Question:
4. project description/ methods- detailed discussion of the plan for conducting the project. must be in apa format and include reference listing. • project plan (a step by step plan of what the project will entail. write in a way that the project could be replicated.) o inputs: the resources that go into a program (including community partners, budget, personnel, other resources….) o outputs: the activities the program undertakes o timeline • project analysis/ evaluation plan o measures: write about how you intend to evaluate each objective. make sure measures align with the objectives. if you are using a survey, state the reliability and validity of the instrument. attach a copy of the instrument. (make sure you obtain permission to use the instrument, if needed, and state this in the proposal). o data analysis plan: write a paragraph about what statistical software program and statistical tests will be employed to examine for change (if applicable). o outcomes: the changes or benefits that you expect. this should include specific program outputs, demographic information, and program evaluation components such as anticipated health outcomes expected as a result of the program. be sure that each outcome measure aligns with the project objectives. o plan for sustainability 5. summary/conclusion • summary of key facts • potential impact on practice • policy implications • future directions • conclusion • must be in apa format and include reference listing. 6. required documents in either body of proposal or as appendices (following apa format) • budget • timeline
Solution:
Reducing 30-Day Readmission Rates for Adults with CHF
Problem Statement
Congestive heart failure is a chronic medical condition associated with significant morbidity, mortality and heightened hospitalization costs. It is estimated that 6.9 million patients in the United States have CHF; while the cost to care for these patients is expected to increase unto to $40 billion dollars annually in the near future (Mozaffarian et al., 2015). McIlvennan et al, (2015) pointed out that high-cost care is highly influenced by recurrent hospitalizations. It has been noted that primary diagnosis of CFH accounts for over 1.2 million hospitalizations annually while the secondary diagnosis of elucidating another 3 million hospital admissions annually (Bayati et al., 2014). In this regard, readmission has turned out to be essential substitute for quality of hospital care for CFH patients; it has been subjected to intensive survey by policymakers and payers who are increasingly preferring the pay-for-performance measures to determine compensation as poor transition of care has become an additional barrier to the complex patients and have been associated with adverse events and low satisfaction with care (Verhaegh et al., 2014).
For the last 2 decades, Hospital readmission for CFH exacerbation has become very prevalent and previous studies have cited many readmissions as the most notable attribute to modifiable factors that can be addressed with high-quality post-discharge care; disease management approaches that are currently endorsed in contemporary CHF guidelines (Ziaeian & Fonarow, 2016). However, despite the significant findings of these and many other published findings, Feltner et al. (2014) revealed that more than 25% of hospitalized patients with CFH are readmitted within 30 days of discharge while 54% are readmitted within the first 6 months prior to discharge.
Naylor’s model utilizes an advanced practice nurse who meets with the patient and caregiver in the hospital, performs a structured needs assessment, and provides comprehensive discharge planning including education and coordination of post-discharge services. Post-discharge telephone follow-up includes reinforcement of education, monitoring of symptoms and progress, and adjustment of the care plan as needed (Verhaegh et al., 2014). Early physician follow-ups such as within the first week, which occurred for less than a third of all patients can be independently attributed to decreased rates of all-cause 30-day readmissions Kripalani et al., 2014). Another study found that a large part of post-hospital follow-ups will be conducted by general medicine specialists, whereas only a smaller percentage (6%) was provided by a qualified cardiologist (Ziaeian & Fonarow, 2014). This research finding reflects a heightened trend whereby hospitalists are only concerned with the CFH patients only in hospital setting neglecting any further care in interventions p after the patient has been discharged from the hospital. The transition care model caution that poor transition from one caregiver to another, is one of the key areas where a breakdown in communication can manifesting this case, transition care can be complex and demanding and thus involving many players such as case managers, social workers, home health agencies, pharmacy services, and outpatient clinical providers including primary care and specialist providers and ancillary services ( McIlvennan et al., 2015)
Transition care is increasingly recognized as a fundamental element of high-quality care for patients hospitalized for CFH. It is the importance of this topic that has prompted me to undertake a research project that will focus on the need for quality transition care interventions in an attempt to address a number of unmet needs so as to help reduce 30-day readmission rates for the adults with CHF. The implementation of this project will be initiated in First Health of the Carolinas Moore Regional Hospital in which, novel allied health services will be offered on a referral basis to all patients with a primary or secondary diagnosis of CHF. It will specifically deliver specialized protocol-driven care to patients at 1 and 4 to 6 weeks after an index hospital admission. The main supposition is that establishing such clinical intervention will reduce 30-day readmission rates to the hospital.
Project Purpose
The entire aim of this project is to reduce the number of readmissions in a 30-day period among the elder patients discharged from the inpatient acute section who are expected to have already received the intervention. The project is focused on assuring that each patient..….Please click the Paypal icon below to purchase full solution for only $10