2.50
Hdl Handle:
http://hdl.handle.net/10755/163396
Category:
Abstract
Type:
Presentation
Title:
To Educate and Compare Heart Failure Outcomes (TEACH)
Author(s):
Cohn, Elizabeth; Skopicki, Hal; Sackner-Bernstein, Jonathan; Nelson, Karen; Dlugacz, Yosef
Author Details:
Elizabeth Cohn, RN, NP, Adelphi University, Garden City, New York, New York, USA, email: cohn@adelphi.edu; Hal Skopicki; Jonathan Sackner-Bernstein; Karen Nelson; Yosef Dlugacz
Abstract:
Purpose: Heart failure affects an estimated 5 million Americans and is responsible for one million hospitalizations per year with 45% of heart failure patients experiencing a readmission every six months. It accounts for over six billion dollars in Medicare expenditures and represents the highest volume discharge DRG. Utilizing a true multidisciplinary approach, a team of nurse practitioners, physicians, educators, nurses, private attending cardiologists, heart failure experts and administration of our health system collaboratively developed a program for the evidence-based nursing and medical management of the patient with heart failure. Input was solicited from patients and families and was incorporated into recommendations. From these recommendations, a five part program was developed to incorporate evidence-based treatment strategies across the 16 hospital system. The program consisted of: 1) An interdisciplinary Caremap which contains prompts for best practice. 2) A CD-ROM educational program designed to teach staff at all levels about the treatment of heart failure. 3) An in-patient heart failure specific education sheet to partner patients and families with the providers. 4) A standing order admission set and consultation program for physicians. 5) Personalized discharge instructions delineating optimized weight and renal function, and a comprehensive follow-up plan. Theoretical Framework: Setting Standards for Medical Practice: a theoretical framework. L. Southgate, R.B. Hays, J. Norcini. Medical Education 2001;35;474-481. Methods (Design, Sample, Setting, Measures, Analysis): Representative samples were taken from all patients admitted under DRG 127 from this 16 hospital system. Independent data collection was performed. Comparison was made between eras. Results: Initial data suggests significantly increased compliance with evidence-based guidelines across our system. Southside Hospital was rated #1 by the New York Times in treatment of Heart Failure according to the state report cards. Conclusions and Implications: Heart Failure is a disease of complex management and treatment. When the health care team, patients and families work together, quality of life can be maximized and hospital re-admissions reduced.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
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_US
dc.typePresentationen_GB
dc.titleTo Educate and Compare Heart Failure Outcomes (TEACH)en_GB
dc.contributor.authorCohn, Elizabethen_US
dc.contributor.authorSkopicki, Halen_US
dc.contributor.authorSackner-Bernstein, Jonathanen_US
dc.contributor.authorNelson, Karenen_US
dc.contributor.authorDlugacz, Yosefen_US
dc.author.detailsElizabeth Cohn, RN, NP, Adelphi University, Garden City, New York, New York, USA, email: cohn@adelphi.edu; Hal Skopicki; Jonathan Sackner-Bernstein; Karen Nelson; Yosef Dlugaczen_US
dc.identifier.urihttp://hdl.handle.net/10755/163396-
dc.description.abstractPurpose: Heart failure affects an estimated 5 million Americans and is responsible for one million hospitalizations per year with 45% of heart failure patients experiencing a readmission every six months. It accounts for over six billion dollars in Medicare expenditures and represents the highest volume discharge DRG. Utilizing a true multidisciplinary approach, a team of nurse practitioners, physicians, educators, nurses, private attending cardiologists, heart failure experts and administration of our health system collaboratively developed a program for the evidence-based nursing and medical management of the patient with heart failure. Input was solicited from patients and families and was incorporated into recommendations. From these recommendations, a five part program was developed to incorporate evidence-based treatment strategies across the 16 hospital system. The program consisted of: 1) An interdisciplinary Caremap which contains prompts for best practice. 2) A CD-ROM educational program designed to teach staff at all levels about the treatment of heart failure. 3) An in-patient heart failure specific education sheet to partner patients and families with the providers. 4) A standing order admission set and consultation program for physicians. 5) Personalized discharge instructions delineating optimized weight and renal function, and a comprehensive follow-up plan. Theoretical Framework: Setting Standards for Medical Practice: a theoretical framework. L. Southgate, R.B. Hays, J. Norcini. Medical Education 2001;35;474-481. Methods (Design, Sample, Setting, Measures, Analysis): Representative samples were taken from all patients admitted under DRG 127 from this 16 hospital system. Independent data collection was performed. Comparison was made between eras. Results: Initial data suggests significantly increased compliance with evidence-based guidelines across our system. Southside Hospital was rated #1 by the New York Times in treatment of Heart Failure according to the state report cards. Conclusions and Implications: Heart Failure is a disease of complex management and treatment. When the health care team, patients and families work together, quality of life can be maximized and hospital re-admissions reduced.en_GB
dc.date.available2011-10-27T11:06:50Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:06:50Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
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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