Date of Conferral
2-9-2024
Date of Award
2-9-2024
Degree
Doctor of Healthcare Administration (D.H.A.)
School
Health Services
Advisor
Rabeh Hijazi
Abstract
Length of stay (LOS) and readmissions are two metrics that are often at the center of improvement efforts for health care systems. There is a lack of evidence regarding the optimal case management model needed to reduce LOS and readmissions for coronary heart failure (CHF) patients. One initiative that has become nationally recognized as a method to improve LOS and readmissions is effective discharge planning. Discharge planning is conducted by case managers whose primary role is navigating patients’ complex social, physical, and psychological issues. The purpose of this quantitative study focused on CHF patients and compared two case management models and their effect on LOS and readmissions. The research questions aimed at determining an association between LOS and readmission rates between case management models 1 and 2 for adult congestive heart failure patients in a Southwest Florida hospital system between 2020 and 2022. Utilizing a sample size of n = 1,780 and guided by the Donabedian model as the theoretical framework, t-test, general linear model, chi-square, and logistic regression analyses revealed no significant differences between case management model utilization and LOS and readmission rates. There was also no significant difference when considering the confounding variables of age and gender. The study contributes to positive social change by providing additional information to health care administrators about different case management models and their impact on LOS and readmission rates for CHF patients.
Recommended Citation
Lesson, Kyleigh Camp, "Impact of Case Management Models on Congestive Heart Failure Patients’ Length of Stay and Readmissions" (2024). Walden Dissertations and Doctoral Studies. 15441.
https://scholarworks.waldenu.edu/dissertations/15441
