Date of Conferral

2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Diane Whitehead

Abstract

AbstractHeart failure (HF) is a progressive and life -threatening disease that places a large burden on the health care systems worldwide with increased rates of re-hospitalization, readmissions, and outpatient visits. With the use of telehealth monitoring and support from nursing case managers, HF patients are able to manage this disease at home. The focus of this project was to evaluate a home health agency (HHA) telehealth program, exploring if there was an improvement in 30-day readmission rates, and patient satisfaction scores for the HHA telehealth program one year after revising the program incorporating nursing virtual case managers. This project used the Plan, Do, Study, Act model to frame the project. The data used for this project were reviewed one year prior and one year after the improved telehealth program began. The quarterly Press Ganey scores for patient satisfaction were reviewed for the same time frame. The data revealed that for one-year pre virtual case managers (VCM) there was an 8% readmission rate and 89.9% patient satisfaction and one-year post VCM a 7% readmission rate and 94.7% patient satisfaction score. HF is a complicated disease and many factor impact readmission. Although there was only a 1% difference in the readmission rates, a positive change occurred with a significant increase of 5.07% in the patient satisfaction using nursing VCM to support HF patients and families virtually using telehealth.

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