Heart failure is a health condition affecting millions of people worldwide. Heart failure readmissions for healthcare agencies continues to be an area of concern due to the cost associated with each readmission. Readmissions to the hospital for heart failure is tied to reimbursement and financial penalties. Developing a plan to combat readmission is a difficult task. Therefore, an phenomena of interest is to investigate how a comprehensive heart failure educational follow- up program will aid in decreasing hospital readmissions within 30 days of discharge?
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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.
I – Intervention: What is the intervention being considered? C – Comparison: Is there a comparison intervention? O – Outcome: What are the anticipated actions, improvements, or affects? The addition of T – Time: Is included in this research due to the problems being acute setting care
Patient Readmission Patient/hospital readmission has always been a major issue facing the healthcare system but recently in my unit, many patients are being readmitted as early the same day. In 2012, Social Security Act establish the Hospital Readmissions Reduction Program, which requires CMS to reduce payments to IPPS hospitals with excess readmissions, effective for discharges. (Center for Medicare and Medicaid) Readmission is defined as admission to a hospital within 30 days of discharge. I will use John Hopkins Nursing Evidence Based Practice Model to help decrease the rate of readmission.
A hospital’s primary goal should be to provide quality medical care to the patients so that they can be as healthy as possible. A possible way to be able to measure the quality of care a hospital is giving would be to look at their readmission numbers. If a patient is readmitted into a hospital in a short period of time after being discharged, then it is very likely that the hospital did not fully address the patients’ health needs during the initial stay. In an effort to improve the quality of service that hospitals are giving, the Medicare 30-day readmission rule was established to help by incentivizing hospitals to provide better quality care for its patients or be financially penalized.
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.
1.Congestive Heart Failure also known as (heart failure) is a life threatening condition. Heart Failure is caused when someone has a weak heart. It usually happens when the bodies blood pump to the heart is not pumping blood to the heart correctly.
Identification of a Clinical Problem: Transition Skills Therapy The Institute of Medicine focuses on patient safety in order to promote policies and best practices that create safe and high-quality health care environments. Developing a pre-community discharge program would impact patient safety and quality of care both in the facility and post discharge for optimal safety and success in the community setting. The steps required to ensure quality of life in the community, relies heavily on a pre-discharge plan. [Here, a comma separates the subject from its verb and the rest of the sentence. This can confuse the reader by creating a false break in the idea.
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
Towards the end of stage two, you ought to be prepared to start more free practice and action. Phase III (Intensive outpatient Therapy): Stage three of heart restoration includes more free and gathering activity. You ought to have the capacity to screen your own heart rate,
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
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.
By shadowing a cardiologist, Dr. Chaim Gitelis, I learned about the anatomy and pathophysiology of the cardiac system. While shadowing, Dr. Gitelis taught me the fundamentals of reading an EKG and echocardiogram as well as the basic management of cardiac disease. I interacted with the patients on the inpatient wards and well as the clinic. Dr. Gitelis impressed upon me the importance of giving each patient the time they need. He clarified the patient’s problem, discussed his thoughts with respect to the patient’s disease, and explained how he planned to treat each patient.