Importance: Transitional care for elderly patients who suffer from multiple chronic medical conditions is essential to reduce the length of and improve the quality of care. According to the 2010 census, older adults accounted for 13 % of the United States population…
Purpose: This project aims to provide care coordination and transition management (CCTM) education and training to pre-licensure nursing students to strengthen preparation of students to practice in community-based ambulatory care settings…
Background: As part of the American College of Cardiology (ACC) patient navigator program (PNP) phase II focus MI, we continued risk-specific interventions implemented in phase I to reduce AMI readmissions…
Surgical outcomes have impact on both patient health and CMS reimbursement. Preventing poor outcomes such as surgical site infections (SSIs) and readmissions are important tasks that do not only occur in the operating room…
Problem: The ambulatory care management team at Carilion Clinic lacked the necessary tools to demonstrate readmission risk reduction for patients undergoing care transitions…
Background of the problem: Well-managed oral anticoagulant (OAC) therapy can reduce the risk of adverse events, including excessive bleeding or venous thromboembolism…
Purpose: A quality improvement (QI) project implemented on an inpatient cardiac unit evaluated the effectiveness of standardized bedside shift report (BSR) on patient-nurse communication scores as measured by CMS HCAHPS, which is part of the national public system reporting patient perceptions of h…
Purpose: Within our clinical research center, ambulatory care primary clinical research nurses (PCRN) embrace a primary nursing model of care. Our goal is to expand and improve primary nursing in high-volume ambulatory care clinics…
Background: The use of case review is a well-established teaching tool in nursing education, however there is little literature discussing case review to enhance motivational interviewing (MI) skills and professional development for nurses…
Transgender/gender non-binary (TGNB) individuals experience health disparities such as gaps in knowledge amongst providers and health care organizations…
Purpose: To understand the experiences of front-line nurses during the COVID-19 outbreak in Hubei and investigate their views on the role of ambulatory care in the management of COVID-19 and future infectious disease outbreaks…
Purpose: Digital communication is rapidly evolving in community care practices. With 85% of our primary care paneled patients utilizing portal accounts, patient online portal messages to team pools and prescription refill requests increased 272% over a five-year period…
Purpose: The purpose of our contribution is to demonstrate the opportunity for improved patient care and nurse satisfaction by expediting clinical assessments and disposition during quick response (QR) calls…
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