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Amy serves as a direct contact to all our clients. She will customize client reporting, provide training to the EMT’s as necessary, and will review client compliance programs and materials for relevance and accuracy. Amy ensures that our clients are meeting Medicare and HIPAA compliance, and will provide updates and training when Medicare and or the industry updates regulations. Amy personal attention to our clients, gives them the confidence that that they are receiving the highest returns, while adhering to compliance and professional handling of their

Recently the hospital had a meeting about the way the facility would be reimbursed due to hospitalizations that occurred within a thirty day readmission connected to the same diagnosis. The educators were forced to evaluate how staff could improve in eliminating infrequently readmissions. The lack of information given and understood by the patient guarantees a readmission due to the nurse not fully understanding that for patients with CHF to avoid readmission due to noncompliance nurses and health care staff must ensure that the

Congestive Heart Failure (CHF) patients and their consistent trending of hospital re-admissions continue to threaten quality care and patient quality of life. Considered a chronic condition, CHF is diagnosed in approximately 13% of patients 85 or older (Clarke, Shah & Sharma, 2011). Re-admissions have become so prevalent among the CHF populations, that Centers for Medicare has initiated a quality campaign and offers incentives when hospitals implement telemedicine programs and show reduction in CHF hospital admissions. In relation to CHF, Conway, Inglis, and Clark (2014) states that, “Telemedicine involves transmission of physiological data, such as weight, … from the measuring device to a central server via telephonic, satellite,

According to the Centers for Disease Control and Prevention (CDC) there are an estimated 5.1 million adults suffering from heart failure (2013). As the prevalence of heart failure continues to rise, one out of every nine deaths occur as a result of this chronic condition. Studies conducted at Yale found in Medicare age patients with heart failure, there is a median 30-day mortality rate of 11.1% and 5-year rate of approximately 50% (Alspach, 2014). According to Desai & Stevenson (2012), rising costs of care are in direct correlation to the number of hospital admissions related to a primary diagnosis of heart failure especially among adults age 65 years or older. The national rate for readmissions within 30 days is approximately 24.7%, consequently having

A resident at the time saw that although there is a hearty amount of evidence that illustrates that adhering to heart failure guidelines decreases the rate of mortality and morbidity, nationally there is modest adherence to heart failure practice guidelines. Doctors have voiced a multitude of reasons to this poor participation including but not limited to time constraints in a visit, inertia of patterns in practice, lack of awareness and lack of acceptance are a few. This new web-based tool, the “Smart” Heart failure sheet is designed to help connect previously compartmentalized information. It seeks to link guidelines to their patients’ clinical and laboratory characteristics and systematize adherence to heart failure guidelines. It accomplishes this by uploading pertinent patient-specific data, including laboratory and imaging results, procedure reports and relevant medications. Additionally it also provides tools, such as a flow chart for diuretic dosage and weights. Overall this tool is useful to help physicians identify patients who may benefit from a treatment. From there it provides support tools that alert the physician to a personalized medical treatment. The “Smart” Heart Failure Sheet acts as a registry for scholarly research and also provides educational resources to expand providers’ knowledge, thereby improving patient care (Battaglia,

Clinical coordinators would oversee the process to monitor for safety, quality, recruitment, and retention of patients in the program. The patients would receive detailed instructions and protocols on how to make calls daily, report vital signs, weight, and answer questions about their health and symptoms of heart failure. (Chaudrey et al., 2010). Results would then be transferred via a secure network connection. The providers could then evaluate the data to identify and manage early signs of decompensation, and to make recommendations on patient care. Providers could also provide patient education to help patients understand their discharge instructions and medications. (Inglis et al., 2011).

Rising health care cost and stricter regulations for insurance reimbursement plans have pushed health care leaders to re-evaluate health care services. One focus is reducing hospital readmission rates for chronic disease process (Bos-Touwen et al, 2015). Congestive heart failure is one of the leading causes of hospital readmission (Cubbon et al, 2014). Fifteen million people worldwide have a diagnosis of CHF. In addition, 15-20% of those with the diagnosis of CHF are hospitalized yearly (Sahebi et al, 2015). In 2010, 40 billion dollars was spent on health care needs for CHF patients. Seventy percent of the resources were for hospital services (Siabani, Driscoll, Davidson, and Leeder, 2014). The need for streamline healthcare for CHF patients is imperative to improve overall patient outcomes and reduce the amount of hospital readmission rates.

Congestive Heart Failure (CHF) and Heart Failure (HF) are serious problems in regards to hospital re-admissions especially regarding the sixty-five year old population. Data demonstrates approximately over 670,000 individuals each year are diagnosed with CHF, along with that there are 6 (six) million Americans affected with CHF. Hersh, Masoudi, and Allen (2013) described readmissions of patients with CHF is increasing by 25% within thirty days of discharge from the hospital. This creates a huge impact on the taxpayers and patients due to the increasing percentages being re-admitted into the hospitals (Post discharge Environment Following Heart Failure Hospitalization: Expanding the View of Hospital Re-admission, 2013). The problem is to identify a plan to decrease the CHF/HF hospital re-admissions into the especially regarding the 65 (sixty-five) year olds and older, in spite of efforts from the hospital staff providing guidelines and nursing education regarding CHF/HF signs and symptoms.

The cardiac rehab center has two systems when charting individual interactions. Initially when a patient is admitted into the program the nurse interviews the patient and creates a hand written care plan; the nurse manager has directed that all revisions must be on this report. The second documentation method is electronic charting which is used in every session where the patients are supervised on a telemetry monitoring system while exercising to make sure the patient is in safe parameters. Although the nurses write a narrative note of changes in medication, diet compliance, and appointments; the issue lies in the fact that the information on the electronic system does not get transferred over to the physical care plan. Care plans are unable to become revised because of missing documentation that allows the practitioner to measure successful and unsuccessful treatment. The patients cannot receive the best care possible because of the inability to build onto previous care. In addition, other care providers cannot continue care for patients without building a foundation for themselves of assessments because of the lack of information on the patient. With the unit having a slight majority of elders if the center were to become audited by Medicare with the lack of documentation for each patient the program could lose

She is an Admission Nurse for the University of Kansas Hospital and what she does is she checks patients into other care facilities. Which are also related and

Department Organization: This 358 hospital bed acute care facility. The HIM department is staffed with twenty one individuals who hold various positions. There is one with a RHIA credential, and two with RHIT credential. The other members of the department include Certified Coding Specialists (4), Certified Coding Associates (1), Birth Recorders (1.5), Clerks (2.2), Technicians (6), System Technician (1), Registry (.8) and Document Specialists (2.2) with many tasks shared among the entire team. The information flow begins with the patient discharge. A new chart is created for each discharge. The chart is assembled, coded and then analyzed by senior HIM Specialist for deficiencies. If the chart is complete the chart goes to the main file. If not, complete MD is notified.

Performed patient-care duties for four assigned residents. Awoke and mobilized patients. Washed and dressed patients. Examined residents daily for alterations in skin and fecal matter, reporting irregularities to team leader. Administered patient medications. Maintained patient safety by use of proper mobilization techniques. Fed patients breakfast and lunch. Communicated effectively in German with work team and residents. Stimulated residents through friendly conversation, games, and interaction. Maintained composure while living under demanding working conditions.

A research question for a proposed study on transitions of care in congestive heart failure patients is: How does implementation of transitional care interventions in heart failure patients upon discharge affect the rate of compliance to their prescribed heart failure regimens. The rational for the proposed study is to develop a care model that will prevent CHF exacerbations and readmissions to the hospitals. Throughout this study the goal would be aimed at providing resources, continuation of care, and proper teaching materials to make allowance for compliance to their prescribed heart failure

Just as NMMC has excelled at improving quality and lowering cost, The University of Alabama at Birmingham Health System (UAB) also understands the importance of resource utilization and controlling cost. Similar to NMMC’s clinical care guidelines, UAB has implemented strategies to improve efficiency and resource utilization. UAB Care was started in January 2014. “Every Patient, Every Time,” that is the foundation of UAB Care. UAB Care is an on-going hospital wide initiative focused on using evidence-based practices for certain clinical conditions such as Congestive Heart Failure (CHF), Sepsis and Ventricular Assist Device (VSD). The goal is to make sure the same guidelines are used in every case. UAB Care was initiated under the belief that providing consistent, evidence-based care defined by faculty, and hardwired that care into the system, it would improve the quality, safety, and patient outcomes of the patient, while also improving patient, family and employee satisfaction. The overall goal is to improve the

The different responsibilities include: monitoring patients' INR values, adjusting medication to maintain a prescribed range, education, care and support (during one-on-one visits / over the telephone). ("Job Description," 2012)