Date of Conferral

2022

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Compreca Martin

Abstract

The United States lacks postdischarge services, which can negatively impact hospital readmissions within 30 days. It is important for case managers to effectively leverage outpatient services to enhance patient care and reduce readmission rates. Grounded in the practice change model framework, this qualitative single case study explores the perspectives of case managers involved with postdischarge services for patients diagnosed with coronary artery disease (CAD). Participants included 13 case managers from two metropolitan hospitals in Atlanta, Georgia. To address the research problem and study purpose, data collection techniques included semi-structured interviews, case management discharge summaries, and reflective journal notes. The thematic analysis approach was used to observe and document themes that emerged. The five themes that emerged from data analysis were: (a) medication, (b) follow up appointments, (c) patient compliance with medical care instructions, (d) home health, and (e) outpatient case management. Patient discharge and quality of care to prevent or reduce readmission rates have always been a central axiom of hospital postdischarge services. Insights from this study addressing gaps in postdischarge services amongst patients diagnosed with CAD may lead to improved outcomes in patient care, thus contributing to positive social change across large metropolitan hospitals. Findings may also contribute to social change by providing solutions that may improve readmission rates within inpatient hospital settings.

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