Healthcare Delivery And Nursing Informatics Case Study Question

You are working in a long-term care facility with your client Mr. M that experienced a stroke leaving him paralyzed on one side with expressive aphasia. His health insurance coverage for long-term care is only 180 days (total) per calendar year. When Mr. M arrived, the team met to coordinate services with the goal to discharge him home before the180 day limit was reached.

Evaluating and measuring his progress has been difficult as they have experienced multiple problems. This has led to Mr. M. being readmitted on one occasion then returning to the long-term care facility. You are the care coordinator and need to be current on what is, and has been, happening across all settings to make sure his care is equitable and of high value to his outcome.

Address the following question and provide evidence to support it from our course materials or outside readings in your main post.

1. Mr. M’s problems required a readmission to the hospital within the first 20 days at your facility. What are the economic issues for him? Could this be a breakdown of the care coordination team? What steps could have been initiated to maintain Mr. M’s health so as not to have to be readmitted?

A General Solution 

If Mr. M is readmitted to the hospital after only 20 days in the long-term care facility, it could have a significant financial impact on him. The expenses connected with readmissions, such as hospital stays, medical exams, and prescriptions, can pile up quickly and raise the total cost of his treatment. Furthermore, because of the 180-day cap on his health insurance coverage, Mr. M. and his family will be responsible for paying for his care, which could place a strain on their finances.

A breakdown in the care coordination team may be the cause of the readmission. To guarantee that the patient’s requirements are addressed and that their care is of the highest quality, the team’s members—including healthcare professionals, patients, and their families—must collaborate. In this instance, it appears that the care coordination team was unable to recognize and resolve the problems that resulted in Mr. M’s readmission, which may indicate a deficiency in team member cooperation, coordination, or communication.

Care Coordination for Mr. M

The care coordination team had various options to avoid Mr. M’s readmission. Making sure that everyone on the team is aware of Mr. M’s health situation, goals, and needs could be one of them. This can entail performing routine evaluations and updates on his condition and making sure that everyone on the team is informed of any changes to his health.

The team could have additionally worked to proactively address any potential problems that might have brought about his readmission, such as making sure he was taking his medications as prescribed, that his surroundings were secure, and that he was getting the support and resources he needed to manage his condition. The care coordination team may have maintained Mr. M’s health and avoided his readmission by doing these actions.

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