{"id":26418,"date":"2024-05-21T18:23:16","date_gmt":"2024-05-21T18:23:16","guid":{"rendered":"https:\/\/www.writemyessays.app\/blog\/questions\/discussions-an-initial-posting-of-250-words-and-statistic-questions-to-be-answered-are-uploaded\/"},"modified":"2024-05-21T18:23:16","modified_gmt":"2024-05-21T18:23:16","slug":"discussions-an-initial-posting-of-250-words-and-statistic-questions-to-be-answered-are-uploaded","status":"publish","type":"questions","link":"https:\/\/www.writemyessays.app\/blog\/questions\/discussions-an-initial-posting-of-250-words-and-statistic-questions-to-be-answered-are-uploaded\/","title":{"rendered":"Discussions An initial posting of ~250 words And Statistic Questions to be answered are uploaded"},"content":{"rendered":"

The Continuum of Care<\/span><\/p>\n

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Subacute Care Case Study<\/p>\n

1-<\/p>\n

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On page 138 on your ebook, you will find the Case Study entitled: Subacute Care Case Study.<\/p>\n

In reference to this case, please consider the following:<\/p>\n

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  1. How can subacute care meet the needs of such different patients as David and Joyce?<\/li>\n
  2. Should both be included in a single care category, or should different levels of care be created for them?<\/li>\n
  3. Is subacute care really a response to patient needs, or is it a way of increasing financing for providers? (NOTE: This question applies to the overall system, but applying it to the case will assist you in seeing the implications for those using the system.)<\/li>\n<\/ol>\n

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    PG 138<\/p>\n

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    Summary<\/h3>\n<\/header>\n

    Subacute care is one of the fastest-growing sectors of health care. It is developing faster than it can learn the rules by which it should play, and it keeps experimenting with new and different ideas and approaches. New models and players keep appearing on the scene. Payers, regulators, and policy makers are trying to keep up with it and, like any parent, are <\/span><\/span>trying to keep it from injuring itself. However, they are finding it difficult to stay ahead of this exciting, but sometimes unruly, model they have created.<\/p>\n

    Subacute care has developed into a useful, productive model for caring. The growth years have been difficult, but the very fact that it is a new care segment and is ill defined and poorly regulated leaves room for innovation and creativity. The competition from different provider groups and from within those groups is already resulting in some outstanding examples of good care and good management.<\/p>\n

    Accrediting agencies such as the Joint Commission, CARF International, and NCQA have moved with relative speed to create standards for subacute care and are using measures based primarily on outcomes, as opposed to structure and process measures. Government regulators have not followed suit, at least at this time, but are looking for structures to manage this setting. They will need this if subacute care is to survive as a distinct and viable segment of the healthcare continuum.<\/p>\n

    The past several years have been exciting and challenging for all involved with subacute care. The next few years will see refinement and enhancements to this care setting.<\/p>\n

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    Subacute Care Case Study<\/h3>\n<\/header>\n<\/div>\n
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    This case involves two people. Both have been admitted to subacute care units following stays in an acute hospital; however, they are different in many ways, as is the type of care they receive. They are used here to demonstrate some of the differences in the segment of the continuum known as subacute care.<\/p>\n

    David is 17 years old. He was injured in an automobile accident several months ago. Suffering multiple fractures and some internal injuries, he has been in a hospital for several weeks. While his initial injuries have largely healed, with the help of several operations, he still faces a long, difficult period of rehabilitation. It is for that rehabilitation, as well as monitoring of his overall condition, that he has been transferred to a subacute care unit.<\/p>\n

    Joyce is 67 years old. She has a long history of heart trouble and was admitted to the hospital following her last massive heart attack. That attack, coming on top of her already weakened heart condition, has left her in a semi-comatose state. Her breathing is assisted by a mechanical ventilator, and she must be fed and medicated intravenously.<\/p>\n

    The subacute unit to which David was sent is known as a general subacute unit. It is operated by, and in conjunction with, a multilevel nursing facility. Joyce, on the other hand, was admitted to a chronic subacute care unit, operated by the hospital from which she was transferred. The difference between the two units is primarily the conditions they treat and the type of staff and equipment needed to do what they each do best.<\/p>\n

    Both began their journey through subacute care with an assessment by multidisciplinary teams from the subacute units to which they were being transferred. Those assessments identified physical, medical, and mental conditions and developed individual care plans designed to best achieve the outcome goals identified for them. Because David appeared to need physical rehabilitation, his assessment team was heavily weighted with therapists of one type or another, while Joyce\u2019s assessment team was much more nursing oriented.<\/p>\n

    David\u2019s outcome goal is to be able to return to his home and eventually back to school. The assessment team estimates that he will regain nearly all, if not all, his previous functional independence. To achieve that, he requires intensive rehabilitation, including physical and occupational therapy. His care team is headed by a physiatrist and will focus on those therapies, although his medical condition will be watched.<\/p>\n

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    Joyce\u2019s prognosis is not nearly as clear. The team assessing her agreed that she is unlikely to ever improve and sets a goal of maintaining her condition as well as possible until her death, something that is not likely to be that far distant. She does not need rehabilitation, although staff in the unit do some maintenance range-of-motion exercises with her to keep her physical condition from deteriorating. She does, however, require much more intensive nursing care and monitoring than does David and will be cared for under the watchful eye of a cardiologist.<\/p>\n

    Another difference, based on expected outcomes, is that David will receive close follow-up care after he is discharged to his home. He will probably continue some of his therapy on an outpatient basis and will be tested periodically to make sure he has not regressed in his quest for functional independence. Joyce, unfortunately, will not have that option.<\/p>\n

    While the probable results of their subacute care are expected to be so different, Joyce and David have a common reason for being transferred to those units: Their care needs are too high for them to be treated at lower levels, such as nursing facilities or at home, but they do not need acute hospital care. A secondary, but very important, factor contributing to those transfers is the cost of care. David is covered by a managed care plan to which his parents belong. Joyce is eligible for Medicare. Both payment sources want to give them the best care they can, but at the lowest possible cost.<\/p>\n

    Thus, these two people in such different situations both find themselves in subacute units, between hospital and nursing facility care levels. It is a kind of care that suits them both well. Until only a few years ago, David would have stayed in the hospital for many months, at an unnecessarily high cost. Joyce might have remained in the hospital also, but because she was unconscious and was going to die anyway, it is more than likely that she would have ended up in a nursing facility unprepared to provide her with the care she should have had.<\/p>\n

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    2-Statistical Applications<\/span><\/p>\n


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    Qustions to be answered are uploaded<\/span><\/p>\n


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    4.2. <\/span><\/span><\/span>Defining Standard Deviation and Variance<\/h2>\n<\/header>\n