2.50
Hdl Handle:
http://hdl.handle.net/10755/182127
Category:
Abstract
Type:
Presentation
Title:
Nurse-Driven Bundle: Impacting the Cardiac Rehabilitation Phase II Drop-Out Rate
Author(s):
Carrigan, Timothy
Author Details:
Timothy Carrigan, RN, PhDc, CCRN, Director, Division of Critical Care, Respiratory Services, & Patient Relations, Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA, email: timothy.carrigan@advocatehealth.com
Abstract:
Podium presentation, ANCC National Magnet Conference: Completion of phase II cardiac rehabilitation significantly decreases morbidity, mortality, and the risk of a second cardiac event. The referral rate for cardiac rehabilitation following a serious cardiac event is 17% of eligible Medicare patients. Of those referred, about 50% drop-out within the first six months. In 2008 the drop-out rate at this institution was similar to national trends. The purpose of this project is to decrease the drop-out rate of phase II cardiac rehabilitation patients. A multi-disciplinary team created a nurse-driven retention bundle for phase II cardiac rehabilitation patients. The multi-faceted bundle consisted of: 1) Addressing patient barriers to completion in a structured orientation session on day one of rehabilitation; 2) developing a buddy system to provide support and answer questions between veteran and novice rehabilitation patients; 3) follow-up telephone calls by RNs; 4) varying the length of the program to adjust to the needs of the patient; and 5) providing on-site interpreters for non-English speaking patients. In 2009 the phase II drop-out rate is 28%, exceeding our goal and the national benchmark. In addition, in 4th quarter 2009, after all components of the bundle were in place the drop-out rate was 9%. The interventions have been effective and therefore, this nurse driven bundle will be continued in 2010. The next step to this program will be to compare patient outcomes between 2008 and 2009. This will be done by evaluating readmission rates from 2008 and 2009 in patients that have and have-not completed phase II cardiac rehabilitation
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, 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.titleNurse-Driven Bundle: Impacting the Cardiac Rehabilitation Phase II Drop-Out Rateen_GB
dc.contributor.authorCarrigan, Timothyen_US
dc.author.detailsTimothy Carrigan, RN, PhDc, CCRN, Director, Division of Critical Care, Respiratory Services, & Patient Relations, Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA, email: timothy.carrigan@advocatehealth.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182127-
dc.description.abstractPodium presentation, ANCC National Magnet Conference: Completion of phase II cardiac rehabilitation significantly decreases morbidity, mortality, and the risk of a second cardiac event. The referral rate for cardiac rehabilitation following a serious cardiac event is 17% of eligible Medicare patients. Of those referred, about 50% drop-out within the first six months. In 2008 the drop-out rate at this institution was similar to national trends. The purpose of this project is to decrease the drop-out rate of phase II cardiac rehabilitation patients. A multi-disciplinary team created a nurse-driven retention bundle for phase II cardiac rehabilitation patients. The multi-faceted bundle consisted of: 1) Addressing patient barriers to completion in a structured orientation session on day one of rehabilitation; 2) developing a buddy system to provide support and answer questions between veteran and novice rehabilitation patients; 3) follow-up telephone calls by RNs; 4) varying the length of the program to adjust to the needs of the patient; and 5) providing on-site interpreters for non-English speaking patients. In 2009 the phase II drop-out rate is 28%, exceeding our goal and the national benchmark. In addition, in 4th quarter 2009, after all components of the bundle were in place the drop-out rate was 9%. The interventions have been effective and therefore, this nurse driven bundle will be continued in 2010. The next step to this program will be to compare patient outcomes between 2008 and 2009. This will be done by evaluating readmission rates from 2008 and 2009 in patients that have and have-not completed phase II cardiac rehabilitationen_GB
dc.date.available2011-10-28T15:10:19Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:10:19Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_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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