NUR 508 Grand Canyon Week 5 Discussion 2, Review the CMS.gov 30-Day Mortality and Readmission Data
Review the CMS.gov 30-Day Mortality and Readmission Data website. Review at least two local hospitals and see how they compare to state and national benchmarks. How and why may a consumer or a health care professional use this data to make decision about their next hospitalization? Will reporting this data have an impact on hospitals bottom line in addition to financial penalties from CMS? Give at least two examples of how this data may be used and what type of impact if may have if at all on the hospitals.
NUR 508 Grand Canyon Week 6 Discussion 1
Debate the question: “Is health care a basic right in the United States?” Answer this question through the lens of your role as RN. Support your response utilizing ethical theories and principles. Respond to two other classmates using respectful communication and solid reasoning. Support your response with appropriate references.
NUR 508 Grand Canyon Week 6 Discussion 2
Select an ethical dilemma related to health policy from the categories of moral values, professional regulation, health of individuals in society, or distributive justice. What are the controversies surrounding this issue? What are the opposing ethical principles? How has past or current health policy addressed this dilemma? Support your reasoning with reference citations.
NUR 508 Grand Canyon Week 7 Discussion 1
How do spiritual beliefs impact political ideologies and the policy process? How have they affected the health policy reform process? Using respectful communication, debate your response with two other classmates. Give examples and support your reasoning with appropriate references.
NUR 508 Grand Canyon Week 7 Discussion 2
What is the role of a religious ethic in public policy today? Should a religious ethic and/or theistic worldview take priority over that of others? How can religious policy decision makers remain true to their personal values while respecting the views of individuals with differing cultural and spiritual beliefs? Respond to two other classmates and cite references as appropriate.
NUR 508 Grand Canyon Week 8 Discussion 1
Select an advanced professional or advanced practice nursing specialty. How has past and current regulation/legislation affected the role and scope of this nursing role? What, if any, discussions are currently underway relative to the scope and role of this specialty? What resources are available to assist nurses in advocating for these roles?
MORE INFO
Review the CMS.gov 30-Day Mortality and Readmission Data
Introduction
The Centers for Medicare and Medicaid Services (CMS) is making available data sets on individual hospital performance in these publicly reported measures:
The Centers for Medicare and Medicaid Services (CMS) is making available data sets on individual hospital performance in these publicly reported measures:
The Centers for Medicare and Medicaid Services (CMS) is making available data sets on individual hospital performance in these publicly reported measures:
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Mortality Rates
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Heart Attack (AMI)
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Heart Failure
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Pneumonia
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Chronic Obstructive Pulmonary Disease (COPD)
Mortality Rates
The mortality rate is a measure of the number of patients who die within 30 days after their initial hospital admission. It’s a common metric used by many health systems to evaluate their care and quality.
The CMS 30-day mortality rate compares your hospital’s patient outcomes with those at other hospitals in your state or region, as well as nationally. It takes into account both good and bad outcomes for each hospital compared to its peers, so it provides an accurate picture of how well you’re doing overall.
Heart Attack (AMI)
Heart attack is a life-threatening medical emergency. It’s the leading cause of death in the United States, killing more than 700 Americans every day.
A heart attack occurs when the blood supply to your heart muscle is blocked or reduced due to an obstruction (blockage) in an artery supplying oxygenated blood throughout your body. The blockage causes damage to heart muscle tissue and disrupts normal blood flow through these arteries. This can lead to death if untreated within minutes or hours after onset, according to the American Heart Association (AHA).
Heart attacks can occur at any age but most often occur between 45 and 65 years old—the risk increases with age because older people are generally more likely than younger individuals who don’t smoke cigarettes or use other substances that increase their risk for developing coronary disease over time
Heart Failure
Heart failure is a serious condition that occurs when the heart is unable to pump enough blood to meet the body’s needs. Heart failure can be caused by many different conditions, including high blood pressure, coronary artery disease and cardiomyopathy.
In 2017-2018, there were nearly 2 million people who were hospitalized for heart failure (a hospitalization rate of 11 per 1000 population) with an estimated annual cost of $37 billion dollars in direct health care costs alone.*
Pneumonia
Pneumonia is a lung infection caused by a bacterial or viral infection, often in people with underlying medical conditions. Symptoms include cough, fever and chills. It can also cause breathing problems.
The bacteria causing pneumonia are different for each person; some of the most common are Streptococcus pneumoniae (the “pneumococcus”), Haemophilus influenzae (Hib), Streptococcus pyogenes and Moraxella catarrhalis.
Chronic Obstructive Pulmonary Disease (COPD)
COPD is a chronic lung disease that can cause shortness of breath, wheezing and coughing. It’s often called emphysema or “chronic bronchitis.” People with COPD may have symptoms like these:
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shortness of breath on even mild exertion
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difficulty breathing through their mouth
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frequent coughing or hoarseness
The risk factors for COPD include smoking, exposure to secondhand smoke (including household exposure) and occupational exposure to dusts, gases or chemicals like chlorine dioxide gas used in bleaching flour before baking breads.
If you’re diagnosed with this condition and want to know more about treatment options available from your doctor, visit our resource page here: [link].
Coronary Artery Bypass Graft (CABG) Surgery
CABG surgery is a surgical procedure used to restore blood flow to the heart. It can be performed to treat coronary artery disease, which causes arteries to become narrowed or blocked. The most common type of CABG surgery is coronary artery bypass graft (CABG).
A CABG is usually only considered after other methods have failed. This means that if you have had an angioplasty or stent placement, you may not qualify for a CABG if your symptoms aren’t severe enough and/or there isn’t enough time before another treatment would work better than this one might do in terms of relieving your symptoms while still being safe enough that it wouldn’t cause any further damage throughout life
Hip Replacement Surgery (Hip Arthroplasty)
Hip replacement surgery (Hip Arthroplasty) is a common surgical procedure used to treat severe arthritis in the hip. Hip replacement surgery involves replacing the diseased or damaged parts of your hip joint with an artificial implant called an acetabulum prosthesis. The function of this device will be similar to that of your natural bones and tendons, providing you with better mobility and stability than before.
The most common reason for undergoing this type of operation is when there has been significant damage due to osteoarthritis (OA). OA occurs when cartilage wears down over time leading to pain relief through medication or surgery such as hip replacements if needed
Knee Replacement Surgery (Knee Arthroplasty)
Knee replacement surgery is used to treat people with severe knee pain caused by arthritis. It’s a common procedure that’s often done on older adults.
In the past 30 days, there were about 1 million patients who had their first knee replacement surgery at one of the healthcare providers listed in this report.
30-Day Hospital Readmissions
The CMS.gov 30-Day Mortality and Readmission Data is a helpful tool for tracking hospital readmissions.
Readmission rates are higher for patients who are poor, and they’re also higher for ethnic minorities and patients with chronic conditions (like heart disease or cancer). These patients may have more difficulty navigating the healthcare system after discharge from the hospital.
The data also show that readmission rates tend to be higher among people with mental health issues than others, possibly because of their increased risk for suicide attempts or other self-harm behaviors following an unexpected stay in the hospital.
You should use the CMS 30-day mortality and readmission data to improve your processes.
The 30-day mortality and readmission data is publicly available, so you can use it to improve your processes.
The CMS 30-day mortality and readmission data is useful for measuring the success of your processes. For example, if you see an increase in the rate of complications after a patient has been sent home from the hospital or discharged from an acute care facility, this may be an indication that there are problems with how patients are being managed after they leave the hospital.
Conclusion
The CMS data sets provide valuable information on hospital performance and provide a way to measure the value of your work. The data is clear and can be used by all parties involved in the process of improving healthcare delivery systems.
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