Tuesday, May 28, 2019
Implementation of a Transitional Model of Care for Congestive Heart Fai
During exacerbations of Congestive Heart Failure (CHF), older patients may take in care in multiple settings often resulting in fragmented care and poorly-executed care transitions. The negative consequences of fragmented care lead to duplication of services unbefitting or conflicting discharge instructions, medication errors, patient/caregiver anxiety, and increased costs of care. In light of changes in Medicare reimbursement penalizing hospitals with above set limits for face sorrow (HF) readmissions, models of care are being evaluated for their effectiveness in satisfying this change as well as reducing fragmented care in this macrocosm. This makeup reviews the Transitional Care Model created by Dr. Mary Naylor at the University of Pennsylvania (Penn Nursing Science, 2013). This model in introduces a patient-centered interdisciplinary team intervention intentional to improve transitions across care settings. Congestive Heart Failur eCongestive heart failure (CHF) is a condition in which the heart is incapable of adequately pumping blood throughout the body or unable to stop blood from backing up into the lungs. The most common cause of CHF is hypertension, previous myocardial infarctions, disorders of the heart muscle or the valves of the heart, and chronic lung diseases such as asthma or emphysema. CHF is a common diagnosis for individuals sixty five years and older. With the growing population of baby boomers, the rate of CHF is predicted to nearly double over the next forty years and will be a drain on healthcare resources. intercession costs are estimated around $20 to $40 billon, with $8 to $15 billion spent on hospitalization alone (Quaglietti, Edwin, Ackerman, & Froelihe... ...he Medicare Fee for Service Program. bracing England Journal of Medicine, 360 1418-1468.Naylor, M. (2012). Transitional Care Model. Retrieved from http//www.fiercehealthcare.com/special-reports/transitional-care-modelPenn Nu rsing Science. (2013). Transitional Care Model-About TCM. Retrieved from http//www.transitonalcare.info/about.tcmQuaglietti, S. E., Edwin, J., Ackerman, L., & Froeliher, V. (2000, November/December). Management of the Patient with Congestive Heart Failure Using Outpatient, Home and Palliative Care. mount in Cardiovascular Diseases, 43(3), 259-274. Retrieved from www.cardiology.org/recentpapers/susiechfpdfSenthilraj, G., & Ganeshan, R. (2013). Effects of a Hospital Wide Quality Improvement (Doctoral dissertation, University of Connecticut). Retrieved from http//digitalcommons.uconn.edu/cgi/vecontent.cgi?article=1464&context=gs_thesis
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