2.50
Hdl Handle:
http://hdl.handle.net/10755/164347
Category:
Abstract
Type:
Presentation
Title:
Focus on the Patient and the Money Will Come
Author(s):
Mann, Marion G.
Author Details:
Marion G. Mann, MSN, RN, CNS, Memorial Health University Medical Center, Savannah, Georgia, USA, email: nacnsorg@nacns.org
Abstract:
Purpose: The initial purpose of this project was to implement evidenced-based best practice guidelines for the outpatient management of a small population of chronic heart failure patients through the administration of Nesiritide infusions. For positive clinical outcomes, the protocol would be based on the most recent clinical trials that produced the best results. During the process, it became evident that the financial implications were a threat to the viability of the program. Thus, the next objective was to implement a strategy to improve financial outcomes. Significance: Medicare, as well as private insurance, continues to scrutinize expensive medical treatments for the management of congestive heart failure. Many times, it is the lower cost treatments that are approved for payment, leaving many patients at a loss for the best care for their condition. Design/Background/Rationale: Congestive heart failure is a difficult and expensive disease to manage. Thus, many patients become non-compliant due to the complexity of the management of their disease. Finding a protocol that produces good clinical and financial outcomes is a challenge worth working for. Methods/Description: Through research of the most recent drug trials, a protocol to produce positive clinical outcomes was developed. Further, by analyzing financial data, a management protocol was developed to insure financial stability which improved the viability of the program. Findings/Outcomes: Twelve weeks after the new protocol was implemented, there were positive clinical outcomes to indicate the success of the program. All 6 patients had significant improvement, with 1 being successfully weaned off the treatment. With the new management protocol, compliance for payment guidelines has gone from 0 to 100%. Conclusions: Through the implementation of evidenced-based practice, Memorial Health University Medical Center has built a solid foundation for a viable congestive heart failure program which is producing positive clinical and financial outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
CNS Leadership: Soaring to New Heights
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Salt Lake City, Utah, USA
Description:
Conference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleFocus on the Patient and the Money Will Comeen_GB
dc.contributor.authorMann, Marion G.en_US
dc.author.detailsMarion G. Mann, MSN, RN, CNS, Memorial Health University Medical Center, Savannah, Georgia, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164347-
dc.description.abstractPurpose: The initial purpose of this project was to implement evidenced-based best practice guidelines for the outpatient management of a small population of chronic heart failure patients through the administration of Nesiritide infusions. For positive clinical outcomes, the protocol would be based on the most recent clinical trials that produced the best results. During the process, it became evident that the financial implications were a threat to the viability of the program. Thus, the next objective was to implement a strategy to improve financial outcomes. Significance: Medicare, as well as private insurance, continues to scrutinize expensive medical treatments for the management of congestive heart failure. Many times, it is the lower cost treatments that are approved for payment, leaving many patients at a loss for the best care for their condition. Design/Background/Rationale: Congestive heart failure is a difficult and expensive disease to manage. Thus, many patients become non-compliant due to the complexity of the management of their disease. Finding a protocol that produces good clinical and financial outcomes is a challenge worth working for. Methods/Description: Through research of the most recent drug trials, a protocol to produce positive clinical outcomes was developed. Further, by analyzing financial data, a management protocol was developed to insure financial stability which improved the viability of the program. Findings/Outcomes: Twelve weeks after the new protocol was implemented, there were positive clinical outcomes to indicate the success of the program. All 6 patients had significant improvement, with 1 being successfully weaned off the treatment. With the new management protocol, compliance for payment guidelines has gone from 0 to 100%. Conclusions: Through the implementation of evidenced-based practice, Memorial Health University Medical Center has built a solid foundation for a viable congestive heart failure program which is producing positive clinical and financial outcomes.en_GB
dc.date.available2011-10-27T11:46:43Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:46:43Z-
dc.conference.date2006en_US
dc.conference.nameCNS Leadership: Soaring to New Heightsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionConference theme: CNS Leadership: Soaring to New Heights, held March 15-18, 2006 in Salt Lake City, Utah, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.