Historical Perspectives, And Epistemology

Question 1

The prospective payment system (PPS) provides reimbursement based upon patient diagnosis. Other areas of concern for reimbursement include chronic conditions outside of the acute scenario. Health systems are highly regulated around readmissions and timely follow-ups. Choose a disease state that complicates early readmission and adapt three areas of intervention to enhance the wellness of the patient population. Discuss specific AGACNP initiatives that could improve patient outcomes, reduction in incidence of early readmission, and avoidance of increased length of stay (LOS). Refer to published doctoral dissertation, "Associations Between Control of Glucose, Diabetes Support Services, New Insulin Initiation and 30 Day Hospital Readmission in Diabetes Patients," located in the study materials, as a resource for this discussion question.

Question 2

Choose any chronic disease process that has recovered from exacerbation and adapt a transition of care program for the patient to a rehabilitation or skilled nursing setting. Incorporate population management as well.