First Advisor
Berg, Barbara
Second Advisor
Gilbert, Marsha
Third Advisor
Wimett, Lynn
College
Rueckert-Hartman College for Health Professions
Degree Name
Doctor of Nursing Practice
School
Loretto Heights School of Nursing
Document Type
Thesis - Open Access
Number of Pages
75 pages
Abstract
One in five Medicare patients is readmitted within 30 days of a previous hospitalization, which impacts patients and the healthcare system with exponential expenditures (Allaudeen, Vidyarthi, Maselli, Auerbach, 2011). The Centers for Medicare and Medicaid Services have mobilized recovery audits to begin recapturing funds related to readmission, and medical institutions must take an active role to ensure their financial integrity and protect their clinical reputation. For the purpose of this project, the population of interest was Medicare beneficiaries age 50 through 88 with a primary diagnosis of Chronic Obstructive Pulmonary Disease (COPD) or Congestive Heart Failure (CHF). The intervention included post discharge phone calls to patients within 72 hours of discharge. The goal of this intervention was to evaluate if post discharge patient satisfaction phone calls reduced readmission for Medicare beneficiaries with a pathology of COPD or CHF. The objectives of this capstone project included identifying descriptive characteristics of Medicare populations diagnosed with COPD or CHF, determining the follow up needs of patients diagnosed with CHF or COPD post discharge, and assessing the congruence between expected readmission and observed readmission. The results of this study concluded that CHF patients who received a post discharge phone call experienced a decrease in readmission rates (intervention: zero readmissions vs. baseline value: 28.0%). COPD patients, however, had a readmission rate of 28.6% (compared to baseline value: 25.0%). COPD patients had a greater variation in post discharge needs compared to the CHF group. Further evaluation is warranted to understand disease specific care transition needs.
Date of Award
Fall 2012
Location (Creation)
Colorado (state); Denver (county); Denver (inhabited place)
Copyright
© Heaven Owens
Rights Statement
All content in this Collection is owned by and subject to the exclusive control of Regis University and the authors of the materials. It is available only for research purposes and may not be used in violation of copyright laws or for unlawful purposes. The materials may not be downloaded in whole or in part without permission of the copyright holder or as otherwise authorized in the “fair use” standards of the U.S. copyright laws and regulations.
Recommended Citation
Owens, Heaven, "A Descriptive Analysis of the Effects Post Discharge Phone Calls Have On Readmission Rates for Medicare Beneficiaries" (2012). Regis University Student Publications (comprehensive collection). 167.
https://epublications.regis.edu/theses/167