Readmissions

carolyn jorgenson

By Carolyn Jorgenson, RN, BSN

As a registered nurse for more than 36 years, I understand first-hand how important it is to reduce unnecessary hospital visits and readmissions. Nurses want nothing more than to take care of their patients and send them back to healthy lives in their own homes. If patients need nursing care in their homes, public health nurses are educated and trained to care for their ongoing medical needs.

Minnesota RNs have concerns about a proposal in the Legislature that could have serious impacts on patients who have just returned home from the hospital and need more care.
… Read more about: Community EMT- for safety or the bottom line?  »

HEALTH CARE NEWS

How the American Health Care System Killed My Father    Nor is he dead because of indifferent nursing—without exception, his nurses were dedicated and compassionate.

Hospital Exposes Patients to Needless Radiation For The Money   Cardiologists and the Infirmary Health System in Mobile, Ala., are accused of needlessly exposing patients to radiation in a nine-year-running kickback scheme tainting an estimated $522 million in Medicare, Medicaid and Tricare reimbursements since 2004.

2013 a Banner Year for Minnesota Children’s Mental Health    In-reach services were added so that care could be provided when a child leaves the hospital or emergency room to help reduce readmissions and ensure a smooth transition.
… Read more about: MNA NewsScan, July 10, 2013: Hospital scam puts patients at risk; ACA intensifies debate on patient safety standards  »

NOTES ON NURSING

NY Bill Would Mandate Hospital Nurse Staffing   Advocates say required staffing of one nurse for every two intensive-care patients and 1-to-4 ratios in regular medical-surgical units will improve patient care, reduce deaths, complaints and readmissions and leave hospitals financially intact.

MA Nurses Ratify Contract with Assignment Limits   Highlights of the agreement include contractually guaranteed limits on nurses’ patient assignments for nurses working on the medical surgical units, including no more than five patients on days, an average of five patients on evenings and a mix of five and six patient assignments for nurses on nights.
… Read more about: MNA NewsScan, June 12, 2013: NY, MA nurses advance patient safety standards;  »

NOTES ON NURSING

When Paying It Forward Pays Us Back    One such example is the Transitional Care Model (TCM), which provides planning and home follow-up by trained nurses for chronically ill Medicare patients during and after hospitalization. The TCM illustrates a key point. Often, to save money you need to change systems, or add new functions, not just cut things.

Nurse Staffing, Bedsores Remain on Parkland Problem List    Parkland Memorial Hospital has completed 94 percent of the quality and patient safety targets necessary for it to continue receiving federal funding, but the institution continues to struggle in the areas of nurse staffing, timely patient discharges and bedsore prevention, according to a report given to the hospital’s Board of Managers Tuesday.
… Read more about: MNA NewsScan, January 23, 2013: When paying it forward pays us back; Prolong CPR  »

NOTES ON NURSING

Improving Nurses’ Work Environment Can Help Reduce Readmissions    The study, led by Matthew McHugh, PhD , JD, MPH, RN, FAAN, assistant professor at the University of Pennsylvania School of Nursing, found that  increased nurse-to-patient staffing ratios and a good work environment for nurses were associated with reduced 30-day readmission rates for Medicare patients with heart failure, myocardial infarction, and pneumonia. Funding for the study came from the Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholars program.

New Grads Finding Rough Road to Employment    Since the recession, health care has been the single biggest sector for job growth, but that doesn’t mean it’s easy to get hired.
… Read more about: MNA NewsScan, January 14, 2013: More Nurses Mean Fewer Readmissions  »