Assignent Solutionnurs

You are working in a long-term care facility with your client Mr. M that experienced a stroke leaving him paralyzed on one side with expressive aphasia. His health insurance coverage for long-term care is only 180 days (total) per calendar year. When Mr. M arrived, the team met to coordinate services with the goal to discharge him home before the180 day limit was reached. Evaluating and measuring his progress has been difficult as they have experienced multiple problems. This has led to Mr. M. being readmitted on one occasion then returning to the long-term care facility. You are the care coordinator and need to be current on what is, and has been, happening across all settings to make sure his care is equitable and of high value to his outcome.
Address one of the following questions and provide evidence to support it from our course materials or outside readings in your main post. Respond to one or more fellow student’s main post.
1.Mr. M’s problems required a readmission to the hospital within the first 20 days at your facility. What are the economic issues for him? Could this be a breakdown of the care coordination team? What steps could have been initiated to maintain Mr. M’s health so as not to have to be readmitted?
2. You are one of the nurses working on the team with the care coordinator for Mr. M. at the long-term care facility. You just started back to school to get your BSN. Two topics that you can’t figure out include the BSN in 10 and how Maryland all payer system works. In talking with another student from a different state that student never heard of either. Another topic you are learning about is the Carnegie Report regarding nursing education. Could any or all of these changes/topics impact the care of Mr. M? Why or why not?
3. What Title, Titles or sub-titles from the PPACA could apply to Mr. M’s case and impact his care? Could there be financial implications impacting Mr. M, providers and hospitals within the State of Maryland having an all-payer model? Why and how could both make a difference to Mr. M’s care and long term outcome.