According to the Centers for Disease Control and Prevention, “heart disease is the leading cause of death in the United States” (CDC, 2022). Modern healthcare has made numerous advances in changing the prevalence of heart disease and has shifted resources to promoting prevention. When a patient requires admission to an acute care facility for heart disease exacerbation, the focus is more of treating the acute process and how to manage the condition moving forward.
Although there have been a substantial number of resources that have been allocated to prevention in the primary care and outpatient setting, there is a need for additional resources in the acute care setting for prevention and management of a newly acquired heart condition. In October of 2012, Centers for Medicare & Medicaid Services (CMS) created the Hospital Readmissions Reduction Program (HRRP) which reduces payment to those facilities that have “excess readmissions” within a 30-day period for common health conditions that include acute myocardial infarction, heart failure, and coronary artery bypass graft surgery (CMS, 2023). There is a unique opportunity for nursing interventions to make significant changes in the outcomes for this patient population at the acute care level and beyond.
The focus of this project is to have a nurse navigator in an acute care facility that primary focus is patients with coronary artery disease and a newly placed coronary stent during a recent hospital admission. In effort to reduce readmissions and improve outcomes for these patients. Therefore, it is recommended for acute care facilities to allocate resources for a nurse navigator to monitor, track, and lead an interdisciplinary committee to promote early intervention for those patients discharged with a newly acquired diagnosis of coronary artery disease
Date of publication
MSN Capstone Project
Masters of Science in Nursing Administration
Callahan, Amy L., "Evidence Based Change to Improve Outcomes in Cardiac Patients" (2023). MSN Capstone Projects. Paper 251.