NURS FPX 6612 Assessment 3 Patient Discharge Care Planning Struggling with “NURS FPX 6612 Assessment 3: Patient Discharge Care Planning”?

 

Use of HIT Elements

Many Americans are at risk for illness as a result of poor eating habits and a lack of awareness about quality healthcare. Chronic diseases are more likely to develop in those who smoke, are under stress, or do not exercise. HIT plays a larger part in patient-centered care (PCC), which offers high-quality medical services to help people better manage their chronic illnesses.

Analysis was done on the number of adults in the United States who had one or more chronic diseases. Data from the 2018 National Health Interview Survey (NHIS) was used for the analysis. According to Boersma et al. (2020), 27.2% of adults have more than one chronic condition, whereas 51.8% have been diagnosed with at least one of the ten specified chronic conditions, such as arthritis, hypertension, etc.

Prevention of Readmission with HIT

The suggested remedy for care fragmentation is health information technology (HIT), which is thought to lower readmission risk through improved information flow. According to the findings, hospitals’ readmission rates may benefit via patient use and access to EHRs (Elysee et al., 2021).

Data Reporting

Using HIT, patients can access a variety of human and rehabilitation services to better manage their healthcare needs. With the EHR, the care manager and other medical personnel can access all of the patient’s necessary data, which can be utilized for particular discharge plans.

The benefits of public health will rise when Social Determinants of Health (SDOH) are incorporated into public health practices. Research on interventions, teamwork, education, practice, and policy would be necessary nonetheless. The Social Determinants of Health viewpoint recognizes the social factors that impact health outcomes and allows for creative solutions to public health issues (Hahn, 2021). 

Marta will undergo four weeks of therapy following an evaluation of her results. She will receive counseling and support from the social worker to help her deal with her trauma. The care manager will refer patients to outpatient treatment after considering the recommendations of the experts. The care manager will assist in locating the main care physician and scheduling appointments with additional medical specialists, including specialists in orthopedics and infectious diseases.

In order to facilitate Marta’s transition from the hospital to her home, the care manager, along with Marta’s aunt and uncle, will be involved in order to establish a consensus regarding follow-up visits after Marta’s discharge.  

To view her prescriptions and advance her care plan, she would use an online portal and electronic records. She can talk with her designated care manager about the next steps in her treatment plan and see her lab results. The care manager must conduct due diligence before resolving any concerns related to Marta’s simple transfer from the hospital to her home and preventing the possibility of readmission.