ABCBaylorProjectHeartFailureDischargeInstructionsTeam.pptVIP

Accelerating Best CareIn PennsylvaniaHazleton General Hospital“Heart Failure Discharge Instructions Team”June 7, 2007 Project Selection Top Admission Diagnosis Most Common Reason for Readmission Financial Impact CMS Core Measure Team Members Andrea Andrews, RN, CHCQM - Director QM/CM - Facilitator Barbara Vilushis, DO - Associate Medical Director - Team Leader Anthony Veglia, MD - Physician Karen Magula, RN - Supervisor QM/CM Louise Mope, RN - Unit Secretary Louise Cameron, RN - Adm/Disch Nurse Sue Jones, RN - Telemetry Unit Nurse Lois Hertzog, RN - Telemetry Manager Kim Colvell, RN - Stepdown Unit Manager Deb Welikonich, RN - Nursing Systems Director Aim Statement By May 1, 2007, 100% of patients discharged on the Telemetry Unit (5th Floor) with a diagnosis of CHF will receive “CHF” Discharge Instructions per CMS Guidelines. Brief Description of Project The Team will assess all patients on the Telemetry Unit with a diagnosis of “CHF” for CHF Discharge Instructions. Over a one-week period of time, each chart will be reviewed for specific discharge instructions as per the CMS Core Measure requirements. Slogan “Heart Failure Instructions Given, Promote Healthy Livin’” CHF Discharge Instruction Flow Chart CHF disease-specific materials not available on chart Physician/nurse not completing CHF discharge form properly Lack of communication between nursing and physicians regarding discharge time-frame Interventions CHF Form (#1) - Placement of “YELLOW” CHF Form on front of chart. (Implemented week of February 4, 2007) Staff educated on use of form Staff “alerted” – must use disease- specific discharge instructions Interventions Medication Profiles (#2) – Request sent to pharmacy to printout patient profile and placed on chart by unit clerk. (Implemented week of February 18, 2007) Memo to physicians (#3) - All physicians received memo regarding their responsibil