Transitional Care: A Case Management Strategy for Patients with Chronic Critical Illness Syndrome

2.50
Hdl Handle:
http://hdl.handle.net/10755/308409
Category:
Abstract
Type:
Presentation
Title:
Transitional Care: A Case Management Strategy for Patients with Chronic Critical Illness Syndrome
Author(s):
Radtke, Kimberly
Lead Author STTI Affiliation:
N/A
Author Details:
Kimberly Radtke, RN, DNP, kimterry@charter.net
Abstract:

Session presented on: Saturday, November 16, 2013

Transitional Care:  A Case Management Strategy for Patients with Chronic Critical Illness Syndrome

Background:  Chronic critical illness syndrome accounts for only 5-10% of critically ill patients but exceeds $20 billion in health care costs.  Readmission rates in this patient population can be as high as 40% within the first six months of initial discharge.  Typical disease management systems for chronic critical illness have not significantly impacted the number of readmissions to hospitals.

Purpose: To decrease readmissions and streamline the transition of care for patients with chronic critical illness syndrome (CCIS). 

Methods: Pilot study with convenience sample of intermediate care unit patients identified as having CCIS enrolled during a three month period from March 2012 to May 2012.  Patients were visited daily by the primary investigator while in the acute care setting, and were followed on a weekly basis via telephone by the primary investigator. 

Results:  The incidence of CCIS was 7.61%. The mean age of patients identified as having CCIS was 53 years of age, range between 20 and 74 years of age.  The average length of stay in this population was 43.5 days, range between 19 and 74 days.  Readmission rates in patients with as having CCIS was 6.14%, improved from fiscal year 2011.  Average cost of care exceeded $250,000.

Conclusions: There is an opportunity for advanced practice nurses with specialized training in the care of CCIS in non-traditional settings to ensure the high quality care is delivered to patients with CCIS.

Keywords:
Chronic critical illness; Transitional care
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleTransitional Care: A Case Management Strategy for Patients with Chronic Critical Illness Syndromeen_GB
dc.contributor.authorRadtke, Kimberlyen_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsKimberly Radtke, RN, DNP, kimterry@charter.neten_GB
dc.identifier.urihttp://hdl.handle.net/10755/308409-
dc.description.abstract<p>Session presented on: Saturday, November 16, 2013</p>Transitional Care:  A Case Management Strategy for Patients with Chronic Critical Illness Syndrome <p><b>Background:</b>  Chronic critical illness syndrome accounts for only 5-10% of critically ill patients but exceeds $20 billion in health care costs.  Readmission rates in this patient population can be as high as 40% within the first six months of initial discharge.  Typical disease management systems for chronic critical illness have not significantly impacted the number of readmissions to hospitals. <p><b>Purpose:</b> To decrease readmissions and streamline the transition of care for patients with chronic critical illness syndrome (CCIS).  <p><b>Methods:</b> Pilot study with convenience sample of intermediate care unit patients identified as having CCIS enrolled during a three month period from March 2012 to May 2012.  Patients were visited daily by the primary investigator while in the acute care setting, and were followed on a weekly basis via telephone by the primary investigator.  <p><b>Results:</b>  The incidence of CCIS was 7.61%. The mean age of patients identified as having CCIS was 53 years of age, range between 20 and 74 years of age.  The average length of stay in this population was 43.5 days, range between 19 and 74 days.  Readmission rates in patients with as having CCIS was 6.14%, improved from fiscal year 2011.  Average cost of care exceeded $250,000. <p><b>Conclusions:</b> There is an opportunity for advanced practice nurses with specialized training in the care of CCIS in non-traditional settings to ensure the high quality care is delivered to patients with CCIS.en_GB
dc.subjectChronic critical illnessen_GB
dc.subjectTransitional careen_GB
dc.date.available2013-12-19T17:30:57Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:30:57Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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