Wgu Kot1 Task2

The Utah Symphony has been a leading arts organization in the western part of the United States for decades. They have a rich, long history. Many strengths have contributed to this success and continue to do today.

Nightingale Community Hospital identified a recent sentinel event involving the ambulatory surgical center. A sentinel event is defined as an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof (http://www.jointcommission.org/sentinel_event). A three year old female presented to the hospital on September 14th for a planned outpatient procedure. The child was accompanied by her mother. The mother registered the patient with the registrar prior to the procedure. The patient and her mother went to the pre-operative area to complete the informed consent and the necessary physical assessment. The pre-operative nurse obtained the necessary contact

The disease process I will be reviewing is traumatic brain injuries. A traumatic brain injury occurs when sudden trauma occurs to an individual’s brain. Traumatic brain injuries are considered closed or penetrating. Traumatic brain injuries are categorized as mild, moderate or severe based on the amount of damage that occurs to the brain. (ninds.nih.gov, 2015)

The situation that will be evaluated in this analysis will be; is there a region of the United States in which childhood obesity tends to be more prominent? This will be done to show areas in which the Government, insurance companies and healthcare institutions should focus campaigns for healthy living to reduce future healthcare cost. The data that will be utilized to answer this business question will be the percent of children ages ten to seventeen that are overweight or obese in each of the fifty states. The states will then be categorized into their respective regions of East, South, Midwest, and West. It is important to look into the regions to see if there is a trend of obesity within a region, as this

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Though Medicare plans are typically for persons over the age of 65 years old, they do not come without costs to the patient. If the patient has enough work credits, Medicare Part A is automatically available to the patient once he or she reaches age 65. Medicare Parts B and D, however, require the patient to navigate through an application process and the patient may incur penalty fees if he or she does not sign up for the plans during the allotted time frame once they have reached the age of 65. For Medicare parts B and D, the patient is responsible for paying the designated premiums. The Medicare Part B premium ranges from

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Medicare medical coverage arrangements will help senior natives to cover the vast majority of their medicinal services costs. Individuals who are over the age of 65 or those with some interminable issue are qualified for Medicare arranges. These are grouped into Part A, Part B, Part C and Part D. Section A - or doctor's facility scope pays for inpatient clinic administrations, home human services, hospice care and nursing care after healing facility remain. Medicare Part B covers restorative costs, outpatient doctor's facility treatment and clinical research center administrations. Section An and Part B are the first Medicare arranges. A great deal of fundamental medicinal services expenses are secured by Part An and Part B. Be that as it may, these arrangements are won't cover co-installments and deductibles. Medicare Part D covers brand name and non specific physician

In 1983, the Medicare prospective payment program was implemented which allowed hospitals to be reimbursed a set payment based on the patient’s diagnosis, or Diagnosis Related Groups (DRG), regardless of what treatment was provided or how long the patient was hospitalized (Jacob & Cherry, 2007). To keep the costs below the diagnosis related payment, hospitals had to manage efficiently the treatment provided to a client and reduce the client’s length of stay (Jacob & Cherry, 2007). Case management, or internal case management “within the walls” of the health care facilities was created to streamline costs while maintaining quality care (Jacob & Cherry, 2007).

The payment rate for inpatient stay is determined by a system called inpatient prospective payment system (IPPS). This system was created by Center for Medicare & Medicaid Services (CMS) to pair up the extent of the patient’s health position in line with the payment received for those inpatient services. This system organizes the severity of the patient’s visit in the hospital along with a method called “medical severity-diagnosis related group” and is used for the basis for that payment. The basis for the rate of payment is determined by the resources used during the patient’s hospital visit and is assigned one diagnosis-related group. To come up with this payment rate a set dollar amount is used with this calculation. This plan is performed

The impact of Centers for Medicare and Medicaid Services (CMS) payment denial on the healthcare system is it has forced physicians and nurses to be more diligent, hyper vigilant, and take more responsibility in care the care of patients. As nurses we all know that turning and positioning q2h helps to prevent pressure ulcers, CMS no longer pays for pressure ulcer tx that occurred after admission. CMS is making the facilities take the loss and the facility has to pay for the treatment because they didn’t prevent. The same goes for hospital acquired infections, the facilities have to pay for the tx.

Medicare will not fund for these hospital acquired infections; costing the hospital thousands of dollars. Every single time this happens, the hospital is losing supplies and time with no reward, as well as causing pain to our patients. As you know UTI’s have exponential effects on our patients that can lead to dire consequences like kidney failure if left untreated. Therefore, we should be using the best evidence based practice.

Medicare, the federal governments health insurance program, finances acute medical care for nearly all elderly Americans over the age of sixty-five. However, very few long-term care services are covered. Medicare finances long-term care only partially through it’s limited skilled nursing facility (SNF) and home health benefits. “Despite recent growth in spending on these benefits, much of the SNF and home-care paid for by Medicare remains short-term rehabilitative care, often related to a hospital stay or outpatient procedure. Medicare covers SNF care for up to 100 days following a hospital stay of at least three days. For homebound persons needing part-time skilled nursing care or therapy services, Medicare pays for home health care, including personal care services provided by home health aides.” (Feder, Komisar, and Niefeld) All that is not covered, the elderly are expected to cover with savings, private insurance policies, and financial support

2.) Medicare’s prospective payment system (PPS) has changed how hospitals operate by reducing the length of stay (LOS), lowering the intensity of care and increasing the use of skilled nursing facility (SNF) and outpatient treatment. In 1983, hospitals changed their reimbursement system from a retrospective cost-based system, where longer stays meant higher payouts, to a PPS reimbursement system. “Hospitals are reimbursed on a pre-determined flat rate based on the average cost of a patient given their Diagnosis Related Group .”

1) Summary of Article: Indwelling catheter use is common, but so are infections associated with them. About 80 percent of all urinary tract infections in hospitals are caused by catheters, and about 20 percent of all hospital infections total are UTIs. Evidence-based practice should be used for insertion, maintenance, and removal. Catheters should not be left in longer than they need to be. Unfortunately, this research shows poor administrative efforts are to blame for