Preview

Using Lean Six Sigma to Reduce 30 Day Admissions

Better Essays
Open Document
Open Document
4744 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Using Lean Six Sigma to Reduce 30 Day Admissions
Using Lean Six Sigma to Prevent or Reduce 30 Day Readmissions

Tamara Forte-Blackwell

Indiana Wesleyan University

I have read and understand the plagiarism policy as outlined in the syllabus and the sections in the Student Bulletin relating to the IWU Honesty/Cheating Policy. By affixing this statement to the title page of my paper, I certify that I have not cheated or plagiarized in the process of completing this assignment. If it is found that cheating and/or plagiarism did take place in the writing of this paper, I understand the possible consequences of the act/s, which could include expulsion from Indiana Wesleyan University.

Tamara Forte April 12, 2013

Using Lean Six Sigma to Prevent or Reduce 30 Day Readmissions

Background As changes imposed by health care reform begin to roll out in hospitals across the United States, facilities reorganize and strategize to develop models which will mirror the reform that is long overdue in healthcare. For years hospitals have been rewarded, by way of reimbursement payments, to readmit patients. The National average of readmissions attributable to total reimbursements Research reports that up to 20 percent of hospital discharged Medicare patients are readmitted in 30 days (Jencks, Williams, & Coleman, 2009). The incentive to provide quality of care in such a manner that patients discharged from the hospital will remain healthy and complication free has never existed. In fact, no rewarding incentive exists even today. However, motivation to reduce patient readmissions is presently one of the most discussed topics in healthcare organizations nationwide. The motivating factor should have been obvious all along; to provide optimal care to patients’ during the hospitalization along with the appropriate discharge services, and follow up care to avoid readmissions. Healthcare organizations’ manic focus on readmissions has been prompted by money, not as a reward, but



References: Affordable Care Act. (2012). Read the law. Retrieved from: http://www.healthcare.gov/law/full/index.html. American Society for Quality. (2012). Six sigma certifications in healthcare. Retrieved from http:// http://asq.org/healthcaresixsigma/certification.html Avraham, Y. (2009) Project management in a lean world: Translating lean six sigma (LSS) into the project environment white paper Carolinas Medical Center. (2010). Readmission Assessment Tool. Charlotte, North Carolina. Clinical Advisory Board. (2010). Preventing Unnecessary readmissions: Transcending the hospital’s four walls to achieve collaborative care coordination Huber, L. (2010). Leadership and nursing care management (4th ed.). Institute of Medicine. (2010). The future of nursing: Leading change, advancing health Retrieved from: http://www.nap.edu/catalog/12956.html. Jencks, S.F., Williams,E.A., & Coleman M.V. (2009). Rehospitalizations among patients in the medicare fee-for-service program Koning, H., Verver, J.P., Heuvel, J., Bisgaard, S., Does, R.J. (2006). Lean six sigma in healthcare Misiewicz, S. (2010, December 21). Lean six sigma, toc using DMAIC project management. Mulvany C. (2009). Preventable readmissions: a prime target for reform. Healthcare Financial Management 63:32. Osei-Anto, A., Joshi, M., Audet, A.M., et al., (2010). Health care leader action guide to reduce avoidable readmissions National Center for Quality Assurance. (2012). Insights for improvement reducing readmissions:Measuring health plan performance pdf Partnership for Patients. (2013). Centers for Medicare and Medicaid Services. Retrieved from: http://partnershipforpatients.cms.gov/ Rogers EM. (2003). Diffusion of innovations. 5th Edition. New York: Free Press. Schaeffer, M. (2012). Understanding DMAIC. Retrieved from: http://www.isixsigma.com/dictionary/dmaic/ United States Congress 111th. (2009). Patient protection and affordable care act, H.R. 3590 (111th) United States Department of Health & Human Services. (2012) Retrieved from: www.Hospitalcompare.hhs.gov/2012 Zimmerman, P. (2002). Nursing management secrets. Philadelphia: Hanley & Belfus, Inc.

You May Also Find These Documents Helpful

  • Good Essays

    Peter R. Kongstvedt, M. F. (2013). Essentials of Managed Health Care Sixth Edition. Boston: Jones & Bartlett Learning.…

    • 1071 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Six Sigma has been picking up pace in the industry; on the other hand, scholars have directed little research on this developing wonder. Understanding Six Sigma first requires giving a theoretical definition and distinguishing a fundamental theory behind it (Schroeder, 2007). Hence, let’s critique the differences between this new powerful tool Six Sigma and its previous versions like Total Quality Management (TQM).…

    • 1382 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    Hospitals are being challenged by evolving patient needs and shifts in where care is delivered; increasing pressure on already-stretched resources; Medicare residency caps that may constrain their ability to train new physicians; and payment changes that limit their ability to offer state-of-the-art clinical and educational experiences (AHA…

    • 1398 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    As a result of the Patient Protection and Affordable Care Act of 2010, beginning in October 2012, US hospitals will begin having their payments from Medicare affected by the Hospital Value-Based Purchasing Program. Essentially, this legislation will shift the way hospitals are reimbursed for services from a focus on quantity to a focus on quality. The following research study will examine the background of this legislation, how it is structured, and the pros and cons of this reform.…

    • 3618 Words
    • 15 Pages
    Powerful Essays
  • Satisfactory Essays

    In an organizational and management structures that support the design and implementation of quality-improvement initiatives and create mechanisms for accountability for quality of care. Healthcare organizations are constantly evolution, so organizational design should be considered a variable and evolving tool for improving organizational performance. Healthcare delivery system in the 20th century are adopting a functional model based functional area various clinical departments, nursing, laboratory services that has a manager that reports to higher management levels and eventually to the hospital 's chief executive…

    • 716 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    week 2 discussion

    • 610 Words
    • 2 Pages

    However, this is beginning to change as healthcare moves towards a more patient-centered and holistic model. Moreover, evidence points to the real benefits of healthcare facilities designed around patient, family, and staff needs and preferences. These benefits not only improve patient outcomes and increase staff effectiveness and morale, they also help administrators meet key safety goals, reduce costs, and increase market share. They include:…

    • 610 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Finding the Money for Healthcare Reform, written by Mark Hyman, M.D. (Hyman, 2009), provides a realistic perspective that the current healthcare reform model only focuses on lowering the cost for healthcare services and not improving the quality of health for patients. Hyman (2009) argues that if quality of health and lifestyle intervention are key focal points of healthcare reform, the burden of healthcare expense would automatically be lowered due to less chronic illness and better health outcomes (Hyman, 2009). “By improving the quality of our health and focusing on health creation and improved health outcomes, the sinking ship of healthcare can be righted, and the behaviors of physicians and healthcare institutions will shift from doing more things (volume) to doing the right things (quality)” (Hyman, 2009, p. 20).…

    • 767 Words
    • 4 Pages
    Good Essays
  • Good Essays

    post-acute, and evaluating readmissions and the effects on the hospital. This is a form of…

    • 485 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Transcultural Nursing Paper

    • 2588 Words
    • 11 Pages

    I have read and understand the plagiarism policy as outlined in the University Bulletin and this module as it relates to the IWU Honesty/Cheating Policy. By affixing this statement, I certify that I have not cheated or plagiarized in the process of completing this assignment. If it is found that cheating and/or plagiarism have taken place, I understand that the consequences of this action may include expulsion from Indiana Wesleyan University.…

    • 2588 Words
    • 11 Pages
    Good Essays
  • Good Essays

    Faith in History

    • 725 Words
    • 3 Pages

    I have read and understand the plagiarism policy as outlined in the IWU Catalog relating to the IWU Honesty/Cheating Policy. By affixing this statement to the title page of my paper, I certify that I have not cheated or plagiarized in the process of completing this assignment. I also certify that the work submitted is original work specific for this course and to my program. If it is found that cheating and/or plagiarism did take place in the writing of this paper, I understand the possible consequences of the act/s, which could include expulsion from Indiana Wesleyan University.…

    • 725 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Readmissions to the hospital has been projected to cost the U.S. approximately 17 billion dollars annually, of which 90% of those readmitted were unplanned (Weiss, Yakusheva, and Bobay, 2011). For those patients who have a primary care provider and actually follow up as instructed within 1-2 weeks, 2/3 of those primary care providers will have not received a written discharge summary of the patient’s stay. On the other hand, a large percentage of patients either do not have access to primary care and if they do, they fail to follow up within 1-2 weeks after hospital discharge as instructed. This may may be the cause of a number of different loopholes, the biggest of which is inadequate communication and education.…

    • 1245 Words
    • 5 Pages
    Good Essays
  • Better Essays

    With the current landscape of healthcare in the United States, there are several stakeholders that have conflicting vision as to healthcare administration. Looking at the few key stakeholders, it is comprised of Patients, Physicians, Hospitals, and Payors. Each of the respective groups have different view points on how healthcare administration is judged to be a successful delivery. Exploring each stakeholder’s view of healthcare will provide us with a better understanding of their goals. Understanding the vision of each stakeholders in healthcare allow a broader understanding of the healthcare delivery in the United States and its complexity.…

    • 1107 Words
    • 5 Pages
    Better Essays
  • Good Essays

    For some of the most common conditions treated in hospitals, as many as one in five patients is readmitted within 30 days of his/her discharge, reports the Federal Agency for Healthcare Research and Quality. Being readmitted has consequences. For one, readmissions cost Medicare an estimated 17.5 billion a year, as hospitals bill the government for the care. But the toll readmission takes on patients and their families is incalculable. “The most important problem of readmission is not the cost, but the fact that patients are ending up back in the hospital,” David C. Goodman, M.D. co-principal investigator of the Dartmouth Atlas of the Healthcare, said. “That means they have gotten sicker, or that there is a failure to care for them in the community.”…

    • 661 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Hospital Readmissions

    • 759 Words
    • 4 Pages

    The Centers for Medicare and Medicaid Services have taken on initiatives to improve quality of care for Medicare patients since the Affordable Care Act was passed in 2010. In 2012 CMS implemented a program called The Hospital Readmissions Reduction Program (HRR), this program is intended to improve health care for patients with Medicare to improve the quality of care that is provided versus the quantity of care. This program provides incentives to hospitals, which is intended to reduce costly and unnecessary readmissions (Centers for Medicare and Medicaid Services, 2016). The conditions that are currently being monitored by CMS for readmissions are heart attack, heat failure, and pneumonia. If hospitals have a high percentage of readmissions…

    • 759 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Healthcare Reform

    • 5316 Words
    • 22 Pages

    Healthcare reform has been a topic of great interest and a highly debated public issue for the past several years. Opinions are split on the reasons behind growing health care costs and methods to bring healthcare spending back in line. However, a consensus has formed surrounding the conviction that drastic changes must be implemented within our healthcare system. Some of these changes include a complete restructure of the payment system for health care providers, health care facilities and insurance companies in effort to control the rising costs of health care within the United States.…

    • 5316 Words
    • 22 Pages
    Powerful Essays

Related Topics