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Mobile integrated health and heart failure
Descriptive
TitleInfo
Title
Mobile integrated health and heart failure
Name
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Schill
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Karen O'Connell
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1979-
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Karen O'Connell Schill
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author
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Kamienski
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Mary
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Mary Kamienski
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Advisory Committee
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chair
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Albert
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Albert Ritter
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Advisory Committee
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outside member
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Rutgers University
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degree grantor
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School of Nursing - RBHS
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school
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Text
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theses
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2020
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2020-01
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English
Abstract
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Purpose: To evaluate a Mobile Integrated Health Program that was developed and implemented to reduced hospital readmissions.
Methodology: A retrospective chart review for MIH program evaluation in a large suburban healthcare system in northern New Jersey. The chart review consisted of 125 records of patients greater than age 18 with documented heart failure from January 2017 to July 2019 and were measured to determine patient interventions, patient return to hospital, and financial savings.
Results: Home visits were provided for 125 visits. Two groups received home visits: symptom-based group and the scheduled visit group. Each patient received a physical exam. A total of 44 symptom-triggered visits occurred with 15 (34%) transported to the emergency department and 81 scheduled visits occurred with 3 (4%) transported to the hospital. The difference was statistically significant. Additional analyses included comparisons of visits per quarter and patient interventions including patient and family education.
Implications for Practice: This program evaluation demonstrated cost savings, as well as potential for less nonemergent 911 activations, and home interventions with education post-hospital discharge to avoid ED recidivism that can led to hospital readmissions. This program evaluation identifies gaps in discharge education as well as home needs that are unable to be identified during admissions. MIH programs have the tools to educate and help patients manage chronic illness at home and prevent worsening symptoms.
Keywords: mobile integrative health, heart failure, hospital readmissions, program evaluation
Methodology: A retrospective chart review for MIH program evaluation in a large suburban healthcare system in northern New Jersey. The chart review consisted of 125 records of patients greater than age 18 with documented heart failure from January 2017 to July 2019 and were measured to determine patient interventions, patient return to hospital, and financial savings.
Results: Home visits were provided for 125 visits. Two groups received home visits: symptom-based group and the scheduled visit group. Each patient received a physical exam. A total of 44 symptom-triggered visits occurred with 15 (34%) transported to the emergency department and 81 scheduled visits occurred with 3 (4%) transported to the hospital. The difference was statistically significant. Additional analyses included comparisons of visits per quarter and patient interventions including patient and family education.
Implications for Practice: This program evaluation demonstrated cost savings, as well as potential for less nonemergent 911 activations, and home interventions with education post-hospital discharge to avoid ED recidivism that can led to hospital readmissions. This program evaluation identifies gaps in discharge education as well as home needs that are unable to be identified during admissions. MIH programs have the tools to educate and help patients manage chronic illness at home and prevent worsening symptoms.
Keywords: mobile integrative health, heart failure, hospital readmissions, program evaluation
Subject
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Topic
Post-Master's DNP Practice
Subject
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Topic
Integrated delivery of health care
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Rutgers University Electronic Theses and Dissertations
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ETD_10439
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1 online resource (62 pages)
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-mbhj-s569
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ETD doctoral
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Rights
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The author owns the copyright to this work.
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Name
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Schill
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Karen
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Permission or license
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2019-12-08 16:56:50
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Karen Schill
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2020-01-31
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2022-01-30
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after January 30th, 2022.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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