This memo addresses the challenges faced by the healthcare system in the United States during transitional care, particularly medication errors. It proposes policies to address these challenges and improve the continuity of treatment procedures.
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Running head: HEALTH CARE POLICY AND PROCEDURE MEMO Health care policy and procedure memo Name of the student: Name of the University: Author note:
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2HEALTH CARE POLICY AND PROCEDURE MEMO In United States, patients belonging to different age groups experience transitions in healthcare system. Transitional care refers to the transfer of patients from a particular setup to another setting either within or outside of the same location where he was primarily in. This system faces many challenges such as poor communication between the healthcare providers and the family members of the patient, medication error after the transfer, potentially high rate of re-admission after discharge from the hospital and others. The memo addresses the medication error in particular. The effect of such challenges leave an impact on the allied health communities such as nurses, personal care-providers of the patient after discharge, physiotherapists. Whenever the patients complaint about poor transitional service and opt for other hospitals, the superior authorities ask the allied healthcare professionals to resign. This results in employee attrition in healthcare industries. Considering these issues policies have been structured in this memo that can hopefully address all the challenges effectively in this context. Transitional care can be defined as the set of actions required to provide support to the patients suffering from a chronic illness and being transferred from one healthcare level to the other. It can be from a normal ward to the intensive care unit, it can be post discharge condition where the patient is shifted to his residence but still requires medical attention to be continued. Among many challenges in maintaining a continuation of treatment procedures, erroneous medication is one of the major concern. This is a result of poor communication between healthcare providers and family members of the patient and sometimes the lack of attention provided by the carers at home. This leads to increased rate of readmission which is more than 25% in US (Rochester‐Eyeguokan et al., 2016). Such incidents substantiate the need of a structured policy to be implemented. Erroneous medication followed by increase in patient mortality rate and negative effect on allied health employees can be addressed by incorporating following policies into practice:
3HEALTH CARE POLICY AND PROCEDURE MEMO Usage of a medication guidelines in form a report for each patient should be prepared and all the names of the medicines and their substitutes should be mentioned with proper explanation regarding time of administration, frequency. Telehealth facility is gaining appreciation among patients. In this alternative the patient should be provided with an electronic device through which the patient can communicate with the physician and seek for immediate support through videography or telecommunication. Comprehensive dischargeplanning can be a completesolutionto the issue in question. In this method, the patient is asked to maintain a follow-up schedule. A skilled staff should be sent with the patient with an electronic recorder to monitor the health conditions and report to the hospital. Such workers should be given incentives upon successful completion of the monitoring. Among the three, telehealth support system meets all the criteria of cost effectiveness, efficiency and it can reduce the readmission and mortality rate due to poor transitional care (Albert et al., 2015). The employees such as nurses, pharmacists, physiotherapists will be informed prior so that they can correctly perform their duties without the fear of termination.
4HEALTH CARE POLICY AND PROCEDURE MEMO Reference: Albert, N. M., Barnason, S., Deswal, A., Hernandez, A., Kociol, R., Lee, E., ... & White- Williams, C. (2015). Transitions of care in heart failure: a scientific statement from theAmericanHeartAssociation.Circulation:HeartFailure,HHF- 0000000000000006 Rochester‐Eyeguokan, C. D., Pincus, K. J., Patel, R. S., & Reitz, S. J. (2016). The current landscape of transitions of care practice models: a scoping review.Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy,36(1), 117-133.