Implementation of Post-discharge Phone-call to Reduce 30-day Readmission after Cardiac surgery

Abstract Background: The cardiac surgery patient population requires multidisciplinary interventions to decrease their mortality and morbidity. Readmissions within 30-days after discharge from cardiac surgery that include coronary artery bypass grafting surgery (CABG), single or multiple valve surgery, or concomitant CABG and valve surgeries are frequent and add to the costs of cardiac surgery hospitalization. Methods: A quality improvement project focused on implementing a 48 -hour phone call by the Advance Practice Provider (APP) was completed to prevent unplanned readmission after cardiac surgery. Thirty-two patients were included in a convenience sample. A Chi-Square test was used to calculate the rate of readmission during the pre-and post-implementation period. Results: The rate of readmission during the pre-implementation period was 7% in 2019, 20% in 2020, 4% in 2021. The rate of readmission during the post implementation period was 16% in 2022. The reasons the patients were readmitted included chest pain, shortness of breath, dizziness, wound issues, and arrhythmia. No patients who were included in the project required APP intervention within 48-hours of discharge from cardiac surgery hospitalization. Conclusion: Complications after cardiac surgery exist despite prevention efforts. The post-discharge phone call was an add-on resource to improve the quality of care after cardiac surgery. It helped to facilitate the transition to home in post-discharge cardiac surgery patients. The post-discharge phone call by APP should be considered in all areas of medical and surgical practice to reinforce the discharge instructions and enhance transition of care from the inpatient to outpatient setting. Keywords: Cardiac surgery, Readmission, Advance Practice Provider, Post-discharge phone call.

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Work Title Implementation of Post-discharge Phone-call to Reduce 30-day Readmission after Cardiac surgery
Access
Penn State
Creators
  1. Leena S Joseph
Keyword
  1. Cardiac surgery
  2. Readmission
  3. Advance Practice Provider
  4. Post-discharge phone call
License In Copyright (Rights Reserved)
Work Type Project
Acknowledgments
  1. Dr. Mariya Tankimovich DNP, CRNP, FNP-C,CNE; Dr. Kelly Gallagher PhD, CNM; and Dr. Brandi Peachey DNP, RN, FNP-BC
Publication Date April 29, 2023
Subject
  1. Cardiac Surgery Readmission
Language
  1. English
DOI doi:10.26207/x9km-rh03
Geographic Area
  1. Pennsylvania
Source
  1. DNP project
Deposited April 29, 2023

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Version 1
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    Subject
    • Cardiac Surgery Readmission
    Language
    • English
    Geographic Area
    • Pennsylvania
  • Updated Acknowledgments Show Changes
    Acknowledgments
    • Dr. Mariya Tankimovich DNP, CRNP, FNP-C,CNE; Dr. Kelly Gallagher PhD, CNM; and Dr. Brandi Peachey DNP, RN, FNP-BC
  • Added Creator Leena S Joseph
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    • DNP project
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    Work Title
    • Implementation of Post-discharge Phone-call to Reduce 30-day Readmission after Cardiac surgery
    • Addressing Implementation of Post-Discharge Phone Call to Reduce 30-Day Readmission Rate After Cardiac Surgery: A Quality Improvement Project
    Keyword
    • Cardiac surgery, Readmission, Advance Practice Provider, Post-discharge phone call.
    • Cardiac surgery, Readmission, Advance Practice Provider, Post-discharge phone call
    Subtitle
    • Post-discharge phone-call
    Publisher
    • Leena S Joseph
    Publisher Identifier (DOI)
    • There were no conflicts of interest identified during this project.
    Publisher's Statement
    • QI project
  • Updated

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  • Updated Keyword, Subtitle, Publisher, and 2 more Show Changes
    Keyword
    • Cardiac surgery, Readmission, Advance Practice Provider, Post-discharge phone call.
    • Cardiac surgery, Readmission, Advance Practice Provider, Post-discharge phone call
    Subtitle
    • Post-discharge phone-call
    Publisher
    • Leena S Joseph
    Publisher Identifier (DOI)
    • There were no conflicts of interest identified during this project.
    Publisher's Statement
    • QI project
  • Updated