2.50
Hdl Handle:
http://hdl.handle.net/10755/182410
Category:
Abstract
Type:
Presentation
Title:
A Congestive Heart Failure Ambulator Reduces Length of Stay and Recidivism
Author(s):
Boxer, Bruce
Author Details:
Bruce Boxer, PhD, MBA, RN, CPHQ, South Jersey Healthcare, Vineland, New Jersey, USA, email: boxerb@sjhs.com
Abstract:
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 congestive heart failure (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. 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. 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. References: Koukouvou, G., Kouidi, E., Iacovides, A., Konstantinidou, E., Kaprinis, G., & Deligiannia, A. (2004). Quality of life, psychological and physiological changes following exercise training in patients with chronic heart failure. J. Rehabil. Med., 36(1), 36-41.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleA Congestive Heart Failure Ambulator Reduces Length of Stay and Recidivismen_GB
dc.contributor.authorBoxer, Bruceen_US
dc.author.detailsBruce Boxer, PhD, MBA, RN, CPHQ, South Jersey Healthcare, Vineland, New Jersey, USA, email: boxerb@sjhs.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182410-
dc.description.abstractA 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 congestive heart failure (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. 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. 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. References: Koukouvou, G., Kouidi, E., Iacovides, A., Konstantinidou, E., Kaprinis, G., & Deligiannia, A. (2004). Quality of life, psychological and physiological changes following exercise training in patients with chronic heart failure. J. Rehabil. Med., 36(1), 36-41.en_GB
dc.date.available2011-10-28T15:23:01Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:23:01Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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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