Yale University
COPD C.A.R.E. Connect: A Systems Trajectory To Reducing COPD Readmissions In A Large National Healthcare Institution
Abstract
dc:description.abstract<p>COPD is the third principal diagnosis accounting for 30-day all-cause readmission,14.4% of rehospitalization are due to acute exacerbation and occur within 3 days after discharge. Readmission exposes the patient to risks of medical errors and hospital-acquired infection. An interprofessional care program for COPD patients called “COPD C.A.R.E. (Control Avoidable REadmissions) Connect” was established within the medical surgical unit at this large national healthcare institution. The program utilized frontline expert collaboration to provide inpatient COPD-specific healthcare teachings, promote self-care, and ensure the timeliness of post-discharge care. The project aimed to adapt an interprofessional care service for hospitalized COPD inpatients to reduce all-cause 30-day readmission rates; implement and evaluate the service; and recommend scaling and sustainability of the service throughout the Large National Healthcare Institution’s neighboring state sites and beyond. Processes were delivered by registered nurses (RN) and respiratory therapists (RT). Readmission rates were compared pre & post-implementation to evaluate the program’s impact in achieving the primary outcome of 30-day COPD readmission rate reduction. The program promoted consistent and frequent COPD-related health education; enhanced self-care management; and auto-scheduled follow-up appointments to promote a decline in rates of readmissions.</p>
Degree
thesis:*- Name thesis:degree_name
- Doctor of Nursing Practice (DNP)
- Level thesis:degree_level
- Open Access Thesis
- Discipline thesis:degree_discipline
- Yale University School of Nursing
- Year
- 2024
Author and committee
dc:creator, dc:contributor.*- Author dc:creator
-
- Mariano, Jennifer
- Contributors dc:contributor
-
- Joan Kearney
- Mary Ann Camilleri
Subjects
dc:subject × 6Identifiers
dc:identifier.*- Repository record dc:identifier
- https://elischolar.library.yale.edu/ysndt/1180
- OAI identifier oai:identifier
- oai:elischolar.library.yale.edu:ysndt-1179