Recommendations.Stephanie Orange

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School

DeVry University, New York *

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226

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Health Science

Date

Feb 20, 2024

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docx

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4

Uploaded by ChancellorChinchillaPerson1047

Report
1 “Recommends” Stephanie Orange DeVry University Data Applications and Healthcare Quality with Lab HIT226 Hwangji Lu 12/15/2023
2 Bridgewater Park Health & Rehabilitation Center, FL This report is an analysis of the legal, privacy, and operational aspects of Bridgewater Park Health & Rehabilitation Center, one of two healthcare facilities being evaluated. The primary objective of this report is to identify the top three areas in need of improvement for each facility and provide recommendations for implementing these improvements. 1. The deficiency tag number 880 indicates that its infection prevention and control program needs improvement. To address this issue, the facility should prioritize providing regular training to all staff members on infection prevention and control practices. It is crucial that the staff strictly follow the established protocols to ensure that the facility maintains a safe and hygienic environment for patients, visitors, and staff members. The infection prevention and control program should include regular monitoring, risk assessment, and appropriate measures to prevent and control the spread of infections. Implementing these measures will help the facility ensure the safety of patients and staff members while maintaining high standards of care. 2. The deficiency tag number 758 highlights the need for the facility to reduce the use of psychotropic medication by gradually reducing the dose and implementing non-pharmacological interventions before starting or continuing the medication. To address this, the facility should review each resident's medication regimen and collaborate with healthcare providers to develop alternative treatment plans, if possible. The primary goal is to ensure that the use of psychotropic medication is the last resort and to focus on non-pharmacological interventions to address the underlying conditions of the residents. 3. The deficiency tag number 657 is a regulatory guideline that requires healthcare facilities to develop a comprehensive care plan for each resident within seven days of conducting a comprehensive assessment. This care plan must be prepared, reviewed, and revised by a team of qualified health professionals. It is imperative that the facility adheres to these guidelines and ensures that a detailed care plan is created promptly for every resident, which takes into account their individualized needs and preferences. Furthermore, to maintain the quality of care provided, the care plan must be regularly reviewed and updated by the healthcare team to ensure that it remains current and relevant to the resident's changing needs. Trends to monitor and evaluate: Compliance with infection prevention and control protocols Use of psychotropic medications Timeliness and quality of care planning
3 Apple Rehab Shelton Lakes, CT This report is an analysis of the legal, privacy, and operational aspects of Apple Rehab Shelton Lakes, two of two healthcare facilities being evaluated. The primary objective of this report is to identify the top three areas in need of improvement for each facility and provide recommendations for implementing these improvements. 1. The deficiency tag number 759 indicates that the facility needs to ensure that medication error rates are not 5 percent or greater. To address this, the facility should review its medication management practices and implement additional safeguards, such as double-checking medication orders and creating a system for reporting and investigating medication errors. Another one is to provide education and training to the staff on medication management best practices, including proper medication storage, administration, and documentation. 2. The deficiency tag number 644 indicates that the facility needs to coordinate assessments with the pre-admission screening and resident review program and that it should refer residents for services as needed. To address this, the facility should establish clear communication channels with healthcare providers and community resources and ensure that all residents receive appropriate assessments and referrals. Furthermore, the facility should also work closely with the PASRR program to coordinate assessments and referrals. 3. The deficiency tag number 677 is a regulatory requirement that mandates long-term care facilities to provide assistance and care to residents who are unable to perform activities of daily living independently. This includes but is not limited to tasks such as bathing, dressing, and eating. The facility needs to ensure that all such residents receive adequate and appropriate assistance with their daily routines. This not only helps improve the quality of life for the residents but also ensures their safety and well-being. Therefore, it is important for the facility to have a comprehensive plan in place that addresses the needs of each resident, and to ensure that the plan is implemented effectively and efficiently. Trends to monitor and evaluate: Medication error rates Coordination of care with community resources Quality of care provided to residents with limitations in activities of daily living.
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4 References Gordon, N.S. L. (2020). Health Information Management Technology: An Applied Approach (6th ed.). American Health Information Management Association (AHIMA). https://devry.vitalsource.com/books/9781584267645 Bucy, T., Moeller, K., Skarphol, T., Shippee, N., Bowblis, J. R., Winkelman, T., & Shippee, T. (2022). Serious mental illness in nursing homes: Stakeholder perspectives on the federal preadmission screening program.  Journal of Aging & Social Policy, 34 (5), 769-787. Serious Mental Illness in Nursing Homes: Stakeholder Perspectives on the Fe...: EBSCOhost (oclc.org)