Using Palliative Care Nurses in a Supportive Care Program to Reduce Hospital Utilization for Patients With Multiple Chronic Conditions.

Abstract:

BACKGROUND:Health care organizations are designing comprehensive care programs to reduce hospital utilization by high-risk patients with multiple chronic illnesses. LOCAL PROBLEM:A community hospital recognized patients with multiple chronic conditions had higher rates of inpatient stays and emergency department (ED) visits. METHODS:Patients (n = 36) with multiple chronic conditions enrolled in a supportive care program. Researchers analyzed hospital utilization, inpatient stays, and ED visits preintervention and postgraduation for the participants enrolled. Palliative care nurses were assigned to patients enrolled in the supportive care program. RESULTS:There was a statistically significant decrease in hospital utilization (Z = -2.540, P = .011) and inpatient stays (Z = -4.037, P < .001) following the implementation of the supportive care program. CONCLUSIONS:The study met its aim of reducing hospital utilization and inpatient stays by creating a comprehensive approach to support high-risk patients in self-management of their chronic illnesses.

journal_name

J Nurs Care Qual

authors

Allen A,Frederick L,Hovey SL

doi

10.1097/NCQ.0000000000000482

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

79-83

issue

1

eissn

1057-3631

issn

1550-5065

pii

00001786-202101000-00014

journal_volume

36

pub_type

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