2.50
Hdl Handle:
http://hdl.handle.net/10755/157192
Category:
Abstract
Type:
Presentation
Title:
A Congestive Heart Failure (CHF) Ambulator Reduces Length of Stay (LOS) and Recidivism
Author(s):
Zucconi, Michele; Heslop, Patricia; Watkins, Milissa; Boxer, Bruce; Wynder, Iris; Abate, Samantha
Author Details:
Michele Zucconi, South Jersey Healthcare, Vineland, New Jersey, USA, email: zucconim@sjhs.com; Patricia Heslop; Milissa Watkins; Bruce Boxer; Iris Wynder; Samantha Abate
Abstract:
PURPOSE: Initial and recidivistic treatment of CHF is costly in healthcare dollars and quality of life (QOL). $29 billion are spent annually for CHF treatment in the US, with an average hospital admission costing $7,947. Preventable CHF morbidity and mortality negatively affect patients' QOL. An interdisciplinary team led by APNs created and implemented a unique, specialized, cost-effective position to decrease LOS and recidivism for CHF patients from a high-risk, minority dominated community. Description: A Robert Wood Johnson grant funded this initiative to lessen disparity in care among minority populations through creative interventions. A team of nurses, physicians, physical therapists (PT), case managers, and homecare nurses reviewed the relevant literature noting the consistent, evidence-based relationship between early ambulation and quality CHF care. Brainstorming resulted in the creation of the CHF ambulator position, designated the Restorative Aide. The Restorative Aide is a CNA with additional education in CHF, ambulation, and communication, providing early ambulation and facilitating education throughout the continuum of cardiac care, from ICU through discharge. PT provided specialized training in ambulation and the use of assistive devices. APNs taught the fundamentals of CHF and communication skills. The pilot, 5 day/week program charged the Restorative Aide to weigh, encourage, ambulate, and facilitate education daily for all CHF patients, and to liaison with RNs for education follow-up and patient/family needs. Tools for documentation and communication were developed and position responsibilities revised as the program progressed. The new position is designed to focus solely on CHF patient ambulation and education. EVALUATION: In the 13 months since implementation, the CHF Ambulator Program has seen a 22% decrease in average LOS for CHF patients from 6.5 days to 5.1 days. The percent of CHF patients readmitted within 30 days of discharge (recidivism) fell from 11% to 9.8%. Patient, family, and nurse satisfaction have all increased significantly. Compliance with providing CHF education to patients and their families increased from 60% to 100%. A cost/benefit analysis demonstrates an approximate savings of $1 million since program implementation. Joint Commission disease-specific certification for CHF has recently been achieved. The CHF ambulator position is now permanent. The program has expanded to 7 days/week.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleA Congestive Heart Failure (CHF) Ambulator Reduces Length of Stay (LOS) and Recidivismen_GB
dc.contributor.authorZucconi, Micheleen_GB
dc.contributor.authorHeslop, Patriciaen_GB
dc.contributor.authorWatkins, Milissaen_GB
dc.contributor.authorBoxer, Bruceen_GB
dc.contributor.authorWynder, Irisen_GB
dc.contributor.authorAbate, Samanthaen_GB
dc.author.detailsMichele Zucconi, South Jersey Healthcare, Vineland, New Jersey, USA, email: zucconim@sjhs.com; Patricia Heslop; Milissa Watkins; Bruce Boxer; Iris Wynder; Samantha Abateen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157192-
dc.description.abstractPURPOSE: Initial and recidivistic treatment of CHF is costly in healthcare dollars and quality of life (QOL). $29 billion are spent annually for CHF treatment in the US, with an average hospital admission costing $7,947. Preventable CHF morbidity and mortality negatively affect patients' QOL. An interdisciplinary team led by APNs created and implemented a unique, specialized, cost-effective position to decrease LOS and recidivism for CHF patients from a high-risk, minority dominated community. Description: A Robert Wood Johnson grant funded this initiative to lessen disparity in care among minority populations through creative interventions. A team of nurses, physicians, physical therapists (PT), case managers, and homecare nurses reviewed the relevant literature noting the consistent, evidence-based relationship between early ambulation and quality CHF care. Brainstorming resulted in the creation of the CHF ambulator position, designated the Restorative Aide. The Restorative Aide is a CNA with additional education in CHF, ambulation, and communication, providing early ambulation and facilitating education throughout the continuum of cardiac care, from ICU through discharge. PT provided specialized training in ambulation and the use of assistive devices. APNs taught the fundamentals of CHF and communication skills. The pilot, 5 day/week program charged the Restorative Aide to weigh, encourage, ambulate, and facilitate education daily for all CHF patients, and to liaison with RNs for education follow-up and patient/family needs. Tools for documentation and communication were developed and position responsibilities revised as the program progressed. The new position is designed to focus solely on CHF patient ambulation and education. EVALUATION: In the 13 months since implementation, the CHF Ambulator Program has seen a 22% decrease in average LOS for CHF patients from 6.5 days to 5.1 days. The percent of CHF patients readmitted within 30 days of discharge (recidivism) fell from 11% to 9.8%. Patient, family, and nurse satisfaction have all increased significantly. Compliance with providing CHF education to patients and their families increased from 60% to 100%. A cost/benefit analysis demonstrates an approximate savings of $1 million since program implementation. Joint Commission disease-specific certification for CHF has recently been achieved. The CHF ambulator position is now permanent. The program has expanded to 7 days/week.en_GB
dc.date.available2011-10-26T19:30:15Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:30:15Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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