Avoidable Hospital Challenges

Prevention Issue: avoidable ER visits 2. Population: Seniors 65 years or older 3. Setting: Seniors living in the community in select independent facilities in Montgomery County, Maryland with Medicare with 2 or more emergency room visits within 6 months. Describe the population demographics and health issues based on national, state, and/or local data (use sources below) Avoidable hospital encounter has become an ever growing concern and presents a major challenge for hospitals tasked to reduce cost

to address this issue. The challenge is expanding the reach of the program. Currently, this program has isolated a small subset of the senior within Montgomery County. The statistics show this issue spans well beyond the population identified in Montgomery County. This is a national issue. CMS has developed several initiatives to begin to address the issues. While programs such as WISH are beginning to move the needle in the right direction, there are challenges within the program. Rapid

Problem Statement: It is critical in today’s health care field to avoid harm and ensure that patient safety in health care environment, especially with the attention of medical mistakes little is known about the importance of avoidable harm to public. The mistakes that happen in the healthcare setting are rarely the fault of individual workers, but usually the result of problems within the system that they work. Analysis of USA Health Care Organization and Delivery and the Impact of the ACA The

Implementing interventions to reduce ED encounter for the senior population begins with identifying barriers. The number one issue that contributes to these encounters is the lack of education surrounding what constitutes an emergency (Uscher-Pines, Pines, Kellermann, Gillen & Mehrotra, 2013). Using patient activation measures to assess how engaged clients are in their care. This can give the care providers a starting point on what areas of education are lacking and where more attention needs to

Problem-Avoidable ED encounter places a burden on the healthcare system in the US. Seniors 65 years or older are identified as having the highest rate of avoidable encounters Population-Seniors 65+(Medicare beneficiaries) in Montgomery County, Maryland who have had 2+ED visits in past 6 months Setting-Six hospitals in Montgomery County, Maryland in collaboration with community partners (PCP). My intervention is to develop a health coaching model with an assessment tool that evaluates the client

the Agency for Healthcare Research and Quality handbook stated that “many view quality health care as the overarching umbrella under which patient safety resides”. Friedman, Encinosa, Jiang & Mutter (2009) found that “safety events that result in hospital readmissions lead to hefty a financial burden on the institution”. In addition they believe that if more attention is given to address and “ assess the full extra cost of safety events and the factors influencing the rate of safety events, that

confirmed appointment” that will automatically create the list of patients who does not have appointment for follow up at the time of discharge. Arm 2. Who: Hospitalist/Physician at acute-care hospital When: Prior to give discharge order for patient who will be discharged to SNF Where: at acute-care hospital What: • Initiate the process of making and confirming an appointment for patient. • Communicate appropriate discipline to coordinate care How • Supported by decision support system • Communicate/coordinate

used to identify hospital admissions that could have been avoided through higher quality outpatient care. This is used primarily concerning patients who experience return visits. In-patient Quality Indicator (IQI): This concerns the quality of patient care inside a hospital. Numbers studied reflect patient mortality rates in a given hospital caused by lack of care or surgical procedures. Patient Safety Indicators (PSI): These concern the quality of care of patients in a hospital, but unlike IQIs

Health Inequity Health inequity means avoidable factors in provision of better and fair health services to an individual or a community. These factors include lack of resources, medicines or health care facilities, low finances, lower socioeconomic status, geographical area, uneducated population or cultural beliefs which result in high rates of mortality and morbidity in a particular group of a community. According to WHO, health inequities are avoidable inequalities in health status between population

associated with inadequate nurse to patient staffing ratios in the hospital setting; essential factors such as economic, social, ethical and political and legal affecting the issue will be established; current legislature and stakeholders will be ascertained and policy option, evaluation of bill and the results of analysis will be reviewed. Policy Problem The issue of healthcare personnel scarcity continues to be an ongoing challenge across the globe. Invariably, nurses are at the pinnacle in the delivery