This caused a strained relationship with doctors and patients and patients didn’t want to receive care anymore. The government tried to solve the problem by enacting “the Kerr-Mills Act of 1960 to provide medical indigence for beneficiaries” (Stevens, 1996). The elderly in America celebrated the fact that the government was meeting their expectations. They had access to quality health care and a program to help with medical fees. Period of Shifting Focus (1970s and 1980s)
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.
Healthcare is on a downhill spiral while going through the journey as a med student. I hope to help bring to the attention of others how serious the situation across the world with healthcare is. Many do not have the means of good insurance, or the opportunity to receive the proper medical attention. This concern has inspired me to become a travel nurse. In being a travel nurse I not only get to see the differences across the world.
With the ongoing healthcare demands and shortages, the appropriate role and responsibilities of the advanced practice registered nurse (APRN) will continue to be a controversial debate. There were many points addressed in your post that I agree and don’t agree with. It is most certainly not arguable that physicians do endure a longer, more intense education. I personally believe their role as a hospitalist is valuable and should never be discredited for their knowledge and expertise. However, I also believe that they are doing their patients a disservice if they are being overworked due to provider shortages.
Hospital readmission is used for several purposes, such as cost control or a correcting measure for length of hospital stay or other outcome. In recent years, there is a great interest in the readmission rate as a representative of quality of hospital care. So, hospital readmission can be viewed as a criteria of poor quality care and have been estimated to cost Medicare that avoidable to spending (1). Despite its use by administering for both quality of health care and cost control, however, the validity of readmission rates as a criteria of quality of hospital care is not evident (17).
Tas (2015) emphasizes the need for coordination around care in order to deal with the complications that come with chronic conditions in advance. Fragmented care focuses on disease-specific care rather than the individual’s well being as an entity. As a result, this segregated type of care, is all in all ineffective, leading to “unsustainable high costs, poor quality and inequality” (Stange, 2009). An integrated care team would work towards a holistic system, achieving optimal wellness; this system is not only beneficial for the quality of care of patients, but also helps physicians interrelate certain circumstances or complications with specific-diseases
For example, a patient comes into the hospital without understanding or speaking any English; communication becomes a barrier and a frustrating experience for the patient, which could result in the patient suffering due to not getting the help that he/she needs. To overcome this barrier, the nurse must be aware of the patient’s background and seek assistance, such as a translator in this situation. A nurse must be aware of some specific racial and ethnic groups that are at risk of certain diseases and conditions, having this knowledge allows the nurse to promote self-care to patients. The ultimate goal of transcultural nursing is to develop an understanding of cultures in order to improve providing complete care to patients.
(Marieb and Hoehn, 2016) In my clinical setting, it was expected that a level of proffesional protocol is carried out for a correct, and safe arterial reading while maintaining a hygienic and aseptic approach that is safe, and reduces the risk of detrimental harm to myself as a healthcare professional and to the patient in my care. Bp is read from patients as a matter of determining illness by monitoring what is known as a NEWS score, presenting a validating number to recognise the level of health of an individual. (Royal College of Nursing, 2015) Hypertension, high blood pressure, or hypotension, low blood pressure, can be a sign of a decreased state of health for my patients, therefore it was imperative that a bp exam is carried out in the correct way for the
They explain most HIPAA violations are due to lack of employee awareness related to patients’ privacy procedures and a deficiency in communication from management regarding education on proper patient confidentiality processes. They advocate for regular staff trainings on HIPAA laws and instruction on specific privacy weaknesses that affect their organizations’ healthcare information systems. They also explain that healthcare information system privacy training should ensure employees are aware of their responsibilities when it comes to protecting their patients’ confidentiality. They emphasize management should regularly communicate about the importance of HIPAA compliancy to their staff members and make privacy training a top priority within their organizations (Mishra et al., 2014). Staff members’ awareness and agreement through consistent communication and training sessions concerning HIPAA regulations and updates will ensure healthcare centers are adequately protecting the privacy of their patients’ healthcare
The lack of working registered nurses has been aggravated further by the increasing demand for skilled nurses to care for the aging baby boomer generation. With the baby boomer generation, adults who were born between 1946 and 1964, aging and developing many of the health problems that come along with age there is an increasing need for nurses to provide care. Lara Jakes claims, “that in nursing homes alone
One study by Arnold et al. (2010) directly compared the two drugs in question for this project and provided credible information to the development of an evidenced-based answer to the problem (Arnold et al., 2010). A second systematic review by Akl et al. (2014) researched the effects of the two drugs in question in the thromboprophylaxis treatment of patients (Akl et al.,
The fifth step is notifying the dietary department if a patient has stage III, stage IV, or unstageable pressure ulcers. The sixth step is alerting the designated Skin Care Nurse to inspect and assess every patient in the hospital with advanced skin breakdown. The seventh step is providing appropriate bed surfaces for patients and using other therapies in conjunction with the beds. The eighth and final step of the process is to place the care plan on the patient’s Kardex, which is a permanent part of the patient’s medical
The monetary effect on medicinal services has taken its toll on the quantity of enlisted attendants giving bedside consideration to patients, trading off patient wellbeing and drastically expanding the potential for negative results. A few variables have monstrously added to the nursing deficiencies throughout the years, including social insurance associations scaling back, expanded workloads, deficient staffing arranges and occupation disappointment. Ordered medical attendant to-patient staffing proportions have been actualized in a few states to date with numerous all the more attempting to pass some kind of enactment. Have these proportions influenced the nature of consideration or is it more reasonable to make staffing boards of trustees
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.
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