WGU D028 CDM2: Enhancing Patients Outcome -Prevention
Methods in HRRP
CDM2 Phase 3A
It is in the hospital's best interest to ensure the patient is truly ready for discharge. There
are multiple factors to consider when a patient is eligible for discharge. Patients who are
assessed early for risk of readmission will inform the admitting RN who is educated and trained
in these nuances to enable interventions to mitigate the need for readmission and facilitate
greater success in outcomes.
Primary prevention means intervening before any adverse health effects occur. This can
involve a community-based health prevention advertising campaign as a public service
announcement over local television and radio stations. In Susan’s case, her PCP and referred
surgeon could have provided her with teachings and instructions to slow the disintegration of
the hip joint, proper diet and exercise, medications to alleviate pain.
Secondary prevention means screening to identify disease in its early stage and having
healthcare coordination teams engaged to proactively manage medical conditions and tailor
support to especially high-risk patients with the goal to mitigate exacerbations. Susan should
meet with the care team post-surgery to discuss anticipated progress, review medications,
therapies to regain function.
Tertiary prevention means to manage the disease post diagnosis or slow its progression.
In so doing, care teams would use established timely follow-up to ensure continuity of care.
Complications would be immediately addressed. Home visits would take place to assess the
current environment and work out a viable care plan that takes in and incorporates the client’s
ability to adequately manage their care. Susan will be compliant with the post-operative
instructions at discharge to include medication management, home health nursing to monitor
wound healing and ability to maintain ADLs/IADLs, scheduled physical therapy, follow-up
appointments.
Socially, Susan will be given the contact information for local groups coping with hip
transplants post-surgery. Also, groups and/or organizations in the community who have
organized outings in the nature preserve bordering Susan’s home.
A system-level consideration may be given to finding and participating in a osteoarthritis
group or something similar that is of interest to Susan that will remind her and help her learn to
cope and to overcome her condition. Also, the discharging hospital and/or the patient’s Primary
Care Provider will make contact with the client by phone no later than 3 days after discharge to
check-in and ascertain if any additional assistance can be provided to Susan to promote a
healthy and positive outcome.
Methods in HRRP
CDM2 Phase 3A
It is in the hospital's best interest to ensure the patient is truly ready for discharge. There
are multiple factors to consider when a patient is eligible for discharge. Patients who are
assessed early for risk of readmission will inform the admitting RN who is educated and trained
in these nuances to enable interventions to mitigate the need for readmission and facilitate
greater success in outcomes.
Primary prevention means intervening before any adverse health effects occur. This can
involve a community-based health prevention advertising campaign as a public service
announcement over local television and radio stations. In Susan’s case, her PCP and referred
surgeon could have provided her with teachings and instructions to slow the disintegration of
the hip joint, proper diet and exercise, medications to alleviate pain.
Secondary prevention means screening to identify disease in its early stage and having
healthcare coordination teams engaged to proactively manage medical conditions and tailor
support to especially high-risk patients with the goal to mitigate exacerbations. Susan should
meet with the care team post-surgery to discuss anticipated progress, review medications,
therapies to regain function.
Tertiary prevention means to manage the disease post diagnosis or slow its progression.
In so doing, care teams would use established timely follow-up to ensure continuity of care.
Complications would be immediately addressed. Home visits would take place to assess the
current environment and work out a viable care plan that takes in and incorporates the client’s
ability to adequately manage their care. Susan will be compliant with the post-operative
instructions at discharge to include medication management, home health nursing to monitor
wound healing and ability to maintain ADLs/IADLs, scheduled physical therapy, follow-up
appointments.
Socially, Susan will be given the contact information for local groups coping with hip
transplants post-surgery. Also, groups and/or organizations in the community who have
organized outings in the nature preserve bordering Susan’s home.
A system-level consideration may be given to finding and participating in a osteoarthritis
group or something similar that is of interest to Susan that will remind her and help her learn to
cope and to overcome her condition. Also, the discharging hospital and/or the patient’s Primary
Care Provider will make contact with the client by phone no later than 3 days after discharge to
check-in and ascertain if any additional assistance can be provided to Susan to promote a
healthy and positive outcome.
