Impact of a Telephonic Outreach Program on Patient Outcomes Within the Heart Failure Community.
| Autor: | Hall ET; Sentara Leigh Hospital, Norfolk, Virginia (Dr Hall); and Sentara Healthcare, Virginia Beach, Virginia (Drs Maduro, Morgan, and Zimbro and Ms McGee)., Maduro RS, Morgan MK, McGee GW, Zimbro KS |
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| Jazyk: | angličtina |
| Zdroj: | Journal of nursing care quality [J Nurs Care Qual] 2021 Jan-Mar 01; Vol. 36 (1), pp. 14-19. |
| DOI: | 10.1097/NCQ.0000000000000488 |
| Abstrakt: | Background: Telephonic outreach programs (TOPs) can be an effective measure to improve 30-day readmissions and self-management behaviors. Local Problem: Our health care providers identified that patients admitted with heart failure (HF) were among those with the highest readmission rate, so we implemented a TOP specific to HF. Methods: This project evaluated retrospective data from a convenience sample of adult patients admitted to our hospitals between January 2015 and June 2017, with a primary diagnosis of HF, and discharged home (N = 6271). Of those, 1708 patients also had at least partial TOP data, and a subset had timestamped TOP data (n = 1524). Interventions: The TOP program included patient education and personal follow-up via an automatic voice calling system that employed a series of 4 phone calls over a 27-day period. Results: Results showed that the TOP enhanced our hospital discharge process and contributed to program outcomes when the patients completed all 4 of the calls, with those patients having 11 times lower odds of having a 30-day readmission. Conclusions: The proportion of patients who completed the program reported more use of self-management behaviors compared with those who answered fewer than 4 calls. Our findings related to the lower frequency of self-management behaviors of patients who did not complete all vendor calls stress the important issue of vendor management. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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