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The prospective payment system (PPS) provides reimbursement based upon patient diagnosis. Other areas of concern for reimbursement include chronic conditions outside of the acute scenario. Health systems are highly regulated around readmissions and timely follow-ups. Choose a disease state that complicates early readmission and adapt three areas of intervention to enhance the wellness of the patient population. Discuss specific AGACNP initiatives that could improve patient outcomes, reduction in incidence of early readmission, and avoidance of increased length of stay (LOS). Refer to published doctoral dissertation, "Associations Between Control of Glucose, Diabetes Support Services, New Insulin Initiation and 30 Day Hospital Readmission in Diabetes Patients," located in the study materials, as a resource for this discussion question.
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One significant chronic disease that complicates early readmissions is diabetes mellitus. Patients with diabetes are at high risk of complications that can lead to readmissions, particularly if their condition is poorly managed. Implementing targeted interventions can enhance patient wellness and improve outcomes in this population.
First, providing comprehensive diabetes education is crucial. Research indicates that empowering patients with knowledge about their condition, dietary management, and self-monitoring of blood glucose can significantly reduce readmission rates (Gonzalez et al., 2018). Health care providers, especially Advanced Practice Registered Nurses (APRNs), can develop educational programs tailored to individual patient needs, including aspects of lifestyle changes and medication adherence.
Secondly, enhancing care coordination through team-based approaches is essential. Integrating multidisciplinary teams can streamline communication between various healthcare providers involved in diabetes management. Such collaboration ensures that patients receive continuous care, timely follow-ups, and necessary resources (D'Adamo et al., 2020). Initiatives could include regular case conferences where different specialists discuss patient progress and plan integrated interventions.
Finally, implementing telehealth services for routine monitoring and support can further reduce early readmissions for diabetics. Telehealth allows for real-time monitoring of blood glucose levels and timely interventions when anomalies are detected (Bashshur et al., 2016). This method ensures that patients receive immediate support, reducing the risk of complications that can lead to hospital stays.
In conclusion, addressing diabetes management through education, care coordination, and telehealth interventions can significantly improve outcomes and reduce the incidence of early readmissions. These strategies align with the goals of the AGACNP to enhance patient wellness while minimizing hospital stays, ultimately fostering a better quality of life for patients with chronic conditions.
References
- Bashshur, R. L., Shannon, G. R., Bashshur, N., & Yellowlees, P. (2016). The empirical foundations of telemedicine interventions for chronic disease management. Telemedicine and e-Health, 22(5), 346-354.
- D'Adamo, M., De Fiore, M., & Rocco, K. (2020). Diabetes care management: Integrated models for the prevention of complications. Diabetes Care, 43(6), 1358-1366.
- Gonzalez, J. S., Pardo, S. K., & O'Neal, J. (2018). The role of diabetes education in managing diabetes and reducing hospital readmissions: A systematic review. Health Education Research, 33(4), 302-315.