Fall Prevention
Healthcare industry is constantly changing we are seeing more technology and customer focus innovation to meet the needs and well being of the patient. The introduction of the New Healthcare Reform is challenging leaders to reduce cost, decrease waste, deliver personalized experience, improve quality, and safety. According to Mc Natt (2015), “improvement in the quality of hospital care is a fundamental aspect of health system strengthening that is directly linked to the service delivery dimension of the World Health Organization (WHO) building blocks of a health system” (p.719). Improvement in processes both internal and external will need to be continuous on a daily basis. Performance improvement projects are used to
…show more content…
There as also been a recent change in leadership and the employee satisfaction survey scores as been the lowest compared to the previous years. Rationale for Selection
The project identified is reducing the number of falls that have been steadily rising in the past eight months on the cardiac unit. In reviewing present data, there has been a steady increase of falls that has occurred in the past year and now it has reached a critical issue that has everyone concerned about practice, guidelines, and opportunities for change. There as also been a slight change in the population served were most of the patient are diagnosed with dementia and Alzheimer’s and the average age of patients 55-85years. Lawson et. al explains (2013), “Adults over age 65 are 9 times as likely to fall as the remainder of the population, and fall risk increases with increasing age” (p.31).
Patients who fall will have longer hospital stay and increase in hospital bill. According to Huey-Ming (2015), “In United States hospitals, patients with fall injuries stay in the hospital an average of 6.3 extra days longer and their care costs $13,000 more compared with patients who do not fall during hospital stays” (p.326). Joint commission national safety goal requires hospitals to reduce the risk of harm from falls. “The Centers for Medicare & Medicaid Services identified falls as a preventable healthcare acquired
Capan, K., & Lynch, B. (2007). Reports from the field: patient safety. a hospital fall assessment and intervention project. Journal of Clinical Outcomes Management: JCOM, 14(3), 155-160.
As more provisions of the affordable care act continue to be implemented many find controversy ineffectiveness of the new health plan. On an annual basis the correlation seems to grow more positive on one end, and more negative on the other. Since the start of (2014), the approval percentage of the Affordable Care Act has increased from 10% to 16%, while the percentage saying it has hurt them has also gone up, and by a similar amount, from 19% to 27% (Riffkin, 2014). Overall 41% Americans approve of the affordable care act in comparison to 53% of Americans that disapprove. The complexity of the changes really affects populations differently based on their income levels. The 2010 Affordable Health Care Act passed through congress has
The complexity of health care could take the rates on a massive trajectory that does not favor the people covered. Therefore, the financial protection that the levels of health insurance covers, help to guard against the risks related to the unexpected costs of health care. The source of coverage could still have an impact by the insurance coverage and financing alternatives that one has access to; Conversely, private insurance, social insurance, and the national health services are the types of healthcare systems by funding and provision. As we look to health care coverage and the reform of Obamacare, I’ll analyze the impact of the uninsured in the industry and look for a resolution to improve the
Ever since Obamacare was introduced back in March 23, of 2010, it has been one of the most controversial health plans debated by all government parties. The rich hate it and the poor love it. Is Obama care good or bad for the people and the economy? I believe it will be a stepping stone in the right direction for the economy and the people and protecting their rights.
The Affordable Care Act is the new health reform law that was signed into action on March 23, 2010. The Affordable Care Act attempts to reform the healthcare system by providing Americans with affordable health insurance. It helps put individuals, businesses, and families in control of their own healthcare. By the sound of it, it really looks like this is something that will positively impact the lives of Americans, and make it easier for individuals to obtain health insurance. Unfortunately, what many Americans are unaware of is that there are so many underlying issues that make the Affordable Care Act not so affordable. Issues such as penalties and taxes that certainly rack up the cost on individuals, businesses and even hospitals that make it difficult for people and businesses to be in “control” of their health care.
Healthcare reform in the United States (U.S.), continues to be a hot topic in the news. Whether it discusses how the program will be financed, the need to redesign the organization, or how the process of delivering healthcare will be implemented; one thing that is a frontrunner, is the need for registered nurses (RNs) and advanced practice registered nurses (APRNs) to fill the increased demands on the primary care system (Institute of Medicine, & Robert Wood Johnson Foundation, 2011, p. 375). “Several programs and initiatives included in the health reform legislation involve interdisciplinary and cross-setting care coordination and care management services of RNs” (Institute of Medicine, & Robert Wood Johnson Foundation, 2011, p. 377).
In 2014, the US entered into the force sensational health care reform of the protection of patients in the United States, which is called The Patient Protection and Affordable Care Act. Under this reform, all the citizens and residents of the country are required to have health insurance. It has also caused many discussions and opinions among people. Supporters of it say that this is a significant step forward, since there is no company that can refuse a person in the insurance policy. However, opponents believe that this reform will only worsen the condition of the Americans. The current health care reform has its drawbacks, such as increased fees for insurance, and the impossibility of choice, therefore, it is necessary for change.
One common theme that has resurfaced throughout the entire Obama administration and has created a great deal of focus and debate is health care reform. The Patient Protection and Affordable Care Act (PPACA) which was introduced by Obama in 2010 creates a new structure of health care. It transforms health care from “late-stage, high intensity, illness focused, tertiary, interventional health service to a much stronger value driven focus on achieving the highest levels of health” (Porter-O’Grady, 2014, p. 65). Through this act, legislation has been created that regulates the way hospitals and physicians are reimbursed, which is built on evidenced-based, quality health care outcomes that are cost effective without infringing upon patient satisfaction. At the heart of this debate is the impact on nursing care, for nursing is the largest health care professional as well as the largest component of health care costs. Any change in the health care reimbursement will greatly affect the nursing practice (Buerhaus, 2010). In order to fully understand the impact of this health care reform, one must understand that health care reform is not a new concept. Health care reform has been transforming since the 1800s.
During the formation of the United States of America, the founding fathers had difficulty to agree on common issues due to their conflicting political stances. The intention of each political party is to form a solution that is in the best interest of the citizens in the U.S and of how to govern the US following its independence from Great Britain. It is safe to conclude that some Americans base their decisions on family affiliations rather than viewing each economic, social, and political problem differently to make an informed decision. The presidential nomination of then Senator Barack Obama marked the country's breakthrough in recent years during the 2008 election. Trends showed favoritism among the young, college-aged population when he ran for office his first time. He won their votes, along with other voters, based on general social and economic proposals he intends to solve. During the President's first and second term, his administration seeks to resolve the healthcare concern, a major political and economic problem, which is causing the country's deficit to swell. On March 23, 2010, President Obama (Whitehouse.gov, 2014) signed the Patient Protection and Affordable Care Act (PPACA), commonly known as "Obamacare," into law. Unfortunately, the United States of America have not come to a unanimous agreement about Obamacare. All together it seems not every person will approve every presidential decision in the country, but Obama’s health care act has sparked some more
In my view The Patients’ Choice Act that was introduced by Paul Ryan in 2009 would have been a better choice for the new health care reform than The Affordable Care Act. Even though there is no health care crisis of the uninsured, Ryan’s plan involved incentives for prevented care that could lower cost of premiums and encourage healthier lifestyles. Under The Patients’ Choice Act, the American people retain their freedom whether to have health care or not; however the ACA has a personal mandate that requires individuals to carry health care insurance or face a fine (tax). Ryan’s plan would have ensure universal affordable health care for all Americans without increasing government spending.
In my view The Patients’ Choice Act that was introduced by Paul Ryan in 2009 would have been a better choice for the new health care reform than The Affordable Care Act. Even though there is no health care crisis of the uninsured, Ryan’s plan would have involved incentives for preventive care that could lower the cost of premiums and encourage healthier lifestyles. Under The Patients’ Choice Act, the American people retain their freedom whether to have health care or not; however the ACA has a personal mandate that requires individuals to carry health care insurance or face a fine (tax). There are consequences when people feel they have a right to health care instead of working for it. Ryan’s
Falls are considered a leading cause of mortality and injury among older adults and majority of the falls occurs while hospitalized. One would think being in the hospital would be one of the safest places for older adults as far as fall prevention is concern due to the fact that hospitals provide staffing around the clock for patients but more and more falls have been occurring in the hospital especially in the older adult population. Fall is an unintended descent to the ground. It raises public and family care liability; it also decreases patient’s functioning because it causes pain and suffering, and increases medical costs (Saverino et al, 2015). The Center for Disease Control
A fall can make wide spread consequences on the health service or can be affected seriously by the increased health care utilization. Among the fallers approximately 30% of falls result in physical injury leading to extensive hospitalization with significant hospital expenses (Tzeng & Yin 2010). Preventive care phases can support health services to regulate the spare expenditure to a greater extend. A fall in hospital consequently affects the nursing staff, which lead to impaired job satisfaction, additional work load and startling time consume. As the front line of care, nurses can prevent falls and reduce fall injury rates in acute care unit with available resources (Dykes et al. 2013). This literature review aims to assess the efficiency of planned interventions to reduce the incidence of falls in acute medical units. The discussions of the main findings of the review as well as the recommendations for further research are revealed to conclude this study.
“We will pass reform that lowers cost, promotes choice, and provides coverage that every American can count on. And we will do it this year.” The preceding is a powerful statement from the newly elected President Barak Obama. One of the main aspects of both political campaigns was health care reform. The above quote shows passion and encouragement, but the quotes about health care do not end there. Georgian republican gubernatorial candidate and health care policy maker John Oxendine expressed: “Their proposal would virtually devastate the private healthcare sector in this country along with competition and patient choice, by replacing it with bureaucratic planning and government control. The result of this plan and its one trillion
In Chapter 9, we focus on the Health Reform in the United States and in Chapter 10, we focus on the Government Health Insurance Programs (Medicaid, CHIP, and Medicare). I’ve learned about national healthcare reform attempts, the difficulties of achievement of the national healthcare reform that passed in 2010, the key components of the new health reform law (Patient Protection and Affordable Car Act), the basic structure, administration, financing, and eligibility for government health programs, and health policy questions and themes. In Chapter 9, the Health Reform is explained and the difficulties that have been brought into the United States by The Patient Protection and Affordable Care Act (ACA). “The concept of health reform can have