Skip to content 
This letter, as a nurse in the Concord Medical Center, aims to enlighten you on the matters concerning the healthcare economic concern of re-admission of heart failure customers that unleashed your constituencies relating to community and healthcare services in California. The issue I am talking about is readmission, and this matter has been on the increase for many years in the health sector, especially in California. NHS FPX 6008 Assessment 4 problem affects the healthcare system in various ways, including posing a threat to health-related costs and standards, poor quality and treatments, and unsatisfied patients.
Solving this problem would have the following benefits. Decreased readmission may have implications for patients’ being healthier, accessing health services expensively, and receiving better quality care. On the other hand, if the issue is not resolved, then the following negative consequences will be experienced. Due to the increasing costs, most individuals would not be able to be hospitalized if they got readmitted (Belouali et al., 2022).
Health Spending Cast
Many claims of chronically ill patients who incurred most of the health spending costs recorded higher rates of re-hospitalization, as revealed by Kruk et al. (2018). California has been included in what has been proven to be a significant concern across health facilities, but it is rather worrying. According to the Centers for Medicare and Medicaid Services study, one of the objectives of the healthcare system is to reduce the of patients who are required to be admitted to the hospital (Gai & Pachamanova, 2019).
Again, the CMS proposed a reduction of payments to those hospitals that have high rates of readmission so as to make them improve the quality of care they offer and find ways of reducing the number of times that their patients are readmitted to other facilities (Bernhardt, 2021). NHS FPX 6008 Assessment 4 consequences of this problem are not only applicable to Concord Medical Center but are universal for healthcare. These are the following natural and proposed changes: increased availability of home care, the use of new technologies, for example, telemedicine, and a more integrated system of hospitals and other healthcare facilities.
NHS FPX 6008 Assessment 4 Positional Strategy
On personal, professional, and organizational levels, I have estimated and planned to tackle the positional strategy of unnecessary readmissions to save plan resources and analyze the risks. It is necessary to prevent the need for multiple hospitalizations because such an experience negatively influences the lives of people. This is a personal nursing experience: I had one patient who had heart failure. In the present case, purposeful and precise plans and solving tactics were applied and utilized for effective treatment. Medical treatment, changing some habits, increased knowledge of occupational diseases, and continuous monitoring of the disease were included in the plan, designed after consultation and visiting the patient’s history, present medications, and daily routines.
Therefore, careful attention was paid to the patient’s progress, and modifications to the treatment plan helped improve the patient’s quality of life and manage the disorder more efficiently. I would like to thank you separately for your activity in increasing equity in the medical field for all patients, especially patients who have a low socio-economic status. I kindly request the reader to consider the issue of readmission in the Concord Medical Center, which focuses on patients with heart failure. NHS FPX 6008 Assessment 4 Alleviating this problem is worthy of attention and effort because of the scale and comprehensiveness of its impact on patient care and the healthcare delivery system. This has been very considerate of you to think about it.
References
EClinicalMedicine, 38, 101008. https://doi.org/10.1016/j.eclinm.2021.101008
Gai, Y., & Pachamanova, D. (2019). BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4645-5
Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., & Malata, A. (2018).
Zheng, S., Hanchate, A., & Schwartz, M. (2019). One-year costs of medical admissions with and without 30-day readmission and enhanced risk adjustment. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-3983-7
Health Care Economic Issue
Short-staffing in healthcare facilities and its impact on me, the organization, fellow staff, and the wider community is a problem that has affected me in many ways. Concerning this economic problem, diverse people of low socio-economic status experience more adverse effects: they experience worsened health and restricted access to health care. Within my working environment in the health care system, deficient staffing has a great influence on what I do daily. Due to the rise in the patient-to-staff ratio, it implies that one has to attend to as many patients as possible, thus working for many hours, stressed and also less satisfied with the job. NURS FPX 6008 Assessment 1 environment provides enormous challenges in ensuring that higher standards of care are offered to the patients as required, thus leading to moral and empathetic suffering amongst the healthcare professionals. Due to the pressure of dealing with so many patients and providing quality care in those circumstances, there is increased fatigue and mistakes that adversely affect the safety of the patients and their care.
NURS FPX 6008 Assessment 1 Organizational Implications
Grouped under the organizational implications is the availability of sufficient staffing that hinders the functionality of healthcare organization. The cost of having temporary staff or having to pay extra wages to workers exerts some pressure on the organization’s budgets since many resources are channeled to meeting this requirement rather than other areas like procuring and upgrading various gears and equipment and providing different training sessions for the staff. Similarly, the labor turnover that results from burnout and general job satisfaction in the workforce translates to higher costs in recruiting and training and poses a risk to the organization’s stability. Such a change in a team’s composition interferes with the creation of a well-rounded and seasoned staff that is critical in providing high-quality services to patients.
Contributing to the Need to Address the Economic Issue
From the analysis of various literature, one can deduce that the shortage in the staffing of healthcare facilities is caused by several gaps which include educational bottlenecks, inadequate funding, and workforce planning. This is because nursing and medical schools cannot produce the desired number of trained healthcare professionals and there is a shortage in the available workforce to cater to the increasing population’s health needs. NURS FPX 6008 Assessment 1 AACN stated that more students are interested in nursing education and training; however, colleges and universities cannot accommodate them, and many applicants with qualifications are rejected because of the shortage of faculty members, clinical sites, classrooms, and money to support these programs.
This educational disconnection is then complemented by the chronic underinvestment in healthcare facilities especially in the rural and other unfashionable regions. These facilities, in particular, encounter the problem of setting low salaries and favorable conditions for the employees’ work. Thus, they function with severe personnel deficits as a longstanding issue that affects the health of patients and their results. According to data from the Health Resources and Services Administration (HRSA), it has been established that rural facilities offer a lower number of healthcare practitioners per capita than urban ones, which creates substantial inequalities in access to care and health outcomes (HRSA, n. d. ).
Conclusion
In conclusion of NURS FPX 6008 Assessment 1 , Lack of personnel is a big emerging problem of the healthcare economic situation which affects both the workers in the field and the recipients of the treatment. This not only impacts the quality of care delivered but also accentuates the existing inequities of healthcare services and their price in the population especially for ethnic and socio-economically vulnerable populations. Scarce funding, poor workforce planning, high turnover rates, and inadequate training have continued to result in staff shortages, workers’ stress, and burnout, as well as a decline in staff-patient ratios that harm the quality of care.
Consequences of poor staffing reach out to high pressure on healthcare workers, fiscal costs of organizations, as well as to patients. These populations are the most at risk as they have to wait longer for their diagnosis, receive less specialized care, and have higher mortality rates. Overcoming it requires a multifaceted strategy that involves such things as raising investments in health care education, better coordination of workforce development, and strengthening of support for the facilities of the health care industry. Thus, by closing these gaps, it is possible to strive for an improved system of healthcare provision that would address the needs of different population groups more effectively.
References
Al-Tamimi, M. A.-A., Gillani, S. W., Abd Alhakam, M. E., & Sam, K. G. (2021). Frontiers in Pharmacology, 12. https://doi.org/10.3389/fphar.2021.732760
American Heart Association News. (2019). Cardiovascular diseases affect nearly half of the American adults, statistics show. www.heart.org. https://www.heart.org/en/news/2019/01/31/cardiovascular-diseases-affect-nearly-half-of-american-adults-statistics-show
Aswani, M. S., Kilgore, M. L., Becker, D. J., Redden, D. T., Sen, B., & Blackburn, J. (2018). Differential impact of hospital and community factors on medicare readmission penalties. Health Services Research, 53(6), 4416–4436. https://doi.org/10.1111/1475-6773.13030
CMC. (2019). John Muir Medical Center-concord Campus. Hcai.gov. https://hcai.ca.gov/facility/john-muir-medical-center-concord-campus/
CMS. (2019). CMS’ value-based programs. Cms.gov. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Value-Based-Programs
Circulation Journal, 83(5), 1025–1031. https://doi.org/10.1253/circj.CJ-18-1212
OECD. (2020). Oecd.org. https://www.oecd.org/health/health-systems/Economics-of-Patient-Safety-October-2020.pdf
Roger, V. L. (2021). Epidemiology of heart failure. Circulation Research, 128(10), 1421–1434. https://doi.org/10.1161/circresaha.121.318172
Upadhyay, S., Stephenson, A. L., & Smith, D. G. (2019). INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 56, 004695801986038. https://doi.org/10.1177/0046958019860386
Urbich, M., Globe, G., Pantiri, K., Heisen, M., Bennison, C., Wirtz, H. S., & Di Tanna, G. L. (2020). PharmacoEconomics, 38(11), 1219–1236. https://doi.org/10.1007/s40273-020-00952-0
