Intervention Plans Can Impact Health Care In Many Ways,

Once the researcher knows what information to collect and where to find it, the first step in the data collection process is to organize the data on a constructed collection data form. This process allows the researcher to make

Transitional care management includes services provided to patients whose medical problems require moderate or high complexity medical decision making during their transition from inpatient care to an outpatient setting. Transitional care for heart failure includes a collaborative effort by all health providers to ensure that the patient outcomes are improved. Key components of a transitional care plan for a heart failure patient includes identifying and assessing caregivers to determine their needs for education and support, integrating caregivers into the patient’s healthcare team, and bridging communications between patients, caregivers, and providers. Implementation of transitional care in a hospital setting should include comprehensive discharge planning, home visits, structured telephone support, scheduled follow up visits, and additional printed and online education and disease management information. In a meta-analysis of transitional care interventions to assess the efficacy, comparative effectiveness of transitional care interventions that reduce readmission and mortality rates for adults hospitalized with HF, concluded that home-visiting, multidisciplinary heart failure clinic interventions, and structured telephone support reduced heart failure specific readmission and mortality, and that these interventions should receive the greatest consideration by

Providing patients diagnosed with Congestive Heart Failure effective teaching can eliminate reoccurring hospitalizations. Patients are discharged with CHF and readmitted within 30 days. The information provided will examine the process of enhancing patient knowledge and provide additional resources essential for effective health care management. Research evidence provides data that proves patients who are diagnosed with CHF needs a variety of health care needs during admission and after discharge. The proposal will display an evaluation plan, implementation plan and a dissemination of the

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) core measures in relation to Heart Failure (HF) was examined using empirical-based nursing research. Findings suggest that lack of understanding by nurses contributes significantly to the privation of core measure implementation. A significant number of Americans suffer from HF, so patient quality of care assessment was necessitated. Identifying factors were: nurse-patient education resulting in follow-up appointments, left ventricular performance or left ventricular systolic (LVS) function, treatment medications, and smoking cessation programs. Nurses provide an important role in the education of patients with HF. The Nurse is integral in providing documentation in relation to LVS. Nurses play an important role in the administration of HF medication. Smoking, a major cause of HF, requires special nursing intervention. Nursing results in improved quality of care if HF core measures are implemented properly. Additionally, Orem’s universal requisites are fundamental in the nursing process.

When patients leave from appointments with their physicians, or are discharged from the hospital, they are responsible for their care at home. Oftentimes, patients are non-compliant with their treatment plan given to them by their clinician due to lack of understanding, miscommunication or faulty understanding of the treatment plan, lack of access to facilities or requirement of additional guidance. This creates safety issues and causes negative outcomes in the patients’ health. This is where telehealth comes into play to help to continuously monitor patients and provide the assistance needed to maintain optimal patient function. According Cassandra, Graves, and Mooney (2013) telehealth would certainly reduce readmission rates for chronic conditions by giving patients early interventions, serve wider geographic areas, improve patient outcome, provide better services to patients and allow better time management for

PICOT question: In elderly patient with congestive heart failure, how adequate multidisciplinary education compare with lack of education could reduce hospital readmission rates over a 6-month period? The research questions are: Does multidisciplinary education help elderly patient with CHF to adequately manage the disease at home? Does improve knowledge in the disease could decrease hospital readmissions in CHF patient? The hypothesis states that multidisciplinary approach and proper patient education will decrease readmission rate in elderly patients with CHF. The purpose of the study seeks to articulate the problem of lack of education for older patients with congestive heart failure regarding how to manage

Congestive Heart Failure (CHF) patients and their consistent trending of hospital re-admissions continue to threaten quality care and patient quality of life. Considered a chronic condition, CHF is diagnosed in approximately 13% of patients 85 or older (Clarke, Shah & Sharma, 2011). Re-admissions have become so prevalent among the CHF populations, that Centers for Medicare has initiated a quality campaign and offers incentives when hospitals implement telemedicine programs and show reduction in CHF hospital admissions. In relation to CHF, Conway, Inglis, and Clark (2014) states that, “Telemedicine involves transmission of physiological data, such as weight, … from the measuring device to a central server via telephonic, satellite,

The future faces a number of related goal-driven challenges. The CCHT has cited reduced health care resource use among the targeted high-utilization patients. This impact provides strong economic justification for home telehealth to be an integral component of regular care services for chronically ill veterans at risk for long-term care. Because of the lower marginal cost of adding services to the existing infra¬structure, the VHA is intent on expanding its CCHT program to provide chronic care management, acute care management, and health promotion and disease management for other patients in areas such as weight management, dementia care, and palliative care. They were awarded six national contracts for home telehealth devices and services worth $1.38 bil¬lion over five years. This is particularly challenging as the VHA uses a primary care model that adheres to clinical guide¬lines and sharing of information among

Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth

According to the Heart Foundation (2010), “Best-practice management of chronic heart failure (CHF) involves multidisciplinary care” (p. 3). A care coordinated with his different physicians including cardiologist, pulmonologist, and referring physicians, as well as clinical nurses, and dieticians will be an important step in Mr. P’s CHF care. As they are concerned about the mobility outside of their home, a telephonic follow-up after discharge from the hospital, and door delivery of medicines could be beneficial. It is also very important to help him to overcome his polypharmacy. Since Mrs. & Mr. P seem emotionally weak, they need emotional support to cope up with the situation. They are worried about the heaping medical bills. Provide information about the possibility of getting qualified for Medicaid/Medicare as well as grants from organizations like Patient Access Network

While evaluating the face to face component of this category, two systemic reviews guided from meta-analyses were included. Both provided substantial, adequate feedback on the use of face to face monitoring or evaluation. Despite the evidence to support the frequent use of telehealth in the outpatient community, face to face monitoring with a physician or clinical specialist in the home does report a reduction in admissions a delay in admission if clinically inidicated (Qaddoura, Ashoori, Kabali, Thabane, Haynes, Connolly & Spall, 2015). All aforementioned studies evaluated heart failure patients with awareness of the pressing subject of heart failure readmission and the costly effect of lapses in outpatient care.

My grandmother is a good representative of the value of increasing her quality of life and maintaining her health. When my grandmother was in her sixties her doctor informed her that if she did not make some changes to her lifestyle she would develop diabetes. Knowing how hard it is for the average American citizen to change a habit like their diet, my family did not anticipate the changes my grandmother made. She began working out and followed a very strict diet. As a result, she is now in her eighties and does not have diabetes (Friedman, Bowden, & Jones, 2003).

The extensive research criteria facilitated a conscientious evaluation of the effectiveness of telemedicine across multiple attributes: patient satisfaction, hospital readmissions, the number of physician and emergency department visits, the maximum length of hospital stay, cost-effectiveness, self-management, health outcomes, morbidity, and mortality. Surprisingly, there are many positive effects of using telemedicine in managing chronic heart failure patients.

Congestive heart failure is a chronic disease that requires daily monitoring and life style management. Affecting the elderly, and their family the adjustment is a challenge. Daily life skills include the monitoring of daily weights, intake and output, and a low sodium diet. The person with congestive heart failure is generally admitted to the hospital for medication adjustments when their symptoms increase. The patient is often times short of breath, with a decrease in energy and an increase in their weight. The patients are generally elderly 60-65 years of age or older, and when comparing African Americans to Caucasians the African Americans have a 1.5 greater chance of developing heart failure ("Heart Failure," 2017). The

Data Collection is a vital aspect of any type of research study. Erroneous data collection can impact the results of a study and ultimately lead to invalid results. Data collection methods for impact evaluation vary along a scale. At the one end of this scale are quantitative methods and at the other end of the scale are Qualitative methods for data collection. Choosing a particular data collection method will depend on the accuracy of information they will yield and the practical considerations, such as, the need for personnel, time, equipment and other facilities, in relation to what is available