Health care personnel and quality improvement professionals are focusing their attention on identifying factors that are causing high rates of readmissions. This focus is being driven by the Hospital Readmissions Reduction Program which was implemented as part of the Affordable Care Act. “Effective October 1, 2012, organizations with high 30-day readmission rates for acute myocardial infarction, heart failure, and pneumonia could see their annual hospital Medicare payments reduced by 1%, according to a final rule from the Centers for Medicare and Medicaid Services (CMS)”. (Clancey, 2013) Hospital readmissions are an increasing problem in hospitals across the country. Readmissions are not only costly but they jeopardize the health of the elderly who are at risk for loss of function, hospital-acquired infections, and other poor outcomes when hospitalized. While some hospital readmissions cannot be avoided, frequent readmissions of chronic disease can be prevented through proper …show more content…
Brian Jack was granted funds from the AHRQ for research project on readmissions. “His research demonstrated that patients who are discharged from the hospital with a clear understanding of their after-care instructions are 30% less likely to be readmitted within 30 days or visit the emergency department than patients who lacked this information” (Clancey, 2013). Project BOOTH (Better Outcomes for Older adults through Safe Transitions) was developed to reduce readmission rates by offering resources and expert mentoring to clinicians, enhance patient and family education, and improve the flow of information to health care providers in the inpatient and outpatient setting. Another resource to reduce readmissions is the Patient Safety Organization. It offers clinicians and health care organizations the ability to voluntarily report, share and learn from patient safety information without fear of legal
Although, due to the recent presidential election, it is currently uncertain how HF readmissions may affect our future economic standpoint. Therefore, the healthcare environment must continue to review processes to be incoherent with possible upcoming changes.
Reading your post brought back memories working as a traveler nurse in California at Kaiser Permanete (KP). I believe KP is one of America 's leading nonprofit integrated health plan, well that was what drilled into our head during hospital orientation. One thing that I do remember and experienced for sure was that their main focus was on the health and well-being of its members, in disease prevention and patient education. The KP hospital I worked at was located in West Los Angeles, this particular facility had a primary care office, hospital and even an onsite pharmacy. One thing that as a floor nurse had to do with every patient upon discharge is to bring the patient a computer of wheels and set up their personal health records.
Highly motivated to impact patient safety and quality of care. Experience with project management within Bellin’s refill pilot team, involving one-one training with orientation, competency assessment completions, evaluation of knowledge and understanding, in addition to implementation of evidenced-based practice involvement with protocol utilization. Achieved bachelor’s degree in nursing from Marian University May 2013. Part-time nursing master’s student at Marian University graduation anticipation December 2019. Licensure/Certification: WI Nursing License (File Number: 198659-30), CPR/AED Certified, NIH Stroke Scale Certification (2015), Pain Management Course Completion.
Their mission is “to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value”, (Joint Commission, 2014). The accreditation from the Joint Commission can be earned by multiple health care organizations including critical access hospitals, office based surgery centers, behavioral health care facilities, and home care services. For a hospital setting, the Joint Commission places the performance measures into accountability and non-accountability measures. They look at research and if the facility is performing evidence-based care process which improves health outcomes, proximity which the care process is linked to the patient outcomes, accuracy for whether or not the care process has indeed been provided, and any adverse effects. To earn and maintain The Joint Commission’s Gold Seal of Approval™, an organization must undergo an on-site survey by a Joint Commission survey team at least every three years (Joint Commission,
30 Day readmissions for CHF patients David Herbetko Thomas Jefferson University 30 Day readmissions for CHF patients Abstract Hospital readmissions are a prominent healthcare issue today. The Centers for Medicare and Medicaid Services are experiencing financial losses in the billions in regards to this patient population. Within the Patient Protection and Affordable Care Act, Section 3025 passed the Hospital Readmissions Reduction Program. This program identifies hospitals with large-scale readmission rates for patients within thirty days of discharge related to congestive heart failure, heart attack, and pneumonia, and marked them liable for the penalties of the program.
In 2013 CMS implemented a penalty for hospitals that have higher than average readmission rates in the selected disease
Growing up, I have had my fair share of medical encounters, and was even on state insurance for most of my life. This meant that exceptional care was not always in reach, as I had to visit overflowing medical facilities and was unable to choose the better treatment options due to finances. Due to this, I advocate for my patient’s daily at work by calling insurances and working out the logistics of getting them the care they need, or helping them find resources if we hit a dead-end. Putting their care first, each and every day, has helped me advocate for patients of all populations.
The history of one of today’s greatest non-profit organizations, Johns Hopkins Hospital, starts first with one humble entrepreneur who dreamed of a better life for people all across the globe. According to an article written by Johns Hopkins Hospital, Johns Hopkins intentions for his hospital were as follows; “…to create a university that was dedicated to advanced learning and scientific research, and to establish a hospital that would administer the finest patient care…to care for the indigent sick of this city and its environs, with regard to sex, age, or color, who may require surgical or medical treatment, and who can be received into the hospital without peril to the other inmates, and the poor of this city and state, of all races, who
The ACA and the Health Care Delivery System a Critics have claimed that the ACA overlooked the need to reform the delivery system in our nation so as to constrain its costs and improve its quality. A careful examination of the law, however, shows that it constitutes one of the most aggressive efforts in the history of the nation to address the problems of the delivery system. Just over 5 years ago, on March 23, 2010, President Barack Obama signed the Affordable Care Act (ACA) into law. Its enactment may constitute the most important event of the Obama presidency and could fundamentally affect the future of health care in the United States. From a historical perspective, 5 years is a very short time, far too short to assess definitively the
Working in a renal/urology medical-surgical unit, it is a challenge for both the nursing staff and nursing administration to have readmissions due to fluid and electrolyte imbalance from patients with ESRD and CHF. In my own experience, patients who have been in and out of the hospital for the past six months to a year are at a higher risk of acquiring nosocomial infections resulting in a weaker immune system to an already compromised one, as well as longer hospital stay. Readmissions from these patients pose as a physical, emotional and financial strain to both patients and/or their families. Additionally, readmissions within 30 days for patients with CHF poses as an additional cost for hospitals as there is reduced Medicare payments for Inpatient
With this knowledge for these populations, it is essential to include FCC components in the hospital-school transition program. FCC components include the following core concepts: information sharing, dignity and respect, collaboration, and involvement. Information sharing is important to include in this school-reentry program because it is important to communicate between the entire unit in useful ways while providing complete and accurate details, and including families in the decision-making process. Dignity and respect are important for this transition program because the healthcare team should support and honor patient/family ideas to individualize the reentry process. Collaboration is a key concept of FCC that should be included in the school-reentry program because it invites everyone to work together to develop the most effective and customized plan for the patient.
When a patient enters a hospital, he/she usually places a high level of trust within that nurse/doctor. Trust, is very essential in all forms of health care. Business wise, it becomes influential and encourages the use of the health care facility and services which is very beneficial and effective to the health system. When that trust is violated, patients tend to find alternative methods of care or professionals. Ultimately, violations of the HIPAA law should not be made.
Readmission causes vary between countries, regions and healthcare centers, at least part of them can be avoidable (3-5). In the US by the Centers for Medicare and Medicaid Services in 2009 readmission causes are reported for pneumonia, congestive heart failure, and acute myocardial infarction (6). Previous studies addressing the risk of readmission proposed risk models for specific
PATIENT CARE EXPERIENCE AND PARTNERING IN CARE Name of Student Institution Affiliation Patient care experience and Partnering in care Health care is continuously evolving with improvements in cures and medical equipments. Nevertheless, this does not transform into better health care delivery. To ensure proper and satisfactory services in the health care industry, it is important to focus on patient care experience and partner in care along with the families. We discuss this approach and its benefits, especially for the elderly like Mr. Taylor and how it helps them overcome the barriers they face for healthcare delivery.
Being formed in 1948, the Universal Declaration of Human Rights helps recognize “the inherent dignity” and the “equal and unalienable rights of all members of the human family”. Based on this very concept of the person, and the fundamental dignity and equality of all human beings, that the notion of patient rights was developed. Patient rights involve those basic rules of conduct between patients and medical caregivers as well as the institutions and people that support them. A patient is anyone who has requested to be evaluated by or who is being evaluated by any healthcare professional.