Please enable JavaScript.
Coggle requires JavaScript to display documents.
Patients with CHF & COPD have high rates of readmissions - Coggle…
Patients with CHF & COPD have high rates of readmissions
Accountability
Standard of Care
Physician and Nurse Champions
Patient Experience
Comprehensive discharge planning
Patient-Centered approach
Follow up Appointment within 7 days post d/c
Difficulty reaching patients post discharge
Some patients do not have a pcp
Some patients do not have transportation
Education
Staff/Provider Education
Job Aides
Hospital Workgroup meetings
Patient/Family Education
Patient Centered approach
Standardization
Patient Screening
Streamline Screening Algorithm
Improve Care Coordination
Nurse/Provider Workflow
Documentation of CHF & COPD Diagnoses
Monitoring
Chart and Process Auditing
Leveraging EHR to track outcomes
Leveraging Hospital Clinical Data Bases for latest trends
Patient Symptom Monitoring
Follow up telephone calls
Quality of care
Outcomes
Patient Safety
Patient Satisifaction
Patient's Quality of Life
Process of Care
Cost
Lack of insurance
Patient's can't afford medication
Comorbidities
Depression
Anxiety
Diabetes
Hypertension