NR451_W3_Milestone1_Evidence_Worksheet (3).docx

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Chamberlain College of Nursing NR451 RN Capstone Course Capstone Project Milestone 1: Practice Issue and Evidence Summary Worksheets Student Name: Yohonna Conway Date: 07/22/2017 D IRECTIONS 1. Refer to the guidelines for specific details on how to complete this assignment. 2. Type your answers directly into the worksheets below. 3. Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT. 4. Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response. Practice Issue Worksheet What is the Practice Issue? Since Congestive Heart Failure is a difficult disease to manage and most of the CHF patients we see are over 65. Several patients do not understand the importance of following a detailed regimen to prevent readmission to the hospital. The initial period after hospitalization can be a vulnerable time for patients. Discharge instructions can be long and patients can be overwhelmed with the amount of information provided at discharge. By implementing a post discharge phone follow-up and giving the patient a point of contact for questions, the goal of this project is to prevent unnecessary readmissions. Define the scope of the Practice Issue: 20% of all Medicare covered patients are readmitted to the hospital within thirty days of discharge. These readmissions can cost the American public >16 billion dollars a year. Because the Affordable Care Act has implemented incentives to reduce readmission, it is important for our hospital to develop and implement practices to help prevent readmissions. CHF is the number one admission diagnosis in people over 65, it makes sense to develop a program to help decrease readmissions for this diagnosis. What is the practice area? _X__ Clinical ___ Administration NR451 W3 MS1 Practice Issue and Evidence Summary Worksheets 2/16/17 GH 1
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Chamberlain College of Nursing NR451 RN Capstone Course __X_ Education ___ Other (list)_________________________________ How was the practice issue identified? (check all that apply) ___ Safety/risk management concerns __X_ Unsatisfactory patient outcomes ___ Wide variations in practice __X_ Significant financial concerns Our hospital has identified that readmission for CHF is the number one factor in preventing a full reimbursement from Medicare. Hospital case managers call the ED if a patient presents to the ED within the first 30 days after admission to discuss ways to prevent the readmission. The ED and
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