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Sorah Levy
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P1.07 - Nursing and Allied Professionals (ID 171)
- Event: WCLC 2019
- Type: Poster Viewing in the Exhibit Hall
- Track: Nursing and Allied Professionals
- Presentations: 1
- Moderators:
- Coordinates: 9/08/2019, 09:45 - 18:00, Exhibit Hall
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P1.07-07 - An Interdisciplinary Collaborative Approach to Discharge Readiness on a Thoracic Surgery Specialty Unit (ID 797)
09:45 - 18:00 | Presenting Author(s): Sorah Levy
- Abstract
Background
This six month process improvement pilot aims to address the U.S. Centers for Medicare & Medicaid Services’ mandate that hospitals improve quality of care through improving outcomes such as length of stay (LOS), 30 day readmission, and patient satisfaction.
Method
A collective of Thoracic Surgery staff established a multidisciplinary process that included daily interdisciplinary rounds to discuss patients’ progress and discharge readiness. An interactive discharge readiness tool that looks like a board game, based on an evidence-based concept that is effective in the pediatric patient population, was created to engage the patient and family in discharge readiness. A patient education guide and documenting mechanism were built into the electronic medical record to aid and que staff in educating the patient and allow the multidisciplinary team to view the patients’ progress.
Result
Patient satisfaction scores, measured using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), in the domains of Communication with Nurses, Communication About Medicines, Discharge Readiness, and Care Transitions each improved. The Thoracic Intermediate Care Unit (TIMC) ranked above the 90th percentile in three of the four measured domains and significantly outperformed its sister unit, the Surgical Intermediate Care Unit (TIMC), in all categories. Surprisingly, LOS and 30 day readmission increased during the first quarter of the six month pilot.
Conclusion
The improvement in patient satisfaction in all measured domains highlights the positive impact of this initiative. The increase in HCAHPS scores after implementing the Journey Board imparts the benefit of using an interdisciplinary tool to engage the patient and family in discharge readiness. The Care Transitions domain, which examines the patient’s perception of their ability to manage their health and understanding of their medication, connects directly to the purpose of the Journey Board. Prior to this pilot the TIMC was underperforming in the Care Transitions domain at 54.6%. During the first quarter of the pilot the HCAHPS score jumped to 80.3% and although it dipped to 72.2% in the second quarter if the pilot this is still a meaningful increase from the pre-pilot period. The improvements in HCAHPS scores are especially notable when comparing the percentile ranks of the TIMC and SIMC, sister units with the same nursing staff. It appears that the having a formal process in place provides the interdisciplinary team with a structure to engage the patients and families in preparation for going home. Although unimproved, the inability to decrease LOS and 30 day readmission can be explained by the concurrent increase in case mix index, a measurement of acuity, of the patients on the TIMC.
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WS03 - ITONF Workshop: Bridging the Gaps in Thoracic Oncology Nursing - A Global Perspective (Sign Up Required) (ID 104)
- Event: WCLC 2019
- Type: Workshop
- Track: Nursing and Allied Professionals
- Presentations: 1
- Now Available
- Moderators:
- Coordinates: 9/07/2019, 11:00 - 18:00, San Francisco (2009)
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WS03.06 - Panel - Innovative Nursing Care in Early Stage Lung Cancer: A Global Perspective (Now Available) (ID 3671)
11:00 - 18:00 | Presenting Author(s): Sorah Levy
- Abstract
- Presentation
Abstract not provided
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