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NURS 6050 Week 10 Assignment Assessing a Healthcare Program or Policy Evaluation
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Walden University
NURS 6050: Assessing a Healthcare Program or Policy Evaluation
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Healthcare Program/Policy Evaluation Analysis Template
Refer to this document to complete the Module 5 Assessment: Assessing a Healthcare Program/Policy Evaluation.
Instructions:
Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be
so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant
insight and impact.
In this assignment, you will apply your expertise by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to assess its effectiveness. Choose an existing program or policy evaluation, or select one that interests you.
| Healthcare Program/Policy Evaluation | Hospital Readmissions Reduction Program (HRRP) |
| Description | HRRP was launched to stimulate hospitals to improve on discharge protocol and care coordination, which in the long run reduces the readmission of a patient within 30 days following discharge. The major outcomes from the effectiveness of this policy are the measurable decrease in readmission rates for particular conditions such as heart attacks, heart failure, pneumonia, COPD, hip/knee replacements, and coronary artery bypass. |
| How was the success of the program or policy measured? | The success of the HRPR was gauged through the shifts in the readmission rates across hospitals that were part of the intervention. The Centers for Medicare and Medicaid Services (CMS) measured hospital performance and imposed financial penalties on those that exhibit a higher than expected rates of readmissions (Banyjee et al., 2021). This tie between hospital performance with Medicare reimbursements was a formidable lever that triggered the emergence of variations in the conduct of hospitals. |
| How many individuals were affected by the selected program or policy, and what level of impact did it achieve? | The HRRP deals with a fundamental problem of the healthcare system in the United States. It has forced hospital care provision to be more focused on the quality of care and proper discharge planning and this has helped to reduce hospital readmissions. Through patient targeting by providing therapies, millions are treated on those conditions, and whole hospitals’ processes and outcomes are significantly improved. |
| At what point in program implementation was the program or policy evaluation conducted? | HRRP evaluations are conducted annually, thus providing us with an annual image of the essence of problems and progress (Wadhera et al., 2021). This consistent evaluation plays a vital part in terms of making changes and refining the implementation of policy, enabling the program to adjust and adapt to the changing healthcare settings in order that it reaches its targets. |
| What data was used to conduct the program or policy evaluation? | The data which was used in the evaluation of HRRP include the comprehensive Medicare claims data that is integrated with some critical factors. This data was composed of patient identifiers such as name, age, gender, Dates of hospitalization, and subsequent readmissions, especially prioritizing the 30-day post-discharge period (Batt et al., 2018). Moreover, the provided dataset included demographic features like age, gender, and socioeconomic status that important for studying and contrasting the expected and actual readmission rates of different groups in the population. The dataset comprised arms-level treatment and procedural information to document what particular conditions (chronic heart failure or replacements of hip) were responsible for readmissions. |
| What specific information on unintended consequences were identified? | The fact that they were able to record an increased number of global deaths for certain conditions was a major cause for concern, as it raised the possibility of hospitals purposefully declining to admit patients in order to avoid penalties. Furthermore, the hospitals that provide services to this patient population also stated that such financial sanctions mainly distinctively affect them since their patient group already has a higher baseline risk of readmission. |
| Which stakeholders were involved in evaluating the program or policy, and who would gain the most from the evaluation results and reporting? Be specific and provide examples. | The main stakeholders in this assessment consist of the management of the hospital, health care personnel, CMS, and the patients and their relatives alike. The patients are who would have the advantage from the successful implementation of the policy, where they could experience better care quality and lower healthcare prices due to no re-admissions. |
| Did the program or policy achieve its original goals and objectives? Explain your answer. | Despite the fact that HRPF effectively reduced the need for readmissions and hence the primary goal was achieved, there still remain concerns about the increase in mortality rates and the impact of such programs on isolated hospitals which could point out the complex balance between preventing readmissions and ensuring patient safety and equitable care for all the communities. |
| Would you suggest implementing this program or policy in your workplace? Explain your reasoning. | Adapting to this strategy could serve us well, especially when we adjust the unique needs and demographic makeup of our patients in mind. In terms of implementation, we must create a rigorous monitoring mechanism that is not only centered on readmission but also on patient outcomes post-discharge. The mechanism should ensure that the care provided is in fact effective and safe. |
| Identify at least two strategies you, as a nurse advocate, could use to participate in evaluating a program or policy after it has been implemented for one year. | Direct Patient Engagement
I hope to directly involve myself with patients post discharge in the collection of firsthand experiences from the recovery process and challenges they have faced, which will certainly be invaluable in evaluating the impact of the readmission reduction strategies on the effectiveness of the same (Luther et al., 2019). Participation in Quality Improvement Initiatives Participation of the staff in the quality improvement teams will better guarantee that we put in place the most effective strategies that have the best interests of the patients at heart. This will ensure that the strategies being implemented take the frontline perspective of the present problem into consideration enabling policy development to be refined as needed. |
| General Notes/Comments | In the process of reviewing and reflecting on the HRRP, it becomes evident that comprehensive evaluations data need to combine both quantitative and qualitative insights so as to really understand the impacts of such policies on patient care delivery and health outcomes. |
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References
BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06253-2
Batt, R., Bavafa, H., & Soltani, M. (2018). SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3132770
Luther, B., Wilson, R. D., Kranz, C., & Krahulec, M. (2019). Discharge processes: What evidence tells us is most effective. Orthopaedic Nursing, 38(5), 328–333. https://doi.org/10.1097/nor.0000000000000601
Impact of the Hospital Readmission Reduction Program (HRRP) on hospital readmission and mortality: An economic analysis. Production and Operations Management, 31(5). https://doi.org/10.1111/poms.13724
Wadhera, R. K., Joynt Maddox, K. E., Desai, N. R., Landon, B. E., MD, M. V., Gilstrap, L. G., Shen, C., & Yeh, R. W. (2021). Evaluation of hospital performance using the excess days in acute care measure in the hospital readmissions reduction program. Annals of Internal Medicine, 174(1), 86–92. https://doi.org/10.7326/m20-3486
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