1 / 11

Strategies to Decrease CHF Readmissions

Strategies to Decrease CHF Readmissions. Beverly Jameson RN, MSN Nurse Manager Cardiac Telemetry Greenville Memorial Medical Center. Introduction. Heart Failure has reached epidemic proportions

harmon
Télécharger la présentation

Strategies to Decrease CHF Readmissions

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Strategies to Decrease CHF Readmissions Beverly Jameson RN, MSN Nurse Manager Cardiac Telemetry Greenville Memorial Medical Center

  2. Introduction • Heart Failure has reached epidemic proportions • Heart Failure is expensive • Frequent readmissions

  3. Causes for Readmission (in order of frequency) • Non-compliance with medication regimen, diet, and/or lifestyle • Progression of underlying cardiac disease • Co-morbid conditions (obesity, diabetes, hypertension, renal disease)

  4. GMMC Strategy: Decrease Readmissions • Cohort CHF patients to the Cardiac Telemetry Unit • Implement a system to review CHF Core Measure compliance daily • Improve medication reconciliation using Core Measure discharge planning standards • Improve patient education to decrease readmissions • Improve the timeliness of physician follow-up at discharge • Involve Palliative Care earlier in the disease course • Solicit the buy-in of the CHF Team

  5. Multidisciplinary ProcessTeam Collaboration • Oversight of the clinical course • All non-ICU CHF patients are assigned to 4C • Review the core measures on each CHF patient daily • Medication Reconciliation (Pharmacy Pilot Project) • Standing order for HeartLife and Case Management

  6. Multidisciplinary Process • Weekly CHF Rounds • Monthly CHF Action Team • Discharge Nurse • Home Health Telemonitoring • Post-Acute Care Management • Scales at discharge (GHS Auxiliary) • Staff Education at SNF

  7. CHF Readmissions • 3rd consecutive year rated “Better than National Average” • Sustained decrease in CHF readmissions • All-Cause readmission rate of 19.7% (national avg 24.8) • 8th lowest overall rate in the country • Readmission rate for CHF is 6.1% • All-Care Measure score is 98.08%

  8. Data Analysis

  9. Data Analysis

  10. Data AnalysisSecondary Diagnosis

  11. Lessons Learned • Staff buy-in is crucial (bedside nurses, Unit Council) • Team approach is crucial – CHF management is multi-faceted • Have opportunities to increase use of Palliative Care, provide discharge nurse 7 days/week, increase frequency of multidisciplinary CHF rounds, increase available technologies

More Related