Preview

Essay On Hospital Readmissions

Good Essays
Open Document
Open Document
485 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Essay On Hospital Readmissions
If someone is going to work in the medical field especially in a hospital, then it is important to stay up to date with changes. CMS developed a challenge for all hospitals and that is hospital readmission prevention. No one is aware of the impact a readmission(s) can have on a hospital until they receive the penalty. As any future health care administrator, it is important to understand all aspects of changes made through the government. This topic sparked an interest due to the impact and decision making of senior management. Readmissions, patient satisfaction, and quality make up Value – based purchasing.
As senior management, it is vital to continue the conversation on the importance of readmissions and how a multidisciplinary hospital can join forces to provide the patient a safe
…show more content…
This program financially penalizes hospitals if they have exceeded the allowed readmission rate on patients that are >65 years old, straight Medicare A, and are final coded with one of the seven diagnoses.
Hospitals are focusing on ways to prevent readmissions by identifying patients while in hospital, post-acute, and evaluating readmissions and the effects on the hospital. This is a form of measure for hospital quality improvement, payment purposes, and public reporting. A goal of President Obama’s and Congress was the amount being spent of readmissions reported by Medicare Payment Advisory Commission (MedPAC). According to Stone and
Hoffman (2010), “17.6 % of hospital readmits were readmitted within 30 days, 11.3% readmitted within 15 days, and 6.2% readmitted within 7 days.” Elderly patients that were inpatient ended up costing Medicare around $129.1 billion dollars. With the rise in Medicare spending and the fear that inpatient hospital bills will total around $234.9 billion dollars’ actions from the government started. Heart failure has the highest readmission rate over any

You May Also Find These Documents Helpful

  • Powerful Essays

    Medicare Overview

    • 1393 Words
    • 6 Pages

    for adults who will be applying for Medicare benefits at the present time, or sometime in the near…

    • 1393 Words
    • 6 Pages
    Powerful Essays
  • Satisfactory Essays

    Expenditures has an impact on the health care industry, looking at this article “Health expenditures increased from 12.2 percent of the gross domestic product (GDP) to 13.5 percent in l997 (Levit et al. 1998), and they are expected to reach 16.6 percent of GDP in the year 2007 (Smith et al. 1998). The devotion of a large percentage of the total GDP to health costs is a concern because such dollars are then not available…

    • 538 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    This 42 year old gentleman was admitted on January the 7th and expired on January the 15th. He was admitted with progressive tachycardia, hemoptysis. Please see his admission history and physical exam for details.…

    • 405 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    NUR 6050 ACA Paper

    • 761 Words
    • 3 Pages

    Accepting admissions into the observation unit from the emergency department created a situation where the patient health conditions varied considerably. Admissions included orthopedic, medical-surgical, gynecological, and…

    • 761 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Death Summary

    • 306 Words
    • 2 Pages

    This 42 year old gentleman was admitted on January 7 and expired on January 15. He was admitted with progressive tachycardia, hemoptysis, and dyspnea. Please see his admission history and physical exam for details.…

    • 306 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    reg reimbursement for hospitals having too many 30 day readmissions for HF. Heart failure accounts for…

    • 291 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Carolyn Dickens presentation entitled Mr. G and the Revolving Door: Breaking the Readmission Cycle at a Safety-Net Hospital highlighted a story of a patient and his readmission story. She explained that readmissions occur because of these key factors: homelessness, substance abuse, criminal background, mental illness, limited social support and poverty. Ms. Dickens concluded her presentation by noting that limitations of Hospital Readmissions Reduction Program (HRRP) are vulnerable individuals and that policy makers must recognize the factors going into this issue.…

    • 100 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    The new CMS guidelines from ACA reduces the payment hospitals receive causing an exorbitant amount of hospital cost left unpaid. With the cost of hospitalization left unpaid, locating a program that can impact 30-day readmission rates is of primary concern for facilities. Project RED is a nationally accepted best practice targeted on providing a customized hospital discharge plan demonstrated to reduce all-cause 30-day readmissions (Mitchell et al., 2016). Project RED originally funded by the Agency for Healthcare Research and Quality (AHRQ) has decreased readmission rates by 30% at several facilities (Stubenrauch, 2015). The target facility is not using Project RED as part of their discharge and has higher readmission rates than the facility’s leadership is comfortable with (personal communication, R. Smith, safety officer, February 28, 2017). Project RED, at a minimum, will address two of the six Institute of Medicine (IOM) domains of health care which are patient-centered and efficient (“The Six Domains”, n.d.). Adding Project RED to the current discharge process has the potential to decrease the current 30-day readmission rates at the facility providing efficient cost effective care and patient-centered…

    • 1565 Words
    • 7 Pages
    Good Essays
  • Satisfactory Essays

    Great post! It is so true that many of the hospital readmissions are related to chronic illness of heart attack, heart failure, pneumonia and lung disease. I also believe that patients should be educated about their illness, the importance of staying compliance with their medication regimen, signs and symptoms as well as side effects of the medications. This should start on the day of admission. Interdisciplinary collaboration and effective communication are significant mechanisms to these strategies. I think the implementation of this practice will enormously reduce the incidence of hospital readmission, consequently, improve patient’s health outcomes, reduce hospital cost/bills and increase patients and family satisfaction.…

    • 215 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    Farren, E.A. (1991). Effects of Early Discharge Planning on Length of Hospital Stay. Nursing Economics, 9(1), 25-30, 63.…

    • 2517 Words
    • 11 Pages
    Better Essays
  • Good Essays

    student

    • 868 Words
    • 4 Pages

    visit. Patients need to be instructed when to call their provider after being discharged from the…

    • 868 Words
    • 4 Pages
    Good Essays
  • Good Essays

    According to the Agency for Healthcare Research and Quality, "health care expenses in the United States rose from $1,106 per person in 1980 ($255 billion overall) to $6,280 per person in 2004 ($1.9 trillion overall). During this period, health care costs grew faster than the economy as a whole" (2006). With the aging population and the fast growing pace of new medical ideas, this trend is probably going to continue. The facilities under attack to develop strategies to reduce or contain costs consider whether the efforts should be targeted mostly across the entire health care system or more narrowly at specific areas or aspects of care, such as in hot spot…

    • 770 Words
    • 4 Pages
    Good Essays
  • Better Essays

    National health care spending is a major finance concern throughout the United States and many other countries. The government has set aside funds in the budget to help cover some of the health care expenses currently occurring. Because health care expenditures have increased from $256 billion from 1980 to $2.6 trillion in 2010 it has caused a burden to the world. This paper will provide the reader information of the level of current national health care expenditures, whether the spending is too much or not enough, whether or not the nation should cut or add, and how the public’s health care needs are financed. This paper will also focus on the future economic…

    • 1780 Words
    • 8 Pages
    Better 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
  • Better Essays

    Managed Care

    • 1382 Words
    • 6 Pages

    Bodenhiemier T, Berry –Millett R. (October 15 2009). Follow the Money-Controlling Expenditures by Improving Care for patient needing. Vol 361, 1521-1523…

    • 1382 Words
    • 6 Pages
    Better Essays