Abstract
Introduction: Rehospitalization rates and transitions of care for patients with heart failure (HF) continue to be of prominent importance for hospital systems around the United States. Skilled nursing facilities (SNF) are pivotal sites for transition especially forolder adults. The purpose of this study was to evaluate in SNF both the (1) current state of HF management (HF admissions, protocols, and staff knowledge) and (2) the acceptability and effect of a HF staff educational program. Methods: Four SNF participated in the project, 2 the first year and 2 the second year. SNF were surveyed by discipline as to HF disease management techniques. Staff were evaluated on HF knowledge and confidence in pre- and post-HF disease management training. Results: All-cause rehospitalization rates ranged from 18% to 43% in the 2 SNF evaluated. Overall, there wasa lack of identification and tracking of HF patients in all the SNF. There were no HF-specific disease management protocols at any SNF and staff had limited knowledge of HF care. Staff pre and post test scores indicated an improvement in both staff knowledge and confidence in HF management after receiving training. Conclusion: The lack of identification and tracking of patients with HF limits SNF ability to care for patients with HF. HF education for staff is likely important to effective HF management in the SNF.
| Original language | English (US) |
|---|---|
| Journal | Journal of the American Medical Directors Association |
| Volume | 13 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2012 |
| Externally published | Yes |
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Keywords
- Education
- Heart failure
- Skilled nursing facility
ASJC Scopus subject areas
- Medicine(all)
- Nursing(all)
- Health Policy
Cite this
The bridge project : Improving heart failure care in skilled nursing facilities. / Boxer, Rebecca S.; Dolansky, Mary A.; Frantz, Megan A.; Prosser, Regina; Hitch, Jeanne A.; Pina, Ileana L.
In: Journal of the American Medical Directors Association, Vol. 13, No. 1, 01.2012.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The bridge project
T2 - Improving heart failure care in skilled nursing facilities
AU - Boxer, Rebecca S.
AU - Dolansky, Mary A.
AU - Frantz, Megan A.
AU - Prosser, Regina
AU - Hitch, Jeanne A.
AU - Pina, Ileana L.
PY - 2012/1
Y1 - 2012/1
N2 - Introduction: Rehospitalization rates and transitions of care for patients with heart failure (HF) continue to be of prominent importance for hospital systems around the United States. Skilled nursing facilities (SNF) are pivotal sites for transition especially forolder adults. The purpose of this study was to evaluate in SNF both the (1) current state of HF management (HF admissions, protocols, and staff knowledge) and (2) the acceptability and effect of a HF staff educational program. Methods: Four SNF participated in the project, 2 the first year and 2 the second year. SNF were surveyed by discipline as to HF disease management techniques. Staff were evaluated on HF knowledge and confidence in pre- and post-HF disease management training. Results: All-cause rehospitalization rates ranged from 18% to 43% in the 2 SNF evaluated. Overall, there wasa lack of identification and tracking of HF patients in all the SNF. There were no HF-specific disease management protocols at any SNF and staff had limited knowledge of HF care. Staff pre and post test scores indicated an improvement in both staff knowledge and confidence in HF management after receiving training. Conclusion: The lack of identification and tracking of patients with HF limits SNF ability to care for patients with HF. HF education for staff is likely important to effective HF management in the SNF.
AB - Introduction: Rehospitalization rates and transitions of care for patients with heart failure (HF) continue to be of prominent importance for hospital systems around the United States. Skilled nursing facilities (SNF) are pivotal sites for transition especially forolder adults. The purpose of this study was to evaluate in SNF both the (1) current state of HF management (HF admissions, protocols, and staff knowledge) and (2) the acceptability and effect of a HF staff educational program. Methods: Four SNF participated in the project, 2 the first year and 2 the second year. SNF were surveyed by discipline as to HF disease management techniques. Staff were evaluated on HF knowledge and confidence in pre- and post-HF disease management training. Results: All-cause rehospitalization rates ranged from 18% to 43% in the 2 SNF evaluated. Overall, there wasa lack of identification and tracking of HF patients in all the SNF. There were no HF-specific disease management protocols at any SNF and staff had limited knowledge of HF care. Staff pre and post test scores indicated an improvement in both staff knowledge and confidence in HF management after receiving training. Conclusion: The lack of identification and tracking of patients with HF limits SNF ability to care for patients with HF. HF education for staff is likely important to effective HF management in the SNF.
KW - Education
KW - Heart failure
KW - Skilled nursing facility
UR - http://www.scopus.com/inward/record.url?scp=84855162146&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84855162146&partnerID=8YFLogxK
U2 - 10.1016/j.jamda.2011.01.005
DO - 10.1016/j.jamda.2011.01.005
M3 - Article
C2 - 21450244
AN - SCOPUS:84855162146
VL - 13
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
SN - 1525-8610
IS - 1
ER -