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understand literature that they, in turn, would educate and give information to patients at the timeof discharge. It would be essential to teach and then assess the patients understanding of signs and symptoms of worsening conditions to lower readmission. Social workers would also be a part of the patient's discharge. The social worker can assess the patient's needs after discharge and put things in place before the patient has even left the facility. This will help form a seamless transition. A pharmacist will also be a part of the team. They will assess and determine the understanding of medication regimens, current medications and answer any questions before discharge. By ensuring compliance around prescribed medications, the patients chance for quality increases and the rate of readmission maydecrease. C1. Implementation PlanThree strategies that I have chosen to implement best practice for managing heart failure readmission in my healthcare system is accountability, communication, and follow-up. Accountability can be addressed and implemented by teaching individual members of thehealthcare team-best practice for managing heart failure readmission. The team should be given a timeframe to brainstorm and come up with solutions to decrease patient readmission. Teachingteam members how to evaluate the success of the plan will be imperative, along with what to do if the parts of the project are unsuccessful.
THE CAUSES AND CARE20Communication such as weekly memos, reminders and minutes of meetings should be distributed to team members to remind team members of goals, best practices, and discussion regarding reducing readmission. The importance of reminders of the goals and education of the team members will trickle down to the patients and will also support the team with focus and support from the facility.Follow-up may also be used to implement best practice for managing heart failure readmission by implementing measures. Plans to decrease heart failure readmission must be measured to determine if the projects are successful or not. Summarization of the data regularly will evaluate success and allow for any corrections or changes to the plan as needed to adjust the outcome more favorably.C2. Evaluation MethodEvaluation of the methods is imperative to determine if the intervention is successful. I would evaluate the above implementation plans for effectiveness, understanding, and improvement of readmission. To evaluate the implementation of accountability within the plan, the individual team members must show that they have stood by the group's decisions and the wellbeing of the projects. The members of the team must be confident and comfortable to bring up ideas and submit them to other team members. The team members must be open-minded and able to accept constructive criticism from the group a civilly so they can improve and decrease heart failure readmission.