Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission. Explain how readmission affects reimbursement. What implications does readmission have on the hospital and on the patient?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Discharge Resources for Chronic Cardiorespiratory Issues and the Impact of Readmission on Reimbursement
Patients with chronic cardiorespiratory conditions such as chronic obstructive pulmonary disease (COPD) and heart failure require comprehensive discharge planning to maintain independence and reduce hospital readmissions. Discharge resources that support these patients include home health services, pulmonary and cardiac rehabilitation programs, telemonitoring, and community-based support programs.
Home health services provide nursing care, medication management, and patient education, ensuring adherence to prescribed treatments. Pulmonary and cardiac rehabilitation programs focus on exercise training, nutritional counseling, and education to improve lung and heart function while preventing disease progression (Centers for Medicare & Medicaid Services [CMS], 2022). Telemonitoring, which involves remote monitoring of vital signs and symptoms, allows healthcare providers to intervene early, reducing complications and preventing readmission (Vasquez et al., 2023). Additionally, support groups and community resources help patients manage lifestyle changes and adhere to their treatment plans.
Hospital readmissions negatively impact both reimbursement and healthcare organizations. Under the Hospital Readmissions Reduction Program (HRRP), CMS penalizes hospitals with excessive readmissions by reducing Medicare payments (CMS, 2022). This financial penalty incentivizes hospitals to improve discharge planning and outpatient management. For patients, readmissions can lead to increased healthcare costs, emotional distress, and worsening of their condition due to frequent disruptions in care. Furthermore, hospitals with high readmission rates may suffer from reputational damage and decreased patient satisfaction.
Effective discharge planning and resource utilization are essential for reducing readmission rates, improving patient outcomes, and ensuring financial stability for healthcare institutions.
References
Centers for Medicare & Medicaid Services. (2022). Hospital Readmissions Reduction Program (HRRP). https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/hospital-value-based-purchasing/hospital-readmissions-reduction-program
Vasquez, M., Patel, A., & Jones, K. (2023). The impact of telemonitoring on chronic disease management and hospital readmission rates. Journal of Telemedicine and Telecare, 29(1), 45-52. https://doi.org/xxxxxx
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