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Preventing Rehospitalization Post Open-Heart Surgery: A Program Evaluation

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Date Issued:
2022
Abstract/Description:
Open-heart surgery is one of the most frequently performed surgeries in the United Sates. Despite advances in techniques, there is still a significant number of complications leading to readmission. As of 2021, the national pooled 30-day readmission rate was 12.9% (95% CI: 11.3-14.4%). Various studies report rates of 30-day readmission from 8% to 21%, thus making open-heart surgery a target to achieve value-oriented health care milestones by policymakers. A program evaluation was conducted via chart review to compare the rate of readmission of a local cardiothoracic program to the national average. The program focuses on early follow-up post discharge and direct communication and access to the team (surgeon and advanced practice providers). A total of 98 patient charts were reviewed and the rate of readmission was calculated to be 6.1%. There was also a 3.1% rate of emergency room visit without readmission noted. Due to the significant different between these percentages, it is recommended that the team shares their processes to develop a clear protocol for other teams in the area to adopt into their practice.
Title: Preventing Rehospitalization Post Open-Heart Surgery: A Program Evaluation.
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Name(s): Mundo, Maria , author
Hernandez, Maria de los Angeles Ortega
Pena, Leslie
Florida Atlantic University
Christine E. Lynn College of Nursing, Degree grantor
Type of Resource: text
Genre: Doctor Of Nursing Practice (DNP)
Date Created: 2022
Date Issued: 2022
Publisher: Florida Atlantic University
Place of Publication: Boca Raton, FL
Physical Form: online resource
Extent: 17 p.
Language(s): English
Abstract/Description: Open-heart surgery is one of the most frequently performed surgeries in the United Sates. Despite advances in techniques, there is still a significant number of complications leading to readmission. As of 2021, the national pooled 30-day readmission rate was 12.9% (95% CI: 11.3-14.4%). Various studies report rates of 30-day readmission from 8% to 21%, thus making open-heart surgery a target to achieve value-oriented health care milestones by policymakers. A program evaluation was conducted via chart review to compare the rate of readmission of a local cardiothoracic program to the national average. The program focuses on early follow-up post discharge and direct communication and access to the team (surgeon and advanced practice providers). A total of 98 patient charts were reviewed and the rate of readmission was calculated to be 6.1%. There was also a 3.1% rate of emergency room visit without readmission noted. Due to the significant different between these percentages, it is recommended that the team shares their processes to develop a clear protocol for other teams in the area to adopt into their practice.
Identifier: faudnp000045 (IID)
Note(s): Florida Atlantic University Christine E. Lynn College of Nursing Doctor of Nursing Practice (DNP)
Persistent Link to This Record: http://purl.flvc.org/fau/fd/faudnp000045
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