FNU Improving Community Based Management of Hospital Readmission Rates PPT

Assignment #3 Individual PowerPoint Presentations covering the following case study:
Aims and Objectives: To identify structure, process, and outcomes associated with the
implementation of transitional community-based management of hospital readmission rates.
Background: Population health-based projects have previously been described (Chapters 10 and
13). Using a transitional community-based readmissions plan for patients with heart failure,
categorize quality metrics into structure, process, and outcomes.
Questions/comments to be considered are as follows:
1. What are your data input, output, and measures of success?
Suggested response: The data input would be community health workers and patients with heart
failure, the output would be readmission plans, and the measure of success would be surveying
patient responses.
2, Explain how your devised model incorporates social context.
• The community-based management program will ensure that social contexts such as social
or familial support, income, or cultural norms are incorporated.
• Patients will be treated within their social context and communities.
3.How will you assess your population or community?
Suggested response: The patient assessment instrument in Centers for Medicare & Medicaid
Services (CMS) measure management programs can be used to assess the population or
community.
Minimum 6 slides- Maximum 8 slides including reference page.
14 percent of total grade
Rubric
Content/Points
-The students answered the data input would be community health workers and patients with heart
failure, the output would be readmission plans, and the measure of success would be surveying
patient responses. (4 points)
-The student identify that the revised model incorporates social context are.
• The community-based management program will ensure that social contexts such as social
or familial support, income, or cultural norms are incorporated.
• Patients will be treated within their social context and communities.
(4 points)
-The student discuss that to assess the population or community it can be used the patient
assessment instrument in Centers for Medicare & Medicaid Services (CMS) measure management
program (4 points)
– APA reference (2 points)