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https://studentshare.org/nursing/1697300-hospital-acquired-conditions-hac.
Hospital-Acquired Conditions (HAC) al Affiliation) Hospital-Acquired Conditions (HAC) Starting October 2008, acute care hospitals stopped receiving additional payment for medical cases in which specific conditions were not present on admission (POA) and the selected hospital-acquired condition was not the only complication on the Medicare case (Peasah et al., 2013). As a nurse practitioner, I can promote the improvement of clinical quality and patient safety through implementation of the rule.
In an effort to ensure accurate POA assignment and address POA queries to foster clinical quality, I can attend hospital staff meetings and participate in one-on-one discussions with physicians addressing POA queries (Wald et al., 2012). The discussions will guarantee proper documentation and patient analysis. This may also include dedicating sufficient time to reconciling POA queries and documenting discharge summaries to ensure effective implementation of the rule. I can enhance patient safety through implementation of the rule by facilitating teamwork between different hospital departments, adhering to evidence-based guidelines, preventing patient falls by offering sitters, adopting new protocols for testing UTIs, and testing patients during admission (Sorensen et al., 2014). These measures can enhance identification and diagnosis thus improving clinical quality and safeguard patients from hospital-acquired infections and injuries.
As a nurse practitioner, I can also use adopt leadership duties to promote patient safety by participating in executive committees, mobilizing healthcare resources and strategies, and mediating between nurses and other medical personnel (Wald et al., 2012). Moreover, I can promote the improvement of clinical quality through implementation of the rule by advocating for the root cause analysis, ensuring proper documentation, and monitoring Hospital-Acquired Conditions (Sorensen et al., 2014).ReferencesPeasah, S. K., McKay, N. L., Harman, J. S., Al-Amin, M.
, & Cook, R. L. (2013). Medicare Non-Payment of Hospital-Acquired Infections: Infection Rates Three Years Post Implementation. Medicare & Medicaid Research Review, 3(3), 1-13.Sorensen, A., Jarrett, N., Tant, E., Bernard, S., & McCall, N. (2014). HAC-POA Policy Effects on Hospitals, Other Payers, and Patients. Medicare & Medicaid Research Review, 4(3), 1-13.Wald, H., Richard, A., Dickson, V., & Capezuti, E. (2012). Chief nursing officers’ perspectives on Medicare’s hospital-acquired conditions non-payment policy: implications for policy design and implementation.
Implementation Science Journal, 7 (78), 1-11.
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