Utilizing home health service to decrease rehospitalizations
Review TypeNone: Degree-based Submission
Repository Posting Date2020-02-11T15:33:47Z
Author DetailsAnnette Wingard, DNP, RN. Completed a Doctor in Nursing Practice (DNP) project in Utilizing Home Health Service to decrease rehospitalizations. My quality improvement change in practice showed a 40% decrease in rehospitalizations over a 60 day period after implementing evidence based practice strategies.
Lead Author Sigma AffliationNon-member
TypeDNP Capstone Project
Level of EvidenceQuality Improvement
Research ApproachTranslational Research/Evidence-based Practice
KeywordsDecreasing Rehospitalizations; Home Healthcare; Best Practices in Home Health; Unnecessary Hospitalizations; Preventing Readmissions in Home Healthcare
Rehospitalizations is a national problem and is not safe for the frail elderly who have ongoing management of multiple chronic conditions. To address rehospitalization rates that were above the state and national average, a quality improvement change in practice was implemented in a midsized home health agency. The objective of this study was to reduce rehospitalization rates by implementing a hospital readmission prevention toolkit that adhere to evidence-based practice strategies applicable to home health clients that have shown to reduce avoidable rehospitalizations. The hospital readmission prevention toolkit will improve client outcomes through education, implementation, and consistent use of a practice change of hospital readmission prevention best practice tools that include: a risk assessment for rehospitalizations, front-loading nurses’ visits, client weekly phone monitoring, and timely documentation. The hospital readmission prevention toolkit was effective in decreasing the home health agency’s rehospitalization rates over a 60 days period by 40%. The study concluded that when properly educated on the home health agency gap in practice, provided with supportive tools, and properly educated on the implementation of evidence-based practice interventions; rehospitalization rates decreased and client communication and collaboration increased improving client outcomes.
Degree GrantorCapella University
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