New Approach on Hospital Re-admissions

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New Approach on Hospital Re-admissions

Centers for Medicare and Medicaid Services (CMS) has a mandate of recording readmission frequency rates and, also the power to record the resources utilization to physicians as well as to the hospitals. At first, the CMS used to work publicly precisely dealing with the hospital-level readmission ratios with were agreed and put in the Hospital Compare Website in the year 2009 (Robbins 2017, p.361). The hospital reduction re-admission actions are carried out for both quality strategy and also to enable reduction of the cost curve in the health care dealing with patients with congested heart failure.

An excellent strategy to tackling the hospital re-admission within thirty days will diminish the damage that results from providing heart health services and treatments. These damages are customarily incurred when there is uncontrolled readmission of congested heart failure patients within the thirty days in the hospital. This approach will promote the quality of services provision and good working condition for the health officers. Also, it will encourage eradication of penalties that the hospital face in line for with deviating from the governing health rules.

The best strategy to recommend is the introduction of a Heart Failure programme (HF) that will be of benefit to the hospital and the patients. It will involve acquiring the advanced practice nurse (APN) that will be responsible for the operation of this programme. Also, the Heart Failure Program includes the Out Patient extension that ensures the patients adhere to the real heart health away from the hospital, reducing congestion of patients in the hospital (Van Walraven et al., 2011). Critical multidisciplinary information on essential educative points will need to be offered to the patients while also there will often be telemonitoring to check on the level of HF reimbursement.

Less acute ill heart patients that require the readmission will stay on a short period in the hospital reducing the cost to be incurred. Also, it will assist in reducing the population of the patients in the hospital. The APN will assess all patients in the hospital and also support the discharged patients with some literature to carry home for their benefit as the patients’ questions which are of more concern to the patients will be addressed (Billings et al., 2012). Furthermore, the APN will collaborate with the physicians to improve on treating the patients; this program will also involve the dietary consultation enhancing the health of the heart failure patients.


Billings, J., Blunt, I., Steventon, A., Georghiou, T., Lewis, G., & Bardsley, M. (2012). Development of a predictive model to identify inpatients at risk of re-admission within 30 days of discharge (PARR-30). BMJ Open, 2(4), e001667.

Rennke, S., Nguyen, O. K., Shoeb, M. H., Magan, Y., Wachter, R. M., & Ranji, S. R. (2013). Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Annals of internal medicine, 158(5_Part_2), 433-440.

Robbins, K. C. (2017). Centers for Medicare and Medicaid Services (CMS). Nephrology Nursing Journal, 44(4), 361-362.

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