A local hospital is promoting their new clinical documentation system and electr

Question

A local hospital is promoting their new clinical documentation system and electronic medical health records as a cost containment tool that will improve communication among health care workers, support the delivery of safe patient care, and facilitate the delivery of high-quality patient care. The hospital describes the system as effective in reducing costs by decreasing variability and standardizing care processes. When reviewing outcome data from the hospital on the publicly reportable data website, https://www.medicare.gov/hospitalcompare/search.html (Links to an external site)Links to an external site.the outcomes for heart failure, surgical, and pneumonia patients are higher than the national average and much higher than at other hospitals in the area.

How could the use of case managers help reduce the poor patient outcomes, heart failure, surgical and pneumonia patients?

Explanation / Answer

Hospital nurse staffing is a matter of major concern in poor patients outcomes,because of the effects it can have on patient safety and quality of care.A set of interrelated pathways that link staffing to patient care,quality,safety and outcomes.Staffing levels are set by managers and administrators and are affected by forces that include budgetary considerations of features including nurses. so staffing of nurses help in reducing poor patient outcomes.

To reduce the rate of heart failure,surgical and pneumonia patients ,case manager should take care in continous monitoring of hospital infection control.In most of the cases hospital acquired pneumonia in which ventilator associated pneumonia are in more rates when compared to non ventilator associated pneumonia . So VAP rates should be continously monitored by the infection control nurses and it should be implemented by case manager.Similar with the surgical patients in which focus on shifting the patients after surgical process should be done carefully.REduction of readmission cases, and mortality rate should be monitored.Heart failure is one of the most common causes of hospitalisation and readmission.Strategies to reduce hospitalization in patients with heart failure include optimisation of evidence based drugs and device therapies addressing causes of heart failure,and improved management care ,all these criterias should be developed and implemented well.

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