The Benefits Of Readmission Report On The Hospital And Provide Quality Care Essay

“St. John is a regional-referral teaching hospital with 772 licensed beds, a 1,200 member medical staff and more than 50 medical and surgical specialties. It is also the largest acute-care provider and a designated Emergency Trauma Center. St. John’s service area consists of the city of Detroit, and the counties of Wayne, Macomb and St. Clair Counties where over 80% of their patients reside. The total population for this service area is 2,875,367 with slightly more males than females. Also, 61.8% of the population is white, 28.6% is Black non-Hispanic, 4.3% Hispanic, 2.5% is Asian& Pacific Islander (non-Hispanic) and 2.7% are categorized as other” (Taueg, C, 2012). The goal of the health system is being committed to providing spiritually centered, holistic care, which sustains and improves the health of individuals in the communities we serve, with special attention to the poor and vulnerable.

The overall process of discharging a patient from a hospital and the transition back home or to a care facility are critical advancements in the overall course of both acute and long-term care. It is important that the hospitals releasing these patients have ensured the proper overall course of care from beginning to end. The lack of consistency with both the discharge process and the quality of discharge planning has led to many avoidable readmissions. To reduce the amount of hospital readmissions, it is imperative that hospitals recognize the need for focused patient care and that programs are being implemented to assist in the care transition.

I have personally worked with the EPIC EMR before in my clinical rotations. In general, I really like the Epic EMR system because it’s not that difficult to use. One of its advantages is that it has allowed me to easily access laboratory values, and general patient information when I need to look up a patient. Also, I can access clinical notes made by other physicians involved in the care of my patient, having instant access to this information is invaluable. The use of an EMR helps to reduce medical errors by utilizing computerized prescription entry, predicting drug interactions and displaying a warning for the health-care provider, assisting clinicians in reconciling patient medications, and most important, maintaining a detailed and legible

In early 2011 Children’s Hospital of Wisconsin (CHW) informed it patients and the general public that it would be fully immersed in another version of the electronic health record system, EPIC, by the completion of the 2012-2013 fiscal year. With so many hospital, clinic, and community locations, the hospital needed to implement the system in phases and fully engage thousands of

To improve the performance, there need to be upgrades with the systems that the hospital uses to keep track of the patients information. I recommend using Epic as a tool to help keep all of the patient’s information confidential and easy to access with a click of a button. This will allow for every department to have access to a certain patient’s file whether to be from a doctor entering notes about the patient’s visit, to health insurance billing department making sure that copays and such are being paid and their accounts are kept up-to-date. The hospital governance plays an important role because of the need for funds to help keep the hospital. By providing more outside events to raise money for the hospital will be a great start to being able to fully provide for each patient that comes through Middlefield Hospital doors.

Our one hundred bed hospital is in need of updating from paper charting to computerized health records. In doing this, we will meet our goal of compliance with meaningful use legislation. We assembled a team of members to assist with this task and together we have narrowed the search to two health care systems. Those two systems are EPIC and Meditech and we will now discuss the advantages and disadvantages of each, with a final recommendation for our new healthcare system.

The medical staff has been using “best of breed” systems and has concerns of loss of key functions. However, they agreed to adopt EPIC, an enterprise-wide system designed for maximal integration and continuity of care throughout the continuum. This agreement was reached without any understanding of a potential loss of functionality in the new system, and an assumption the new system will be acceptable to the physicians once installed.

Epic is a single integrated system for the clinical and business functions of health care provision that include registration, scheduling, and billing. The system is owned by Epic Systems, formerly Episodic Care, a large provider of HIT (health information technology) and is mainly utilized by health providers in accessing, systematizing, storing, and distributing EMR’s. Epic Systems is an independent firm in Verona, Wisconsin with a vast campus. Epic is useful in streamlining regulatory compliance, clinical workflow, quality care, the patient experience, and clinical documentation. This is a reflection of the

I recommend using Epic as a tool to help keep all of the patient’s information confidential and easy to access with a click of a button. This will allow for every department to have access to a certain patient’s file whether to be from a doctor entering notes about the patient’s visit, to health insurance billing department making sure that copays and such are being paid and their accounts are kept up-to-date. The hospital governance plays an important role because of the need for funds to help keep the hospital. By providing more outside events to raise money for the hospital will be a great start to being able to fully provide for each patient that comes through Middlefield Hospital doors.

The Affordable Care Act was enacted to improve health care and to lower health care cost in America. The ACA developed different strategies to meet these goals called the “pay for performance” programs. These strategies are aimed at the different providers to improve quality care. The strategy that I selected is the “Hospital Readmissions Reduction Program” this program/strategy is also known as the HRRP and was begun in October of 2012. HRRP is aimed at hospitals and penalizes hospitals that have a high 30 day readmission rate. The penalties are assessed and based on a number of comparisons, those such as, performance, patient demographics, comorbidities and frailty.

The hospital readmission (HR) may be regarded as an indicator of the quality of hospital care and, indirectly, of primary care. Some factors may foster HR, such as low quality of supportive care, early discharge, lack of treatment adherence on the part of users and their families, age, absence of specific guidance and post-discharge follow-up, as well as socioeconomic and cultural conditions. Therefore, in order to perform a resolute care, one needs to know the profile of admissions and of HR, thereby enhancing the planning and the implementation of strategies. In order to raise the aforementioned questions, this study had the purpose of analyzing the profile of readmissions of children treated in the pediatric sector of the Regional Hospital in Ceilândia (HRC) in March, April and May 2015. This

They electronic medical record being evaluated are Cerner and EPIC. The multidisciplinary committee will determine which program meets the needs of the 100 bed hospital.

According to their website, Epic is a private and employee-owned company that “makes software for mid-size and large medical groups, hospitals and integrated healthcare organizations - working with customers that include community hospitals, academic facilities, children’s organizations, safety net providers and multi-hospital systems.” The core of Epic’s kernel is based off of on an antiquated programming language known as MUMPS (Massachusetts General Hospital Utility Multi-programming system) which was invented by a founder from rival Meditech in 1968. They [EPIC] have developed systems to seamlessly transition the state of medical records from a paper driven environment to a virtual environment. Epic allows

For years, healthcare costs have continued to increase in the United States and policymakers are constantly trying to find ways to reduce spending. According to reports, in 2011, about $900 billion out of the $2.6 trillion annual health care spending was wasteful spending. In the following year, there was a reported $690 billion wasted annually on healthcare. This wasteful spending is attributed to ineffective health care delivery, cost of adverse events, and poor care coordination that has led to avoidable readmissions (Lallemand, 2012). In the United States, readmissions are the highest amongst patients with chronic diseases accounting for about 90% of avoidable readmissions in 30 days after discharge, and costing the industry an estimated $17 billion. These readmissions are a result of inadequate discharge planning, lack of follow-up, and lack of education on disease management (Jayakody et al., 2016). Policymakers on the federal and state level have developed and implemented several programs, some varying state to state, to help reduce wasteful spending while improving quality of care.

“Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter’s or sculptor’s work...” (Nightingale, 1868)