NUR 533 Discussion Hotspotting in health care system
NUR 533 Discussion Hotspotting in health care system
NUR 533 Discussion Hotspotting in health care system
Matterhorn mirrored in RiffelseCritical reflection is a process used to
make meaning of an experience. according to NUR 533 Discussion Hotspotting in health care system it is a time when you consider what you had
accomplished, read, watched or shared with others. Critical reflection will
help you to better understand why you react to or just watch what is happening
around you. Critical self-reflection occurs with the assistance of others, who
validate what you have learned or become as a result of your experiences.
To prepare for your discussion, review your readings and work for Modules
1 – 8.
Hotspotting can be used in many regions of the health care system; this
type of data analysis can be used to collect evidence and drive change in
health care in many settings, across many populations. Of interest is the
potential for the master’s prepared nurse to participate as member of a “Hot Spotting”
team, in a particular health care setting and the type of knowledge and skill
this nurse will need to be effective in this role.
Consider the following statements are you review what you have
accomplished in this course.
Critically reflect on what you have learned in this course related to the
course outcomes as required by NUR 533 Discussion Hotspotting in health care system.
Discuss how you will incorporate knowledge you gained from this course,
into your practice and how it might influence your future roles and choices for
your career.
Discuss how this knowledge will empower you as a nurse leader and policy
advocate.
For your initial response, please be sure to address all of the above
statements and/ or questions.
Use these EC Library and OWL resources for research assistance and to
properly cite your work:
Master’s in Nursing Research Guide (Links to an external site.)Links to
an external site.
Plagiarism & Copyright (Links to an external site.)Links to an
external site.
Excelsior Library Writing Help (Links to an external site.)Links to an
external site.
APA Citation Help (Links to an external site.)Links to an external site.
Excelsior College Online Writing Lab (OWL) (Links to an external
site.)Links to an external site.
How You Are Evaluated
You are expected by NUR 533 Discussion Hotspotting in health care system to participate in academic conversations with peers and
faculty to generate scholarly dialogue. Expectations for participation in the
course discussions are described under the Discussion Rubric: Exploration,
Spirit of Inquiry, and Engagement (interactions) when relating your
experiences, opinions, viewpoints, and ideas supported by evidence.
Consult the Discussion Posting Guide for information about writing your
discussion posts. It is recommended that you write your post in a document
first. Check your work and correct any spelling or grammatical errors. When you
are ready to make your initial post, click “Reply.” Then copy/paste
the text into the message field, and click “Post Reply.”
To respond to a peer, click “Reply” beneath her or his post and continue
as with an initial post.
Evaluation
This discussion will be graded using the discussion board rubric. Please
review this rubric, located on the Rubrics page within the Start Here module of
the course, prior to beginning your work to ensure your participation meets the
criteria in place for this discussion. All discussions combined are worth 40%
of your final course grade.
Is “hotspotting” in health care beneficial to patients?
The approach meant to prevent repeat hospitalizations by focusing on high-cost patients had no effect, according to the study.
MIT News Office | Peter Dizikes
Date of Publication: January 8, 2020
INQUIRIES FROM THE PRESS
NUR 533 Discussion Hotspotting in health care system states that according to a new MIT-led study conducted in Camden, New Jersey (shown here), “hotspotting” healthcare programs have a very limited impact on improving care and lowering costs for high-risk patients.
Caption:
NUR 533 Discussion Hotspotting in health care systemAccording to a new MIT-led study conducted in Camden, New Jersey (shown here), “hotspotting” healthcare programs have a very limited impact on improving care and lowering costs for high-risk patients.
According to a new study led by MIT economists, the new health-care technique of “hotspotting” — in which physicians identify particularly high-cost patients and try to minimize their medical spending while enhancing care — has virtually no impact on patient outcomes.
The research highlights the difficulty of cutting health-care spending on “superutilizers,” the about 5% of patients in the United States who account for half of the country’s health-care costs. NUR 533 Discussion Hotspotting in health care system states that Hotspotting is a concept that has been around for a little over a decade and consists of programs that provide at-risk patients with ongoing contact with doctors, other caregivers, and social service providers in an effort to reduce rehospitalizations and other costly kinds of treatment.
The Camden Coalition of Healthcare Providers, which administers one of the country’s most well-known hotspotting programs, collaborated on the MIT study. NUR 533 Discussion Hotspotting in health care system states that the researchers looked at the program over a four-year period and discovered that enrolling in it has no impact on patients’ health-care utilization.
“This intervention had no effect on lowering hospital readmissions,” says Amy Finkelstein, the study’s lead author and an MIT health care economist.
The new study was a randomized, controlled trial in which two otherwise similar groups of Camden patients were divided by one major factor: some patients were randomly selected to participate in the hotspotting program, while an equal number were not. Over time, the two groups produced nearly identical outcomes.
“according to NUR 533 Discussion Hotspotting in health care system, the reason we undertook a randomized, controlled trial was that if you just look at the individuals in the intervention group, it would appear that the program generated a big drop in readmissions,” Finkelstein explains. However, when you look at the people in the control group, who were qualified for the program but weren’t chosen at random, you see the same pattern.”
The study, titled “Health Care Hotspotting — A Randomized Controlled Trial,” was published in the New England Journal of Medicine today. Finkelstein, who is also the paper’s corresponding author, is the John and Jennie S. MacDonald Professor of Economics at MIT; Joseph Doyle, an economist who is the Erwin H. Schell Professor of Management at the MIT Sloan School of Management; Sarah Taubman, a research scientist at MIT’s Abdul Latif Jameel Poverty Action Lab; and Annetta Zhou, a postdoc at the National Bureau of Economic Research.


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