Description:

Readmission and reimbursement have changed drastically over the past decade.

Objectives:

• Examine current events that describe the role of respiratory care in the health care system
• Examine how effective patient education reduces healthcare costs

Hospitals are paid based on the number of times the admit patients. Physicians are paid depending on the number of times they see patients, and they see patients more often when patients are in the hospital. However, with the inception of payment reform providers (hospitals and doctors) will no longer be paid for readmissionthat occurs within a 30-day period (Center for Healthcare Quality and Payment Reform, 2009-2011). Chronic Obstructive Pulmonary Disease (COPD) is one of the chronic diseases of focus for this inquiry, and cardiopulmonary practitioners are experts in managing the disease process. However, APRTs are noted to be very knowledgeable in the care and management of pulmonary patients. The organization for which you work must consider the facts and assumptions associated with adopting a Gold Standard for the Department of cardiopulmonary therapy to evaluate courses of action from which to proceed strategically.

Your assignment is to develop a Gold Standard for the incorporation of APRTs and includes the following:

State facts and assumptions, mandated by literature, to support the role and responsibility for APRT's to manage the care of newly admitted COPD and pulmonary patients to reduce the load of Staff Pulmonologist.

• Include Compliance matters
• Cost advantages
• Protocols for appropriate services
• Address the following ethical standards
  • Autonomy
  • Beneficence
  • Nonmaleficence
  • Justice
• Address the Code of Ethics for Respiratory Therapists
• Final recommendations