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The Centers for Medicare & Medicaid Services Reimbursement Policy and Nursing-Sensitive Adverse Patient Outcomes. 医疗保险和医疗补助服务报销政策和护理敏感的不良患者结果中心。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-07-01
Sung-Heui Bae
{"title":"The Centers for Medicare & Medicaid Services Reimbursement Policy and Nursing-Sensitive Adverse Patient Outcomes.","authors":"Sung-Heui Bae","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Centers for Medicare & Medicaid Services (CMS) reimbursement policy identified 11\u0000preventable adverse outcomes. Of these 11 patient outcomes, four (severe pressure ulcers, falls and trauma, catheter-associated\u0000urinary tract infections, and vascular catheter-associated infections) are considered nursing-sensitive quality outcomes that\u0000can be decreased with greater and better nursing care. A cross-sectional study examined the CMS reimbursement policy\u0000focusing on nursing-sensitive adverse patient outcomes. The percentage of Medicare patients served as a proxy for a\u0000measure of the CMS changes in reimbursement. The CMS reimbursement policy measured by the proxy variable\u0000was not related to a reduction of the four adverse outcomes.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"34 4","pages":"161-71, 181"},"PeriodicalIF":1.2,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36285865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Video Monitoring to Reduce Falls And Patient Companion Costs For Adult Inpatients. 视频监控减少成人住院病人跌倒和陪伴费用。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-07-01
Lisbeth Votruba, Bridget Graham, Jeana Wisinski, Ayesha Syed
{"title":"Video Monitoring to Reduce Falls And Patient Companion Costs For Adult Inpatients.","authors":"Lisbeth Votruba,&nbsp;Bridget Graham,&nbsp;Jeana Wisinski,&nbsp;Ayesha Syed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With increasing acuity and simultaneous pressures for optimal productivity, reducing unnecessary patient companions has been a focus for many health care organizations. At the same time, nursing leaders are seeking to accelerate improvement in patient safety, specifically the prevention of falls. This study suggests the use of remote video monitoring is a safe tool for fall prevention. While there was a decrease in 1:1 sitter usage, there was no corollary increase in falls. In fact, falls decreased 35%. Not only was video monitoring a safe intervention, it was more effective than patient companions alone in decreasing falls by expanding the number of patients who are directly observed 24/7.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"34 4","pages":"185-9"},"PeriodicalIF":1.2,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36285868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Global Health Agenda: It Is Who We Are. 全球卫生议程:我们是谁。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-07-01
Donna M Nickitas
{"title":"A Global Health Agenda: It Is Who We Are.","authors":"Donna M Nickitas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"34 4","pages":"158, 189"},"PeriodicalIF":1.2,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36285869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guiding Global Nursing: An Interview with Annette Mwansa Nkowane. 指导全球护理:采访Annette Mwansa Nkowane。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-07-01
Donna M Nickitas
{"title":"Guiding Global Nursing: An Interview with Annette Mwansa Nkowane.","authors":"Donna M Nickitas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"34 4","pages":"182-4, 198"},"PeriodicalIF":1.2,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36285866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ambulatory Care Nurse-Sensitive Indicators Series: Starting with Low-Hanging Fruit: Proposing the Adaptation Of Health Care Measures to the Role of the Nurse in Ambulatory Care. 门诊护理护士敏感指标系列:从低挂的果实开始:提出适应护士在门诊护理中的作用的卫生保健措施。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-07-01
Rosemarie Battaglia, Rachel Start, Mary Morin
{"title":"Ambulatory Care Nurse-Sensitive Indicators Series: Starting with Low-Hanging Fruit: Proposing the Adaptation Of Health Care Measures to the Role of the Nurse in Ambulatory Care.","authors":"Rosemarie Battaglia,&nbsp;Rachel Start,&nbsp;Mary Morin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The American Academy of Ambulatory Care Nursing's Nurse-Sensitive Indicator Task Force was charged with identifying and developing meaningful measures for the ambulatory care environment. Several strategies were used to identify measures that would reflect the value of the role of the nurse in this setting. One such strategy was to conduct a comprehensive review of the health care environment as a whole and the measures within it, to identify measures that already existed that could easily be adapted to the role of the nurse in ambulatory care settings. Because of the complexity of the ambulatory care patient care environment, the group sought to reach momentum in indicator development by starting with the proposal of measures that would be less complex to develop, pilot, and adapt in organizations across the country.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"34 4","pages":"199-205"},"PeriodicalIF":1.2,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36285874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accountability of Nursing Interventions vs. Severity of Illness Scores for the Hospital Care Cost Of Total Hip Replacement. 护理干预责任与疾病严重程度评分对全髋关节置换术住院护理费用的影响
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-07-01
Mikyoung Lee, Thomas R Clancy
{"title":"Accountability of Nursing Interventions vs. Severity of Illness Scores for the Hospital Care Cost Of Total Hip Replacement.","authors":"Mikyoung Lee,&nbsp;Thomas R Clancy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The main purpose of this study was to investigate the extent to which nursing care compared to severity of illness (SOI) accounted for direct hospital costs. The type, frequency, and duration of nursing interventions required for patients undergoing total hip replacement surgery by the SOI stages with independent t-tests were identified. Although patients in Stage 3 generally needed a greater amount of each intervention than patients in Stage 2, the differences in needs for nursing interventions were not consistent using SOI. With hierarchical multiple regression analyses, results indicated nursing interventions explained significantly more variability in hospital care costs than SOI scores. Relying only on SOI scores for reimbursement may not accurately reflect the resource consumption of health care.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"34 4","pages":"190-8"},"PeriodicalIF":1.2,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36285872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of a Novel Tool for Identifying Hospitalized Patients with Heart Failure at Risk for 30-Day Readmission, High Cost, and Longer Length of Stay. 评估一种新的工具，用于识别有30天再入院风险的心力衰竭住院患者，费用高，住院时间长。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-07-01
Karen Merl Banoff, Kerry Milner, Joan Rimar, Anna E Greer, Maureen Canavan
{"title":"Assessment of a Novel Tool for Identifying Hospitalized Patients with Heart Failure at Risk for 30-Day Readmission, High Cost, and Longer Length of Stay.","authors":"Karen Merl Banoff,&nbsp;Kerry Milner,&nbsp;Joan Rimar,&nbsp;Anna E Greer,&nbsp;Maureen Canavan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hospitals are penalized financially for high 30-day readmission rates for specific diagnoses, including heart failure. The economic imperative exists to better manage the heart-failure population and acute care providers are in need of appropriate tools to aid in their efforts. This study was conducted to determine if the Rothman Index score may be useful to prospectively identify patients with heart failure at risk for extended hospitalization, high inpatient cost of care, and 30-day readmission. Results from this study suggest the Rothman Index score can be a useful adjunct to current clinical assessment methods in helping multidisciplinary teams better manage patient care and limited resources.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"34 4","pages":"172-81"},"PeriodicalIF":1.2,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36285870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The World Health Organization Launches the 2016-2020 Global Strategic Directions for Strengthening Nursing and Midwifery. 世界卫生组织发布《2016-2020年加强护理和助产全球战略方向》。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-07-01
Annette Mwansa Nkowane, Stephanie L Ferguson
{"title":"The World Health Organization Launches the 2016-2020 Global Strategic Directions for Strengthening Nursing and Midwifery.","authors":"Annette Mwansa Nkowane,&nbsp;Stephanie L Ferguson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The World Health Organization (WHO) Global Strategic Directions for Strengthening Nursing and Midwifery 2016-2020 provide a framework to ensure nursing and midwifery interventions are developed, implemented, and evaluated at global, regional, and country levels and in partnership with key stakeholders. The Global Strategic Directions for Strengthening Nursing and Midwifery 2016-2020 supports the WHO's Global Strategy on Human Resources for Health: Workforce 2030. The WHO Global Strategic Directions for Strengthening Nursing and Midwifery 2016-2020 presents a vision, guiding principles, and four themes to maximize nursing and midwifery workforce contributions to improve global health. Implementation of the strategy is articulated in the context of country and regional needs, areas for expedited action, partnerships and alliances, and accountability for ongoing monitoring and evaluation. As a framework, the 2016-2020 Global Strategic Directions for Nursing and Midwifery can help countries achieve the United Nations' Sustainable Development Goals and universal health coverage.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"34 4","pages":"206-7"},"PeriodicalIF":1.2,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36284273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Urgency of Creating a Culture of Caring: Start with You! 创造关怀文化的紧迫性:从你开始!
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-05-01
Kim Richards
{"title":"The Urgency of Creating a Culture of Caring: Start with You!","authors":"Kim Richards","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the high costs associated with staff turnover, creating a culture that cares for and about nurses could be the most significant recruitment tool for a health care organization. Professional coaching, both from a leadership and retention or \"caring for the caregiver\" perspective, can greatly enhance opportunities for improving resilience, reenergizing and reengaging leadership and staff, and breathing new life into your institution's culture. Healthy employees and healthy culture lead to a healthy bottom line. Imagine the outcomes on our national health care systems if nurses, at over 3 million strong, inspired by their healthy nurse leaders, committed to a lifestyle of self-care.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"34 3","pages":"152-5"},"PeriodicalIF":1.2,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34748592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospital Value-Based Purchasing And 30-Day Readmissions: Are Hospitals Ready? 医院基于价值的采购和30天再入院:医院准备好了吗?
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-05-01
D Rob Haley, Mei Zhao, Aaron Spaulding
{"title":"Hospital Value-Based Purchasing And 30-Day Readmissions: Are Hospitals Ready?","authors":"D Rob Haley,&nbsp;Mei Zhao,&nbsp;Aaron Spaulding","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To better understand the relationship between a hospital's Total Performance Score (TPS) and unplanned readmissions, a multivariate linear regression analysis was used to examine the relationship between hospital TPS and readmission rates for acute myocardial infarction (AMI), heart failure (HF), and pneumonia (PN). Hospital TPS was significantly and inversely related to AMI, HF, and PN readmission rates. The higher the hospital TPS, the lower the readmission rates for patients with AMI, HF, and PN. Hospitals with higher Medicare and Medicaid patients had higher readmission rates for all three conditions. The TPS methodology will likely evolve to include additional measures or dimensions to assess hospital quality and payment. Policymakers and hospital administrators should consider other structure elements and process measures to assess and improve patient safety and quality.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"34 3","pages":"110-6"},"PeriodicalIF":1.2,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34589291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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