EVALUATING COORDINATED TRANSITIONAL CARE AS A MODEL FOR READMISSION REDUCTION WITHIN THE HEM/ONC POPULATION AT A RURAL ACADEMIC MEDICAL CENTER

Avoiding readmissions can dramatically improve the quality of life for a patient, as well as prevent significant financial loss for an institution (VanWalraven, Bennet, Jennings, Austin, & Forster, 2011). Hospitals across the country have worked to combat readmissions by implementing multi-component intervention models (Kripalani, Theobald, Anctil, & Vasilevskis, 2014). One such model, a nurse-led model of Coordinated Transitional Care (C-TraC) developed at the Veteran’s Affairs system, was implemented to strategically address readmissions within a 39-bed Hematology/Oncology unit at a rural Academic Medical Center (AMC) in PA. The project leader evaluated the effectiveness of the C-TraC model intervention for 12 patients, while comparing their results to 10 patients following the standard discharge process. Statistical analysis was completed to evaluate the effectiveness of this model on readmission reduction within this population. The results of the project demonstrated inconclusive evidence that the C-TraC program has an effect on readmission reduction within the Hem/Onc population at a rural AMC. Outcomes of the quality improvement project demonstrate the need for further study. Further use of this care transitions model in a larger study is warranted to conclusively determine the effectiveness of this model on the Hem/Onc population.

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Work Title EVALUATING COORDINATED TRANSITIONAL CARE AS A MODEL FOR READMISSION REDUCTION WITHIN THE HEM/ONC POPULATION AT A RURAL ACADEMIC MEDICAL CENTER
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Penn State
Creators
  1. ROBERT E BOESCH
Keyword
  1. DNP Project
  2. Care Transitions
  3. Transitional Care
  4. Readmission
License CC BY-NC-SA 4.0 (Attribution-NonCommercial-ShareAlike)
Work Type Project
Acknowledgments
  1. Michael Evans Ph.D., M.S.Ed., RN, ACNS, CMSRN, CNE
  2. Kelly A. Wolgast, D.N.P., RN, FACHE, FAAN
  3. Lorah Dorn Ph.D., CPNP
Publication Date 04/20/18
Subject
  1. Care Transitions
Language
  1. English
DOI doi:10.18113/S17S78
Deposited April 20, 2018

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