Care Transitions: Are Healthcare Organizations Meeting the Needs of Their Patients?

22.00
Hdl Handle:
http://hdl.handle.net/10755/622576
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Translational Research/Evidence-based Practice
Title:
Care Transitions: Are Healthcare Organizations Meeting the Needs of Their Patients?
Author(s):
Steele, Dinah
Advisors:
Stayner, Mindy; Schramm, Jill; May, Cynthia
Abstract:

Acute care healthcare organizations struggle to identify and implement interventions to support the transition of care between hospital and home settings.  One organization piloted a quality improvement (QI) project using nurse-led post-discharge telephone consultations to determine their feasibility and effect as a transition of care intervention.  The QI pilot was designed to answer the clinical question: does the receipt of nurse-led post-discharge telephone consultations improve patient satisfaction and 30-day readmission rate outcomes?  The goals of the pilot were to investigate the feasibility of conducting the intervention, identify transition of care gaps, and evaluate the effect on 30-day readmissions and patient satisfaction.  Prior to implementation of the pilot, patient satisfaction scores associated with care transitions ranged from 29.9-58.3%; they rose to 65.7and 65.5% 30 and 60 days respectively after the intervention was initiated.  30-day readmission rates on the pilot unit ranged from 0.1238-0.1354 in the months preceding the pilot; they fell to 0.1153 and 0.0615 30 and 60 days respectively after the intervention was initiated.  The intervention uncovered opportunities to better support patients in the community, which is possibly more important than small improvements in patient satisfaction scores and readmission rates.  The intervention can be an invaluable tool as acute care organizations strive to better care for people within their communities.

Keywords:
transition of care intervention; nurse-led; post-discharge telephone consultations
CINAHL Headings:
Transitional Care; Patient Satisfaction; Telenursing; After Care; After Care--Evaluation; Outcome Assessment; Quality Improvement; Readmission; Readmission--Statistics and Numerical Data; Readmission--Evaluation
Repository Posting Date:
12-Sep-2017
Date of Publication:
12-Sep-2017
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Grantor:
Capella University
Degree:
DNP
Degree Year:
2017

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typeDNP Capstone Projecten
dc.evidence.levelOtheren
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.titleCare Transitions: Are Healthcare Organizations Meeting the Needs of Their Patients?en_US
dc.contributor.authorSteele, Dinahen
dc.contributor.advisorStayner, Mindyen
dc.contributor.advisorSchramm, Jillen
dc.contributor.advisorMay, Cynthiaen
dc.identifier.urihttp://hdl.handle.net/10755/622576-
dc.description.abstract<p>Acute care healthcare organizations struggle to identify and implement interventions to support the transition of care between hospital and home settings.  One organization piloted a quality improvement (QI) project using nurse-led post-discharge telephone consultations to determine their feasibility and effect as a transition of care intervention.  The QI pilot was designed to answer the clinical question: does the receipt of nurse-led post-discharge telephone consultations improve patient satisfaction and 30-day readmission rate outcomes?  The goals of the pilot were to investigate the feasibility of conducting the intervention, identify transition of care gaps, and evaluate the effect on 30-day readmissions and patient satisfaction.  Prior to implementation of the pilot, patient satisfaction scores associated with care transitions ranged from 29.9-58.3%; they rose to 65.7and 65.5% 30 and 60 days respectively after the intervention was initiated.  30-day readmission rates on the pilot unit ranged from 0.1238-0.1354 in the months preceding the pilot; they fell to 0.1153 and 0.0615 30 and 60 days respectively after the intervention was initiated.  The intervention uncovered opportunities to better support patients in the community, which is possibly more important than small improvements in patient satisfaction scores and readmission rates.  The intervention can be an invaluable tool as acute care organizations strive to better care for people within their communities.</p>en
dc.subjecttransition of care interventionen
dc.subjectnurse-leden
dc.subjectpost-discharge telephone consultationsen
dc.subject.cinahlTransitional Careen
dc.subject.cinahlPatient Satisfactionen
dc.subject.cinahlTelenursingen
dc.subject.cinahlAfter Careen
dc.subject.cinahlAfter Care--Evaluationen
dc.subject.cinahlOutcome Assessmenten
dc.subject.cinahlQuality Improvementen
dc.subject.cinahlReadmissionen
dc.subject.cinahlReadmission--Statistics and Numerical Dataen
dc.subject.cinahlReadmission--Evaluationen
dc.date.available2017-09-12T19:29:43Z-
dc.date.issued2017-09-12-
dc.date.accessioned2017-09-12T19:29:43Z-
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
thesis.degree.year2017en
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