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It also effects the community. Resources for these patients are greatly needed. Patients look to the community for help, including financial help, social support, and care support, and transportation support. This is especially true for those without family and friends to help. Blood pressure screenings are usually provided in successful communities as well as numerous physicianoffices and cardiology offices. A community also needs case managers and social workers to help those without financial resources to pay for clinic visits, medications, home health, transportation, food, and more. •Discuss the financial costs associated with the selected disease process for patients, families, and populations from diagnosis to treatment.According to an article from Medscape, “in the United States alone, more than 4 million persons carry the diagnosis, and more than 550,000 new cases are reported annually. Disease prevalence is expected to reach 10 million in the United States alone by2007” (Discher, 2009). From diagnosing to treating heart failure, the costs are great. Diagnosing the disease requires a doctor visit, laboratory work, diagnostic tests, and medications. The costs do not go away as the disease is ongoing. Medications are ongoing as well as doctor visits, monitoring lab work, and even monitoring procedures, such as chest x-rays and 12-lead EKGs. Hospitalizations are another costly burden on these patients. The American Heart Association states, “In developed countries, the cost
of HF care constitutes 1% to 2% of overall health care spending.1 In the United States, HF consumes more Medicare dollars than any other diagnosis, and total costs for HF carewere estimated at $34.8 billion dollars in 2008”(Dunlay et al., 2011). The AHA also states that, “on average, a staggering 79% of lifetime costs of HF care are accumulated during hospitalization” (Dunlay et al., 2011). The national average price for an electrocardiogram is $228 (Incorporated, 2016). In Indiana the average price for one overnight stay in a non-profit hospital is $2,352. The average stay for a heart failure patient is 5 days which costs a patient over $10,000 (Rappleye, 2015).•Discuss how you will promote best practices for managing the selected disease in your current healthcare organization.My local hospital follows practice guidelines set forth by the ACCF and the AHA as mentioned earlier. They follow order sets that have admission orders, care plan orders, medication orders, and discharge orders. These are all based on best evidence-based practices. However, the patient gets an individual care plan based on interdisciplinary input. The best approach or best practice for heart failure patients is to get them to be an active participant in their care. Nurses, case managers, and physicians provide the education and ensure that the education sinks in. I ensure that my patients understand what the doctor explained and before discharge I make sure that follow-up appointments have already been scheduled. I encourage my patients to take their medications as prescribed and understand symptom management.