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CBA Project Proposal/ Topic
1. The project is a cost-benefit analysis of a project that is of
interest to you. See paper submission guide. Sample CBA
Projects are posted under “Files.” You may propose three
possible topics with the first topic on the list as your preferred
topic. Add two sentences which briefly explains what you
intend to do for your project.
Remember that the topic should impact a group of individuals
(social impacts), not a personal/family or company/industry
project. I strongly suggest that you
do a preliminary search on information regarding your
topic to make sure that information/ data is available and start
working on your paper as soon as possible. You want
quantitative data.
Previous Student Topics. See posted examples in CANVAS
under Files – “SAMPLE CBA PROJECTS” folder.
· A Cost-Benefit Analysis of Smoking Cessation: Madison
County Perspective
· Gambling: A Cost-Benefit Analysis
· CBA of Constructing a Library
· CBA of Recycling in Huntsville
· CBA of Artificial Reef Project
· A Cost Benefit Analysis of a Permanent Lighting System for a
Small Community Recreational Center in Harford County
Maryland
· Cost Benefit Analysis U.S. Household Residential Lighting:
Incandescent versus LED
· Energy Efficiency in the Home with ENERGY STAR
Products:
A Cost Benefit Analysis for Alabama
· A CBA Analysis of Implementing a Hydrogen Infrastructure
for Vehicle Transport
· A CBA of a New Commuter Rail System for the Atlanta
Georgia Suburbs
· Willingness to Pay for a Park
· Airline Cell Phone Costs: CBA
· Construction of a Community Swimming Pool: A Cost-Benefit
Analysis
· The Choice of Immunization: A Cost-Benefit Analysis
· Cost Benefit Analysis of Florida’s Proposed High Speed Rail
System
· CBA of Alabama State Funded Lottery
· CBA of Legalizing Medical Marijuana
· CBA of Upgrading to LED Street Lights
· Construction Project of an Aerial Gondola between Rosslyn
And Georgetown: a CBA
· Cost-Benefit Analysis of the Proposed Additional Nature Trail
Connecting Chancellor’s Run
· Cost Benefit Analysis: Barnes Boulevard Widening Project
· A CBA of the Hyperloop as a New Mode of Transportation in
California
· A Cost Benefit Analysis of Bringing Uber to Huntsville
· Solar Street Light Conversion: A Cost Benefit Analysis
· CBA of a Shortened Full-time Work Week
· CBA for a Dog Park
· A Cost Benefit Analysis of Constructing a Community Garden
· Cost Benefit Analysis of the Construction of a Parking Garage
in The Vicinity of Major Naval Shipyard
· Cost Benefit Analysis: Oklahoma City Northwest Multimodal
Transportation Corridor
· Cost Benefit Analysis of a Telework Program for Federal
Employees within Huntsville, AL
· Cost-Benefit Analysis of $15 Minimum Wage in Florida
· Cost-Benefit Analysis of a Human Mission to Mars
· A Cost Benefit Analysis of the Construction Project of a
Playground for Local Community
Structure - please ensure it is in APA format and times new
roman font.
https://citetotal.com/writing-guides/how-to-write-a-capstone-
project/#:~:text=They%20are%20designed%20around%20a,elem
ents%20of%20every%20capstone%20project.
Capstone projects usually follow a specific structure:
· Abstract. Although it is located at the beginning of the written
project, the abstract should be written last. It is a summary of
the entire study; you can approach it as soon as you are sure
that every other part is complete. Do not confuse the abstract
with the introduction of the paper—abstracts contain enough
information to interest the reader in the entire project. Thus,
they must capture the essence and relay main concepts,
hypotheses, research methods, and findings.
· Introduction. In this section, you will acquaint your readers
with the topic you have selected. Sometimes, an introduction is
split into multiple smaller categories such as “Purpose of the
Paper” or “Research Questions,” but they can be located in this
part since they present the topic. Here, you should introduce the
issue and connect it to your sphere of academic knowledge or
course. In addition, you may discuss why this research problem
is significant. Next, list the formulated research questions or
hypotheses that will guide the investigation. State the objectives
that you wish to achieve with the help of this project. Finally, if
it is required, include a thesis that succinctly describes the aims
and beliefs of the capstone project.
·
· Literature Review. A review of the existing literature is a vital
component of any research endeavor. Here, you will search for
academic and other reliable sources that are connected to your
topic. These articles, books, trials, and studies will be used as a
foundation for the research. Sources can contain pertinent
findings, discuss well-examined methodologies, present new
ideas, and confirm or refute earlier findings. Docume nt the
results of your search and analyze them; look for gaps in
knowledge. What themes are not explored well or missing
altogether? What should or can be researched in more detail?
You can attempt to fill in these gaps with your findings.
· Methodology. In this section of the project, you will talk
about how your research is to be conducted.
·
· First, describe your research design; it can be qualitative,
quantitative, or mixed (a combination of the two). Each type
also has many subcategories. Choose one, and explain why it
works the best for your topic.
· Next, state your independent and dependent variables if
needed for your selected design. Independent variables are what
you choose to investigate (for example, different training
programs for employees). Dependent variables are affected by
independent ones (for example, employee performance after
training).
· Describe the sample for your project. Who are the
participants, and how many of them are involved? What are the
inclusion and exclusion criteria for research?
· List the materials and tools you used in conducting research.
Here, you can introduce questionnaires, online tests, and other
media created for this project.
· Write about the process of conducting research, discussing all
the major elements of the procedure. What were the participants
asked to perform? How were the results collected?
· Discuss how you analyzed the results, listing measurements,
tests, and calculations. Explain why you chose each method, and
support your selections with previous research
Healthcare Regulations, Readmission, and the Budgets
Paper topic/Hypothesis : how lack of medication regulation and
readmission drive up hospital cost and cause drifts in planned
budgets for hospitals.
Introduction
What we mean when we talk about healthcare policies is a set of
preemptive regulations established to enhance healthcare
delivery. The program addresses many concerns, including but
not limited to; healthcare financing, protracted care, mental
health, and preventative medicine. One of the most pressing
problems in the United States we must solve now is how to
improve healthcare delivery. People have been able to live
healthier and longer lives thanks to increased Medicare
expansion in recent decades. This study intends to investigate
healthcare reform and the policies from different areas of
healthcare inside the United States. This review takes a look at
different diseases, measures of analysis, and studies done in
relation to planning and policies in reflection of mortality rates
and readmission of patients in different hospitals.
Starting review
It has been suggested by Buerhaus et al. (2017) that the quality
of service delivered in private practice differs significantly
from the quality of healthcare provided in hospitals and other
medical institutions. According to the Institute of Medicine,
“almost 100,000 people in the United States die every year due
to preventable medical mistakes made by medical staff, lending
credence to the claims made in this research.” The paper notes
that many mistakes occur due to inappropriate medicine
administration, inaccurate patient identification, or erroneous
surgical location
(Frisina and Neri 2018). Even the smallest medical
blunders would be eliminated if strict protocols were str ictly
adhered to.
A medication policy that promotes interdisciplinary teamwork
was found to be effective in reducing drug-related difficulties.
Pellegrin et al. (2016) found that geriatric patients were less
likely to require hospitalization due to medication-related
complications when hospital pharmacists and community
pharmacists worked together to manage their medications.
Integrating pharmacists into primary care and other community-
based healthcare teams have been proposed by Smith et al.
(2016) to boost practice efficiency, care coordination, patient
outcomes, and the prevention of avoidable adverse medication
events. , being admitted to the hospital when they did not need
to be, etc.
Bucknall et al. (2019) find that patients' preferences on their
medication management should be assessed at the time of
hospital admission, even though patients' perspectives on their
involvement in medication management differ. According to
research, comprehensive medication management (CMM) has
been shown to help clinical pharmacists become more self-
aware of how they might influence drug outcomes
(Walker, 2015). Despite the fact that numerous studies
have demonstrated the critical nature of drug management,
medication mistakes continue to be a major issue in the United
States.
(Jones and Treiber, 2018).
Medication safety can be enhanced in several ways; one such
way is through increased collaboration between healthcare
providers, patients, and community and hospital physicians.
Medication management is only one of many processes that can
benefit from applying the Lean Six Sigma methodology
(Nayar et al., 2016). It can be used to implement
solutions such as identifying and implementing the Nurses'
Rights of medicines (at the right dose, Right medicine, Right
patient, via the right route, and during the right time) to
formalize as well as legitimize caregiver control over through
the administration process and to establish a fair culture
concerning medication surroundings
(Jones & Treiber, 2018).
Measures of analysis
In measuring the hospital administration's success and failures
of policies and procedures, this research is based on the
mortality and readmission rates. According to
Waydhas (2020), mortality rates are the rate of death in
a particular population. Readmission rates are the rate of people
being readmitted to a facility with the same illness, lack of
comprehensive care, and not fully recovering based on services
offered. These two measures of analysis can help determine the
effectiveness of administration planning and policies in offering
health services to such a population.
According to Upadhyay (2019), study follows 98 hospitals in
Washington State from 2012 to 2014 to see if the publicly
available readmission statistics on Hospital Compare affect the
hospitals' bottom lines. The AMI, PN, and HF readmission rates
were compared to revenue per patient, costs per patient, and
operating margin. An examination of 276 hospital-year
observations using hospital-level fixed effects regression
showed a positive correlation between reduced AMI readmission
rates and operational revenues. The cost of running a hospital
also rises when readmission rates are lowered. There may be a
little rise in operating margin due to greater operational
revenues attributable to higher PN readmission rates.
Nonetheless, as readmissions persist, with greater resource use
comes the potential for rising costs, which might eventually eat
into profits (Allen, 2015).
Reducing avoidable hospital readmissions is promoted as a
quality indicator and a cost-cutting strategy (O'Connor, 2021).
The Hospital Readmission Reduction Program (HRRP) was
launched in 2012 as part of the Affordable Care Act (ACA).
Hospitals with 30-day readmission rates for heart attack, heart
failure, or pneumonia greater than planned are subject to
financial penalties under this program (Upadhyay, 2019).
Although some trauma patients survive hospitalization, most of
those who die do so while receiving emergency or intensive care
(ICU). Yet many people do not make it past the initial hospital
stay, even after being released from the intensive care unit.
Initial impressions can label these incidents as "failure to
rescue" victims who could have been saved. There is some
speculation that a low incidence of this phenomenon in
intensive care units and surgical wards indicates high-quality
trauma care.
Therefore, the first step in recognizing inefficiencies of this
kind and developing corrective policies is the identification and
measurement of inappropriate treatment (Park et al., 2017).
Consider the importance of assigning a monetary value to the
health benefits of a treatment to ascertain whether or not the
action in question is suitable and cost-effective.
Conclusions
Upadhyay's (2019) results showed that a medical condition's
mortality and readmission rates varied, indicating that the
quality of care also varied. Admin policy and practices play a
crucial role in ensuring that the utmost is gained from the
decisions made, not resulting in increased mortality and
readmission rates. Improving care safety and health outcomes
for patients requires looking at how we treat them while they
are in the hospital, preparing them for life after discharge, and
supporting them in the community once they return home.
Reference
Alper, E., O'Malley, T. A., Greenwald, J., Aronson, M. D., &
Park, L. (2017). Hospital discharge and readmission. UpToDate.
Waltham, MA: UpToDate.
American College of Clinical Pharmacy, McBane, S. E., Dopp,
A. L., Abe, A., Benavides, S., Chester, E. A., Dixon, D. L.,
Dunn, M., Johnson, M. D., Nigro, S. J., Rothrock-Christian, T.,
Schwartz, A. H., Thrasher, K., & Walker, S. (2015).
Collaborative drug therapy management and comprehensive
medication management―2015. Pharmacotherapy: The Journal
of Human Pharmacology and Drug Therapy, 35(4), e39-e50.
https://doi.org/10.1002/phar.1563
Bucknall, T., Digby, R., Fossum, M., Hutchinson, A. M.,
Considine, J., Dunning, T., Hughes, L., Weir-Phyland, J., &
Manias, E. (2019). Exploring patient preferences for
involvement in medication management in hospitals. Journal of
Advanced Nursing, 75(10), 21892199.
https://doi.org/10.1111/jan.14087
Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D.
O. (2017). Four challenges facing the nursing workforce in the
United States. Journal of Nursing Regulation, 8(2), 40-46.
Frisina Doetter, L., & Neri, S. (2018). Redefining the state in
health care policy in Italy and the United States. European
Policy Analysis, 4(2), 234-254.
Cylus, J., Papanicolas, I., Smith, P. C., & World Health
Organization. (2016). Health system efficiency: how to make
measurement matter for policy and management. World Health
Organization. Regional Office for Europe.
Dwenger, A. T., Fox, E. R., Macdonald, E. A., & Edvalson, B.
J. (2019). Implementation of hyperlinks to medication
management policies and guidelines in the electronic health
record. American Journal of Health-System Pharmacy,
76(Supplement_3), S69-S73.
https://doi.org/10.1093/ajhp/zxz122
Gupta, A., & Fonarow, G. C. (2018). The Hospital
Readmissions Reduction Program—learning from failure of a
healthcare policy. European journal of heart failure, 20(8),
1169-1174.
Hamsen, U., Drotleff, N., Lefering, R., Gerstmeyer, J.,
Schildhauer, T. A., & Waydhas, C. (2020). Mortality in severely
injured patients: nearly one of five non-survivors have already
been discharged alive from ICU. BMC anesthesiology, 20(1), 1-
8.
Hunt‐ O'Connor, C., Moore, Z., Patton, D., Nugent, L., Avsar,
P., & O'Connor, T. (2021). The effect of discharge planning on
length of stay and readmission rates of older adults in acute
hospitals: A systematic review and meta‐ analysis of systematic
reviews. Journal of Nursing Management, 29(8), 2697-2706.
Jones, J. H., & Treiber, L. A. (2018, July). Nurses' rights of
medication administration: Including authority with
accountability and responsibility. In Nursing Forum (Vol. 53,
No. 3, pp. 299-303). https://doi.org/10.1111/nuf.12252
Köberlein-Neu, J., Mennemann, H., Hamacher, S., Waltering, I.,
Jaehde, U., Schaffert, C., & Rose, O. (2016). Interprofessional
medication management in patients with multiple morbidities: a
cluster-randomized trial (the WestGem Study). Deutsches
Ärzteblatt international, 113(44), 741.
Laudicella, M., Donni, P. L., & Smith, P. C. (2013). Hospital
readmission rates: signal of failure or success? Journal of health
economics, 32(5), 909-921.
McIlvennan, C. K., Eapen, Z. J., & Allen, L. A. (2015).
Hospital readmissions reduction program. Circulation, 131(20),
1796-1803.
Nayar, P., Ojha, D., Fetrick, A. and Nguyen, A.T. (2016),
"Applying Lean Six Sigma to improve medication management",
International Journal of Health Care Quality Assurance, Vol. 29
No. 1, pp. 16-23. https://doi.org/10.1108/IJHCQA-02-2015-
0020
Pellegrin, K. L., Krenk, L., Oakes, S. J., Ciarleglio, A., Lynn,
J., McInnis, T., Bairos, A. W., Gomez, L., McCary, M. B.,
Hanlon, A. L., & Miyamura, J. (2017). Reductions in
medication‐ related hospitalizations in older adults with
medication management by hospital and community
pharmacists: a quasi‐ experimental study. Journal of the
American Geriatrics Society, 65(1), 212-219.
https://doi.org/10.1111/jgs.14518
Ridwan, E. S., Hadi, H., Wu, Y. L., & Tsai, P. S. (2019).
Effects of transitional care on hospital readmission and
mortality rate in subjects with COPD: a systematic review and
meta-analysis. Respiratory Care, 64(9), 1146-1156.
Smith, M. A., Spiggle, S., & McConnell, B. (2017). Strategies
for community-based medication management services in value-
based health plans. Research in Social and Administrative
Pharmacy, 13(1), 48-62.
https://doi.org/10.1016/j.sapharm.2016.01.005
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 of Health Care Organization, Provision, and Financing,
56, 0046958019860386.
Vollam, S., Dutton, S., Lamb, S., Petrinic, T., Young, J. D., &
Watkinson, P. (2018). Out-of-hours discharge from intensive
care, in-hospital mortality and intensive care readmission rates:
a systematic review and meta-analysis. Intensive care medicine,
44(7), 1115-1129.
Wong, E. L., Cheung, A. W., Leung, M., Yam, C. H., Chan, F.
W., Wong, F. Y., & Yeoh, E. K. (2011). Unplanned readmission
rates, length of hospital stay, mortality, and medical costs of ten
common medical conditions: a retrospective analysis of Hong
Kong hospital data. BMC health services research, 11(1), 1-8.
Wong, E. L., Cheung, A. W., Leung, M., Yam, C. H., Chan, F.
W., Wong, F. Y., & Yeoh, E. K. (2011). Unplanned readmission
rates, length of hospital stay, mortality, and medical costs of ten
common medical conditions: a retrospective analysis of Hong
Kong hospital data. BMC health services research, 11(1), 1-8.

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CBA Project Proposal Topic1. The project is a cost-benefit anal

  • 1. CBA Project Proposal/ Topic 1. The project is a cost-benefit analysis of a project that is of interest to you. See paper submission guide. Sample CBA Projects are posted under “Files.” You may propose three possible topics with the first topic on the list as your preferred topic. Add two sentences which briefly explains what you intend to do for your project. Remember that the topic should impact a group of individuals (social impacts), not a personal/family or company/industry project. I strongly suggest that you do a preliminary search on information regarding your topic to make sure that information/ data is available and start working on your paper as soon as possible. You want quantitative data. Previous Student Topics. See posted examples in CANVAS under Files – “SAMPLE CBA PROJECTS” folder. · A Cost-Benefit Analysis of Smoking Cessation: Madison County Perspective · Gambling: A Cost-Benefit Analysis · CBA of Constructing a Library · CBA of Recycling in Huntsville · CBA of Artificial Reef Project · A Cost Benefit Analysis of a Permanent Lighting System for a Small Community Recreational Center in Harford County Maryland · Cost Benefit Analysis U.S. Household Residential Lighting: Incandescent versus LED · Energy Efficiency in the Home with ENERGY STAR Products: A Cost Benefit Analysis for Alabama · A CBA Analysis of Implementing a Hydrogen Infrastructure
  • 2. for Vehicle Transport · A CBA of a New Commuter Rail System for the Atlanta Georgia Suburbs · Willingness to Pay for a Park · Airline Cell Phone Costs: CBA · Construction of a Community Swimming Pool: A Cost-Benefit Analysis · The Choice of Immunization: A Cost-Benefit Analysis · Cost Benefit Analysis of Florida’s Proposed High Speed Rail System · CBA of Alabama State Funded Lottery · CBA of Legalizing Medical Marijuana · CBA of Upgrading to LED Street Lights · Construction Project of an Aerial Gondola between Rosslyn And Georgetown: a CBA · Cost-Benefit Analysis of the Proposed Additional Nature Trail Connecting Chancellor’s Run · Cost Benefit Analysis: Barnes Boulevard Widening Project · A CBA of the Hyperloop as a New Mode of Transportation in California · A Cost Benefit Analysis of Bringing Uber to Huntsville · Solar Street Light Conversion: A Cost Benefit Analysis · CBA of a Shortened Full-time Work Week · CBA for a Dog Park · A Cost Benefit Analysis of Constructing a Community Garden · Cost Benefit Analysis of the Construction of a Parking Garage in The Vicinity of Major Naval Shipyard · Cost Benefit Analysis: Oklahoma City Northwest Multimodal Transportation Corridor · Cost Benefit Analysis of a Telework Program for Federal Employees within Huntsville, AL · Cost-Benefit Analysis of $15 Minimum Wage in Florida · Cost-Benefit Analysis of a Human Mission to Mars · A Cost Benefit Analysis of the Construction Project of a Playground for Local Community
  • 3. Structure - please ensure it is in APA format and times new roman font. https://citetotal.com/writing-guides/how-to-write-a-capstone- project/#:~:text=They%20are%20designed%20around%20a,elem ents%20of%20every%20capstone%20project. Capstone projects usually follow a specific structure: · Abstract. Although it is located at the beginning of the written project, the abstract should be written last. It is a summary of the entire study; you can approach it as soon as you are sure that every other part is complete. Do not confuse the abstract with the introduction of the paper—abstracts contain enough information to interest the reader in the entire project. Thus, they must capture the essence and relay main concepts, hypotheses, research methods, and findings. · Introduction. In this section, you will acquaint your readers with the topic you have selected. Sometimes, an introduction is split into multiple smaller categories such as “Purpose of the Paper” or “Research Questions,” but they can be located in this part since they present the topic. Here, you should introduce the issue and connect it to your sphere of academic knowledge or course. In addition, you may discuss why this research problem is significant. Next, list the formulated research questions or hypotheses that will guide the investigation. State the objectives that you wish to achieve with the help of this project. Finally, if it is required, include a thesis that succinctly describes the aims and beliefs of the capstone project. · · Literature Review. A review of the existing literature is a vital component of any research endeavor. Here, you will search for academic and other reliable sources that are connected to your topic. These articles, books, trials, and studies will be used as a foundation for the research. Sources can contain pertinent findings, discuss well-examined methodologies, present new
  • 4. ideas, and confirm or refute earlier findings. Docume nt the results of your search and analyze them; look for gaps in knowledge. What themes are not explored well or missing altogether? What should or can be researched in more detail? You can attempt to fill in these gaps with your findings. · Methodology. In this section of the project, you will talk about how your research is to be conducted. · · First, describe your research design; it can be qualitative, quantitative, or mixed (a combination of the two). Each type also has many subcategories. Choose one, and explain why it works the best for your topic. · Next, state your independent and dependent variables if needed for your selected design. Independent variables are what you choose to investigate (for example, different training programs for employees). Dependent variables are affected by independent ones (for example, employee performance after training). · Describe the sample for your project. Who are the participants, and how many of them are involved? What are the inclusion and exclusion criteria for research? · List the materials and tools you used in conducting research. Here, you can introduce questionnaires, online tests, and other media created for this project. · Write about the process of conducting research, discussing all the major elements of the procedure. What were the participants asked to perform? How were the results collected? · Discuss how you analyzed the results, listing measurements, tests, and calculations. Explain why you chose each method, and support your selections with previous research Healthcare Regulations, Readmission, and the Budgets Paper topic/Hypothesis : how lack of medication regulation and readmission drive up hospital cost and cause drifts in planned
  • 5. budgets for hospitals. Introduction What we mean when we talk about healthcare policies is a set of preemptive regulations established to enhance healthcare delivery. The program addresses many concerns, including but not limited to; healthcare financing, protracted care, mental health, and preventative medicine. One of the most pressing problems in the United States we must solve now is how to improve healthcare delivery. People have been able to live healthier and longer lives thanks to increased Medicare expansion in recent decades. This study intends to investigate healthcare reform and the policies from different areas of healthcare inside the United States. This review takes a look at different diseases, measures of analysis, and studies done in relation to planning and policies in reflection of mortality rates and readmission of patients in different hospitals. Starting review It has been suggested by Buerhaus et al. (2017) that the quality of service delivered in private practice differs significantly from the quality of healthcare provided in hospitals and other medical institutions. According to the Institute of Medicine, “almost 100,000 people in the United States die every year due to preventable medical mistakes made by medical staff, lending credence to the claims made in this research.” The paper notes that many mistakes occur due to inappropriate medicine administration, inaccurate patient identification, or erroneous surgical location (Frisina and Neri 2018). Even the smallest medical blunders would be eliminated if strict protocols were str ictly adhered to. A medication policy that promotes interdisciplinary teamwork was found to be effective in reducing drug-related difficulties. Pellegrin et al. (2016) found that geriatric patients were less likely to require hospitalization due to medication-related complications when hospital pharmacists and community
  • 6. pharmacists worked together to manage their medications. Integrating pharmacists into primary care and other community- based healthcare teams have been proposed by Smith et al. (2016) to boost practice efficiency, care coordination, patient outcomes, and the prevention of avoidable adverse medication events. , being admitted to the hospital when they did not need to be, etc. Bucknall et al. (2019) find that patients' preferences on their medication management should be assessed at the time of hospital admission, even though patients' perspectives on their involvement in medication management differ. According to research, comprehensive medication management (CMM) has been shown to help clinical pharmacists become more self- aware of how they might influence drug outcomes (Walker, 2015). Despite the fact that numerous studies have demonstrated the critical nature of drug management, medication mistakes continue to be a major issue in the United States. (Jones and Treiber, 2018). Medication safety can be enhanced in several ways; one such way is through increased collaboration between healthcare providers, patients, and community and hospital physicians. Medication management is only one of many processes that can benefit from applying the Lean Six Sigma methodology (Nayar et al., 2016). It can be used to implement solutions such as identifying and implementing the Nurses' Rights of medicines (at the right dose, Right medicine, Right patient, via the right route, and during the right time) to formalize as well as legitimize caregiver control over through the administration process and to establish a fair culture concerning medication surroundings (Jones & Treiber, 2018). Measures of analysis In measuring the hospital administration's success and failures of policies and procedures, this research is based on the mortality and readmission rates. According to
  • 7. Waydhas (2020), mortality rates are the rate of death in a particular population. Readmission rates are the rate of people being readmitted to a facility with the same illness, lack of comprehensive care, and not fully recovering based on services offered. These two measures of analysis can help determine the effectiveness of administration planning and policies in offering health services to such a population. According to Upadhyay (2019), study follows 98 hospitals in Washington State from 2012 to 2014 to see if the publicly available readmission statistics on Hospital Compare affect the hospitals' bottom lines. The AMI, PN, and HF readmission rates were compared to revenue per patient, costs per patient, and operating margin. An examination of 276 hospital-year observations using hospital-level fixed effects regression showed a positive correlation between reduced AMI readmission rates and operational revenues. The cost of running a hospital also rises when readmission rates are lowered. There may be a little rise in operating margin due to greater operational revenues attributable to higher PN readmission rates. Nonetheless, as readmissions persist, with greater resource use comes the potential for rising costs, which might eventually eat into profits (Allen, 2015). Reducing avoidable hospital readmissions is promoted as a quality indicator and a cost-cutting strategy (O'Connor, 2021). The Hospital Readmission Reduction Program (HRRP) was launched in 2012 as part of the Affordable Care Act (ACA). Hospitals with 30-day readmission rates for heart attack, heart failure, or pneumonia greater than planned are subject to financial penalties under this program (Upadhyay, 2019). Although some trauma patients survive hospitalization, most of those who die do so while receiving emergency or intensive care (ICU). Yet many people do not make it past the initial hospital stay, even after being released from the intensive care unit. Initial impressions can label these incidents as "failure to rescue" victims who could have been saved. There is some
  • 8. speculation that a low incidence of this phenomenon in intensive care units and surgical wards indicates high-quality trauma care. Therefore, the first step in recognizing inefficiencies of this kind and developing corrective policies is the identification and measurement of inappropriate treatment (Park et al., 2017). Consider the importance of assigning a monetary value to the health benefits of a treatment to ascertain whether or not the action in question is suitable and cost-effective. Conclusions Upadhyay's (2019) results showed that a medical condition's mortality and readmission rates varied, indicating that the quality of care also varied. Admin policy and practices play a crucial role in ensuring that the utmost is gained from the decisions made, not resulting in increased mortality and readmission rates. Improving care safety and health outcomes for patients requires looking at how we treat them while they are in the hospital, preparing them for life after discharge, and supporting them in the community once they return home.
  • 9. Reference Alper, E., O'Malley, T. A., Greenwald, J., Aronson, M. D., & Park, L. (2017). Hospital discharge and readmission. UpToDate. Waltham, MA: UpToDate. American College of Clinical Pharmacy, McBane, S. E., Dopp, A. L., Abe, A., Benavides, S., Chester, E. A., Dixon, D. L., Dunn, M., Johnson, M. D., Nigro, S. J., Rothrock-Christian, T., Schwartz, A. H., Thrasher, K., & Walker, S. (2015). Collaborative drug therapy management and comprehensive medication management―2015. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 35(4), e39-e50. https://doi.org/10.1002/phar.1563 Bucknall, T., Digby, R., Fossum, M., Hutchinson, A. M., Considine, J., Dunning, T., Hughes, L., Weir-Phyland, J., & Manias, E. (2019). Exploring patient preferences for involvement in medication management in hospitals. Journal of Advanced Nursing, 75(10), 21892199. https://doi.org/10.1111/jan.14087 Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D. O. (2017). Four challenges facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2), 40-46. Frisina Doetter, L., & Neri, S. (2018). Redefining the state in health care policy in Italy and the United States. European Policy Analysis, 4(2), 234-254. Cylus, J., Papanicolas, I., Smith, P. C., & World Health Organization. (2016). Health system efficiency: how to make measurement matter for policy and management. World Health Organization. Regional Office for Europe. Dwenger, A. T., Fox, E. R., Macdonald, E. A., & Edvalson, B. J. (2019). Implementation of hyperlinks to medication management policies and guidelines in the electronic health record. American Journal of Health-System Pharmacy,
  • 10. 76(Supplement_3), S69-S73. https://doi.org/10.1093/ajhp/zxz122 Gupta, A., & Fonarow, G. C. (2018). The Hospital Readmissions Reduction Program—learning from failure of a healthcare policy. European journal of heart failure, 20(8), 1169-1174. Hamsen, U., Drotleff, N., Lefering, R., Gerstmeyer, J., Schildhauer, T. A., & Waydhas, C. (2020). Mortality in severely injured patients: nearly one of five non-survivors have already been discharged alive from ICU. BMC anesthesiology, 20(1), 1- 8. Hunt‐ O'Connor, C., Moore, Z., Patton, D., Nugent, L., Avsar, P., & O'Connor, T. (2021). The effect of discharge planning on length of stay and readmission rates of older adults in acute hospitals: A systematic review and meta‐ analysis of systematic reviews. Journal of Nursing Management, 29(8), 2697-2706. Jones, J. H., & Treiber, L. A. (2018, July). Nurses' rights of medication administration: Including authority with accountability and responsibility. In Nursing Forum (Vol. 53, No. 3, pp. 299-303). https://doi.org/10.1111/nuf.12252 Köberlein-Neu, J., Mennemann, H., Hamacher, S., Waltering, I., Jaehde, U., Schaffert, C., & Rose, O. (2016). Interprofessional medication management in patients with multiple morbidities: a cluster-randomized trial (the WestGem Study). Deutsches Ärzteblatt international, 113(44), 741. Laudicella, M., Donni, P. L., & Smith, P. C. (2013). Hospital readmission rates: signal of failure or success? Journal of health economics, 32(5), 909-921. McIlvennan, C. K., Eapen, Z. J., & Allen, L. A. (2015). Hospital readmissions reduction program. Circulation, 131(20), 1796-1803.
  • 11. Nayar, P., Ojha, D., Fetrick, A. and Nguyen, A.T. (2016), "Applying Lean Six Sigma to improve medication management", International Journal of Health Care Quality Assurance, Vol. 29 No. 1, pp. 16-23. https://doi.org/10.1108/IJHCQA-02-2015- 0020 Pellegrin, K. L., Krenk, L., Oakes, S. J., Ciarleglio, A., Lynn, J., McInnis, T., Bairos, A. W., Gomez, L., McCary, M. B., Hanlon, A. L., & Miyamura, J. (2017). Reductions in medication‐ related hospitalizations in older adults with medication management by hospital and community pharmacists: a quasi‐ experimental study. Journal of the American Geriatrics Society, 65(1), 212-219. https://doi.org/10.1111/jgs.14518 Ridwan, E. S., Hadi, H., Wu, Y. L., & Tsai, P. S. (2019). Effects of transitional care on hospital readmission and mortality rate in subjects with COPD: a systematic review and meta-analysis. Respiratory Care, 64(9), 1146-1156. Smith, M. A., Spiggle, S., & McConnell, B. (2017). Strategies for community-based medication management services in value- based health plans. Research in Social and Administrative Pharmacy, 13(1), 48-62. https://doi.org/10.1016/j.sapharm.2016.01.005 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 of Health Care Organization, Provision, and Financing, 56, 0046958019860386. Vollam, S., Dutton, S., Lamb, S., Petrinic, T., Young, J. D., & Watkinson, P. (2018). Out-of-hours discharge from intensive care, in-hospital mortality and intensive care readmission rates: a systematic review and meta-analysis. Intensive care medicine,
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