DNP Project Title
DNP FINAL REPORT: Breaking the Cycle: Care Coordination Interventions and Sickle Cell Readmissions
Abstract
Background
Approximately 100,000 people in the United States are affected by Sickle Cell Disease (SCD). Sickle Cell Disease represents the second highest readmitting diagnosis at Houston Methodist Hospital. The purpose of this study is to determine the impact of implementing care coordination interventions to reduce hospital readmissions of patients with SCD.
PICOT
In adult patients with SCD in the acute care hospital setting, how does care coordination intervention compared to no care coordination intervention affect the readmission rate for patients with SCD over a 3 – 6-month period?
Body of Evidence
Eleven studies were critical appraised and included in the body of evidence: One Randomized Control Trial, seven Cohort Studies, and three Quality Improvement Projects. Four evidence-based interventions were found to reduce readmissions for SCD patients.
Implementation
Two interventions were implemented: Disease-specific discharge education and scheduling post-discharge follow-up appointments prior to discharge. These interventions were conducted by bedside nurses, case managers, and SCD champions over six-months.
Outcomes/Evaluation
The 30-day readmission rate for SCD was reduced by 22%. There was also a 0.9-day reduction in length of stay and a 17% reduction in Emergency, Observation, and Inpatient encounters.
Impact
This project found that implementing evidence-based care coordination interventions can reduce the 30-day readmission rate for patients with SCD.
Sustainability
Effective care coordination is a key aspect to mitigation of hospital readmissions. Establishing processes to incorporate these strategies into the daily work of care coordinators may serve as the springboard for additional EBP interventions and further support continued quality improvement.
Date of publication
Winter 2-27-2021
Document Type
DNP Scholarly Project
Language
english
Persistent identifier
http://hdl.handle.net/10950/3666
Committee members
Dr. Roberta Schwartz, Dr. Nicole Twine, Dr. Kathleen Helgesen, Dr. Sander Peterson, Dr. Jennifer Chilton, & Dr. Barbara Haas
Degree
Doctor of Nursing Practice
Recommended Citation
Edge, Naphtali, "DNP FINAL REPORT: Breaking the Cycle: Care Coordination Interventions and Sickle Cell Readmissions" (2021). DNP Final Reports. Paper 18.
http://hdl.handle.net/10950/3666
Included in
Clinical and Medical Social Work Commons, Congenital, Hereditary, and Neonatal Diseases and Abnormalities Commons, Genetic Processes Commons, Health Communication Commons, Hematology Commons, Other Medical Sciences Commons, Other Nursing Commons, Other Social and Behavioral Sciences Commons, Quality Improvement Commons