The Failure Of Congestive Heart Failure

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Congestive heart failure is a chronic condition that is responsible for the highest number of hospitalizations among adults. Readmission rates after hospitalization also remain high, with 50% of patients being readmitted within 6 months of discharge. (Desai & Stevenson, 2012). The Affordable Care Act penalizes hospitals with readmissions within 30 days after discharge, making readmissions a focus of hospitals nationwide. Several factors including discharge planning, patient education, diet restrictions, and early follow up appointments can help to reduce readmissions, but continuous monitoring is necessary to catch early signs of decompensation. (Desai & Stevenson, 2012). Implementation of a technology plan for remote monitoring of…show more content…
Clinical coordinators would oversee the process to monitor for safety, quality, recruitment, and retention of patients in the program. The patients would receive detailed instructions and protocols on how to make calls daily, report vital signs, weight, and answer questions about their health and symptoms of heart failure. (Chaudrey et al., 2010). Results would then be transferred via a secure network connection. The providers could then evaluate the data to identify and manage early signs of decompensation, and to make recommendations on patient care. Providers could also provide patient education to help patients understand their discharge instructions and medications. (Inglis et al., 2011). Legal and Regulatory Requirements Preparation for a telehealth session would include obtaining informed consent of all participating parties including a spokesperson. It would be necessary to inform the patient of their rights including the right to refuse treatment, the responsibilities of patient participation, how to file a complaint, and discuss the risks and benefits of telehealth. Nurses and providers must be licensed to practice in the state they are providing care, and practice within the scope of their licensure while observing all state and federal regulatory requirements. (ATA, 2014). Nurses must provide detailed documentation of the visit. (McGonigle and Mastrian, 2015). Legal issues involve abiding by federal fraud and abuse laws.

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