety by reducing prescribing errors. The Food and Drug Administration receives about 300 medication errors a month.
Most healthcare facilities integrate hourly rounding to help reduce falls. A quasi- experimental study was conducted by (Olrich, Kalman, & Nigolian, 2012) to determine the efficiency of hourly rounding in hospitalized patients on a medical-surgical unit. The researchers compromised of nurse managers and a clinical nurse specialist educated the nurses and nursing assistants on the importance of hourly rounding and questions to ask when performing hourly round. Some of the questions asked during the rounds included toileting assistance, pain, position and making sure personal items were within reach. At the completion of the study, there was a 23% decrease in falls and an increase in patient satisfaction on the
“The cost to the family and the larger society can be used as one measure of the effectiveness of current and future treatments” (Perkins et al.). It is said that the estimate of the annual cost of a pediatric stroke hospitalization in the United States is about $42 million, however, this amount decreases in comparison with adult stroke. Either way you see it pediatric stroke is still very expensive, because from those children that survive stroke maybe about 50% to 80% will have permanent neurological damage such as hemiparesis
Did you realize that as per the Agency for Healthcare Research and Quality around 700,000 to1 million patients fall in hospitals each year. 11,000 of these falls result in death. This increases hospital costs to more than $14,000 extra dollars and the patient’s length of stay is increased by an extra 6 days. This is considered a hospital acquired condition. Medicare and Medicaid do not reimburse hospitals for this!