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READMISSION

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Please write a response to the below post 300-500 words with 1-3 references, not the ones used by writer. Please do not repeat what writer say, use your own original thoughts. The attached document can be used as a reference or help aid for the kind of response that will satisfy this task. Thanks in advance. Article Citations and links: 1) Carroll, J. (2011 Sept.). Tougher CMS Readmissions Rules Afflict Hospitals at a Bad Time. Managed Care Magazine. MediMedia. Retrieved from http://www.managedcaremag.com/archives/2011/9/tougher-cms-readmissions-rules-afflict-hospitals-bad-time. 2) Scheurer, D. (2015 Nov. 04). Medicare’s Readmission Reduction Program Cuts $420M to U.S. Hospitals This Year. The Hospitalist. Society of Hospital Medicine. Retrieved from http://www.the-hospitalist.org/article/medicares-readmission-reduction-program-cuts-420m-to-u-s-hospitals-this-year/?singlepage=1 Summaries: 1) This article by John Carroll aims to address the issues with the Hospital Readmission Reduction Program (HRRP) and the time frame in which it was implemented. He states that not only are the new rules unfair to providers, but it is inherently discriminating against hospitals serving low-income groups that live in areas where too few doctors practice medicine (Carroll, 2011). He states that HRRP is afflicting hospitals during a time where economic pressures are already high, therefore making the 3% loss an even more significant penalty. Instead of pushing hospitals to better handle readmissions, Carroll fears that HRRP is not taking all incidences into consideration and will ultimately result in a decreased quality of care. 2) This article by Dr. Scheurer aims to show the benefits of HRRP. It brings light that although there is criticism and apparent disproportional penalties, the program is ultimately doing more good than harm. In fact, she states it has caused hospitals to pay more attention to transitions of care and avoidable readmissions, causing an overall decrease in 30-day readmission rates among Medicare recipients since the program began in 2012, in all types of hospitals (Scheurer, 2015). These numbers are great, but Dr. Scheurer also provides ways on how hospitals can further conform to this new program and better their readmission rates. Significant Stakeholders (that play a key role on each side): The Obama Administration’s ACA has several goals in mind, one of which is moving from volume to value in the Medicare system, which they are hoping the HRRP will do (Braman, 2015). These policymakers have the ultimate power, as they are in control of the standards that are set and expected to be met by hospitals and post-acute care providers. Any major changes in the program, such as whether to change the amount of the penalty, change the cap on penalties, change who should be penalized, etc., will require legislative action (James, 2013). Heart attack, heart failure, pneumonia, COPD, and hip/knee replacement patients, as they are the targets of the 30-day readmission findings. Their socioeconomic backgrounds are always coming into play. Hospitals and their associated providers, executives, staff, etc. who are affected by the penalties accrued by not adhering to the HRRP standards. Centers for Medicare and Medicaid Services (CMS), who actually issue the readmission penalties. Certain states in the US are being disproportionately affected, such as Alabama, Connecticut, Florida, Massachusetts, New Jersey, etc. The American Hospital Association fears that impoverished neighborhoods will have undermined care with the enactment of the HRRP. Nancy Foster, AHA’s Vice President, considers Medicare’s penalty for missing readmission targets “extreme” and discriminatory (Carroll, 2011). Post-acute care providers who require further clarified patient discharge information and are being held responsible by some hospital staff for the readmissions of their patients. Th

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