Implementation of a Transitional Model of Care for Congestive Heart Fai

During exacerbations of Congestive Heart trouble (CHF), older uncomplainings may receive care in multiple settings often resulting in split care and poorly-executed care transitions. The negative consequences of fragmented care lead to duplication of services inappropriate or conflicting discharge instructions, medication errors, patient/caregiver anxiety, and increased costs of care. In light of changes in Medicare reimbursement penalizing hospitals with above set limits for kindling calamity (HF) readmissions, models of care are being evaluated for their forcefulness in satisfying this change as well as trim fragmented care in this population. This paper reviews the Transitional Care precedent created by Dr. Mary Naylor at the University of Pennsylvania (Penn treat Science, 2013). This model in introduces a patient-centered interdisciplinary team intervention designed to improve transitions crossways care settings. Congestive H eart FailureCongestive heart failure (CHF) is a condition in which the heart is incapable of adequately pumping family throughout the body or unable to stop blood from endorse up into the lungs. The most common cause of CHF is hypertension, previous myocardial infarctions, disorders of the heart muscle or the valves of the heart, and chronic lung diseases such as asthma or emphysema. CHF is a common diagnosis for individuals sixty five years and older. With the increase population of baby boomers, the rate of CHF is predicted to nearly double over the neighboring forty years and will be a drain on healthcare resources. Treatment costs are estimated around $20 to $40 billon, with $8 to $15 billion spent on hospitalization only (Quaglietti, Edwin, Ackerman, & Froelihe... ...he Medicare Fee for Service Program. New England Journal of Medicine, 360 1418-1468.Naylor, M. (2012). Transitional Care Model. Retrieved from http//www.fiercehealthcare.com/special-reports/transitional-ca re-modelPenn Nursing Science. (2013). Transitional Care Model-About TCM. Retrieved from http//www.transitonalcare.info/about.tcmQuaglietti, S. E., Edwin, J., Ackerman, L., & Froeliher, V. (2000, November/December). Management of the Patient with Congestive Heart Failure Using Outpatient, Home and Palliative Care. Progress in Cardiovascular Diseases, 43(3), 259-274. Retrieved from www.cardiology.org/recentpapers/susiechfpdfSenthilraj, G., & Ganeshan, R. (2013). effectuate of a Hospital Wide Quality Improvement (Doctoral dissertation, University of Connecticut). Retrieved from http//digitalcommons.uconn.edu/cgi/vecontent.cgi?article=1464& scope=gs_thesis