Reducing Readmission Rate
- Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
- Select a healthcare program within your practice and consider the design and implementation of this program.
- Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
The Assignment: (2–3 pages)
In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions:
- Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
- Who is your target population?
- What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
- What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
- What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
- Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
Healthcare Program: Reducing Readmission Rate
The healthcare institution needs changes in its medical practice and policy based on measures aimed to reduce the current rate of readmission to normal rates. Within the health care sector, organizations with increased readmission rates risk having fined on reimbursement, which Medicare receives as a result (Jiang and colleagues, 2016). Improving the performance of the hospital would be important in reducing the rate of patient readmission. The targeted population involves the patients with cardiovascular diseases such as myocardial Infarction. The increased rate of readmission is because of the outcome of poor health among the patients.
Evidence-based strategies can help in addressing performance issues in healthcare institutions. To achieve the success of the program would focus on improving the communication skills within the health care facility. During patient care, communication between nurses and physicians, and nurses and the patients is imperative to help in the treatment process. Effective communication among the healthcare practitioners and the patient facilitates collaboration to health care delivery leading to the provision of holistic and quality care (Jiang and colleagues, 2016). In addition, collaborative communication often motivates nurses and physicians to provide quality care. Nurses have to develop a good rapport with their patients by engaging them and collaborating to ensure quick recovery.
As an advocate of the program to with cardiovascular diseases, patient education on adherence and living a healthy lifestyle will be important before discharge. Patients need to understand the care plans after discharging them so that they can be able to take care of themselves in a more effective way. Having the knowledge to care for ourselves after being discharged improves patient’s outcome and improves quality of life (Peter and colleagues, 2015). After discharging patients, it is important to follow up on patient adherence and self care. Self management and medication adherence is important in improving patient outcome and quality of life. Brooke et al., (2014) consider that patients need to work in a more collaborative way with their physicians and nurses to improve their health outcomes. This can only be achieved if they are educated on the importance of collaborating, adhering to their medications and self care.
The role of a nurse in the implementation of the program will involve educating patients on the importance of collaboration with the pharmacists, physicians and nurses. The nurses through the leadership of the organization will train patients on the effective communication and the implicating it has in improving the patient’s outcome (Gopee & Galloway, 2017). The follow up services to ensure patients adhere to their medication will be done by nurses and physicians who will be assigned the patients to ensure they are recovering and commit to their medications. All health care practitioners who will be involved in follow up care will undergo training on cultural competence so they can be able to attend to culturally diverse patients. Cultural competence is important as it help nurses to understand the patient’s background and cultural beliefs before commencing care (Brooke et al., 2014).
The major stakeholders will be caregivers, pharmacists, physicians, and nurses. The stakeholders will be involved to help with the process implementation including assigning financial resources and policy execution. Proper communication and engagement of stakeholders will help them to understand the proposed policy change (Gopee & Galloway, 2017). Thus, the recommended strategies will improve performance of health care institutions to help prevent increased rate of readmission among patients with cardiovascular diseases.
Brooke, B. S., Stone, D. H., Cronenwett, J. L., Nolan, B., DeMartino, R. R., MacKenzie, T.
A., … & Goodney, P. P. (2014). Early primary care provider follow-up and readmission after high-risk surgery. JAMA surgery, 149(8), 821-828. doi: 10.1001/jamasurg.2014.157.
Gopee, N., & Galloway, J. (2017). Leadership and management in healthcare. SAGE
Jiang, H. J., Boutwell, A. E., Maxwell, J., Bourgoin, A., Regenstein, M., & Andres, E.
(2016). Understanding patient, provider, and system factors related to Medicaid readmissions. Joint Commission journal on quality and patient safety, 42(3), 115-121. https://www.ncbi.nlm.nih.gov/pubmed/26892700
Peter, D., Robinson, P., Jordan, M., Lawrence, S., Casey, K., & Salas-Lopez, D. (2015).
Reducing readmissions using teach-back: enhancing patient and family education. Journal of Nursing Administration, 45(1), 35-42. DOI: