Case Assignment: Patient Participation.

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Case Assignment: Patient Participation.

Case Assignment: Patient Participation.

Case Assignment: Patient Participation.

Week 4 assignment 2 Evidence Based Project Proposal This week you will submit the completed Evaluation Table that includes only your “keeper” studies. This will be added to your final paper as an Appendix. You will also turn in the Search Tracker so faculty can see the steps you took to locate the evidence. This will not become a part of your paper, but it is for feedback only should faculty deem that necessary.The plan will be to track patients admitted with CHF for a period of six months.
According to Zaccagnini & White (2011) data can be analyzed in a number of ways, the
data needs to be specific to the indicator. The data review will be of the Get Well
Network use rates and the CHFRR. Data collection methods for CHFRR and Get Well
Network use rates are already in place. This data will be compared with the same time
period of the previous year. The video viewing rate will be tracked through the Get Well.
The CHF readmission rates are tracked through the practicum site. Viewer rates will be
tracked to observe for number of videos loaded and number of videos viewed. The CHF
readmission rates will be compared with the same time period the previous year. It is
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hoped that through providing education and strategies for managing exacerbation of
CHF, that the CHF readmission rate will be reduced.
Limitations
The limitations of this project include the small sample size and the fact that this
project relies upon nursing buy in and willingness of patient participation. As stated by
Kelly (2011) when designing a project improvement team, consideration needs to be the
knowledge required to understand the process and project design. She adds that the team
should be designed so that it supports the goal of the group while circumventing
limitations. Since this study will be conducted on an inpatient unit with a specific
demographic, gaining buy in of, both, patient’s and nursing staff is essential in
overcoming this limitation.
II. Section 2: Review of scholarly evidence
In 2008 the Centers for Medicare & Medicaid Services (CMS, 2014)
issued a letter to State Medicaid directors stating they would no longer reimburse
the extra cost associated with certain hospital acquired infections. According to
the Centers for Disease Control & Prevention (CMS, 2014) common medical
errors account for in excess of $4.5 billion in preventable health care spending
annually. The CMS now requires monitoring of CHF readmission rates within 30
days of discharge.
As stated by Lefevre (2014) cardiovascular risk factors are common in
adults, these include: diabetes, obesity, hyperlipidemia and hypertension

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