Its recorded prevalence has ranged dramatically, from some reports of as low as 5.5%, and others as high as 25% (Lee et al
Readmission of patients with diabetes is a problem that warrants consideration of the contributing factors. Readmission of patients within 30 days of discharge is considered to be an indicator of healthcare quality -- along with other circumstances, such as patient lifestyle -- that needs to be addressed from a patient care perspective and from a cost of care perspective (Dungan, 2012)
Rigor was ensured in the data analysis process as each investigator coded their interviews individually, and then the group of investigators collectively reviewed each of the interviews in order to assure the coding was accurate, representative, and consistent. The data analysis process was entirely appropriate for the data collected since qualitative data is generally coded for emerging themes with related elements of the data being categorized as they are encountered in the review (Dye, et al
A convenience sample was then identified and approached for consent, using the human subjects review process required by the Temple University Institutional Review Board. It is important to note that the study outcomes are intended to provide benefit to the participants, which is one of the tenets of ethical conduct provided in the Belmont Report (Polit & Beck, 2012)
(2014) explored the causes of readmission that occurred within 30 days of discharge among diabetic patients, a phenomenon the researchers refer to as early readmission. The purpose of the qualitative research was to understand the conditions that led to readmission from the perspective of the patients with diabetes, with an emphasis on "aspects of the inpatient to outpatient transition of care" (Rubin, et al
Question Two Date: April 2, 2015 To: Members of the School Swimming Team From: XXX (Team Coach) Subject: Instructions on how to do an effective side-to-side warm-up before workout Warming up is an important part of work-out exercises. The risk of injury is reduced significantly if warm-ups are done effectively because the muscles become more efficient and the body better prepared to perform major training exercises (Hoffman, 2002)
The Rationale for Selection This population was selected because it represents one of the best opportunities in healthcare to reduce costs and improve patient outcomes. Diabetes, similar to other chronic medical conditions, is associated with increased risk of hospital readmission and some of the risk factors include previous hospitalization, extremes in age, and socioeconomic barriers (Dungan, 2012)
It is further estimated that nearly five and a half million people, or over a third of the population, have prediabetes. Diabetes and diabetes-associated cardiovascular diseases have become the leading cause of death in the region accounting for roughly two-thirds of the deaths and the rates of diabetes has lead this trend to be referred to as the diabetes epidemic (Frieden, 2006)
On a national level, it is currently estimated that 26 million people in the United States (8.3% of the population) have diabetes, and another 7 million people have undiagnosed diabetes; furthermore, estimates indicate an additional 2 million people 20 years and older are diagnosed with diabetes each year and the total estimates of people at risk for diabetes or people with pre-diabetes are approximately 79 million (Saccomano, 2014)
With this focus in mind, it will be important to create a multidisciplinary team that includes registered nurses, nurse practitioners, physicians, physician assistants, registered dietitians, pharmacists, social workers, nursing assistants, and certified diabetes educators (CDEs) to plan the individual interventions (Saccomano, 2014). One study found that formal inpatient diabetes education was associated with a reduction in the rate of hospital readmission for patients with poorly controlled diabetes and another study, of Medicare beneficiaries with type 2 diabetes, found that major risk factors for readmission are patient complexity, older age, and longer duration of initial hospital stay (Tucker, 2013)
(p. 203) Moreover, Atkinson concludes that not only is too much classroom attention being focused on preparing students for standardized achievement tests, the results of these tests are being used for the allocation of resources that place underperforming schools at an even greater disadvantage, meaning essentially that they are caught in a vicious Catch 22 situation in which they will never be able to catch up with other schools (Atkinson, 2012)
Unfortunately, far too many educators and educational institutions use the results of standardized tests such as the SATs that do not conform to this stated purpose, making the need for a careful analysis concerning appropriate applications for these tools an essential part of their use. To this end, this paper review the relevant literature to explain that standardized achievement tests such as the SATs are capable of predicting academic ability by measuring cognitive ability, but academic ability cannot predict cognitive ability (Finn, Kraft & West, 2015)
70). Finally, some educational researchers have attempted to defend the status quo by advancing spurious arguments such as "When other relevant factors are taken into account, economic resources are unrelated to student achievement" (Klick, 2009, p
Moreover, the skills of the staff will be rejuvenated after a considerable period. For instance, the staff members will be taken through different seminarian proceedings and engagement that aid them to improve service delivery, while taking up progress records that will beckon further improvement (Cisneros, 2015)
Explanation of Proposed Solution The proposed solution for preventing 30 days readmission of Medicare and Medicaid patients is a process or procedure that focuses on post-discharge care through follow-up phone calls after discharge and follow-up appointments with primary care physicians. Generally, follow-up phone calls by nurses after patient discharge have widely been adopted as a means of enhancing patient satisfaction and outcome while ensuring continuity of care (D'Amore et al
Therefore, reducing the rates of readmissions to hospital of Medicare and Medicaid patients requires developing and implementing a new or enhanced plan for patients' follow-up after discharge. According to the findings of a recent survey, 22% of patients admitted to hospitals are either re-hospitalized or visit an emergency department within the first month after discharge (Harrison et al
The interventions help in achieving this through increasing visits to physicians' office, which implies that these patients seek help from physicians resulting in avoidance of re-hospitalization. The case for this proposed solution is also supported by vital evidence in literature that non-medical risk factors play a major role in early readmission of Medicare and Medicaid patients to hospitals (Iloabuchi et al
Once that is done, solutions can and should be figured out, designed and then implemented. Incorporating Theory Ronald Lippitt's organizational change theory follows the exact steps as the nursing process: assessment, planning, implementation, and evaluation to promote and effect change (Mitchell, 2013)
Hand-hygiene promotion is a key measure in assessing infection control and may be a primary mode of intervention as detailed in a 2013 study. "Hand-hygiene promotion was associated with significant improvement across all specific indications and professional categories" (Allegranzi et al
S. hospitals by unit type and to determine the 27-month secular trend in falls prior to the implementation of the Centers for Medicare and Medicaid Service (CMS) rule which does not reimburse hospitals for care related to injury resulting from hospital falls" (Bouldin et al