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University of Massachusetts Amherst

Doctor of Nursing Practice (DNP) Projects

2018

Discharge planning

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Reducing Readmissions In Bipolar Patients With Discharge Interventions, Alexandra Steeves Jan 2018

Reducing Readmissions In Bipolar Patients With Discharge Interventions, Alexandra Steeves

Doctor of Nursing Practice (DNP) Projects

Purpose: The purpose of this DNP project was to evaluatea discharge protocol with interventions to improve the process of discharge from the in-patient setting and transition the patient into the community.

Methods: This program evaluation centered on evaluating a discharge protocol currently in place and adding revised interventions to strengthen the discharge planning process. De-identified data was viewed on readmission rates and interviews were conducted with stakeholders involved with the discharge process.

Results: There were a total of twelve participants in the evaluation period of pre and post evaluation interviews. Review of the interviews resulted in four themes relating to …


Implementation Of The State Avoidable Rehospitalizations (Staar) Initiative In A Np-Led Transitional-Care Program To Reduce Readmission Rates And To Provide Safe Transitional Care In Post-Cardiac Surgery Patients:A Quality Improvement Project, Araceli Carrera Jan 2018

Implementation Of The State Avoidable Rehospitalizations (Staar) Initiative In A Np-Led Transitional-Care Program To Reduce Readmission Rates And To Provide Safe Transitional Care In Post-Cardiac Surgery Patients:A Quality Improvement Project, Araceli Carrera

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Readmissions after cardiac surgery are often preventable, costly, and potentially life-threatening events. Hospital readmissions may be influenced by low health literacy and ineffective transitional care. The Centers for Medicare and Medicaid Services have included reducing hospital-bundled payment for frequent occurrence of readmissions and episodic care after coronary artery bypass grafting in 2017. Purpose: This Quality Improvement project explored the impact of applying the STAAR initiative to reduce unplanned readmissions, and to provide safe transitional care in post-cardiac surgery patients. Design/Methods: This was a QI project design with educational and observational methods. The DNP student used the transitional-care toolkit …