NR 706 Week 6 Assignment; Post-acute to hospital readmission rate reduction Presentation

Put your Project Title Here Post-acute to hospital readmission rate reduction. Student Name NR 706 Week 6 Practice Problem Analysis Assignment Dr. Sandra Allen. PICOT Question. • Does frequent rounding and close monitoring of newly admitted patients to post-acute care setting as compared to current guideline recommendations decrease hospital readmission rate over a period of 8 weeks. PICOT Question. • • • • • P- Older post-acute care patients I- Frequent rounding and clinicians' encounters/assessments C- Current practice guidelines O- Reduced hospital readmission rates. T- 8-week period. Post-acute rehospitalization rate reduction      All-cause rehospitalization cost approx. $40 billion 5-79% preventable causes 10% reduction = $ 1 billion or more Increased infection concerns Quality of life reduction/affect- Prolonged illness and pain, potential harm, deconditioning and low productivity (Harris, Garrubba, Melder, Voutier, Waller, King & Ramsey, 2018). Post-acute rehospitalization rate reduction. PICOT Question. Newly discharged patients to post acute care from Hospitals Frequent rounding and oversight by clinicians Thorough assessments and close monitoring by clinicians and nurses Hospital readmission rates Compare to current practice guidelines Hospital readmission rates over 8-week period. (March & Mennella, 2018). Post-acute readmission rate reduction. • • • • • • Discharge to Community-Post Acute Care (DTC-PAC) measures Unplanned rehospitalization for 31 days post discharge Medical necessity vs. once every 30 days rounding National average rehospitalization rate 27% Patient centered care All insurance coverage inclusion clause. (Center for Medicare & Medicaid Services, 2019). Post-acute rehospitalization rate reduction. •Hospital Readmission Reduction Program (HRRP). •Six major conditions/procedure-specific 30-day-risk- standardization AMI CHF Pneumonia Coronary Artery Bypass Graft Chronic obstructive pulmonary disease 6. Elective primary total hip arthroplasty and/or total knee arthroplasty. (Hatipoğlu, Wells, Chagin, Joshi, Milinovich & Rothberg, 2018). A new approach. Meaningful outcomes. Empower both patients and clinicians to make best decisions about health. Usher in a new era of flexible state and local leadership that enables quality care provision. Reduce readmission rate in post-acute care setting. Enable innovative approaches that leads to improved quality, accessibility and affordability for all patients. Failure Modes & Effects Analysis (FMEA) Failure mode     Missed hand off reports Delayed assessment post admission Provider unaware of admissions Low rounding on patients Failure Cause    Missed care opportunities Delayed care Increased hospitalization rate (Harris, Garrubba, Melder, Voutier, Waller, King, & Ramsey, 2018). Ishikawa (Fishbone) Diagram        Medical Doctors ARNPs Skilled nursing facility/ Post-acute care setting Clinical rounding and assessments Point click care EMR and Gherimed Increased missed opportunities to provide care Higher readmission rates {(LUCA, 2016) & (March & Mennella, 2018)}. Conclusion        Frequent providers rounding Frequent assessments and closer observation Decompensation time frame Faster interventions- preventative care provision Low readmission rates Improved quality of care and life Faster rehabilitative times and discharge home sooner. {(UpToDate, 2019) & Agarwal & Werner, 2018)} References        Harris, C., Garrubba, M., Melder, A., Voutier, C., Waller, C., King, R., & Ramsey, W.