Patients who have been diagnosed with heart failure require specialized care both at the hospital or home settings. The specialized care would facilitate the implementation of standardized educational tools to reduce readmission rates for these patients. Atlantic Visiting Nurse, a homecare entity of Atlantic Health System provides high-quality rehabilitation and nursing services in patients’ homes. Irani et al. (2018) establish that the need for home health care services for patients with chronic conditions is on a steady rise. The teams of nurses at Atlantic Visiting Nurse are capable of creating individualized plans to maximize home care benefits for patients. A stakeholder analysis would maximize the benefits of home care services for heart failure patients and in turn, reduce readmission rates.
Stakeholder Analysis
Atlantic Visiting Nurse has more than 100 years’ experience in the provision of home-based care due to the collaboration of several stakeholders. Atlantic Health System (2020) notes that Atlantic Visiting Nurse-Home Health patient Care offers comprehensive services that include remote patient monitoring, supportive care, and caregiver support. The main stakeholders who contribute to the success of this health system are Atlantic Health System management, Visiting Nurse Association of Somerset Hills (VNASH), physicians, patients, caregivers, and patient's families. The Atlantic Health System management most notably the CEO is at the forefront of ensuring that the patients are provided with the right care at the right setting and cost (Atlantic Health System, 2019). The VNASH CEO is another notable stakeholder who is committed to patient satisfaction, quality, and community support in the area of home-based care. Atlantic Visiting Nurse program, which is under the Atlantic Health System, owes its success to affiliated physicians who are dedicated to building healthy communities. Their dedication and expertise make them crucial stakeholders who could help to reduce readmission rates for heart failure patients. The other stakeholders are the patients and their families who stand to benefit from the care that will be provided by the professionals.
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Barriers to the Project
The collaboration between the Atlantic Health System and the Visiting Nurse Association of Somerset Hills (VNASH) may present some barriers to patient care. These are two different entities that have different philosophies and work structures that may collide. Atlantic Health System may require some procedural standards that VNASH may not provide. The other obstacle would be communication issues between physicians and home healthcare nurses. Pesko et al. (2018) establish that poor communication between physicians and home health nurses increases the risk for hospital readmissions. The concerned teams need to consider these barriers before going forward with the collaboration to reduce readmission for heart failure patients. The Atlantic Visiting Nurse and VNASH program need to lay out clear guidelines to guide communications and interactions beforehand.
References
Atlantic Health System (2019, November 5). Atlantic Health System introduces Atlantic Visiting Nurse . https://www.atlantichealth.org/about-us/stay-connected/news/press-releases/2019/atlantic-visiting-nurse-introduced.html
Atlantic Health System. (2020). Home health . https://www.atlantichealth.org/conditions-treatments/visiting-nurse/home-health.html
Irani, E., Hirschman, K. B., Cacchione, P. Z., & Bowles, K. H. (2018). Home health nurse decision-making regarding visit intensity planning for newly admitted patients: a qualitative descriptive study. Home Health Care Services Quarterly , 37(3), 211–231. https://doi.org/10.1080/01621424.2018.1456997
Pesko, M. F., Gerber, L. M., Peng, T. R., & Press, M. J. (2018). Home health care: Nurse-Physician communication, patient severity, and hospital readmission. Health Services Research, 53(2), 1008–1024. https://doi.org/10.1111/1475-6773.12667
