Documentation and communication are constant challenges that healthcare providers face when seeking continuity of care for their patients. Every time a patient moves from a hospital to a nursing home, or from a skilled nursing facility to home health or hospice, the staff that cares for the patient is at risk for a gap in patient care and communication. Home health and hospice agencies rely heavily on Medicaid and other insurance for reimbursements in order to continue to provide care for their patients and keep the doors to their agencies open. Thorough and timely documentation is the key to ensuring proper reimbursement for nursing services and other therapies provided from insurance agencies. This same
CMS will be rewarding the top performing hospitals by increasing to their payment for Medicaid patients. HCAHPS survey is sent out within six weeks of the patients discharged, there is 27 questions relating to communication with the staff, cleanliness, pain management, communication about medicines, discharge information and if they would recommend the hospital. The data is to Premier Incorporated to categorize the date, and then place this information on the website http://.wwwhospitalcompar.hhs.gov and available to the public. Health Quality Alliance and Center of Medicare and Medicaid Systems have awarded over eight million to hospitals who have shown improvements in the care of their patients.
A surgical nurse is responsible for monitoring and ensuring quality healthcare for a patient following surgery. Assessment, diagnosis, planning, intervention, and outcome evaluation are inherent in the post operative nurse’s role with the aim of a successful recovery for the patient. The appropriate provision of care is integral for prevention of complications that can arise from the anaesthesia or the surgical procedure. Whilst complications are common at least half of all complications are preventable (Haynes et al., 2009). The foundations of Mrs Hilton’s nursing plan are to ensure that any post surgery complications are circumvented. My role as Mrs Hilton’s surgical nurse will involve coupling my knowledge and the professional
Acute Long Term Care Skilled facilities are no longer for the elderly age 65 and older. These facilities are housing individuals with more complex medical conditions that require more care. The need for healthcare providers in long term care settings are in great demand.
Care measurements depend on numeric data and patient feedback. Raw data can be sourced from the primary software program, such as the hospitals Health Information Management System, and processed through big data analytics. Insurance and Medicare claims are also sources of raw data. Patient feedback is continually elicited through the nationally recognized Centers for Medicare and Medicaid Services (CMS) patient survey. All
Compassion Home Health Care, LLC, is a home health agency that is primarily engaged in providing numerous of healthcare services to their patients that have an illness or injury and need additional assistance outside a hospital setting in the convenience of their homes. Services include nursing care, occupational, physical, and home health aide services. Home Health Aides work alongside a nurse in the care and treatment of the patients in the convenience of their homes. Home Health Aides are responsible for medication reminder, meal prep, bathing, laundry, shopping. Nurses must be licensed and certified by the state to work and have treatment plans for patients. Nurses have many duties in providing home health care for their patients. Nurses are responsible for monitor patients health and status; routinely check blood pressure, temperature, and oxygen levels. Also, communicate with physicians of any changes or follow-up of patient’s
We denied the medical service listed above because: We received your request for admission to an acute care facility and have reviewed the medical records; the information does not show a need for the acute level of care. You are an 84 year old female who is status post cardiac arrest (condition in which the heart suddenly and unexpectedly stops beating) with hypoxic (a condition in which the body or a region of the body is deprived of adequate oxygen supply) brain injury. You have a Do Not Resuscitate order documented. You have a life expectancy of less than 60 days. You are undergoing comfort care. You can be managed in a lower level of care. For all these reasons the admission is not medically necessary. The request for admission to Calvary
I attended an Arizona Health Care Association (AZHCA) regulatory and quality meeting. The AZHCA is a non-profit professional association of skilled nursing facilities (SNF), assisted living centers (ALF), and businesses that represent the profession of long term care. It was formed to promote standards and ethics in the profession of long term health care, and to advocate quality care for nursing facility and assisted living residents. Their goal is to strengthen the ability of its member facilities to deliver quality care to meet the needs of Arizona’s elderly and disabled residents. They do this by working closely with federal and state agencies and community partners to develop, amend, and implement reasonable legislation, regulatory policies, and standards of care.
With today’s technology and the specialized skills of doctors, nurses, and therapists, patients who need long term care of acute problems can obtain these services at institutions known as postacute care providers. One type of facility that falls under this title is the Long Term Acute Care Hospital (LTACH) (Munoz-Price, 2009, p. 438). This paper will discuss services provided by LTACHs, the role of the Chief Nursing Officer (CNO) in these facilities, and Medicare reimbursement effected by patient satisfaction surveys.
An Acute care and a non-acute health care facility are medicals facilities that provide short-term medical treatment to patients with very severe medical conditions or with very serious injuries. These facilities provide a short-term treatment to patients to help stabilize them from various health conditions. Such treatments are provided in hospitals or urgent care centers by different types of clinical personnel using technical equipment, pharmaceuticals, and medical supplies.
As the continued support grows the PCPCC, the health care sector is recognizing the role of the medical home model, Accountable Care Organizations(ACO), many entities are embracing the model and performing better. According to Center of Medicare and Medicaid, the medical home model shows that there is an improvement cost effectiveness, which helps practitioners deliver quality care and advanced approaches to care coordination, care teams, and chronic disease management. As evaluations of ACOs, integrated health systems, and the medical neighborhood continue, the Patient Center Medical Home will be essential to driving improvements in cost, quality, and outcomes. 
The performance measure is to improve patient satisfaction scores on the unit. Our goals are to increase HCAPHS scores, to achieve this goal we will be implementing an anonymous patient satisfaction survey for parents that will be given at of discharge. Results from this survey will provide feedback on ways to improve patient care. As a result, it will improve HCAPHS scores for the hospital, thereby increasing hospital reimbursement and revenue.
Acute care is defined as the level of health care when a patient receives treatment for a short and severe illness. Usually the illness is due to trauma, disease, or after a surgical procedure. In all or most cases acute Care is provided at a hospital by different medical staff. According World Health Organization "the term acute care encompasses a range of clinical health-care functions, including emergency medicine, trauma care, pre-hospital emergency care, acute care surgery, critical care, urgent care and short-term inpatient stabilization," in other words as I mentioned acute health care is used to treat sudden and urgent illnesses and injuries. The staff responds to life threatening injuries first, such as myocardial infarctions, strangulated hernias, car accidents, acute appendicitis, seizures, strokes and more. Acute care staff will first make sure to treat acute needs before giving treatment to others. Acute care responds to patients based on their medical condition, regardless what caused their condition. Acute health care is very important because it a plays a huge role in preventing disability and death in patients, especially the first 24 hours of the illness.