Health care readmission tends to be
the episode when the patient who had been previously discharged from the health
facility is admitted again within a
particular tie interval. The rates of readmission have been used
recently in the health care services research as a tool that is used to measure
the quality of health care services. The health care readmission rates were
included in the reimbursement decision for the Centers for Medicare and
Medicaid Services as a segment of the patient protection and affordable care
Act of the year 2010, which focuses on punishing health care systems which have
high and expected rates of readmission through the use of the Hospital Readmission Reduction Program.
Following the introduction of this penalty, several other programs have been
introduced in order to minimize the health care readmission rate. Some of the
programs that have been developed are The Community Based Care Transition
Program, Independence At Home Demonstration Program as well as the Bundled
Payments for Care Improvement initiative. Also, the health care facility and
programs tends to use different time frames to measure the rate of readmission,
and the ordinary time frame used is within 30 days of discharge. This research paper will how health care
readmission may impact a health facility both negatively when it is high and
decisive when it is low(Al-Amin, 2016). Health care readmission has contributed
to increased cost in health care provision and a the same time it lowers the
quality and patient satisfaction on the health care services provided to him or
her.
Hospital
readmission as a health issue
Every health facility’s primary goal
is to provide its patients with quality and satisfactory health care services.
Health care that offers its patients with quality and adequate health care
services it presents itself with the opportunity of improving its quality of
services and also be able to increase the satisfaction of its patient
population. The readmission rate in the health care facility and the cost of
readmission tend to differ based on the age and the severity of the ailment of
the patient. Primarily readmission tends to increase the health care cost, and
at the same time, it reduces the quality and satisfactoriness of the healthcare
services. Following a MedPAC’s report obtained in the year 2007 the Congress
was able to identify that about 18% of the Medicare patient had been readmitted
to their respective health care facilities within 30 day period of discharge,
the readmission for the patients accounted for about $15 billion(Al-Amin, 2016).
This asserts that patients tend to suffer both poor quality health care
services as well as high cost in health care.
Health care readmissions or returns may, but
they tend to develop a significant set
back for the patient. The primary reason
for the numerous readmission in the health care facilities is
contributed by medical errors, failure of the treatment plan, defects in care,
shortcomings in preparing the patients and their families the health care
outside the health facility(Lackey, 2015). If the health care facilities do not
continue researching on ways to provide quality care to the patients by
reducing the rate of readmission the health care cost will always remain high
while the quality of health care cost continues to be reduced.
Significance of
hospital readmission to the nursing
Many patients tend to be in and out of the
hospital, primarily about 20% of Medicare
patients; they are often readmitted within 30 days. The main reason for this
frequent readmission is the inability to create discharge processes which are
of quality standard, minimal preparation of patients and families for the
discharge, poor communication and minimum education to he patients in regards
to the essentialness of the treatment approach.
Several studies tend to link the increasing rate of readmission with
inadequate follow up by the primary care providers and other concerned
healthcare facilities(Ballard-Hernandez, 2010). It is often essential for the
patient to be provided with a follow-up appointment within 2 to 7 days after
discharge. Nurses tend to play a significant role in ensuring the rate of
readmission in the facility has reduced.
Nurses
have often developed relationships with patients, and it is their duty to
provide the enlightenment to patients regarding the essentialness of a timely
follow-up. Nurse tend to be critical players in the healthcare team. Thus they
are required to have a clear and better understanding of the continues care
program. The knowledge of nurses plays a significant role in the development of
approaches that may be used to develop a follow as well as continuous care in
order to limit readmission, promote practical usage of resources and also be
able to reduce cost. Currently, several health facilitates are often engaging
their patients with health training before discharging them in order to reduce
the rate of readmission. A health facility that tends to establish a nursing
unit that is skilled has the ability to improve health care coordination as
well as quality(Ballard-Hernandez, 2010). Following efficient communication,
planning, education as well as coordination the nurses and the Nurse case
Managers may be able to reduce hospital readmission effectively. From the point
of admission, the nurses may mitigate the risk of readmission at several points
during the predischarge and the post-discharge periods through; appropriately
determining the patient’s readiness for discharge. By compiling a comprehensive
and accurate discharge summary. Through helping to determine an appropriate
post-discharge care setting. Through coordinating care with multiple settings
and providers, involving the patient and family caregivers in the plan of care
as well as conducting post-discharge follow-up phone calls.
Purpose of the
Research
The main aim of this research paper
is to develop an understanding of how health care readmission may be reduced to
improve quality and also reduce the health care cost. The research will focus
on the development of strategies that may enhance the quality of health care
through education of the patients regarding the essentialness of a follow- up
after discharge. Nurses play a significant role in ensuring that quality health
care services have been administered to the patients(Bottle, Aylin, & Bell,
2013). The research also seeks to focus on understanding how nurse may
contribute to ensuring that the hospital readmissions rate is reduced. The research
paper also seeks to examine how communication minimizes the frequency of
readmission. It will focus on how communication may improve the collaboration
between the Professional Care Providers, the home health care agencies, among
other agencies that are responsible for a successful discharge of the patient.
Information exchange among these agencies during transitional care may aid in
the reduction of hospital readmission
Research Question
Health care readmission is often
regarded to be an essential tool for measuring the quality of the health care
services that particular health care services provider. It is not quite easy to
measure quality based on readmission rate of the patient, but it tends to make
more sense that a patient tends to be readimitted because the services he was
provided with were not of high quality hence not being able to meet his or her
health needs. Often readmission is caused by adverse outcomes from a previous
treatment(Axon & Williams, 2011). Thus, the research topic for this paper is, “Does the rate of readmission
in the health facility accurately measure the quality of health services
provided by the health care facility?”
Master’s
Essentials that aligned with your topic
Master essentials often provide
nurses with valuable skills as well as the knowledge that aids them to change,
promote, and improve the different roles in the healthcare setting. The
master’s essentials tend to align with the research topic that I chose are the
quality improvement and safety- this essential aligns with my problem because
it focuses on aspects that may be implemented to assist in the advancement of a
health care service as well as reduce the health care cost. Interprofessional
Collaboration for Improving Patient and Population Health Outcomes is another
essential that aligns to my research topic- this primary focuses at developing
sufficient teamwork among the health care providers in order to improve the
quality of health care service. Informatics and Healthcare Technologies is the
last master’s essential that relates to my research topic- this topic mainly
focuses on the ability to use information technology to promote quality and
satisfactory health care services..
References
Al-Amin, M. (2016). Hospital characteristics and 30-day
all-cause readmission rates. Journal of Hospital Medicine, 11(10),
682-687. doi:10.1002/jhm.2606
Axon, R. N., & Williams, M. V. (2011).
Hospital Readmission as an Accountability Measure. JAMA, 305(5),
504. doi:10.1001/jama.2011.72
Ballard-Hernandez, J. (2010). Nurse practitioners improving the
transition from hospital to home and reducing acute care readmission rates in
heart failure patients. Heart & Lung, 39(4), 365-366.
doi:10.1016/j.hrtlng.2010.05.031
Bottle, A., Aylin, P., & Bell, D. (2013).
Predictors of Readmission in Heart Failure Patients Vary by Cause of
Readmission: Hospital-Level Cause-Specific Readmission Rates Show No
Correlation. 2013 IEEE International Conference on Healthcare Informatics.
doi:10.1109/ichi.2013.88
Lackey, T. L. (2015). How transitional care can be the
answer to reducing hospital readmission. Heart & Lung, 44(6),
557-558. doi:10.1016/j.hrtlng.2015.10.035
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Health
care readmission tends to be the episode when the patient who had been
previously discharged from the health facility is admitted again within a particular tie interval. The rates of
readmission have been used recently in the health care services research as a
tool that is used to measure the quality of health care services. The health
care readmission rates were included in the reimbursement decision for the
Centers for Medicare and Medicaid Services as a segment of the patient
protection and affordable care Act of the year 2010, which focuses on punishing
health care systems which have high and expected rates of readmission through
the use of the Hospital Readmission
Reduction Program. Following the introduction of this penalty, several other
programs have been introduced to minimize the health care readmission rate.
Some of the programs that have been developed are The Community Based Care
Transition Program, Independence At Home Demonstration Program as well as the
Bundled Payments for Care Improvement initiative. Also, the health care
facility and programs tend to use different time frames to measure the rate of
readmission, and the ordinary time frame used is within 30 days of
discharge. This research paper will how
health care readmission may impact a health facility both negatively when it is
high and decisive when it is low (Al-Amin, 2016). Health care readmission has
contributed to increased cost in health care provision and a the same time it
lowers the quality and patient satisfaction on the health care services
provided to him or her.
Brief introduction
to the purpose of the study
The
health facility readmission has continued to increase the cost of health care
in the United States. Health care readmission is often regarded to be an
essential tool for measuring the quality of the health care services that
particular health care services provider. It is not quite easy to measure
quality based on readmission rate of the patient, but it tends to make more
sense that a patient tends to be readmitted because the services he was
provided with were not of high quality hence not being able to meet his or her
health needs(Lackey, 2015). Often readmission is caused by adverse outcomes
from a previous treatment. The primary purpose of this study is to determine if
the rate of hospital readmission tends to be an accurate measure of quality in
the health sector.
Results
Upon conducting the research, the
research team was able to identify two major factors that contributed to the
increase in the rate of readmission in health care facilities in the United States. The two main factors that were
identified were poor information use and management and poor communication
pattern.
Poor information
use and management
The findings showed that during the
period of admission, information collected tends to be lightly reviewed. Hence
the decision made based on the information attained tends to not appropriately
support the patient’s health, which leads to readmission within 30 days of
discharge(Axon & Williams, 2011). It was also noted that upon readmission,
the health providers often reviewed the information critically from the past
patient’s health records to provide the patient with satisfactory health care
service. It was noted that when the health care providers reviewed the
patient’s past medical record, they were able to develop valid decision in
regards to the improvement of the patient’s health, hence reducing the rate of
readmission. Often health facilities tend to use the previous information to
develop a clinical decision and following on how the information is used and
managed may significantly determine the diagnosis as well as the treatment
approach a patient isprovided with.
During
admission, the patient should provide his orher past medical information to
assist the health practitioners being able to develop accurate clinical
decision regarding their health issues. The health care providers need to
create a well-documented treatment plan to be able to understand what triggered
the readmission and be able to fix the issue(Ballard-Hernandez, 2010). The
health facilities need to use advanced technology to record the medical
activities and the treatment strategies that they have offered to the patient
in order to have an easier way to develop a follow-up.
Poor communication
pattern
Communication plays a significant role in
ensuring that a patient is provided with quality and satisfactory care. For
instance, through effective communication approach standard coordinating care
with multiple settings and providers, involving the patient and family
caregivers in the plan of care as well as conducting post-discharge follow-up
phone calls may be developed hence minimizing the rate of hospital readmission
which in turn improves the quality of health care and reduces the health care
cost(Bottle, Aylin, & Bell, 2013). Following the findings on the research
conducted, it was noted that the communication pattern between the health care
providers and health care providers to patients being discharged contributed
significantly to the increase in the rate of rehospitalization. Most of the
patients who participated in the research asserted that they did not clearly
understand how transitional care worked; hence, they were not able to precisely
follow the doctors prescription.
Most
of the patient provided recommendations that the health care providers should
develop a discharge training program which enlightened the patients on how to
take care of themselves while they are at home to reduce readmission as well as
the health care cost. Also, communication between the health care providers was
found to contribute to the increase in the rate of readmission majorly(Bottle,
Aylin, & Bell, 2013). Some of the participants of the research who were
health care providers asserted that poor communication pattern was also a great
contributor to misdiagnosis. They asserted that excellent communication among
the work teams greatly impacted the health outcomebecause they would be able to
discuss the essential aspects regarding the patient’s health and be able to
develop a strong clinical decision. They asserted despite understanding the
patient’s situation from his or her past medical records, and it was essential
for the health care providers to discuss on the best treatment approach that
the patient would be provided by focusing on quality and satisfying the needs
of the patient.
Discussion
The study aimed at understanding if
the rate of readmissions in a health facility may be used to determine the type
of quality the health facility offers. The findings asserted that the patient’s
past medical record plays a significant role to determine the clinical decision
that is to be made. The health providers to always review the patient’s past
information record to be able to understand the health status of the patient to
avoid readmission. On the other hand, communication plays a critical role in
the patient’s health provision. Thus,
the health care providers need to come together, and it is through
communication; they can be able to develop an effective treatment plan. The
findings of the research have provided proof that the rate of readmission in a
health care facility may be used to determine if the health services provided
are of high quality.
Limitations of the
Study
Despite including patients and
health care providers in the research,the study mainly focused on the activities
that contribute to the increase of readmission rate and how the health care providers
contributed to these aspects. The research only focused on asking the patients
how they felt readmission was impacted them.
Study implications and future works
The findings attained from the study
created a room for further investigation on the issue of readmission by
focusing on the behavior as well as thinking among the health providers. The
investigation would assist the researchers in understanding how the health care
provider’s thinking and behavior impact the patient care decision and the treatment
approach.
Conclusion
The
results attained from the research showed that poor use and management of
patient information and poor communication pattern is a major contributor of
increased high readmission rate in the health sector. The finding also asserted that health care
providers tend to become more conservative when they are found in the situation
of patient readmission. Generally, the findings of the research have provided
proof that the rate of readmission in a health care facility may be used to
determine if the health services provided are of high quality.
References
Al-Amin, M. (2016). Hospital characteristics and 30-day
all-cause readmission rates. Journal of Hospital Medicine, 11(10),
682-687. doi:10.1002/jhm.2606
Axon, R. N., & Williams, M. V. (2011).
Hospital Readmission as an Accountability Measure. JAMA, 305(5),
504. doi:10.1001/jama.2011.72
Ballard-Hernandez, J. (2010). Nurse practitioners improving the
transition from hospital to home and reducing acute care readmission rates in
heart failure patients. Heart & Lung, 39(4), 365-366.
doi:10.1016/j.hrtlng.2010.05.031
Bottle, A., Aylin, P., & Bell, D. (2013).
Predictors of Readmission in Heart Failure Patients Vary by Cause of
Readmission: Hospital-Level Cause-Specific Readmission Rates Show No
Correlation. 2013 IEEE International Conference on Healthcare Informatics.
doi:10.1109/ichi.2013.88
Lackey, T. L. (2015). How transitional care can be the
answer to reducing hospital readmission. Heart & Lung, 44(6),
557-558. doi:10.1016/j.hrtlng.2015.10.035
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Preventable hospitable readmission
is a significant and growing concern in the United States healthcare sector.
The issue of hospital readmission represents about 20% of the hospitalization,
and the patient incurs about $18- $25 billion of unnecessary cost. The Medicare
reimbursement financial incentives and the National quality initiatives have
made significant efforts which are aimed at reducing the rate of readmission
following several strategies and interventions (Al-Amin, 2016).
The
rate of readmission for the Medicaid and
Medicare beneficiaries has continued to increase hence impacting the
United States health care provision negatively.
The primary reason for the numerous readmission in the health care
facilities is contributed by medical errors, failure of the treatment plan,
defects in care, shortcomings in preparing the patients and their families the
health care outside the health facility(Lackey, 2015). The main reason for this
frequent readmission is the inability to create discharge processes which are
of quality standard, minimal preparation of patients and families for the
discharge, poor communication and minimum education to he patients in regards
to the essentialness of the treatment approach.
Several studies tend to link the increasing rate of readmission with
inadequate follow up by the primary care providers and other concerned
healthcare facilities
As
the cost of health care continues to increase and the health care reimbursement
being dependent on the length of stay and satisfaction of the patient, the rate
of hospital readmission has become a tool that used to measure the quality of
patient care a health facility provides(Axon & Williams, 2011). Despite
being a tool of measuring quality, the rate of hospital readmission also tends
to impact the well being of the patient. The research topic tends to have a
public significance due to the health disparities for those with high risks for
readmission.
The
knowledge of nurses plays a significant role in the development of approaches
that may be used to develop a follow as well as continuous care to limit
readmission, promote practical usage of resources and also be able to reduce
cost. Currently, health facilitates are often engaging their patients with
health training before discharging them to reduce the rate of readmission.
Nurses play a significant role in ensuring that quality health care services
have been administered to the patients. A health facility that tends to
establish a skilled nursing unit can improve health care coordination as well
as quality(Ballard-Hernandez, 2010). Following efficient communication,
planning, education as well as coordination the nurses and the Nurse case
Managers may be able to reduce hospital readmission effectively.
Also, communication may improve the
collaboration between the Professional Care Providers, the home health care
agencies, among other agencies that are responsible for a successful discharge
of the patient. Information exchange among these agencies during transitional
care may aid in the reduction of hospital readmission (Bottle, Aylin, &
Bell, 2013). Through effective communication approach standard coordinating
care with multiple settings and providers, involving the patient and family
caregivers in the plan of care as well as conducting post-discharge follow-up
phone calls may be developed hence minimizing the rate of hospital readmission
which in turn improves the quality of health care and reduces the health care
cost.
Methodology and
design of the study
The health facility readmission has
continued to increase the cost of health care in the United States. Health care
readmission is often regarded to be an essential tool for measuring the quality
of the health care services that particular health care services provider. It
is not quite easy to measure quality based on readmission rate of the patient,
but it tends to make more sense that a patient tends to be readmitted because
the services he was provided with were not of high quality hence not being able
to meet his or her health needs. Often readmission is caused by adverse
outcomes from a previous treatment. The primary purpose of this study is to
determine if the rate of hospital readmission tends to be an accurate measure
of quality in the health sector.
To be able to attain
effective results relating to
the research question the study design that I used was the grounded theory approach. The study
design was the most appropriate approach because it tends to emphasize
on developing hypothesis based on the research information collected. The
strategy would assist me in being able to understand the research question and
situation of research to develop a theory that asserts that the frequency of
hospital readmission tends to measure the quality of health services provided
by the health care facility. The setting of the study design involved several
patient care units at a tertiary- care and academic center hospital. The methodology that was used to attain
information was interviewing the patients based on how they felt if they would
be readmitted within 30 days of discharge. Also, the care providers were
interviewed on what they thought was the primary cause of readmission and how
it impacted the relationship they have with their patients. The interview
conducted on the patients involved a questionnaire which comprised of about
five items. Every item required the patient to provide a yes or no answer.
Besides, there was a face to face interview, which allowed the researcher to
attain the patient’s perspective on the issue of readmission. Also, the health
care providers were provided with a question which had eight items all which
were in relation to ways of reducing hospital readmission. Also, the
researchers conducted a face to face interview, which enabled them to
understand the health providers perspective on health readmission and how they
measure the quality of health they provide. Generally, to be able to attain the
relevant information, the researchers used the semi-structured interviews on
health care providers and patients in different health care settings. A typical
sampling case study of about 20 health care providers and 50 patients was
conducted. The interviews focused on the
issue of readmission, and also codes were developed and analyzed based on the
responses using the grounded theory.
Sampling
methodology
The research was conducted at
various patient care units in a leading public health facility in the United States. The first services of the
health facility were Surgical ICUs, Cardiovascular, and general medical services.
The health facility often provides health care services to more than 40, 000
patients annually, and it holds an average of 700-bed capacity. The rates that
were used in the study were similar to the national standards.
The participants of the study were
recruited using public advertisements, as well as referrals. The recruitment
process avoided the exclusion and inclusion criteria because the survey was a
typical case sampling. Therefore the individuals who were selected to
participate in the study were conventional health care providers who were the
representative to the health care process while the patients typically
represented the community population and how they felt in regards to
hospitalization.
The Institutional Review Board and
the Nursing Research Review Committee approved the study. Also, every
individual participating was provided with a copy of consent as a participants
reference. Before commencing with the research or interview the researcher
verbally reviewed the study with the participant in detail. Individuals
interested in participating in the survey provided a verbal affirmation of
consent. Written consent was waived to prevent linking of personal identifiers
to the interview data during the consent process period.
Research tools
Researchers may use different
techniques to attain information for their research. The methods may be either
primary or secondary. The primary tools for achieving knowledge include the
questionnaires as well as statistical data. On the other hand, secondary
research tools include the internet, research journals, and interviewing
people. The tools that I found to be
essential and necessary in the study were the internet, talk from the research
participants, and the research journals. All these tools enable me to have a
more in-depth understanding of the research question in focus.
Algorithm or
flowchart created
The findings of the research showed
that health care readmission was majorly contributed by the inability to create
discharge processes which are of quality standard, minimal preparation of
patients and families for the discharge, poor communication and minimum
education to he patients in regards to the essentialness of the treatment
approach. Several studies tend to link
the increasing rate of readmission with inadequate follow up by the primary
care providers and other concerned healthcare facilities
References
Al-Amin, M. (2016). Hospital characteristics and 30-day
all-cause readmission rates. Journal of Hospital Medicine, 11(10),
682-687. doi:10.1002/jhm.2606
Axon, R. N., & Williams, M. V. (2011).
Hospital Readmission as an Accountability Measure. JAMA, 305(5),
504. doi:10.1001/jama.2011.72
Ballard-Hernandez, J. (2010). Nurse practitioners improving the
transition from hospital to home and reducing acute care readmission rates in
heart failure patients. Heart & Lung, 39(4), 365-366.
doi:10.1016/j.hrtlng.2010.05.031
Bottle, A., Aylin, P., & Bell, D. (2013).
Predictors of Readmission in Heart Failure Patients Vary by Cause of
Readmission: Hospital-Level Cause-Specific Readmission Rates Show No
Correlation. 2013 IEEE International Conference on Healthcare Informatics.
doi:10.1109/ichi.2013.88
Lackey, T. L. (2015). How transitional care can be the
answer to reducing hospital readmission. Heart & Lung, 44(6),
557-558. doi:10.1016/j.hrtlng.2015.10.035
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https://coursesolver.com/wp-content/uploads/2020/04/csesolpxel-300x52.png00adminhttps://coursesolver.com/wp-content/uploads/2020/04/csesolpxel-300x52.pngadmin2019-06-25 22:38:042019-06-25 22:38:04Designing and Implementation
Following the financial penalties
that are being posted on health facilities with a high rate of readmission,
more health facilities are being encouraged to develop efforts which will
reduce the rate of hospital readmission. The health facilities are creating
different interventions which tend to involve several components such as
patient education, medication
reconciliation, evaluation of the patient needs as well as planning for timely
follow-up and appointments. The
Affordable Act of 2010 has continued to hold the health facilities responsible
for the rate of readmission, which may be prevented. The NCAL/AHCA Quality
Initiative tends to include measurable goals of minimizing the 30day hospital
readmission b.y about 15%. This means that the health facilities are under
tight pressure to protect their revenue and still be able to provide the
patients with quality and satisfactory health care services. In the research
conducted it proved that most health care readmissions tend to occur due to the
inability to create discharge processes which are of quality standard, minimal
preparation of patients and families for the discharge, poor communication and
minimum education to he patients in regards to the essentialness of the
treatment approach. Several studies tend
to link the increasing rate of readmission with inadequate follow up by the
primary care providers and other concerned healthcare facilities. The answer to
resolving this issue tends to be revolving around predictable steps which may
be taken to improve these measures. Every health facility that wants to
continue providing health care services to the United States citizens it needs
to ensure that it has an approach of minimizing the rate of hospital
readmission. This paper will focus on the necessary steps that a health
facility may use to ensure that it minimizes the rate of readmission in the
future.
Implimenting steps to
reduce hospital readmission
Tightening the healthcare
processes
Most the causes of the preventable
readmissions in the health facilities tend to revolve around issues which are
predictable and may be understood as well as managed, ranging from the intake
process to the discharge process. The healthcare facility needs to engage its
team players to be able to identify as well as troubleshoot the segments in the
health facilitythat contribute to readmission(Simorangkir & McGuire, 2017). Some of the areas that most health facilities need to focus on are
the preadmission process- this tends to be a kind of readmission that tends to
occur because the health facility is not able to effectively care for the
patient. The health facility needs to focus on this segment to be able to
understand the level of expertise it needs to add in its team to provide
quality care. It is essential for the health facility to train its staff to
enable them to be able to take higher volumes of specialized diagnoses. The
health facility needs to track the outcome and provide a report to the health
facility- this provides evidence that the specialties are doing their work
effectively.
Advance Directives is another
approach that the health facility can tighten its health care processes. This
step tends to have a significant implication because it assists in reducing
questions from the staff, it mitigates the concerns of the family members, as
well as it, prevent hospital readmission by maintaining resident within your
building(Nuckols,
2015). The health facility needs to work its workforce
to ensure and adjust workflows by collecting advance directives information
during the period of admission to be able to develop adequate treatment
approach for the patient. The health facility needs to make the collection of
advance directives a requirement for every admission will assist it to be able
to create a medication approach that is much easier to follow to reduce
readmission. Also, it is essential to identify the best storage approach to
store the advance directives of every patient.
Evaluating vendor contracts is another way
of tightening health care processes. A vendor may contribute to the increase in
the rate of readmission if he or she does not deliver the required medical
tools or medicine on the required time(Nuckols, 2015). Thus every health
facility needs to constantly review the vendor contracts to maintain vendors
with a constant supply and do away with those who do not provide the supplies
on time.Also, it is essential to challenge vendors to tighten turnaround times
for services and make service levels conditions of contracts. And help prevent
readmissions by speeding needed services that help stabilize patients
conditions.
Nurse Skill Assessment is another
step that the health facility may use to tighten the health care process.
Generally, in the current era, patients are not only seeking to be provided
with health services rather they are seeking for servicing, which satisfy their
needs and are of high quality(Nuckols, 2015). It is essential to constantly
evaluate the skills of the nurses in the health facility to be able to offer
them training where necessary. Evaluation of the skills and qualification will
also motivate the nurse to continue improving their knowledge hence reducing
the rate of readmission.
Improving Patient Care
Several
readmission in the health facilities may be prevented following a lower cost
intervention, which is often designed to improve the experience of the patient.
The health facility needs to maintain close monitoring in their patients to
identify changes in the patient’s health.
Monitoring
of the ADL score is an excellent method of improving patient care because it
tends to track even the minor changes that may occur in the patient’s health
status. This means that a reduction in the
ADL scores the health care facility and the health providers are
provided with the heads up that they need to change on the treatment plan and
develop a medication plan that supports the patient’s health(Enos, 2017). Constant
monitoring of the ADL scores can assist the health facility in minimizing the
rate of unnecessary readmissions.
Creation
of alerts is another way that a health facility may improve the care of its
patients by developing techniques to monitor the changes in the patient’s
condition and follow up treatment(Enos, 2017). When the patient’ condition is
more critical, the higher the need for health care to pay close attention to
his or her health condition to determine if the condition is improving or
deteriorating.
Managing
medication is a critical aspect of ensuring that the patients’ care is
improved. Several pieces of research have proved that medication adherence
reduces the rate of readmission with about 10- 20%. It is essential for the
health facility administration to concentrate on identify the trends of refusal
of care and also monitor the reasons behind the refusal trends to be able to
develop a treatment approach that the patient prefers.
Developing
an effective discharge planning is another step that may assist the health
facility in improving its patient care as well as reduce the rate of
readmission. The health facility needs to develop concise instructions which
tend to promote adherence and healing by developing an easy to follow and apply
discharge instructions which include medication, side effects of the treatment
as well as assistive medical devices.
Excellent data management
The
effort the health facility makes to reduce the rate of readmission is directly
linked to how excellent and effective they collect the patients’ data. Data
collection and management is an essential segment in ensuring that any health
facility can provide quality care outcome. This step mainly focuses on how data
is captured, used, as well as the leverage care data within the health care
operation(Askren-Gonzalez
& Frater, 2012).
Improving
the workflow of data capture is the first step to having excellent data
management. When the health facility can collect more data from the patient, it
can have a better image of the patient’s health. When data is captured more, it provides room
for triggering negative alerts regarding the patient’s health. It is essential
to scrutinize every workflow to tighten up the time between interaction and
documentationThis enables the health care facility to be able to address issues
which trigger a high rate of readmission.
Patient condition Summary is another
step that assists the health facility in improving its data management(Askren-Gonzalez & Frater, 2012). This step aids in preventing unnecessary hospital readmission by
focusing on the causative aspects and developing a consolidated image of the
patient’s health. For instance, the patient may react differently with the
treatment provided, and due to the frequent condition summary, the health care
can identify the issue and change the medication plan.
Implementing a Quality Assessment,
Performance Initiative (QAPI) allows the health care facility to develop new
policies which enforce quality and management tracking. This initiative may aid
in the reduction of hospital readmission by Pointing out and fixing the risk
areas. QAPI enables health care to maintain quality care through the use of
patient data.
References
Askren-Gonzalez, A.,
& Frater, J. (2012). Case Management Programs for Hospital Readmission
Prevention. Professional Case Management, 17(5),
219-226. doi:10.1097/ncm.0b013e318257347d
Enos, G. (2017).
Provider team steps in to reduce payer’s hospital readmission rate. Mental
Health Weekly, 27(15), 1-7. doi:10.1002/mhw.30999
Nuckols, T. K.
(2015). County-Level Variation in Readmission Rates: Implications for the
Hospital Readmission Reduction Program’s Potential to Succeed. Health
Services Research, 50(1), 12-19. doi:10.1111/1475-6773.12268
Simorangkir, H.,
& McGuire, S. J. (2017). Training in Readmission Reduction in an
Indonesian Hospital. Hospital Topics, 95(2), 40-50.
doi:10.1080/00185868.2017.1300477
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Discussion will be a minimum of 250 words. Make sure you provide appropriate references and utilize APA style.. Each discussion will be allocated to a specific Master’s Essential. Discussion Rubric is attached Research project is attached.
1- Propose a research question related to your potential research project that would require a qualitative research approach. Select the best qualitative method that could answer the research question proposed? What are the strengths and weaknesses of that method?
2-Identify a practice issue that would benefit from utilizing a mixed methods approach. Discuss how the quantitative and qualitative data would complement one another and add strength to the study. Discuss the challenges that you might encounter in using a mixed methods approach. Support your discussion using current mixed methods research articles.
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Discussion: Common Sense, Science, Beliefs, and Critical Thinking
If you are like most people, you probably have opinions on just about everything. Have you ever thought about your opinions and whether they are based on common sense, your personal beliefs, or science? Does it make a difference? How do common sense, personal beliefs, and science factor into the ability to think critically and into being a scholar-practitioner? How does the perseverance of personal beliefs influence one’s ability? In this Discussion, you explore the answers to these questions and learn how to use evidence to balance common sense, beliefs, and science.
To prepare:
Review this week’s Learning Resources, focusing on the concepts of critical thinking and belief perseverance.
Think about the differences between and among common sense, science, and beliefs.
Consider how the differences between common sense and science and the connections between common sense and beliefs relate to critical thinking and to being a scholar-practitioner in your area(s) of interest.
Identify at least one strategy you might employ (or have employed) to ensure that you think critically in the presence of your personal belief system.
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The last element of the strategic plan consists of constructing the technicals. The technicals element includes items such as developing strategic goals, strategies, leading indicators of success, and performance targets. The technical elements represent the executable part of the strategic plan. As you begin to develop the technical elements, consider the goals related to internationalization and alliances. To prepare:
Review Final Project: Developing a Strategic Plan –Part 2: The Technical Elements media in the Weekly Resources.
Review the results of your environmental scan and consider strategic goals that your agency might implement.
Think about how the organization might leverage globalization and alliances in its strategic goals.
The Assignment (2–3 pages):
Develop your strategic goals (at least three). The goals must address the following:
Address issues such as globalization and how those issues might impact the strategic goals of the agency, organization, or community.
Identify potential alliances.
Identify opportunities for alliances with other agencies or organizations.
State why the alliances are important.
Develop strategies for implementing goals. You must identify at least two strategies for each identified goal.
Address issues of accountability. You must establish how and who will monitor the execution of the strategic plan. Describe how you will address accountability for each of the following:
Describe how your leadership will be held accountable for execution of the strategic plan.
Discuss the following aspects of accountability for employee:
Identify who will be responsible for executing specific aspects of the strategic plan.
Explain how employee accountability will be tracked.
Client and stakeholder accountability:
Describe the clients’/stakeholders’ roles in accountability.
Discuss actions that will be taken to continually and actively engage the clients/stakeholders in ensuring accountability related to executing the strategic plan.
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For this assignment, students will create a lifeline to
examine important milestones in their development. For the first part of your
timeline, identify at least ten past events that have had an impact on your
life. Include the age at which each event occurred and a brief description. Please try to highlight memories you actually
remember. You do not need to focus on ages that you walked/talked unless you
know that information already.
The second part of your time line should include a
prediction about at least five future events that you believe will also impact
your development. Guess the approximate age at which these might occur. Choose
three of the past events and two future events to discuss further. Explain why
each of these was (or will be) significant in your life. Discuss whether these
affected physical, cognitive and/or social development.
This is a “capstone” project which means it is
your opportunity to “show-off” what you’ve learned in this course.
Include theories and/or terms from your textbook. Be as creative as you like.
You can include photos, clip art, etc. The lifeline will be submitted in
Blackboard via Power Point. {If you wish to submit something other than a PPT,
check with the instructor for approval.}
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Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:
-A description of your core values
-A personal mission/vision statement
-An analysis of your CliftonStrengths Assessment summarizing the results of your profile
-A description of two key behaviors that you wish to strengthen
-A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.
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