Running head: TRANSLATIONAL RESEARCH 1 Call Me Back Western Governors University
TRANSLATIONAL RESEARCH 2 Call Me Back Professional Practice Description The current discharge process at my hospital does not include any follow-up phone calls to the standard patient being sent home. The emergency room does do follow-up calls for patients that left without being seen, and in the past year the Cardiology department has implemented a “Same-day PCI discharge” policy that does include a follow-up phone call the next day from the cardiac nurse practitioner. All patients are discharged home with a reconciled medication list by their physician, and typically a date for a follow-up appointment with their primary physician. We do have a pharmacy on site that will fill prescriptions within 30 minutes, but it’s not open on nights or weekends. The population my hospital serves includes many elderly patients on a fixed income, as well as a large low-socioeconomic population. Depending on insurance, medications can be too expensive for some patients to get filled. As a nurse in the Cardiac Cath Lab, I see many patients admitted with a heart attack. At a minimum, those patients that receive a cardiac stent and go home on aspirin and an anti-platelet. Sometimes the anti-platelet can be too expensive, or patients don’t understand the importance of the medicine and they end up not taking it-only to find themselves having another heart attack a week later. In the patient’s EMR, I can see they were discharged home on the appropriate medication, so they received the appropriate instructions, but possibly didn’t understand the importance of them. In 2010, the Affordable Care Act established the Hospital Readmissions Reduction Program (HRRP). Under HRRP, the excess readmission ration (ERR) is used to gauge hospital performance. There are currently six conditions that are included in the program including, Acute Myocardial Infarction, Pneumonia, Heart Failure, Coronary Artery Bypass Graft Surgery,
TRANSLATIONAL RESEARCH 3 Elective Primary Total Hip Arthroplasty and/or Total Knee Arthroplasty and Chronic Obstructive Pulmonary Disease (CMS.gov, n.d.). Hospitals are now being financially penalized for patients that return to the hospital within 30 days of discharge. The six conditions listed above are the highest concerned. These penalties range from one to two percent deduction from payment, which doesn’t seem like much, but can be hundreds of thousands of dollars. So, how can nursing help? Patients are most vulnerable immediately after discharge. It’s estimated that 20% of Medicare patients are readmitted within 30 days of discharge. Nursing can play a key role in reducing that number by beginning planning for discharge on admission, and by transitioning the care from the hospital to home by making follow-up phone call(s) after discharge (Nelson, 2015).
You've reached the end of your free preview.
Want to read all 12 pages?
- Spring '16
- telephone call, translational research