July/September 2018 - Volume 33 - Issue 3
pp: 195-296,E1-E16

AHRQ Commentary


Innovations in Quality Improvement in Long-term Care


Quality From the Field





Creator:
Duration: 3:54
Journal: Journal of Nursing Care Quality July/September 2018, Volume 33, Issue 3;
Two major cost concerns related to joint replacement surgery are patient length of stay (LOS) and 30-day hospital readmission rates. Dr Ashcraft describes a QI project to evaluate the impact of a joint replacement program on patient readmissions and hospital LOS. A total of 1425 patients older than 50 years participated. At the end of the project period, readmission rates decreased from 6.19% to 2.8%, and average LOS decreased from 5.87 days to 2.7 days. After watching the video be sure to read the article. The authors share strategies for adopting this program in your own setting.
Creator:
Duration: 2:33
Journal: Journal of Nursing Care Quality July/September 2018, Volume 33, Issue 3;
The purpose of this project was to determine whether patients with COPD receiving in-home visits by a nurse practitioner (NP) in a program called Community Cares had fewer hospital encounters such as ED visits, observation stays, and inpatient admissions. With in-home NP visits, inpatient encounters decreased by 71%; ED visits decreased by 68%; and there was an 84% reduction in 30-day readmissions. Learn more about this program (from a patient and NPs). Don’t miss this video and then read the article.