This document discusses hospital readmission rates. It provides background information on hospital readmissions, noting that readmissions result in longer hospital stays and more healthcare resource use. The document then presents three PICOT questions related to reducing hospital readmission rates in elderly patients through various interventions like virtual follow-up, physical follow-up, and effective communication systems. Finally, it provides references in APA style.

1. 1
Hospital Readmission Rates
Kaylee Chauvin
West Coast University
NURS 350: Research in Nursing
Mrs. Sandy Daisley
September 5th, 2021
2
Hospital Readmission Rates
Hospital readmission is characterized as an emergency clinic
affirmation that happens
inside a predefined time after release from the principal
confirmation. The re-hospitalization rate
was considered a sign of the eminence of the hospital's clinic
and was displayed to reflect a
measure of patient attention. Re-hospitalization results in longer
hospital stays and more

2. emergency clinic resource use. An increase in readmission rates
and increasing the use of
innovation, leads to increased incomes, even if the
consideration may mean that it may not be
effective. Re-hospitalization is an exorbitant cost for the clinic.
Rather than spending money on
complex systems and high-severity patients, clinics can level
assets by providing more start-up
confirmations for low-severity patients, or with appropriate
release programs. You can invest in
reducing readmissions. Various procedures are used to solve the
readmission rate problem, as
outlined in the PICOT question. It is used to determine best
practices for working on results
within a month.
Description and background information
Once patients are released from the medical clinic, they imagine
going through their days
recovering a lot at home until they improve (Upadhyay et al.,
2019). Lamentably, for some
elderly patients, that does not occur. Medical clinic readmission
for elderly patients is not just
distressing; however, it can likewise negatively affect a
patient's general well-being. The

3. additional time a patient is in a clinic, the more probable they
are to create genuine, conceivably
hazardous diseases, for example, medical clinic procured
pneumonia. Finding a way ways to
decrease clinic readmissions in the elderly is fundamental. In
addition to the fact that it protects
176710000000017379
very true!
176710000000017379
176710000000017379
176710000000017379
we are interested in the nursing procedures (interventions)
3
the clinic from potential Medicare fines, however, it helps keep
probably the weakest individuals
from the community (the elderly) strong and healthy.
Various strategies are used to address the issue of readmission
rates. Framing partnership
with nearby medical clinics and different suppliers, helps make
the recuperation interaction
simpler for elderly patients. At the point when they are released

4. from the clinic, they're ready to
rapidly and easily find doctors, home medical care groups, and
emergency clinics that not
exclusively will give quality therapy however that approach all
past clinical records and
important data. Elderly patients can without much of a stretch
become overpowered when given
a lengthy discharge document (Bjorvatn, 2013). HCPs should
attempt to keep release guidelines
simple to peruse and clear. Neglecting to plan follow-up
arrangements or introductory meetings
with experts can prompt emergency clinic readmissions in the
elderly. Before releasing a patient
from the emergency clinic, work with them to get them booked
for a follow-up arrangement or
an underlying meeting with a subject matter expert. Patients,
particularly the elderly, will be
bound to follow through and get the medical services they need
to try not to be readmitted to the
emergency clinic if the arrangements are now made for them.
Patients will in any case require
itemized follow-up that incorporates guidelines for post-medical
clinic care, layouts of any vital
tests that should be performed and subtleties on when to plan

5. any meetings with subject matter
experts or an essential consideration doctor. This is through
effective communication.
Significance of the topic to nursing practice
In the hospital setting, the mortality rate of readmission
patients is higher than that of
non-rehospitalized patients. Various experts argue that
readmission to the hospital leads to longer
hospital stays and more emergency clinic resources. Candidate
about the nature of care
176710000000017379
nurse navigators for high risk illnesses for readmission: CHF,
COPD, Asthma, MI, Diabetes and so on
176710000000017379
type of nurse patient discharge education
176710000000017379
176710000000017379
176710000000017379
176710000000017379
176710000000017379
keeps patient happy and satisfied with their care
176710000000017379

6. 176710000000017379
so nurse case management or nurse liason might be crucial
procedures of relevancy to nurses i care of elderly
176710000000017379
whose responsibility is this?
176710000000017379
nurse discharge planning
176710000000017379
4
information obtained through assessment and decomposition is a
new issue for clinics and
welfare management associations. The Hospital Readmission
Reduction Program (HRRP) was
planned as a Medicare-based procurement program that
unilaterally reduces clinic premiums
with high readmission rates (McIlvennan et al., 2015). The
candidate strengthens responsibility
and gives patients an understanding of a wide range of medical
services in the clinic. Accepting
responsibility can put pressure on hospital leaders to lessen re -
hospitalization rates, but
decreasing readmissions by releasing patient’s early means that
these patients must return to the

7. clinic. If you do, you may not be able to save money or make a
profit. Ordinarily, the subject will
be fundamental in nursing practice, as it will support reducing
readmission rates, which is a
perspective, utilized in the positioning of Health Care Facilities.
Readmission is an unfavorable
proportion of outcome measurement.
PICOT Questions
I. In elderly patients (P), how does virtual follow up (I)
compared to _no follow up (C)
influence the rate of readmissions (O) over one month after
discharge (T)?
II. In elderly outpatients (p) how does physical follow up (i)
compare to virtual follow up(c )
influence readmission rates( o) over one month after discharge
(t)
III. In elderly patients (p) how does effective communication
systems with patients (I)
compare to physical follow up (c ) influence readmission rates
(o) over one month after
discharges (T)
176710000000017379

8. this would be unethical
176710000000017379
176710000000017379
reverse the I and C and this would be your best one! The
comparison or standard intervention is the follow up physical
visit typically esp if recent hospitalization
176710000000017379
176710000000017379
another main reason for readmission can be traced to medication
mismanagement; how can discharge medication protocols (med
reconciliation, med planners with time alarms, referral to med
check services and simplified teaching and administration
programs, etc help?
176710000000017379
176710000000017379
176710000000017379
too vague (do you mean call reminders, nurse call systems?)
176710000000017379
nurse
176710000000017379
176710000000017379
176710000000017379
again, how does this concern or related to patient nursing
practice?

9. 176710000000017379
how is this significant to nurse practice of patients?
176710000000017379
what has nursing revolutionized since the readmission problem;
their focus is not so much on profits but on assisting the elderly
patient with ongoing care management, referral and follow up,
all the things you mentioned..a great question would be: in
elderly hospitalizied patients with CHF, how does a nurse
navigator system as compared to none influence readmission
rates over 30 days
176710000000017379
176710000000017379
5
Reference
Bjorvatn, A. (2013). Hospital readmission among elderly
patients. The European Journal of
Health Economics, 14(5), 809-820.
McIlvennan, C. K., Eapen, Z. J., & Allen, L. A. (2015).
Hospital readmissions reduction
program. Circulation, 131(20), 1796-1803.
Upadhyay, S., Stephenson, A. L., & Smith, D. G. (2019).
Readmission rates and their impact on
hospital financial performance: a study of Washington
hospitals. INQUIRY: The Journal

10. of Health Care Organization, Provision, and Financing, 56,
0046958019860386.
176710000000017379
Great job with formatting according to APA style
176710000000017379
176710000000017379
A is capitalized because it is the first word of a subtitle (comes
after a colon or hyphen
176710000000017379
Assignment two
Subject (topic) based on Applied Economics for Managerial
Decisions: 10 Marks
It is Company Based Assignment - Select any company( Small-
large and Medium) find out
Economic problems. How the company are functions select
individual topic (for example: Profit
point, demand point, price point, Cost and competition point of
view - lot of economic views are
avaialble - Select Individual company based on company web
site then you write a DA 2.
Important “Applied and Analysis based work”

11. How to write a critical assignment? (Digital Assignment - two)
“Assignment - Hand written only
accepted”- do not type (MS word) and upload – It is not accept
and same topic also not accept. Select
Individual topic for your BMT5111 syllabus economic points.
Title
Introduction
Main content (applied and analysis point of view)
Mention with suitable examples (if available in books and
current status or any live related to
subjects(topic)
Conclusion
References – (Books or related web links)
Word limits: 5000
For this assignment, you will locate two research studies related
to the topic and PICOT questions that you developed in Week 2.
The articles must be current (within the last five years), and one
article must be quantitative, and one article must be qualitative.
For this assignment all articles must be related to the field of
nursing.
Article choice is very important, therefore:
· Articles used for this assignment cannot be used for the other
assignments. The selected articles should be original research

12. studies. Review articles, concept analysis, meta-analysis, meta-
synthesis, integrative review, and systemic review articles
should not be used.
· Mixed-methods studies should not be used.
There are two parts to this assignment.
Part 1: Complete a Rapid Critical Appraisal Checklist
· Select one each: qualitative and quantitative research articles.
· Create a Rapid Critical Appraisal Checklist for the
two research articles (one column per article).
· Complete with brief, concise, summarized information.
Part II: Write a summary (one- to two- pages)
· Identify differences between quantitative and qualitative
designs and research methods.
· Describe the differences in your article's quantitative and
qualitative designs and methods. Carefully review the rubric
before you submit. This summary is using your own words to
examine the differences specifically between your articles.
· Use current APA Style for your summary paper and to cite
your sources.
· Submit the checklist and summary.
· PICOT TOPICS ARE LOADED IN PDF
· THE TWO ARTICLES FROM LAST ASSIGNMENT IS
UPLOADED BELOW IN SEPARATE PDF
· HAS TWO BE TWO DIFFERENT RESEARCH ARTICLES
FOR PICOT QUESTIONS THEN FROM LAST PAPER WILL
BE SHOWN BELOW****
· RAPID CHECKLIST IN WORD PDF BELOW MUST DO!
NR350 Research in NursingLiterature Search, Rapid Critical
Appraisal, and Summary
Rapid Critical Appraisal Checklist
Article

13. References
Purpose
Hypothesis
Study Question(s)
Variables
Independent(I)
Dependent(D) if Applicable
Study Design
/Methods
Sample
Size &
Selection
Data Collection
Methods
Major Finding(s)
1
(SAMPLE ARTICLE)
Smith, Lewis (2013),
What should I eat? A focus for those living with diabetes.
Journal of Nursing Education, 1 (4) 111-112.
How do educational support groups effect dietary modifications
in patients with diabetes?
D-Dietary modifications
I-Education
Quantitative
N- 18
Convenience sample-selected from local support group in
Pittsburgh, PA
Focus Groups
Support and education improved compliance with dietary
modifications.
1

14. 2
3
4
5

15. 1
2
Hospital Readmissions
Hospital Readmissions
First Article
The type of research which was carried out by Nguyen et al.
(2021) is quantitative. The researchers used the retrospective
cohort design based on adult patient data discharged from
fifteen hospitals in Southern California. The study's research
question is; what are the effects of clinic and telephone follow -
ups that had been carried out fully within seven days on
readmission, and do the effects vary with the age and service
line? The sample of the study consisted of adult patients. The
study's sample size consisted of 212,513 grown-up patients who
had been discharged from fifteen different hospitals located in
Southern California hospitals (Nguyen et al., 2021). The sample
attributes are that it was the first hospitalization, they were
discharged from the hospital alive, and the patients remained
enrolled in the health plan for a minimum of thirty days after
being released by the hospitals. The participants also had to be
discharged from the hospitals between January 2017 to
December 2019. The setting of the study was in Southern
California in the Kaiser Permanente healthcare facilities. The
study found that completing clinic or telephone follow-up visits
within seven days of hospital discharge reduced hospital
readmission rates.
Second Article
The study carried out by Benjenk & Chen (2018) is qualitative
and uses a descriptive research design. Can interventions
designed to treat mental health symptoms be used to reduce the
readmission risks on patients who have been hospitalized for

16. physical health conditions? The sample used for the study is
peer-reviewed articles obtained from PubMed and Google
Scholar. The sample size consisted of eighty-one full-text peer-
reviewed articles. The attributes of the articles are that they had
to be published between January 2010 and June 2018, had to be
peer-reviewed, and were limited to English-language articles
(by Benjenk & Chen, 2018). The studies used for the study also
involved mental health-related intervention and had to measure
the total rate of readmissions as an outcome. The authors of the
study did not discuss the setting of the study. The study found
out that the use of mental health strategies can help reduce
hospital readmission rates. The strategies identified include
routine monitoring of symptoms and monitoring of medication
adherence.
References
Benjenk, I., & Chen, J. (2018). Effective mental health
interventions to reduce hospital readmission rates: a systematic
review. Journal of hospital management and health policy, 2.

17. Nguyen, H. Q., Baecker, A., Ho, T., Huynh, D. N., Watson, H.
L., Li, J., & Shen, E. (2021). Association between post-hospital
clinic and telephone follow-up provider visits with 30-day
readmission risk in an integrated health system. BMC Health
Services Research, 21(1), 1-10.