Quality and safety of healthcare Ace my homework – Write my paper – Online assignment help tutors – Discussion 3
CO 5: Apply improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of healthcare. (PO 8)
The Assignment
Review the story at the link below before posting to the discussion:
Rau, J. (2015 – Research Paper Writing Help Service). Half of nation’s hospitals fail again to escape Medicare’s readmission penalties. Kaiser Health News. Retrieved from http://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/ (Links to an external site.)Links to an external site.
After you have finished, consider how you would respond to the following situation:
Your local hospital has received notice from CMS (Centers for Medicare and Medicaid) regarding their readmission rates.
As a BSN prepared nurse, you have been asked to serve as a consultant to suggest a new Quality (Performance) Improvement process for ONE of the areas of deficiency. Ace my homework – Write some brief steps (suggestions) for improvement as you contemplate accepting the consulting opportunity.
Share practice improvements utilized from your own clinical nursing experiences that have led to enhanced patient outcomes.
Patient outcomes are a direct result of quality care. What would be your primer for one area of improvement that data has presented as an opportunity? What national benchmark are you comparing your benchmark to? Quality and safety of healthcare Ace my homework – Write my paper – Online assignment help tutors – Discussion 3
Example
CO 5: Use data from care processes to create and evaluate improvements to continuously improve healthcare quality and safety. PO 8
The Task
Before posting, read the story at the link below:
J. Rau (2015 – Research Paper Writing Help Service). Half of US hospitals fail to avoid Medicare readmission fines. KHN. “Half of the nation’s hospitals fail to avoid Medicare’s readmission penalty,” khn.org reports. (External link.) External site links
After that, imagine how you would react to the following scenario:
CMS (Centers for Medicare and Medicaid) has notified your local hospital about their readmission rates.
You have been invited to serve as a consultant for ONE of the deficit areas. As you consider accepting the consulting offer, jot down some quick improvement actions.
Share clinical nursing practice advances that have improved patient outcomes.
Quality care leads to better patient outcomes. What would be your data-driven primer for one area of improvement? What national benchmark do you use? Qualitas et seguridad
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As a BSN nurse, I’ve been requested to review and support a quality performance improvement strategy for congestive heart failure patients’ readmissions (Rau, 2015 – Research Paper Writing Help Service). The first step is to evaluate the pharmacy medication reconciliation to confirm the prescribed drugs represent the patient’s type of CHF. Angiotensin receptor blockers are required for systolic dysfunction with an ejection fraction less than 40%. Other targeted approaches require a beta blocker (American Heart Association, 2013). The hypertension diagnosis must be treated. An ACEI or ARB, beta blocker, and hydralize should be present. Along with cardiac drugs, diuretics like Lasix should be checked for dose and if an increase is needed. A recent echocardiography within the last six months is required for the second step; if not, one must be performed during the concurrent hospitalization. As many CHF patients are non-ambulatory, DVT prevention is required during hospitalization (American Heart Association, 2013).
Rehospitalization due to acute or chronic systolic, diastolic, or mixed heart failure must be examined. Is the patient adhering to meds, salt consumption, and weight? Reminders for physician visits and transportation options for patients are further concerns. Finally, assess patients who require CPAP or oxygen at night. Is the patient’s equipment functional and has enough oxygen? These are all items that can be recorded to avoid a 30-day readmission. Upon release, the patient and family member should be informed about the heart failure clinic. These include a tailored home management plan, daily weight and symptom tracker, bathroom scale, sodium tracker, and a pill organizer, if needed. Qualitas et seguridad
Identifying a precise diagnosis is part of my current nursing work as a clinical documentation specialist (CDS). Many patients with CHF are admitted, but the physician must provide more information than merely stating that the patient has CHF. First, acuity. Mediation, lab levels, and patient appearance distinguish acute from chronic. An increase in diuretic dosage, especially if the transition is from oral to intravenous, is required to determine if the patient is experiencing an acute exacerbation. The next step is to determine the kind of heart failure (systolic or diastolic). Patients with diminished EF have systolic heart failure, while those with retained EF have diastolic dysfunction. Some patients have both diastolic dysfunction and a low EF. The kind of heart failure affects treatment and pharmaceutical options.
References
AHA (2013). Follow the rules heart failure. Source: http://www.heart.org/idc/groups/heart-public/@private/@wcm/@cm/@gwtg/documents.pdf (External link.) External site links
A. (2016: 2024 – Do my homework – Help write my assignment online). Leadership and management for nurses: Quality care competencies (3rd ed.). Pearson, Boston.
Memorial Health (2018: 2024 – Write My Essay For Me | Essay Writing Service For Your Papers Online). Heart failure clinic at LMH. www.lmhealth.org/Services-Facilities/Hospital-Services/Heart (External link.) External site links
J. Rau (2015 – Research Paper Writing Help Service). Half of US hospitals fail to avoid Medicare readmission fines. KHN. “Half of the nation’s hospitals fail to avoid Medicare’s readmission penalty,” khn.org reports. (External link.) External site links Qualitas et seguridad
American Heart Association. (2013). Get with the guidelines heart failure. Retrieved from http://www.heart.org/idc/groups/heart-public/@private/@wcm/@hcm/@gwtg/documents/downloadable/ucm_310967.pdf (Links to an external site.)Links to an external site.
Finkelman, A. (2016: 2024 – Do my homework – Help write my assignment online). Leadership and management for nurses: Core Competencies for quality care (3rd ed.). Boston, MA: Pearson.
Licking Memorial Health. (2018: 2024 – Write My Essay For Me | Essay Writing Service For Your Papers Online). LMH heart failure clinic services. Retrieved from https://www.lmhealth.org/Services-Facilities/Hospital-Services/Heart-Care (Links to an external site.)Links to an external site.
Rau, J. (2015 – Research Paper Writing Help Service). Half of nation’s hospitals fail again to escape Medicare’s readmission penalties. Kaiser Health News. Retrieved from https://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/ (Links to an external site.)Links to an external site. Quality and safety of healthcare Ace my homework – Write my paper – Online assignment help tutors – Discussion 3
