Hospital Readmission Case Study
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. John Hopkins evidence base model has three core elements; these are practice question, evidence and translation.
Greystone Parks Psychiatric Hospital Case Study
525 Words | 3 PagesThese are considered to be the admission units, an assessment is then completed. Once patients are treated and symptoms have resided within 30 days patients are released to resume their lives. In addition to, 50% of the people admitted are discharged back into our society. On the other hand, if people are admitted they are moved to other units. When patients are experiencing a crisis moment all available help is needed.
EGT1 Task 3
305 Words | 2 PagesThe data collected was over four weeks, from May 11, 2015 to June 5, 2015. Ten hours days four days a week for a total of 160 hours. The average patient volume assigned to the nurse was 8-10 per day. The method of recording was checks made on a calendar with brief notations of the conversation between the nurse and the patient care technician. CHECK (C)
HF Readmissions: A Case Study
107 Words | 1 PagesHF is not only detrimental to the patient but also impacts funding, reimbursement methods, economy, businesses and cost of our society. The rate of HF readmissions will continue to increase with time due to the aging population. Implementing strategies to offset these causes are important for the financial growth of healthcare today. Elimination of all probable causes prior to discharge will result in evidence based outcomes and promote a longer lifespan.
Carer Corey Lucas Code Of Conduct Of Person Centered Practice
1200 Words | 5 PagesThere are many concerns the scenario illuminates for practicing nurses. Prior to going out on placement to a healthy facility,
Management Of Care Case Study Essay
2012 Words | 9 PagesManagement of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Initial Post: Evidence Based Practice
719 Words | 3 PagesDeb Kanya Initial Post Polit & Beck, (2012) describe Evidence-Based Practice (EBP) as an integration of clinical expertise, patient values, and the best research evidence. One of the more challenging aspects of EBP is the actual research on a particular topic. The fact is there is a multitude of journals and reviews etc. on any given subject; for this reason it is imperative that one knows how to conduct a proper search for pertinent information. Due to the complexity of literature searches and the amount of information available it is prudent to follow a guide while doing research.
30 Day Readmissions Research Paper
1057 Words | 5 Pages30 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.
Hospital Readmissions
393 Words | 2 PagesWorking 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
Hourly Rounding In Nursing
669 Words | 3 PagesDuring the extended hospital stay, the cost of treatment also increases, sometimes by about 61 percent of the normal charges for treatment (Guse et al., 2015). Evidence based practice has shown evidence that hourly rounding can decrease the general hospital stay significant while at the same time cutting down the cost of treatment through reduction of falls. Nurses against this change complain of increased commitment on other duties, making it difficult for them to attend to their patients within the hour (Marquis & Huston, 2015). It should, however, be understood that hourly rounding may never be successful without teamwork. The absence of one nurse during the hourly rounding should be substituted by another nurse without regular complaints about personal patients.
Evidence-Based Decision-Making Process Analysis
525 Words | 3 PagesEvidence-based decision making becomes the process for achieving evidence-based practice. In decision making process, it involves asking focused answerable questions, obtaining evidence, and application of the findings to practice, and reexamining the process (Brown & Ecoff, 2011). Initial assessment of a problem is the earliest or first step to EBP decision making. The assessment unveils so much about a problem at hand, such as identifying a problem, recognition of key stakeholders and their understanding and attitude towards the identified problem (Brown & Ecoff, 2011).
Hospital Readmission Rule Essay
795 Words | 4 PagesAs mentioned previously, the Hospital Readmissions Reduction Program was introduced to improve quality for patients and reduce costs. The Hospital Readmission Reduction Program helps improve quality by giving hospitals an incentive to have less Medicare patient readmissions within 30 days by penalizing the hospital if they have too many readmissions. By having this potential financial penalty, hospitals will want to provide their patients with the best quality treatment so that the patient is not readmitted within 30 days. While the Medicare 30-day readmission rule helps the quality of care that Medicare patients receive, it also has large financial impacts on hospitals. Whenever a hospital has higher readmission rates than the ERR set, the Hospital Readmissions Reduction Program penalizes the hospital by reducing the Medicare payments (Gai & Pachamanova, 2019).
Essay On Hospital Readmission
441 Words | 2 PagesReadmission 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
John's Model Of Reflection Report
1186 Words | 5 PagesIt is a five-step process, comprising of questions within each step to allow you to self-examine yourself and the event. Step one is the narration of the experience, step two involves the reflection of what the main goal was, step three is the factors which influenced the reaction, step four is the assessment of what could have been done differently to improve the experience and step five focuses on the learning from the experience. Step five also allows health professionals to examine their own feelings about the experience. Johns model focuses on developing new knowledge and awareness of incidents which occur from health care practices (Johns, 2013). This model allowed me to gain a more in depth understanding of my experience, thus improving my own personal and professional development.
Advantages And Disadvantages Of Gatekeeping
1952 Words | 8 PagesAccording to Wasson et al (1984), gatekeeping shows reductions in hospitalisations. This claim is proven effective through a study done by the (Scandinavian Health Publication 2011) of determining whether gatekeeping can slow down hospitalisation rates. The study was positive in which gatekeeping in fact does reduce hospitalisation rates. The study was conducted in several ways (percentage of patients with at least one inpatient episode in the observation period). The number of hospitalisations per 1000 patients, number of hospital days per 1000 persons.
Carroll University Hospital Case Study Solution
869 Words | 4 PagesBased on this case the cost driver is to properly distribute the direct cost among the different divisions. Dr. Julian would like to control her departments costs by having them distributed fairly among the divisions without affecting the hospital’s reimbursement/revenue. Carroll University Hospital is currently using the standard costing unit, which is based on the cost of bed/day for inpatients. Currently the present cost accounting system that is being used at CUH takes the total direct cost of the departments, then allocates the indirect costs and distributes it among the departments evenly regardless of the actual resources being used in those departments, and without considering that there may be some patients in these divisions that may require more resources than others, this method does not seem to recognize the different activities,
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