Comprehensive Heart Failure Transition Program

Pora, Deborah

Pora, D. (2020). Comprehensive Heart Failure Transition Program.

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Title	Comprehensive Heart Failure Transition Program
Abstract	This hospital system has consistently had readmission rates greater than the Centers for Medicare & Medicaid Services (CMS) national benchmark of 21.9%, which is both detrimental to our patients and the hospital to incur readmission penalties yearly. Before this program began there was no process to transition care from inpatient to outpatient for the HF population; key members that touched HF patients operated in silos. Based on consistently high readmission rates and the need for improved outcomes, a comprehensive HF discharge program was designed and implemented house-wide. Transitional care coordination includes providing education, scheduling post-discharge follow-up appointments, and providing HF toolkits. There was a retrospective analysis of data three months after the implementation of QI initiatives.
Date	2020

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Title: Comprehensive Heart Failure Transition Program
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Subject: Heart failure - Nursing, Heart failure - Patients - Rehabilitation, Heart failure - Patients - Services for, Heart failure - Patients - Programmed instruction, Heart - Diseases, Cardiac arrest, Electronic dissertations
Description: This hospital system has consistently had readmission rates greater than the Centers for Medicare & Medicaid Services (CMS) national benchmark of 21.9%, which is both detrimental to our patients and the hospital to incur readmission penalties yearly. Before this program began there was no process to transition care from inpatient to outpatient for the HF population; key members that touched HF patients operated in silos. Based on consistently high readmission rates and the need for improved outcomes, a comprehensive HF discharge program was designed and implemented house-wide. Transitional care coordination includes providing education, scheduling post-discharge follow-up appointments, and providing HF toolkits. There was a retrospective analysis of data three months after the implementation of QI initiatives.
Publisher
Contributor: Pora, Deborah (author), (Meg Larson) (Thesis advisor), (Bonnie Nye) (Committee member), (Michael Mathier) (Committee member), Clarion University of Pennsylvania (Degree grantor), Edinboro University of Pennsylvania Department of Nursing (Degree grantor)
Date: 2020
Type: Text, Dissertation/Thesis
Format: electronic
Identifier: clar:420
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