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CCBY-NCSA_V3.0_US, Open Access
Thesis
Care Coordination Home Telehealth: Reducing Hospital Bed Days in Veterans With Newly Diagnosed Heart Failure
Washington State University
Master of Nursing (MN), Washington State University
05/2009
Handle:
https://hdl.handle.net/2376/3572
Abstract
The Veterans Affairs Medical Center (VMAC) introduced a home telehealth program, Care Coordination Home Telehealth (CCHT) in August of 2005. Its purpose was to coordinate the care of veteran patients with chronic conditions and avoid unnecessary bed days of care related to these conditions. This study examined the effectiveness of two nursing approaches to improve self management skills of veterans with newly diagnosed heart failure in reducing bed days of care within 30 days and 3, 6, 9 and 12 months of discharge. A quasi-experimental, longitudinal, repeated-measures design was used with a sample of 88 participants. The CCHT group (N=61) showed a significantly reduced rate of hospital bed days at the specified intervals as compared to veterans who received standard discharge teaching of self care by a staff nurse (N=27). Many veterans admitted to the hospital are at high risk for unplanned readmissions and subsequent hospital bed days within 30 days of discharge, especially those with newly diagnosed heart failure (AHA, 2009). CCHT home telehealth, and disease management technology may help veterans live independently at home while reducing readmissions and hospital bed days.
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Details
- Title
- Care Coordination Home Telehealth: Reducing Hospital Bed Days in Veterans With Newly Diagnosed Heart Failure
- Creators
- Diana M. Sage
- Contributors
- Janet R. Katz (Advisor)
- Awarding Institution
- Washington State University
- Academic Unit
- Research Projects, College of Nursing
- Theses and Dissertations
- Master of Nursing (MN), Washington State University
- Publisher
- Washington State University; Spokane, Washington
- Identifiers
- 99900590539401842
- Copyright
- http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)
- Language
- English
- Resource Type
- Thesis