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Transition care intervention among heart failure patients in a medical group
Descriptive
TitleInfo
Title
Transition care intervention among heart failure patients in a medical group
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Reyes
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Albert
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Albert Reyes
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Rubab
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Rubab Qureshi
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Advisory Committee
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chair
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Rutgers University
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School of Nursing - RBHS
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school
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theses
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ETD doctoral
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2021
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2021-01
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English
Abstract
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Purpose of Project: The purpose of this project was to evaluate the effectiveness of an evidence-based intervention in reducing 30-day readmission rates among post hospital discharge heart failure patients in a Medical Group.
Methodology: This project utilized a retrospective exploratory design to evaluate the effectiveness of an evidence-based intervention to reduce 30-day readmission rates among post hospital discharge HF patients in the Medical Group. A descriptive comparative analysis was conducted on outcomes data from pre-implementation, June 2017-June 2018 and post-implementation, July 2018-December 2019, in order to evaluate the intervention.
Results: During the pre-implementation period (June 2017-June 2018) the twelve patients who qualified for the study had been re-admitted on several occasions. Of the twelve, six had never been hospitalized, four patients were readmitted within 30 days of discharge, but one patient had multiple visits to the emergency room (ER).
After the implementation of the transition care intervention, readmission rates, including hospitalization and visits to the ER, were reduced to zero. In addition, the patient who had multiple visits to the ER, was not readmitted to the hospital or had to visit the ER within 30 days after the intervention. With four patients, who were readmitted within 30 days during the pre-implementation period, the readmission rate was 33%. There were no readmissions within 30 days post implementation. Overall, there was an improvement in reducing readmission rates within 30 days after the implementation of the transition care intervention in the Medical Group.
Implications for Practice: By implementing the TCI, it can potentially utilize by the hospitals, medical groups, and homecare agencies to reduce readmission rates of patients with HF. The TCI will be beneficial to improve quality of care, increase patient outcomes and increase patients’ satisfaction. Lastly, the TCI will be beneficial for the organization in reducing healthcare costs due to readmission rates posthospital discharge.
Methodology: This project utilized a retrospective exploratory design to evaluate the effectiveness of an evidence-based intervention to reduce 30-day readmission rates among post hospital discharge HF patients in the Medical Group. A descriptive comparative analysis was conducted on outcomes data from pre-implementation, June 2017-June 2018 and post-implementation, July 2018-December 2019, in order to evaluate the intervention.
Results: During the pre-implementation period (June 2017-June 2018) the twelve patients who qualified for the study had been re-admitted on several occasions. Of the twelve, six had never been hospitalized, four patients were readmitted within 30 days of discharge, but one patient had multiple visits to the emergency room (ER).
After the implementation of the transition care intervention, readmission rates, including hospitalization and visits to the ER, were reduced to zero. In addition, the patient who had multiple visits to the ER, was not readmitted to the hospital or had to visit the ER within 30 days after the intervention. With four patients, who were readmitted within 30 days during the pre-implementation period, the readmission rate was 33%. There were no readmissions within 30 days post implementation. Overall, there was an improvement in reducing readmission rates within 30 days after the implementation of the transition care intervention in the Medical Group.
Implications for Practice: By implementing the TCI, it can potentially utilize by the hospitals, medical groups, and homecare agencies to reduce readmission rates of patients with HF. The TCI will be beneficial to improve quality of care, increase patient outcomes and increase patients’ satisfaction. Lastly, the TCI will be beneficial for the organization in reducing healthcare costs due to readmission rates posthospital discharge.
Subject
(authority = local)
Topic
CHF
Subject
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Topic
Medication reconciliation
Subject
(authority = local)
Topic
Transition care intervention
Subject
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Topic
Early follow up
Subject
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Topic
Self-care management
Subject
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Topic
Post-Master's DNP Practice
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Rutgers University Electronic Theses and Dissertations
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ETD_11338
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1 online resource (30 pages) : illustrations
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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/t3-5dh4-n282
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Rights
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The author owns the copyright to this work.
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Name
FamilyName
Reyes
GivenName
Albert
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Permission or license
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2020-12-14 10:19:24
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Albert Reyes
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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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Embargo
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2021-01-31
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2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2020-12-14T15:11:25
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2020-12-14T15:11:25
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