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- NURS FPX 6008 Assessment 4
Lobbying for Change
Mayor Name
Address
Dear XYZ
I write this letter as a nurse working at the XYZ Medical Center to bring to your notice some essential healthcare problems regarding the re-hospitalization of HF patients, which have affected some of your constituents concerning community as well as healthcare service. The issue that I am speaking of is readmission, which has been one of the biggest concerns in the healthcare sector for quite some time. This problem negatively affects the health system in terms of overall health costs, quality, and availability of care and treatment, as well as dissatisfied patients. Mitigating this problem would have several benefits, including low readmission rates, which are a plus to a patient’s health status, the cost of the health services, and the quality of the services offered. On the other hand, if the problem is not solved, it can come with dreadful consequences, among them being.
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Chronic disease patients’ re-hospitalization rates, constituting all those who incurred high costs within the relevant period in the study by (Kruk et al., 2019), were significantly higher among the patient population. Thus, the challenge of hospital readmissions that could happen when it is unnecessary is familiar to New York only. As highlighted in the paper by Gai & Pachamanova, the target of the healthcare system is to reduce the chance that falling foul of sickness will require hospital readmittance. Hospitals that receive more than the expected rate will be fined by the CMS in an effort to push the hospital or healthcare facility to improve the quality of care to its patients to ensure they are not frequently readmitted (Bernhardt, 2021).
It is essential to say that the effects of this problem are not just observed in XYZ Medical Center; they are typical for the whole sphere of healthcare. Some of the changes and actions that are required at the institutional or systems level, as well as at the local, state, and federal levels, are as follows to tackle the problem of re-hospitalization. Among the modifications that can be named, the following ones can be discussed: home treatment and other access to health care, telemedicine and other aspects of the usage of high technologies in health care, and practical cooperation between hospitals and other potential healthcare facilities.
NURS FPX 6008 Assessment 4 Lobbying for Change
Therefore, from individual, corporate, and organizational perspectives, I have aimed to mitigate unnecessary readmissions’ financial costs to allocate resources and appraise threats. During my work in a healthcare setting, I realized that the cycles of readmissions are extraordinarily cumbersome and have an adverse impact on the patient’s family as well. In my nursing practice, I once was assigned to a patient suffering from heart failure. I deliberately and critically planned and executed a treatment plan with a multiple-disciplinary team.
These include Medical Intervention, which forms the basis of this study, lifestyle adaptation, awareness of self, and constant observation of the illnesses, which were all integral components that formed part of the plan ignited as a result of self-assessment of the patient’s history together with present medications as well as the patient’s habits.
Thus, by observing the patient more closely and adjusting the therapy as required, it became possible to improve the patient’s quality of life and manage the disease more effectively. Thank you for your work conducted on the subject of equality and fairness for all patients to be granted treatment for their illnesses, irrespective of their poor background. I kindly invite the readers to consider the issues related to re-hospitalization among patients with heart failure in XYZ Medical Center. Patient care and the entire healthcare system will improve as an outcome of solving this issue, more so considering the extensive and widespread nature of the problem. You have shown much thought in this regard.
Sincerely,
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NURS FPX 6008 Assessment 4 References
Belouali, A., Bai, H., Raja, K., Liu, S., Ding, X., & Kharrazi, H. (2022). Impact of social determinants of health on improving the LACE index for 30-day unplanned readmission prediction. JAMIA Open, 5(2).
https://doi.org/10.1093/jamiaopen/ooac046
Bernhardt, K. R. (2021). Trends in 30-day readmissions following hospitalization for heart failure by sex, socioeconomic status, and ethnicity. EClinicalMedicine, 38, 101008.
https://doi.org/10.1016/j.eclinm.2021.101008
Gai, Y., & Pachamanova, D. (2019). Impact of the Medicare hospital readmissions reduction program on vulnerable populations. BMC Health Services Research, 19(1).
https://doi.org/10.1186/s12913-019-4645-5
Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., & Malata, A. (2019). High-quality health systems in the sustainable development goals era: Time for a revolution. The Lancet Global Health, 6(11), 1196–1252.
https://doi.org/10.1016/s2214-109x(18)30386-3
Zheng, S., Hanchate, A., & Schwartz, M. (2019). One-year costs of medical admissions with and without 30-day readmission and enhanced risk adjustment. BMC Health Services Research, 19(1).
