The data were analyzed using descriptive statistics to describe the sample and to compare the effect of the educational intervention on readmission rates. of Medicare patients’ hospital readmission within 30 days of discharge is approximately $20 billion (Robinson & Hudali, 2017). This is a focal point on the nursing clinical issue accomplishing good patient outcomes in efforts to prevent hospitalization. For questions with empirical evidence or in-progress studies to inform the results, we will build on study-specific tables to generate cross-cutting tables describing the state of evidence on study characteristics (number and types of study designs addressing management strategies to reduce psychiatric readmissions) and types of outcomes. Time is optional as you can decide to concentrate on PICO only. Colleen Bartlett MSN, CPNP, FNP-C School of Nursing, University of St. Augustine for Health Sciences This Manuscript Partially Fulfills the Requirements for the Doctor of Nursing Practice Program and is Approved by: Debbie Conner, Ph.D., MSN, ANP/FNP-BC, FAANP Sarah Perron, Ph.D., RN, NPD-BC, CMSRN, CNML November 16, 2020 . State your PICOT question. Think about age, sex, geographic location, or specific characteristics that would be important to your question. PICOT question and assignment details below, please read entire document. The annual cost of treatment for the more than five million Americans diagnosed with heart failure is estimated to be approximately $8000 per person per year (Smith et al., 2010). There are preventable health readmissions that should be a priority. PICOT QUESTION 5 PICOT Address P-Hospital-acquired pneumonia a condition within the health facility that affects different individuals during care provision. There is an urgency to prevent readmissions as the impetus to provide quality, cost-effective, yet coordinated care is being mandated by policy makers such as the Centers for Medicare and Medicaid Services (CMS) (Chen et al., 2010; Kansagara et al., 2011). Use the PICOT format to break down your question into smaller parts and identify keywords: P: I: C: O: T: Patient / Population: Intervention / Indicator: Compare / Control: Outcome: Time / Type of Study or Question: Who are the relevant patients? Currently, CMS enacts the Hospital Readmission Reduction Program, which is a value-based care model that drives payment penalties when hospitals exceed a benchmark hospital readmission rate. In the first article in our discussion of hospital readmission reduction programs, we focused on how improved diagnosis and prescription selection can reduce 30-day readmissions. Reducing preventable readmissions among Medicare patients has become an important national priority for healthcare policy makers. Participants were monitored for 30 days post discharge and readmission rates were evaluated. ( Derdak, S 2017 ). … sions Reduction Program to reduce readmission of patients hospitalized for COPD, acute myocardial infarc - tion, pneumonia, and heart failure. Another … This is a focal point on the nursing clinical issue accomplishing good patient outcomes in efforts to prevent hospitalization. The article concentrates on detail discharge planning along with obtaining goals upon discharge home preventing readmission to hospital. With the HRRP initiation, hospitals were financially penalized for excessive readmissions for acute myocardial infarction (AMI), heart failure (HF), and pneumonia (Boccuti & Casillas, 2017). Many of the patients are 50 years of age and older and have chronic congestive heart failure. Reducing preventable hospital readmissions is a national priority for payers, providers, and policymakers seeking to improve health care and lower costs. aim was to reduce 30-day readmission rates for HF pa-tients discharged to an SNF. ( Derdak, S 2017 ). / Scholarly Theory Paper topic Self-Management heart failure Toolkit for homecare patients to reduce hospitalizations and readmission rates. Perhaps that is the question we should have started with because as it turns out, the benefits of reducing readmissions to the patient and the system are a bit unclear. In the blog Reduce 30-day readmission rates by accessing specialist consults in the ED , we covered how accessing specialists can prevent unnecessary readmissions thru the Emergency Department. Table 1: Readmission Factors Example Matrix Reducing readmission rates is a priority for the hospitals and home health agencies due to medicare reimbursements. Being hospitalized can lead to deadly infections, and even death. Hospital discharge and readmission. Indicate in parentheses after each segment, what part of PICOT the preceding words represent. Daly et al. ( Derdak, S 2017 ). The PICOT question is made in a formula (format) of creating re-searchable and answerable inquiry. Providing patients (especially those identified as high risk for readmission) with comprehensive discharge instructions can contribute to keeping heart failure patients out of the hospital and is a valid approach to preventing future readmissions to the hospital (Bialek, 2016). Reducing Hospital Readmissions: IDEAL Discharge Planning for Heart Failure Management Heart failure (HF) has one of the highest readmission rates amongst all conditions in Medicare and Medicaid populations (Ketterer, Draus, Mossallam, & Hudson, 2014). ( Derdak, S 2017 ). Sepsis Readmission Interview Tool FINAL VERSION_082818 3 . Readmission Reduction Program (HRRP) in 2012 to reduce unplanned hospital readmissions rates (Jun & Faulkner, 2018). Decreasing Readmissions in Medically Complex Children . PICOT question examines whether a nurse’s application of the LACE scoring index and the Intervention to Reduce Acute Care Transfers (INTERACT) reduces a patient’s readmission in the Skill Nursing Facilities (SNF) and improvement of transition care compared to the non-utilization of the LACE scoring and INTERACT tool. Reducing readmission rates is a priority for the hospitals and home health agencies due to medicare reimbursements. The Hospital Readmissions Reduction Program (HRRP) is a Medicare value-based purchasing program that encourages hospitals to improve communication and care coordination to better engage patients and caregivers in discharge plans and, in turn, reduce avoidable readmissions. One study [3] shows declining heart failure readmissions, but more deaths 30 days and one year after discharge. T-The 'T' stands for the time it takes for an intervention to achieve the desired outcome or observation of the patients. Reducing readmission rates is a priority for the hospitals and home health agencies due to medicare reimbursements. PLEASE READ ENTIRE DOCUMENT FROM TOP TO BOTTOM. the management of heart failure to potentially reduce hospital readmission rates. The project PICOT question, EBP model, search strategy, evidence appraisal, and practice changes are listed in Table1. Professor and class, The approved systematic review I decided to go with discharge plans to prevent hospital readmission for acute exacerbation in children with chronic respiratory illness. In 2012, the program began imposing penalties for readmissions—an approach that left healthcare systems scrambling to find and implement evidence … In 2012, the Centers for Medicare & Medicaid Services began reducing Medicare payments for certain hospitals with excess 30-day readmissions for patients with several conditions. When a research or a person writes appropriate question, it builds In 2012, the program began impos - ing penalties for readmissions—an approach that left healthcare sys - tems scrambling to find and imple - ment evidence-based interventions to decrease avoidable readmissions. Patients would seek better care within the different facilities that feel safe and where such conditions would become well managed, unlike the current health facility. PICOT QUESTION 4 reduced patients. The hospital use "Cerner" for health information. Reducing preventable hospital readmissions is a key indicator of quality healthcare, the research team explained. Question: How does discharge planning affect children diagnosed with … The 30-day increase in mortality would represent a big clinical problem for the readmissions program. Picot is a wordplay that can assist to create a clinical question and direct the search for obtaining evidence. 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