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Thus, it is not a shock that heart failure hospitalization is the focus for quality improvement, as well as cost reduction efforts (Wang, 2013). The CMS - Center for Medicare and Medicaid Service has made it compulsory to report hospital-level 30-day readmission rates for heart failure plus acute myocardial infarction in an attempt to enhance outcomes (Simpson, 2014). For this paper, I will be focusing on the safety aspects of heart failure and what we as nurses can do to boost self-management. Since a huge part of self-management includes education, collaboration with healthcare providers, and the actions/behaviors of patients, I will focus on issues such as adhering to the prescribed medication regimen, diet and exercise, and managing stress/emotions. The paper will also describe the barriers to healthy behaviors in the community and describes the priority health concerns and nature of the problem.
Patients with heart failure develop harsh conditions due to this illness which affects their safety (Gerdes & Lcrenz, 2013). These safety concerns include severe weight gain, worsening shortness of breath, new or worsening leg swelling, inability to sleep without sitting up, difficulty breathing during the night, which is affected by widespread coughing, chest pain of a heavy feeling in the chest area and finally lack of weight loss effect from extra water pills (Warden et al., 2014). With a small planning, as well as support from nurses, heart failure patients can live safely and comfortably (Wang, 2013). An important consideration might be how remaining in hospital might improve the patients quality of life plus be a genuine source of happiness to the patient. Efforts to enhance heart failure care have focused on clinical and physiological variables, hospital and provider performance, as well as pubic reporting on quality heart failure indicators to recognize and characterize patient risk (Warden et al., 2014). To date, there has been far less
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Different people exercise for different reasons and they are to strengthen the muscles, to optimize functioning of the cardiovascular system, to enhance specific athletic skills, to control weight of the body, for the purpose of fun or to win some sports event and to socialize (Christian, Medical NewsToday).
In Value-Based purchasing (VBP), the healthcare providers are held responsible for the provision of quality and the cost of the healthcare services to people. The system is rewarded and can suffer from the consequences of providing substantial health care services.
Emergency departments offer vital treatment for other serious and urgent medical conditions (Ken, Young & Spillane, 1998). Recently, many individuals exploit emergency department services for a broad range of medical complaints, several of which could be handled outside the hospital premises.
From the high costs incurred in health care provision, high costs are from recurrent readmissions as research findings indicate. This paper therefore is a recommendation of adoption of episode-based payment strategy, with a special attention to the U.S, in order to cut on the high costs that have in the past constrained economic performances of many countries.
First, the organization uses employer contribution technique, whereby premium costs that were contributed by the employers were reduced by an average of $480 for the employers that made a fixed dollar contribution and granted their employees at least three plans, without considering the plan chosen.
Rehospitalizations may adversely influence provider and payer costs and patient morale. There were hypotheses in the 1980s, which asserted that Medicare’s realization of the inpatient hospital prospective payment system (PPS) would persuade physicians to discharge
Second, a high quality health care system provides care that is effective that is based on the use of systematically obtained evidence to make determinations regarding whether a preventive service, diagnostic test, therapy, or no intervention
The patient should then describe any symptom that they may be having such as shortness of breath, feeling weak or blurred vision. A certified health officer should visit the patient and asses the living conditions of the patient
Rapid changes are occurring in healthcare organizations as they strive to adopt new technology, implement initiatives that affect quality improvements and institute performance plans. The management of public health institutions, therefore, needs an edge
8 Pages(2000 words)Research Paper
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