Outcomes Management of Nursing Essay

1567 Words Jul 18th, 2014 7 Pages
Outcomes Measurement and Data Management Project: Hospital Readmissions

Charmein Garner and Celeste Thomas

Loyola University New Orleans

Outcomes Management Project
Defined Issue or Problem of Interest
The selected problem of interest is hospital readmissions after being discharged from hospitals/medical facilities. Several patients enter the hospital and soon after discharge are catapulted back into the seemingly revolving doors of the hospital. Readmission rates affect all areas of healthcare. Center for Medicare and Medicaid (CMS) has targeted readmissions as a guideline of poor quality of care. Engaging patients during their inpatient admission as they transition to alternate levels of care may reduce readmission by 50%
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Overview of Research on Management of Selected Issue A review of current research on management of hospital readmissions among the elderly, particularly with those who have a diagnosis of congestive heart failure reveals that decreasing hospitalizations in the elderly has become a priority for national health plans and hospitals (Legrain et al. 2011). A reduction in readmissions can be attained through the implementation of inpatient pre discharge, outpatient post discharge and intermittent admissions involving the following modifiable risk factors: drug-related problems (DRPs) (iatrogenic illness, adherence problems, and under treatment), underdiagnosed and undertreated depression, and protein-energy malnutrition. Systemic problems such as lack of patient education and insufficient coordination between health professionals, especially during care setting transitions, also contribute to readmissions (Legrain et al. 2011, p. 2018).
One solution to the predicament of recurrent admissions of the elderly is the utilization of disease-management programs which focus on case management of either one or all of the patient’s disease processes. The programs include coordination between health professionals focusing on case management and patient education (education regarding disease processes, medication, diet, etc.). It also suggests multiple, holistic, and comprehensive discharge planning interventions to take place while the elderly patient is still…