9). Possible complications of a CAUTI are prolonged hospital stays, unnecessary costs to both the patient and the healthcare organizations and poor health outcomes for patients. In addition to poor health outcomes and unnecessary costs to both patients and healthcare organizations, CAUTI’s place the patient at risk for bacteremia (the presence of bacteria in the blood stream) which can easily result in the patient becoming septic, which can often result in the death of a patient. Therefore, the prevention of CAUTI’s is crucial and significant to patient care.…
The Centers for Medicare and Medicaid Services made a decision to no longer pay for CAUTIs due to the rising cost, which has placed a financial burden on the hospitals if a patient should develop one while hospitalized. The average cost of a CAUTI is $1006 if it is caught early, but many CAUTIs are not caught early and develop a bloodstream infection. (Healthcare, 2016). If the CAUTI turns into a bloodstream infection the average cost of treatment increases to can over $36000. (Healthcare, 2016).…
Hospital CAP core measures are comprised of: “CAP-1, Oxygenation (O2) assessment; CAP-2, Pneumococcal screening/vaccination; CAP-3, Blood cultures performed in the emergency department (ED) prior to first antibiotic (ABX) received (Bay Medical Center, 2016); CAP-4a, Adult smoking cessation advice/counseling; CAP-4b, Pediatric smoking cessation advice/counseling; CAP-5, Antibiotic timing; CAP-6, Initial antibiotic selection consistent with current recommendation – Intensive Care Unit (ICU) patients; and CAP-7, Initial antibiotic selection consistent with current recommendations – non-Intensive Care Unit (ICU) patients (Commission, The Joint).” CAP-1, O2 assessment allows for an assessment using a pulse oximetry or arterial blood gas (ABG) as a diagnostic tool. Radiological signs are considered the most specific indicator of bacterial pneumonia (MP, 2015;6). CAP-2, Pneumococcal screening/vaccination is done because according to Centers for Disease Control and Prevention (CDC), the use of the influenza vaccine and use of the pneumococcal vaccine are major preventive measures of CAP (John G Bartlett1, (2000) 31 (2)). CAP-3, Blood cultures performed in the emergency department (ED) prior to first antibiotic (ABX) received is performed because obtaining cultures after ABX were given decreased yield by 50% (Bay Medical Center, 2016).…
There’s discrepancies between the optimal patient care and current care is provided. That issue was addressed by the Canadian Patient Safety Institute (CPSI) Which establish measures to encourage improvement of patient safety and quality of care. Ultimately, the government of Ontario issued a bill and some specific acts to overcome this issue. Grand River Hospital (GRH) includes over 3,500 staff who serve over 23,391 newly admitted patients and almost 281,824 patients through outpatient clinics, emergency departments and one-day surgery visits. GRH establish a quality framework by strategic planning and developed specific goals regarding accessibility, appropriateness, safety and patient experience of care.…
A study of the impact of ACNPs in critical care found that there was improved patient flow, outcomes, and reduced patient morbidity and mortality (Fry, 2011). This study provides evidence-based research that supports the effectiveness of AGACNPs within the critical care units. Third Study The quality and effectiveness of care that is provided by ACNPs has been researched and discussed in a 2013 article. In this article 11 aggregated outcomes were obtained from 37…
Surgical Site Infections are related to delayed healing, increased patient morbidity and mortality, increased hospital stay, readmission and facility costs. Anderson et al. (2014) explains that these infections extend a patients hospital stay on average of 7 to 11 days and cost roughly $3.5 to $10 billion annually in healthcare expenditures according to the consumer price index for inpatient hospital services. Most of these costs are not reimbursed by insurance because they fall within the 30-day readmission rate. Shepard et al.…
PE is a clot within the lungs which usually derives from the DVT. There are multiple risk factors for VTE including venous stasis, hypercoagulable states, immobilization, surgery and trauma, pregnancy, oral contraceptives and estrogen replacement, and malignancy. It is believed that approximately 1 million cases of VTE occur in the U.S. each year, resulting in 300,000 deaths annually, but the exact incidence of VTE is unknown. DVT and PE, are among the most common preventable causes of in-hospital mortality, according to…
The average length of stay for a patient and its impact on the organizations budget is also a concern. The longer a patient stays, the more likely they are to contract an infection and diminish their health even further. This scenario is not good for anyone. Hospital stays are costly, but in regards to hospital income and budget, we want…
Discuss your thoughts, with scholarly support, with your colleagues in this class. How do these issues affect us, as healthcare providers, and our community members? People are living longer with many co-morbidities and the Affordable Care Act involves Medicare and Medicaid reimbursement and preventative measures improving quality of care with cost control. This includes a collaboration of care from the interdisciplinary team to give the highest quality of care in clinical care settings and preventing unnecessary cost (Salmond & Echevarria, 2017, p.12).…
The affordable care act allows anyone afflicted with these infections diseases not to be billed by the hospitals for their costs. Doctors and Nurses were the one of the first to express their satisfaction with PPACA. Introducing a new and more upbeat mood for healthcare professionals as their workload would subsequently increase. “ According to the Bureau of Labor Statistics, employment for registered nurses is estimated to grow by 16 percent between 2014 and 2024—much faster than average for all occupations” ( AllNursingSchools). With the increase of patients simultaneously there brings the need for more doctors and nurses in the…
According to LoBiondo-Wood and Haber (2014) finding the statistical significance in the study results does not necessarily mean that the results would have the clinical significance. I think that the results of the study presented in the article have a clinical significance. In order to provide best possible patient care and remain cost efficient the implementation of interventions which allow to achieve these goals is very important. The statistical results showed no significant difference in the length of stay in the hospital for patients care by team with or without a NP; however, the rate of return to the hospital (ER or readmission) was lower for patients who had a NP in the care team. The reduction of readmissions is important for finances…
Since 2005, without much success, the Minnesota Nurses Association (MNA) has been encouraging hospital chief executive officers and/or administrators to set a baseline minimum staffing standard or create policy to protect patient safety (Minnesota Nurses Association, 2017). In 2010, the Affordable Care Act (ACA) implemented a new model of healthcare delivery and payment that was designed to improve quality and reduce costs, but as a result, cost control pressures have been put on nurse staffing levels in order to reduce nurse labor hours and their associated costs (Avalere, 2015). With a goal of making a case for sufficient nurse staffing levels and/or models, the American Nurses Association (ANA) teamed up with Avalere to conduct a targeted review of published literature, government reports, and other publicly available evaluations of nurse staffing and patient outcomes (Avalere, 2015). Their key findings with appropriate nurse staffing included: nurse staffing models should consider the number of nurses, the nurse-to-patient ratios and staffing should be adjusted to account for unit and shift level factors; helps to achieve clinical and economic improvement in patient care; improves patient satisfaction and patient quality of life; decreases/reduces: medical and medication errors, patient mortality,…
The article further reveals that there lacks a sufficient cause to determine the reasoning behind the sizeable difference in charges. The Affordable Healthcare Act seeks to curtail this issue by adding this aspect of transparency. There are future hopes that insurance companies and hospitals can enter into further negotiations to reduce this cost, and provide better services to its patients. This is important as “unexpected health care bills continue to be a leading cause of financial ruin for American families” (Young, 2013). This issue is above all is important, as the patients are recovering from what condition forced them to seek treatment.…
It also mentioned the financial burden the disease has on the Australian government using data taken from the Australian Bureau of Statistics. The aetiology and pathophysiology of pneumonia were identified and discussed the effects and the relevant underpinning disease processes involved in the patient’s clinical condition. To conclude this investigation an overview of the pre-hospital management required for this illness was given. It is important to remember that if left untreated the severity of pneumonia can become life threatening so seek medical treatment and or prevention if symptoms…
Emergency Departments (ED) all over the country struggle with over-crowding, and consequently long wait times (WT), extensive length of stays (LOS), high rates of patients who leave without being seen (LWBS), and poor patient satisfaction. This paper will explore the impact of overcrowding and the implementation of a fast-track area (FTA) as a solution to minimize the consequences. Emergency Department Crowding ED crowding is a national problem. The number of patients visiting EDs is growing rapidly. According to the Centers for Disease Control (CDC) there were approximately 136.3 million ED visits in 2015, which is 112.7 million more that in 1993.…