2.50
Hdl Handle:
http://hdl.handle.net/10755/164230
Category:
Abstract
Type:
Presentation
Title:
Development of an Inpatient and Short-Stay Heart Failure Management Program
Author(s):
Becker, Candace A.
Author Details:
Candace A. Becker, MS, RN, CNS, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA, email: nacnsorg@nacns.org
Abstract:
Problem and Significance: United States is experiencing an epidemic in hospitalization for acute exacerbation of heart failure. Heart failure is one of the most costly DRGs due to length of stay, patient complexity, co-morbidities and frequent readmission. This facility has a heart failure population consisting of 24% no insurance (compared to 3% nationwide), 21% Medicaid (9% nationwide), and only 7% private insurance (v. 23% nationwide). Purpose of this Program: The program is being designed to improve patient outcomes by consulting the Heart Failure Team for heart failure management both inpatient as well as outpatient. Project Process: The inpatient Heart Failure Team will consist of the attending heart failure physician (cardiologist), a cardiology Fellow focusing on heart failure, and a clinical nurse specialist. Early processes began last year with education to cardiology teams and the medicine teams in this large teaching facility. Education was and will be continue to be provided by the heart failure physician and the Fellow. For the physician level, it has been stressed that the Heart Failure Team will not assume total care for every heart failure exacerbation, but instead consults for acute management and discharge follow up in the Heart Failure clinic. Nursing was also involved with education for the Heart Station units (telemetry and CCU) as well as the emergency department. Education was accomplished by creation of an education module that all staff were required to complete. Outcome measures: Outcomes to be monitored include length of stay and total heart failure admissions comparing patients who have consulted the team versus those who have not. Implications for CNS Practice: The clinical nurse specialist brings the expertise necessary to impact nursing care for these heart failure patients and to monitor outcomes. Although measured only anecdotally at present, establishing that unique nurse-patient relationship provides a look at the patient's and family's quality of life. To the nursing personnel, the CNS is a resource for patient information and methods for understanding this disease process and treatment, which contributes to a better sense of autonomy and increased job satisfaction. Outcomes at the systems level will be met by cost savings and enhanced reimbursement.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Century
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
San Antonio, Texas, USA
Description:
Conference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, 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_US
dc.typePresentationen_GB
dc.titleDevelopment of an Inpatient and Short-Stay Heart Failure Management Programen_GB
dc.contributor.authorBecker, Candace A.en_US
dc.author.detailsCandace A. Becker, MS, RN, CNS, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164230-
dc.description.abstractProblem and Significance: United States is experiencing an epidemic in hospitalization for acute exacerbation of heart failure. Heart failure is one of the most costly DRGs due to length of stay, patient complexity, co-morbidities and frequent readmission. This facility has a heart failure population consisting of 24% no insurance (compared to 3% nationwide), 21% Medicaid (9% nationwide), and only 7% private insurance (v. 23% nationwide). Purpose of this Program: The program is being designed to improve patient outcomes by consulting the Heart Failure Team for heart failure management both inpatient as well as outpatient. Project Process: The inpatient Heart Failure Team will consist of the attending heart failure physician (cardiologist), a cardiology Fellow focusing on heart failure, and a clinical nurse specialist. Early processes began last year with education to cardiology teams and the medicine teams in this large teaching facility. Education was and will be continue to be provided by the heart failure physician and the Fellow. For the physician level, it has been stressed that the Heart Failure Team will not assume total care for every heart failure exacerbation, but instead consults for acute management and discharge follow up in the Heart Failure clinic. Nursing was also involved with education for the Heart Station units (telemetry and CCU) as well as the emergency department. Education was accomplished by creation of an education module that all staff were required to complete. Outcome measures: Outcomes to be monitored include length of stay and total heart failure admissions comparing patients who have consulted the team versus those who have not. Implications for CNS Practice: The clinical nurse specialist brings the expertise necessary to impact nursing care for these heart failure patients and to monitor outcomes. Although measured only anecdotally at present, establishing that unique nurse-patient relationship provides a look at the patient's and family's quality of life. To the nursing personnel, the CNS is a resource for patient information and methods for understanding this disease process and treatment, which contributes to a better sense of autonomy and increased job satisfaction. Outcomes at the systems level will be met by cost savings and enhanced reimbursement.en_GB
dc.date.available2011-10-27T11:44:28Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:28Z-
dc.conference.date2004en_US
dc.conference.name2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Centuryen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.descriptionConference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USAen_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.en_US
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.