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 …

Improving Patients' Understanding Of Their Electronic Medical Record Data In Order To Improve Self-Management - A Quality Improvement Project, Erin Amelia Roth

Doctor of Nursing Practice (DNP) Projects

Background: Patients are increasingly given access to their electronic medical records (EMRs) to help them keep track of their care, but many may have a difficult time understanding what is in them. Programs such as NoteAid assist in translating medical records and may increase the number of patients who actively use their EMRs, a development which may improve the management of chronic diseases.

Purpose: To work on a translation system developed by the University of Massachusetts Informatics group to make outpatient records more understandable for adult patients with chronic disease by using and testing a machine-learning database (NoteAid). Patients’ self-management …