This website uses cookies to ensure you have the best experience. Learn more

The Effects Of Telehealth On 30 Day Readmission Rates In Cancer Patients

2063 words - 9 pages

Technology has been the backbone of medicine since the beginning and its prevalence in medicine today is far reaching and wide spread. Due to research and ingenuity, medical breakthroughs via technology may be credited for many of the life saving techniques used in medicine today. Likewise, technology may also be credited with much of the expense of healthcare, including the growing baby boomer population and their chronic conditions. Of interest, telehealth has been an impetus for research over the last decade due to its promise of increasing efficiencies, quality of care, and decreasing cost. In spite of this research, one of the most expensive of chronic condition, cancer, is severally ...view middle of the document...

The use of telehealth and telemonitoring has been identified as a way to increase patient satisfaction, increase quality of care, and reduce cost. An exploration of these benefits should be applied to the cancer population.
Literature Review
An extensive review of 30 days readmissions and telehealth was conducted utilizing the Research Medical Library at The University of Texas MD Anderson Cancer Center and the Francis A. Drexel Library at Saint Joseph’s University. Many observations were noted in the literature including readmission rates in the Medicare population, the lack of policy supporting reimbursement, definitions of telehealth, the cost of telehealth, as well as the challenges and benefits of implementing telehealth.
Readmission Rates
Although a review of the literature revealed a multitude of research articles regarding readmission rates, there is scant mention related to the cancer population or their care. Of note, the Medicare population is given considerable attention in the literature due to their high rate of chronic condition, as well as their high rates of readmissions. One study published in 2009 revealed that approximate 20% of Medicare beneficiaries with an inpatient hospital stay was readmitted to the hospital within 30 days of discharge (Jencks, William, & Coleman, 2009). It is noted that in over half of the cases with readmissions within 30 days, “there was no bill for a visit to a physician’s office between the time of discharge and rehospitalization” (Jencks et al., 2009, p. 1418). Moreover, a study published in the New England Journal of Medicine compared readmission rates in Medicare beneficiaries between two major cities and found higher readmission rates among hospitals with more hospital beds (Fisher, Wennberg, Stukel, & Sharp, 1994). This observation raises the questions: are the readmissions due to bed availability, or are the improved rates credited to better follow up care? Interestingly, the relationship between follow up care and 30 day readmission rates was studied in the Medicare population with recent hospitalizations due to heart failure. This 2010 study demonstrated a clear correlation between higher outpatient follow up rates and lower readmission rates (Hernandez et al, 2010). Finally, a study published in 2011 identified racial disparities in readmissions of black Medicare beneficiaries. According to Joynt, Orav, and Jha (2011), “black patients had a 13% higher odds of readmission than white patients” and the quality of care received during and after admission is a contributing factor in this trend (p. 680).
Policy
The Medicare population is known for its draining expenditures, and policy makers are developing legislation to combat this trend. CMS has teamed up with the National Quality Forum (NQF) to develop a way to measure quality care and rehospitalization is being used as a way to measure quality resulting in reduce payments for inadequate care (Jencks et al., 2009). A key recommendation...

Find Another Essay On The Effects of Telehealth on 30 Day Readmission Rates in Cancer Patients

The Benefits of Telehealth in Rural Populations

2203 words - 9 pages , specific articles were found. Following a review of the literature, it was determined that 3 articles met the inclusion criteria for this paper. Eligible articles were written in English between 2005 and 2012, peer-reviewed, focused on the generalized effects of telehealth on individuals living in rural communities. An article by Doorenbos, Eaton, Haozous, Towle, Revels & Buchwald, (2010) describes a cross-sectional, descriptive study of

Providing Emotional Support to Patients On the Day of Surgery

650 words - 3 pages , abdominal distension, cardiovascular, endocrine, hepatic, and biliary diseases are more common post- operatively in obese patients. (Farrell & Dempsey, 2011) (Farrell & Dempsey, 2011) page 394 “states that for each 10 kilograms of excess weight , about 30 additional kilometres of blood vessels are needed, and this places increased demands on the heart” Certain medications have a decreased effectiveness because of a greater kidney mass and their excess

Gender and the Rates of Cancer

840 words - 4 pages can conclude that even though women are more emotional than men, they are still fighters and take risks. On another note, the question remains whether men have higher rates of cancer than women. A study done on American women and men with pancreatic cancer showed that white men pancreatic death rates decreased by 0.7% per year in 1970, then increased in 1995 by 0.4% per year. White women rates increased 0.4% per year from 1970-1984 and remained

Effects of Falling Interest Rates on the Canadian Economy

768 words - 3 pages outcomes that may be caused by the low interest rates.The interest rates in Canada are at their lowest since 1963, and are expected to fall even more. There is a benefit to consumers; thousands of dollars have been slashed off mortgages ($3000 less/yr on a $100 000 mortgage) and hundreds ($500 less/yr on a $15 000 car) from the costs of financing a car purchase. The Bank of Canada decision to reduce the prime rate made way for cheaper loans for

The Effect of Public Health Efforts on the Incidence and Mortality Rates of Cervical Cancer

1349 words - 5 pages cases. HPV infection increases the risk of cervical cancer 20 to 100 times. Of the 100 types of HPV about 15 cause cervical cancer. Usually HPV is asymptomatic and goes away on its own within 2 years. For some women HPV does not go away. Instead, over many years it causes abnormal cervical cells that develop into cancer. HPV rates are particularly high in young women when there cervical tissue is undergoing changes and is more vulnerable to

The Effects of Antipsychotic Medications in Schizophrenic Patients

2030 words - 9 pages The Effects of Antipsychotic Medications on Schizophrenic Patients Introduction Clinical research trials can be defined as tests of new medications or devices on human participant subjects. Clinical trial sites participate in operations by which they recruit patients that may be eligible in their studies, and conduct such tests on them. I chose to observe patients diagnosed with schizophrenia participating in clinical research trials

Effects of Cancer on People

1314 words - 5 pages Effects of Cancer on People Cancer is a deadly disease that has some very serious effects on a person both physically and mentally. Cancer can result in a simple surgery that may take only a couple days, or a life-long struggle that leaves someone so fatigued and tired that it makes them want to give up. It will put fear in anyone's eyes and will devastate even the strongest of people, but cancer can bring out the courageousness in a

The Benefits of Medical Marijuana in Breast Cancer Patients - Resources for Research Library Course - Research Paper

1612 words - 7 pages about how specific cannabinoids target different issues in cancer patients ranging from lung and breast cancer to even skin cancer. With information being scarce on how marijuana affects the body of a cancer patient, this article really shows the specifics of how the body reacts with this plant. With my paper talking about how breast cancer patients benefit from marijuana, this article seriously describes the effects of THC and provides new

EXPRESSION OF ANDROGEN RECEPTOR IN THAI BREAST CANCER PATIENTS

2175 words - 9 pages effects in the patients (12, 13). Unlike chemotherapy, hormonal treatment (one of biological targeted therapy) has fewer side effects, but the tumors need to express hormonal receptors in their cells (8, 14). Up to date, there are two kinds of hormonal treatment for breast cancer; anti-estrogen receptor drug (eg. Tamoxifen) (15-17) and aromatase inhibitors (eg. Letrozole) (10, 18, 19). Biological targeted therapy is a new way to flight against

Use of Alternative or Holistic Therapies in Cancer Patients

771 words - 4 pages some research on how to define alternative treatments and how many people are using these types of therapies, I found a study of cancer patients in Malaysia where the majority of “mind body complementary therapies” (MBCTs) were female and between ages 38 and 57 (Farooqui, 2013). The same study also found that those of higher household income used the MBCTs more (p. summary). Next, I need to find some other studies in different populations (so I

The Impact of Noise on Patients in the ICU

3134 words - 13 pages be aids in the interpretation of noise research. The WHO guidelines4 state that the average sound level (LAeq) should not exceed 30 dBA in general hospital areas, 35 dBA in rooms where patients are treated or observed and the maximum sound level (LAmax) indoors should not exceed 40 dBA during the night. The Environmental Protection Agency (EPA) recommends that hospital noise levels not exceed an average of 45 dB during the day and 35 dB during

Similar Essays

30 Day Readmission Rate Essay

1940 words - 8 pages in not only the certain diagnoses but hospital wide. Closing: Unfortunately, information posted on the Hospital Compare website cannot be the only source of information, but is a reliable source for the benchmark or standard for appropriate readmission rates. The national average listed will be used as the benchmark for this project. Discharge planning is key to improving the 30 Day readmission rate. Hospitals cannot reduce their numbers to 0

Reducing 30 Day Heart Failure Hospital Readmission

1609 words - 7 pages spend nearly 24 hours a day with hospitalized patients; therefore, nurses can be patient advocates by reinforcing teaching. Most importantly, I believe that catering to the patient’s individual needs and establishing a good nurse-patient relationship enhances trust and learning which in the long run, is very beneficial to both nursing practice and the quality of life of the patient. Overall, what I discovered about heart failure is that there is no simple solution in preventing heart failure hospital readmission. Even with the recommended evidence-based practice suggestions, hospital readmission rates for HF still seem to remain high throughout the country.

Chemotherapy Effects In Cancer Patients Essay

1234 words - 5 pages Chemotherapy Effects in Cancer Patients When we hear the words, cancer treatment, our minds naturally shoot straight to chemotherapy. Chemotherapy is one of the most commonly used ways to treat cancer. Chemotherapy did not have original plans to treat cancer patients but it did have other plausible problems to aid. After WWII, lymphoma, a form of chemotherapy, was used to help soldiers who were harmed by mustard gas (Chemo Brain, 2012). This

Chemotherapy Effects In Cancer Patients Essay

1413 words - 6 pages Chemotherapy Effects in Cancer Patients When we hear the words, cancer treatment, our minds naturally shoot straight to chemotherapy. Chemotherapy is one of the most commonly used ways to treat cancer. Chemotherapy did not have original plans to treat cancer patients, but it did have other plausible problems to aid. After WWII, lymphoma, a form of chemotherapy, was used to help soldiers who were harmed by mustard gas (Chemo Brain, 2012). This