IMPACT OF ADDING NURSE PRACTITIONER IN FOLLOW-UP CALL PROGRAM ON REDUCING 30-DAY READMISSIONS IN STROKE POPULATION

Hospital readmissions are known as major contributors to increased healthcare costs and lower quality of life. To reduce readmissions, multiple interventions have been implemented on populations including the stroke population. Despite advanced stroke care, stroke is one of the leading causes of death and disability that has a significant impact on individuals, the healthcare system, and society. Stroke patients require ongoing follow-up care due to recurring complications and hospital readmissions. Studies have shown the effectiveness of telephone follow-up by providers, including nurse practitioners (NPs), on reducing rates of readmission through patient education and earlier recognition of complications. This project aimed to evaluate nurse practitioner (NP) follow-up calls on reducing readmission rates by providing another level of expertise to identify in a timely manner new symptoms and complications in stroke patients released into various environments. This quality improvement project was undertaken at an academic medical center in central Pennsylvania. Stroke patients or primary family caregivers were contacted and interviewed by telephone 7–10 days and 30 days after discharge. Three-month readmission rates before and after the implementation in the project organization was completed as the main outcome measurement. Statistical analysis was completed to evaluate the effectiveness of NP follow-up calls on reducing readmission rates within the stroke population. The result of this project did not demonstrate a statistically significant relationship between NP follow-up calls and readmission reduction. However, the lessons learned are extremely valuable. The results of this project provide an outline to improve future quality improvement projects within this population.

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Work Title IMPACT OF ADDING NURSE PRACTITIONER IN FOLLOW-UP CALL PROGRAM ON REDUCING 30-DAY READMISSIONS IN STROKE POPULATION
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Penn State
Creators
  1. Pauline J. Hwang
Keyword
  1. DNP Project, Thirty-day readmission, Stroke, Post-discharge follow-up calls, Hospital discharge, Nurse Practitioners (NPs)
License All rights reserved
Work Type Project
Acknowledgments
  1. Nikki L. Hill, PhD, RN.,Barbara A. Birriel, PhD, AGACNP-BC, FCCM.,Kristen A. Altdoerffer, DNP, CRNP, CPNP-PC, PMHS.,
Publication Date 04/04/2019
Subject
  1. Quality Improvement Project
DOI doi:10.26207/ngga-tg31
Deposited April 04, 2019

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