Transitional Care Model Paper

127 Words1 Page
bulb-icon

Recommended: Problem statement for hospital readmissions

Nurse educators are educators to not only teach the importance of nurse competencies, but also the business of nursing competencies. This was demonstrated at the University of Pennsylvania in Philadelphia with the Transitional Care Model program, nurses being involved in facilitating change is in decreasing hospital readmissions. When nurses are assigned to elderly, high risk patients that are likely to relapse, chances for readmissions occur. In this program the nurse follows the patient up to three months after discharge, attending their medical appointments, and collaborating with physicians, caregivers, and family. This program demonstrated a significant reduction in the number of hospital readmission and costs dropped by as much as $5,000

Show More
Related

  • Reducing 30-Day heart failure hospital readmission

    1509 Words  | 4 Pages

    Hospital readmission can impact the patient, nursing practice, the hospital, and the health care system. The patient’s quality of life can be altered physically, psychologically, and economically (Whittaker, 2014) and recurrent hospitalization is a good predictor of increased risk of mortality (Hummel, Katrapati, Gillespie, DeFranco, & Koellig, 2013). Moreover, a patient in an acute care setting has an increased risk of contracting hospital-acquired infections such urinary tract infections, sepsis, C. difficile, and methicillin resistant Staphylococcus aureus (medicare.gov|Hospital Compare, 2013). Nursing practice is impacted as patients spend the majority of their acute care stay with the bedside nursing staff. According to...

    Read More

  • Caregroup Case Study

    806 Words  | 2 Pages

    Leading up to the collapse of the Caregroup, a researcher on the CareGroup network started an experiment with a knowledge management system application. The software was designed to locate and automatically copy information across the network. The researcher left the software up and running in its initial configuration. The software hadn’t been tested for the environment and began copying data in large volumes from other computers. By the afternoon of November 13, 2002 (the day of the collapse) the software was moving large terabytes of data across the network.

    Read More

  • APN Leader Interview

    924 Words  | 2 Pages

    The National Organization of Nurse Practitioner Faculties (NONPF) describes essential guidelines required for all Advance Practice Nurses (ANPs) to enter practice, regardless of their specialty (2010). The nine core competencies outline the best practice in providing quality educational programs and developing policies and curriculum at the national level. The purpose of this paper is to summarize an interview done with an APN leader in my community to understand the application of the NONPF NP core competencies in the role of Clinical Nurse Practitioner (CNP). Engaging in this interview process allowed me to collaborate with a practicing CNP through communication in person and on the telephone to facilitate professional

    Read More

  • Nursing: Pros And Cons Of A Registered Nurse

    1122 Words  | 3 Pages

    Mary A. Osborne, a registered nurse said, “Nursing is a rewarding profession that can provide life-long job satisfaction and job security” (Jones 8). A registered nurse (RN) teaches their patients and the public all sorts of different health conditions and practices. They also give tips to the patients’ families and friends on how to support them physically and emotionally (Bureau 1). Registered nurses are employed in many places such as hospitals, schools, offices, homes, military services, and in nursing homes (Minnesota 1). Often in time, RNs don 't work by themselves, they work apart of a team that includes doctors, therapists, of course the patient, and generally their families (Minnesota 1-2). To be successful

    Read More

  • The Nursing Shortage

    2492 Words  | 5 Pages

    Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).

    Read More

  • Nurse Shortage in America

    2249 Words  | 5 Pages

    There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.

    Read More

  • Professional Development: My Professional Role Development Plan

    1295 Words  | 3 Pages

    Today’s healthcare system is consistently evolving with new advances, technologies, and evidence based research. In order to meet the demands of nursing to continue to deliver safe and effective practice, positive patient outcomes, nurses are challenged to stay on top of the industry by continuing education.

    Read More

  • Family Resource Centers

    2759 Words  | 6 Pages

    Wojciechowski, A. "Assuring the Effective Advanced Degree Nurse as Clinical Education Program Manager." Internet Journal of Advanced Nursing Practice: 5.2 (Jun 2002):43 Academic Search Premier. EBSCO Host. Camden Carroll Lib. Morehead State University. 27 Oct 2013.

    Read More

  • Nurse Educator Shortage: A Case Study

    850 Words  | 2 Pages

    Nurses have always been an undervalued asset to the health care industry; however, there is always a great need for them. With more uninsured Americans requiring safe, affordable medical care, the pressing issue of nursing education is not a priority (Aiken, 2011). Recently, there have been modifications taken place toward the current nursing shortage, the decrease of nursing graduates, a workforce that is becoming older, and other factors that influence nurse educator shortage (Baker, Fitzpatrick, & Griffin, 2011). Nurse educators are required to advise students, complete research, and perform committee work all while teaching (Baker, Fitzpatrick, & Griffin, 2011). They also have multiple jobs outside of practicing nursing and teaching. Nurse educators have stressful roles that hold many expectations, yet there is no independence in making their own decisions concerning things. Aiken (2011) suggests that the best way to begin combatting this shortage should include increasing the number of nurses who hold a bachelor’s degree in nursing from 50% to 80% by 2020 (p. 196). Forty-eight percent of nurse instructors are expected to be aged 55 and older and are predicted to retire by this time. (Baker, Fitzpatrick, & Griffin, 2011).

    Read More

  • Long-Term Care System Analysis

    1041 Words  | 3 Pages

    The long-term care system consists of an integrated continuum of many institutional and non-institutional providers who deliver extended care when needed. Long-term care providers deliver a variety of care to individuals with chronic, mobility and/or cognitive impairments/limitations. These providers include: nursing facilities, sub acute care, assisted living, residential care, elderly housing options and community based adult services (Pratt, 2010). A great majority of these providers are already taking care of the many baby boomers that are present today and will be present in the future. “Baby boomers” are individuals who were born between the years 1946-1964. Since 2011, every day 10,000 baby boomers turn 65 years old (Pratt, 2010). This

    Read More

  • Role Of Dnp In Nursing

    501 Words  | 2 Pages

    What led me to nursing in the beginning was having a passion for people. I love the holistic approach and level of care that nurses bring to the literal bedside table. I knew throughout nursing school that I wanted to advance my education further than bedside nursing. I debated on whether to pursue a master’s degree in nursing and just become a nurse practitioner, but ultimately, I knew I wanted to advance my education even further to help make and promote changes in healthcare. By choosing to become a doctorally prepared nurse practitioner, I hope to change the stigma that is attached with being “just a nurse” and show that nurses play a vital role in redesigning

    Read More

  • The Iom's Four Key Messages Of The Future In Nursing

    1517 Words  | 4 Pages

    There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,

    Read More

  • Self-Assessment: Career Development Of Self In Nursing

    1190 Words  | 3 Pages

    There are several nurses that have established themselves successfully in the work I am pursuing. The work mainly involves care management, client teaching and patient advocacy. Care management focuses on ensuring that the care that various health care providers offer is cohesive to meet the patients’ needs. Client teaching deals with enabling patient gain knowledge about the medications and health. Patient advocacy is involved with protecting and advancing patients’ rights.

    Read More

  • The Future of Nursing

    1056 Words  | 3 Pages

    Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.

    Read More

  • Reflection On Community Health Nursing

    757 Words  | 2 Pages

    From the literature I learned about the importance of driving the nursing profession towards the community health-care system. There is currently a need for revitalization of the primary health care system as stated in this document. There is a need to change some of the focus of education and training in new nurses in an effort to respond to the health care demands of today and the future, since many students are not going into this field. In addition, nurses already working in community health should begin focusing on current prevention and promotion aspects of health. I plan to apply these ideas in my own nursing practice to this rotation.

    Read More

More about Transitional Care Model Paper

Open Document